1. Get a notebook, ask questions, write down name of person who gave you response and their answers for future reference, write down all info in regards to the care of the patient.  One question that comes to mind: what is their procedure if the assigned aide takes off sick?  How soon will they send a substitute?
2. Make sure the home care agency has one or more phone numbers of relatives of the patient should there be a question or an emergency.
3. Have a typed sheet of paper taped to a wall (probably the patient's bedroom) with the patient's name, Dr's name and tel#, meds, name of relative/s to contact.
4. By the patient's phone, have another sheet with patient's full name and address.  If for some reason the aide needs to call an ambulance, the address is right there!
5. Lock anything of value (jewelry, bank acct info, important documents like birth certificate, etc).  Not all aides have morals.
6. Know that you have the right to fire any aide for whatever reason.
7. There should be at least one family member or friend stopping by often to check on things.  This is important! (Let your neighbors know what is going on so they can keep an eye out for you.)
8. Check your loved one physically.  Any unusual bruises?  Is your loved one happy?  scared?  quiet? bed sores?  smells?   Check the fridge - enough food?
9. Let the aide know what your loved one likes to do, what to eat, listen to, tv shows to watch.

These are really good tip. I am working from a senior home, and I can say that you were detailed and helpful to the readers of your post. Keep up the good work.

Thanks much,
Rust
#1 senior homes Directory

These are great tips. I'd also recommend that if you check in with your elderly relative and their home care worker, to do it unscheduled. If the home health care worker is lacking at any of their duties, they are more apt to cover it up if you let them know you are stopping by.