Home Care Services
Our home care model is designed to maximize collaboration and support for both clients and caregivers. This innovative approach to home care integrates three key components: case management, intensive supervision of caregivers, and caregiver training. It is designed to be tailored to the personal, changing and frequently-intensive needs of our clients.
Our holistic approach to home care incorporates two key elements: the home care service itself provided by our home caregivers and supportive services provided by our client supervisors.
New clients in our home care program undergo a comprehensive assessment to determine medical history, personal needs, living arrangements, and the resources that are or are not available to them. Based on the assessment—and reassessments conducted a minimum of three times a year—we identify service needs and develop a Care Plan for the client. Our client supervisors work with clients to solve problems, such as ordering durable medical equipment or coordinating so that the clients have the resources necessary to live safely in their homes. Importantly, we also link clients with other vital community services, such as providing referrals to meals services, visiting nurses or counseling.
Clients have the right to choose all aspects of their home care. Efforts are made to match them with home care providers that meet their preferences with respect to language, gender, cooking style, and client characteristics such as pet ownership or sensitivity to the use of scented products. This empowers the client and often results in more continual and effective care.
Our caregivers help clients with a variety of daily living tasks which enable them to remain living safely in their homes, including:
- cooking and eating
- cleaning and washing dishes
- shopping and errands
The tasks performed vary depending on the particular needs of each client. On average, clients receive services for approximately 50 hours per month, with those having more intensive needs receiving as many as 250 hours per month.
In addition to the home care service itself, an important component to our model of care is the support services that we provide. Without these supportive services, home care itself would not be sufficient to help many clients stay in their homes and, in many cases, would not even be able take place. Each client is assigned a Client Supervisor, who assesses and monitors the client’s care plan and help clients overcome physical, psychological or other barriers that they face so that they can receive the care that they need. This includes everything from getting durable medical equipment into the home (e.g., shower bars and assisted hearing devices), to matching clients with caregivers that meet their preferences, to working with clients to resolve fears about letting caregivers into their home. We also link clients with other vital community services, such Meals on Wheels, assistance with money management and counseling.
For our IHSS home care program, clients are referred to us by the San Francisco Department of Aging and Adult Services (DAAS) In-Home Supportive Services Program. DAAS determines clients’ eligibility and authorizes Homebridge to provide services to them.
In-Home Supportive Services (IHSS) is a benefit funded through a combination of federal, state, and county sources, and is administered at the county level. It is considered an alternative to out-of-home care, such as nursing homes, and intended to help recipients stay in their homes. Residents of San Francisco who are living in their own home (not a board-and-care facility, nursing home, or hospital), who are U.S. citizens, and are otherwise eligible to receive SSI, are eligible for IHSS benefits. IHSS beneficiaries must be low-income and possess limited financial resources (a home and a car are considered exempt assets).
IHSS recipients can hire and manage their own caregivers, often family or friends. If an IHSS recipient is too frail, ill, or cognitively-impaired to manage his or her own services, the client may be referred to Homebridge in what is known as “Contract Mode.” Homebridge then employs, trains, schedules, and supervises the workers sent to the client.