Considerations when hiring an in-home caregiver

Taking care of a loved one who is recovering from a surgery or suffering from chronic conditions can be physically demanding and emotionally draining for the family. Oftentimes, family members have to work outside of their homes, which impedes their ability to efficiently care for the individual’s daily necessities. It is also common for family members to experience caregiver burnout and especially when he or she requires professional help for specific medical conditions, families should therefore consider hiring an in-home caregiver for their loved ones.

As one is able to receive care in the comfort of their own home, surrounded by their familiar settings, the option of hiring an in-home caregiver may aid in the individual’s physical recovery and mental wellness. Depending on the conditions of your loved one, some individuals may not require intensive care that demands them to stay in the hospital. As such, hiring an in-home caregiver can allow your loved one to maintain their independence while receiving the necessary care and support.

 

What you should look out for when choosing your in-home caregiver?

Choosing an in-home caregiver is not an easy task. There are many aspects for you to consider, which is why Timeliss has created a general guideline to help your decision-making process in choosing the most suitable caregiver.

Here are some questions you choose should ask yourself when choosing a caregiver:

 

1. What are the areas in which your loved one requires caregiving assistance?
  • Does your loved one face difficulties in performing daily functional activities such as eating, bathing, dressing and using the washroom by themselves?
  • Does your loved one require medical caregiving services— this will determine if you should hire a private nurse or medically trained caregiver instead of someone that focuses more on daily caregiving services.
  • What are the professional qualifications that you should look out for when choosing your caregiver?
  • Is your loved one living by himself or herself? How frequent does your loved one require the caregiving services— this will determine if you should engage in a part-time caregiver or someone who is able to live in your home.

 

2. Do you have any financial constraints that will influence your choice of caregiving services?
  • Does your budget allow you to hire certified caregivers or private nurses from healthcare agencies? If not, are freelance caregivers a reliable and dependable alternative for you to consider?
  • Are you looking for an interim caregiver or someone who can offer more long-term caregiving services? For the latter, it may be more economical for you to subscribe to caregiving packages for the long term.
  • Who are the stakeholders that are contributing to the financial payment of your loved one’s caregiving services?
  • Are there any government subsidies that can help offset the cost of your loved one’s caregiving services? In Singapore, there are some government subsidies and financial assistance available.
    • Home Caregiving Grant: Eligible families may receive a monthly grant payment of $200 to defray the costs of caregiving expenses, such as the cost of caregiver support services in the community, or hiring a Foreign Domestic Worker (FDW).
    • Seniors' Mobility and Enabling Fund: The SMF provides subsidies which will offset the costs of assistive devices and home healthcare items for senior citizens.
    • Caregivers Training Grant (CTG): The CTG provides financial assistance for caregivers, including family members and Foreign Domestic Workers (FDW), to attend training courses which can help them to upgrade their skills to better take care of the care recipient. For every financial year, the CTG provides subsidies of up to $200 per eligible care recipient.

 

3. What are the preferences of your loved one?
  • On the most basic level, is the caregiver able to communicate smoothly with your loved one? Are there any language or cultural barriers that may impede daily communication between them?
  • Is your loved one more comfortable with a local caregiver or a foreigner?

 

Where can you source for these in-home caregiving services?

Currently in Singapore, there are many agencies available that provide in-home caregiving services. As they have already conducted qualification checks and trained their staff, this better ensures the quality and competence of the caregivers available, hence reducing the administrative hassle for you when choosing your needed help. Indeed, some may prefer hiring a freelance caregiver as it undercuts the administrative costs of engaging in these agencies. However, this also means that one has to be responsible in checking the professional competence of these freelancers.

Whether you engage in agencies or freelancers, you should always check for reviews from trusted sources and consult your doctors before engaging in these services.

Here are 5 agencies that provide in-home caregiving services for you to consider:

Name Services Considerations
Homage

In-home daily living care: $20/hour onwards (by local certified caregivers)

- services such as assisting with the care recipient’s personal hygiene, escorting him or her to doctor’s appointments, preparing meals and etc.

