Frequently Asked Questions
Home Care Service Options
General Operations
The Client Service Manager does the initial in-home assessment and creates the personalized care plan. S/he also makes specific caregiver recommendations to our office if s/he feels there is an ideal match for a particular client
We are very proud of our caregivers’ track records, and are happy to say that tardies and no-shows are a rarity. Even so, emergencies happen, and we are prepared to take over if one of our caregivers needs extra support.
Each caregiver must use the client’s home phone to clock-in. If a caregiver is late a message is sent out to the management staff as an alert and we immediately reach out to the caregiver.
If a caregiver does not arrive for their shift we have on-call caregivers that are called in to work the shift. In some cases, the Client Case Manager or others in management positions will arrive to provide care, as all of our office managers are also trained senior care providers.
The Client Service Manager is a key caregiver leader in our model of operations. Our caregivers and the Client Service Manager all check-in with our Human Resource Manager – who also checks in on patient/caregiver visits from time to time.
Because each client has different needs, we assign a small team of caregivers to each client. That way, the client can create familiarity and rapport with just a few people, maintaining caregiver consistency as much as possible.
Communicating with families is a foundation of high-quality senior care. In addition to regular visits from our Client Service Managers, which always generate communication via phone and/or email with the designated contact(s).
Perhaps more importantly, family members can call their client service manager at any time with questions or to check in on the care plan. We also offer secure, online Family Portal that allows family members to log in to a private website and check on the care notes.
North River Home Care has been in business as a professionally senior home care provider since 2007. We now have more than 250 caregivers on our roster, providing expert care to seniors and their families around the South Shore and Upper Cape areas.
- Step 1: Intake
- Goal: Schedule Assessment. Once Assessment is scheduled, it’s usually a go.
- Who, what, why. We want to understand all of the greater and smaller needs of our client, and will also go over the recommended services, along with a rate quote.
- Send an informational packet. If you’ve found us or contacted us online, we’ll send you an informational packet. If you heard about us through word-of-mouth, we’ll get a packet out by email or mail as requested.
- Step 2: Schedule Assessment
- Determine frequency and immediacy. More independent clients who independently handle basic, daily care tasks may not require the same level of immediacy or frequency of care as those who need help with daily tasks.
- Care Notes. We’ll take careful notes about the client’s preferred diet, med reminders, bed time, other medical or therapeutic needs, favorite activities, etc. This forms the basis of the personalized care plan.
- Set expectations. It’s important that the client, the client’s spouse/family, and the caregiver on the same page. We will set expectations and service goals in writing and use those to review and amend the care plan as needed.
- Step 3: Case start
- Timeliness. As mentioned above, it can take anywhere from within a few hours to a few days, depending on multiple factors. Typically, clients on the Upper Cape area may need to wait a bit longer to be matched with the right caregiver. South Shore clients may be able to begin service within just a few hours after completing their assessment.
- Service needs. Patients who require basic home care can typically begin service sooner than those who have more acute dementia or hospice needs because that may require more collaborative work between caregiving entities.
In many cases, services can begin within a few hours after we’ve finalized the initial client evaluation and contract. Other times, it may depend on the time of year (holidays, for example, might make it harder), the types or specificity of the services needed, and your location.
We have a four-hour minimum service requirement. During this time, we can provide any of the senior care services listed above, and we can also support things like shopping, errand running, as well as meal preparations so the client and caregiver can share meals together. The latter is one of the best ways to get senior loved ones to eat more than they would on their own.
About Our Caregivers
We do have both nurses and social workers on staff to provide more comprehensive, expert, and attentive senior care services.
Yes, caregivers can provide transportation during care. Some common types of transportation needs include medical appointments and grocery shopping. To this end, we pull regular DMV background checks to ensure caregivers have a clean, safe driving history.
Each caregiver has their own unique background. Some are home health aides, some are certified nursing assistants who are better able to assist home health care providers. Several of our dearest caregivers have cared for their loved ones and found their calling as a caregiver, while others have watched what a difference it made to have a caregiver support a loved one, and then became professional caregivers to give back to their communities.
The area Red Cross offices hold certified nursing assistant training, which are also resources from which we’ve found some of our best caregivers.
We prefer to hire caregivers with experience, but we also understand the invaluable asset that a fresh, inspired, and easy-to-train prospect is when trained to our high-standards of caregiving (see more below).
We conduct extensive reference and background checks on every applicant who gets a green light after our multi-phase interview process.
Yes, all caregivers and employees at North River Home Care are bonded and insured.
It would depend on how often you require services. We encourage using more than one caregiver as part of a team. A caregiving team means that in case of an emergency or to honor caregiver holiday and vacations, the client will feel comfortably connected to the caregiver who takes over, and the assigned caregiver will be fluent with the client’s personalized care plan.
The in-home assessment comprises multiple components that include the immediate needs of the client, as well as social-emotional needs, and explores the client’s interests and personality traits. This is done using a list of specific questions. Afterwards, the Client Service Manager takes a look at our caregivers to see who would best match these traits.
Services Locations
We do provide services in nursing homes or assisted living services. For some, this is to provide comfort and personalized companions. For other clients, our adjunct services are more affordable than paying the assisted living facilities “add-on” service fees.
Supporting clients in assisted living is different from a home setting because our caregivers must honor the rules and regulations of the specific setting. This may not allow as much freedom as we have when working in client homes. Also, our services may be limited in response to current health advisories or pandemic restrictions.
We provide the entirety of our senior care services throughout the South Shore and MetroWest area. Click Here to view our comprehensive map.
Financial Information
No, not with the North River Home Care family. We are completely transparent with all of our pricing and there are absolutely no hidden costs or surprise fees.
Our weekday rates are the same Monday through Friday. Weekends and holidays have different rates. One of the reasons why you pay more for home care services through an agency, as opposed to hiring someone who advertises as a freelancer is that our employees enjoy benefits packages, including paid holidays as well as differential pay for weekends and holidays. Better pay and benefits directly correlate to higher-quality, experienced, and consistent care for our senior clients and families. If you have any questions about our rates, please call us.
The average range for home care is $35-45/hour with a minimum of four hours per shift. The price fluctuation depends on the level of services provided.
Visit, How to Pay for Homecare, for ideas on how to make these costs more affordable and to minimize out-of-pocket spending.