24 Hour In-Home Care
When Your Loved One Cannot Be Left Alone
Traditionally institutionalization in nursing homes has been the solution when your loved one can no be left alone and requires around the clock care.
Every situation is unique and every person has different care needs, but in-home care is an affordable alternative to nursing homes allowing your loved one to stay at home and have individual care versus shared care.
With in-home care, there are no shared rooms with roommates or the divided attention of nursing home staff dealing with the greatest crisis at the moment.
Your in-home caregiver focus on only the care needs of one person, your loved one.
By remaining at home there is none of the confusion, stress, and anxiety your loved one feels in relocating to a new setting in a nursing home.
Options For 24 Hour In-Home Care
Although a care plan is made after a free In-Home Assessment by a Case Manager to meet the unique care needs of every situation, there are two main options for 24 Hour in-home care.
The two in-home Around the Clock care options are:
• Live-In Care: when a caregiver lives in the home and stays overnight.
• Split-Shift In-Home Care: when the coverage of a day time frame is split between several caregivers.
With Live-In home care a single caregiver provides to the needs of your loved one in a 24 hour time frame.
The caregiver is scheduled for a maximum of four or five days per week and then switches with a different caregiver for the remainder of the week. Generally, the care is given by only these two caregivers over the course of the week, versus the day.
Over a 24 hour day, the Live-in caregiver is given a 4 hour break to rest and rejuvenate. If the situation requires it, an additional caregiver can cover these 4 hours.
The Live-in caregiver also has an 8 hour sleeping period. With Live-in care, a room and a bed in the house must be provided for the Live-in caregiver to sleep.
Live-in care is billed at a flat per day rate. If needed, any additional coverage during the Live-in caregiver’s 4 hour daily break is billed at an hourly rate.
Advantages of Live-In Care
• Even with the one on one individual care, Live-in home care is cheaper than nursing home costs.
• Live-in home care costs are about half of 24 Hour in-home care.
• With Live-in care the number of caregivers is reduced versus 24 Hour care. Generally, only two caregivers are scheduled for the week. This provides your loved one with the consistency of care and allows them to be more comfortable with their caregivers and build stronger relationships with them.
• Fewer caregivers reduce confusion for those with Alzheimer’s and Dementia.
Disadvantages of Live-In Care
• The Live-in caregiver receives a 4 hour daily break. If care during the break is needed there are additional costs.
• The Live-in caregiver is given a mandatory 8 hour sleeping break. There is no direct care or supervision during this 8 hour sleeping time frame.
• A room and bed must be provided for the Live-in caregiver to sleep.
24 Hour Home Care
• With 24 Hour care two caregivers are scheduled daily with each caregiver working a 12 hour shift.
• In some situations for medical or other reasons, it is better to have 3 caregivers who each work an 8 hour shift.
• With 24 Hour care the caregivers do not sleep in the home and a room is not provided for them.
• Caregivers usually work no more than 4 shifts per week.
• 24 Hour home care is billed on an hourly rate.
Advantages of 24 Hour Care
• With 24 Hour home care there is a caregiver with your loved one all times, day and night, 27/7.
• The caregivers are awake all night and day, to take care of your loved one’s needs 24 hours a day.
• 24 Hour care is preferred if your loved one has a condition in which they wander or need care at all hours of the day and night.
• Also with 24 Hour care the caregivers are more alert as they are replaced with another fresh caregiver every 8 or 12 hours.
Disadvantages of 24 Hour Care
• 24 Hour home care costs are a little more than nursing home costs. However, your loved one receives 24 Hour individual, one on one care versus the shared care of a nursing home.
• The cost of 24 hour home care is higher than Live-in home care, as 24 Hour care is billed at an hourly rate versus a flat rate.
• 24 Hour care has less continuity of caregivers making this less desirable where the client wants or needs the same person providing all the care.
Affordability Of In-Home Care
There are 479 nursing homes in Massachusetts. Many of the highest rated nursing homes are within Greater Boston.
Nursing homes in Greater Boston average about $10,380 a month and range between $7,050 and $13,200 per month.
Annually, the costs are $84,600 to $158,400 with the mean cost of around $126,290 for Greater Boston, which is higher than the national mean average of $77,380 a year.
Better nursing homes cost more than average nursing homes and have waiting lists.
Live-in home care costs are less than the cost of nursing homes at around $384 a day for the care needs of one person or $504 a day for two people to receive care.
24 Hour in-home care is about $576 a day for the care needs of one person or $624 a day for two people to receive care.
Medicare And Medicaid
Long-term care can be funded from various sources. The Federal and State benefit programs for low-income individuals are Medicare and Medicaid.
Medicare does not cover 24-hour-a-day care at home.
Medicare’s home health benefits include intermittent skilled nursing care, therapy, and care provided by a home health aide. Depending on the circumstances, home health care will be covered by either Part A or Part B.
Medicaid has traditionally resolved long-term care needs by paying for a nursing home. But as most individuals would rather be cared for at home and home care can be cheaper than nursing homes, all 50 states now have Medicaid programs that offer at least some form of home care.
Medicaid programs are state-run, and each state has different rules about how to qualify. Because Medicaid is available only to low-income individuals, each state sets its own asset and income limits.
Massachusetts’ Medicaid program, MassHealth, the administrators will review the medical conditions of each applicant to determine the types of services and the number of hours per week that they require assistance.
One can receive up to 50 hours of personal in-home care assistance per week. In some cases, MassHealth may approve additional in-home care.
MassHealth will set a specific budget for personal care services after review to ensure that the participant has assistance with the activities and instrumental activities of daily living (ADL’s). These include personal assistance with bathing, grooming, dressing, toileting, eating, mobility, and personal hygiene, as well as homemaker services, such as housecleaning, laundry, meal preparation, and shopping for essentials.
Assistance with transportation to go to a medical appointment is also considered an eligible service for MassHealth.
Overnight home care services may be eligible if a participant requires assistance during the night.
About Unique HomeCare Services
Unique HomeCare Services provides in-home care for elders and people who are recuperating from illness, injury, or surgery.
We offer a full range of in-home care services such as personal care, grooming and incontinence care, bathing and dressing, post-hospitalization care, Alzheimer’s and Dementia care, and medication management.
We also provide non-medical support services such as meal planning and preparation, light housekeeping, caring companionship, shopping/errands, accompanying to medical and other appointments, as well as case management services.
Our services are available for long-term and short-term care needs from as little as a one 4 hour day visit a week to 24 Hour and Live-In Care.
We also offer Respite Care services to assist family caregivers going away or with caregiver fatigue.
It is our pleasure to assist our veteran clients with VA Aid and Attendance Benefit approval at no cost.
We have an extensive Directory of Online Senior and Caregiver Resources for the information you need.
Our service area is Boston, Norwood, Dedham, Westwood, Walpole, Canton, Sharon, Stoughton, Avon, Braintree, Easton, Milton, Quincy, Weymouth, and surrounding towns.
To schedule a no cost and no obligation full In-Home Assessment to determine the home care needs of you or your loved one please call us at (800) 296-9962 to speak to a Case Manager or fill out our Free Quote Contact Form.