Darien, CT
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How Do Home Care Agencies and Home Care Registries Differ?

homemaker cooking.

Selecting someone to provide home care for your loved one can be an overwhelming task. For many families, understanding the difference between a home care agency and a home care registry adds an additional layer of complexity.

We believe the process of selecting someone to provide home care for your loved one should be simple and transparent. We believe the process of starting home care should be a comfortable transition for the person receiving care and for your family. We believe you should be part of your loved one's home care, but not have to actively manage all aspects of their home care.

Understanding the Differences

The main difference between an agency and a registry comes down to managing the companion. When you select a home care agency, we manage the companion assigned to providing your loved one's home care. When you select a home care registry, that task falls largely to you.

Home Care Agency

We provide in-home care services based on a written plan of home care we create with you and the person needing home care. We perform rigorous background checks as part of our hiring process, and we professionally supervise our home care assistants to ensure your loved one is receiving the best home care possible. Every homemaker is insured and bonded, covered with worker's compensation coverage and goes through a thorough interview. We provide our homemakers and companions with continuing education as well as ongoing training and support.

Each homemaker companion goes through:

  • Reference check
  • Drug screening
  • Background check
  • Personal interview

Home Care Registry

A home care registry acts as an employment services for skilled and unskilled homemakers. Requesting an employee referral from a registry is very similar to hiring a person on your own. When you use a registry, you are responsible for managing the homemaker, handling payroll tax withholdings, and in some cases conducting a background screening.

Below is a breakdown between agencies and registries:

Finding the Right Person



Employees of the company?
Verifies employment eligibility?
Provides criminal background check?
Provides companion training?
Provides continuing education opportunities?

Liability Issues
Handles Federal and State tax withholding?
Handles FICA and Medicare withholding?
Handles Unemployment Insurance?
Provides workers' compensation insurance (or equivalent)?
Carries professional liability insurance for the homemaker?

Quality Assurance
Conducts random supervisory visits?
Provides qualified replacements if companion cannot make the shift?
Creates a written plan of home care?
Keeps family members involved in loved one's home care?          

We know you have options when it comes to home care services and we believe you should understand the differences between home care agencies and home care registries. Knowing the differences will help you make an informed decision that best meets the needs of your family and the person needing home care.

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Better Home Care Through a trusted Agency in:

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