 

In-home nursing care: $24/hour onwards (by local licensed nurses)

- Homage’s certified private nurses can perform nursing procedures in the comfort of your homes, which includes Nasogastric Tube (NGT) feeding and reinsertion, gastrostomy feeding (PEG), blood glucose check and many more.

- Only provides hourly or 24-hour care/private nursing service, no live-in services available.

- 24-hour services involve two separate caregivers/private nurses who will each attend to the care recipient based on a 12-hour shift.

Pros:
Economically viable for those with a smaller budget. If your loved one does not require prolonged attention, this will be a good choice for you to consider.

 

Cons:
Does not provide 24-hour care service. No live-in option available

Xedge Resource

 

Live-in Caregiving: $650 to $1000 per month (Depends on the qualifications/experience of the caregivers and the needs of the clients)

- Include basic care services including mobility assistance, personal hygiene, toileting and incontinence care. Also provides caregivers who specialize in medical conditions like Parkinson, Alzheimer, dementia, stroke and many more.

- Caregivers speak various languages such as Mandarin, English, Chinese, Malay and/or dialects.

 

Eldercare Helper: $600 to $800 per month (Depends on the experience of the Eldercare Maids)

 

In-home Nursing/Respite Care: $22-25/hour

- Services range from a minimum of 4 hours up to 24 hours a day.

- ​Some common service requests include hospital bedside nursing, home treatments and procedures.

Pros:
Offers live-in caregiving services which will ensure that your loved one receives round-the-clock attention.
The language abilities of their caregivers are suitable for elderly who do not speak English.
NTUC Health (Home Care Services)

 

Home Personal Care: From $2/h with subsidy, $22/h without subsidy

- Accompany and assist the care receipt with basic living activities such as Grocery shopping, Meal preparation and Medical Escort.

 

Home Nursing services: From $12/h with subsidy, $125/h without subsidy

- Provide in-home specialised nursing care and post-hospital care for the care recipient to focus on recovery.

- These nursing procedures includes administration of medication, changing of feeding tubes and urinary catheter, wound and stoma care.

 

Interim Caregiver Service: From $180/single day shift with subsidy, $675/single day shift without subsidy

- Provide short-term nursing care for your loved ones when you or their primary caregivers are away.

Pros:
Provides quality services at an inexpensive price point; suitable for low-income families or those with a smaller budget.

 

Cons: Limitations to the availability of the caregivers.

Caregivers are only available within a specific office hours timeframe. Requests for after office hours services will depend on the availability of the caregivers.

Jaga-Me

 

Nurse Caregiving: $75 for first 2 hours*, $23+ per subsequent hours (By licensed professional nurses, minimum 2 hours)

- Provides services for both non-medical caregiving and nursing caregiving.

 

Non-Medical Caregiving: $63 for first 2 hours*, $17+ per subsequent hours (By trained Caregivers, , minimum 2 hours)

- Provides services for non-medical care such as assisting in daily living activities, providing companionship for the individual.

Pros:
All caregivers under Jaga-Me are Singaporeans, who were screened beforehand through background checks and competency tests by their clinical staff.

Anglo Nurses and Caregivers

 

Live-in Caregivers:

- All caregivers have 2-14 years of experience in caring for elders with conditions like stroke, dementia, diabetes, cancer, heart disease, cancer or prior falls.

- Some caregivers may have experience in administering medical procedures such as NG Tube / PEG Tube feeding and suctioning (oral or tracheal).

- Specialise in caregivers who have acquired the ability to speak English, Mandarin or Cantonese.

- All caregivers under the agency have completed 1 or multiple contracts in nursing homes or in the elderly's home.‍

 

Flexible Respite Care from medically trained nurses:

- Provides flexible, short-term shifts by home nurses for 6 - 12 hours, day or night.

Pros:
Thorough checks are conducted for the caregivers to ensure that they have the relevant experience and professional training needed.

The language abilities of their caregivers are suitable for elderly who do not speak English.

 

Cons: Prices are not available online. You would need to personally consult the agency for quotations.

Flexible caregiving services are not available unless you engage in a medically trained nurse.

 

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