Washington Home Care

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Washington State Home Care: Common Terms, How to pay for Home Care, Licensing and Questions to ask

The weather in Washington state, although rainy, is mostly temperate throughout the year, especially towards the western side of the state. There are a vast array of communities and neighborhoods to fit the desires and needs of any senior looking for a new home. Washington is one of the safest states to live in. The economy is robust, and the healthcare system is known for being top notch. More than 1 million of the 7+ million residents of Washington are 65 years or older, and it is likely some of our aging adult population may require care at some point. Most of the time, when people think of senior care the first thing they envision is a nursing home. This couldn’t be further from the truth: There are many different types and levels of care for our population of people 65 and older besides nursing homes. Typically, people prefer to age in place as long as possible, rather than move into a senior living community – but the challenges of aging may cause living at home to become increasingly difficult. The focus of Washington state home care is to keep people healthy and safe.

Washington State has several cities across the state which offer excellent healthcare services for seniors: Seattle, Olympia, Tacoma, Spokane, among others.

What is home care in Washington?

Home Care (or In home Care) is suited for seniors who may only require some basic assistance at home. Care plans can be customized for each individual. The home aides may support with activities of daily living (ADLs), which include medication reminders, assistance with bathing and eating. Home Care may be an excellent care options for family members if they must leave town or just need a break from caring for their loved one. The Home Care aides bring a sense of personalization, providing companionship and socialization, a sense of connection.

Home care and aging in place

Washington state home offer non-medical services. Assistance from in home care aides include assistance with activities of daily living (ADLs). These in-home aides may assist with personal care and monitoring like they would receive in a long-term care community. All while they remain in the comfort of their own home.

How do you know it may be time for Home Care?

What are the signs to look for?

Have you noticed your loved one is spending less and less time managing their hygiene or personal appearance. They may stop brushing their teeth or let their facial hair grow in an unkempt fashion when they didn’t before. Are they going longer periods of time in the same clothing, or neglecting relatively scheduled eating habits? Grooming and hygiene live under the umbrella of ADLs, and as such a Personal Care Assistant may help with these tasks.

Is your loved one forgetting things more frequently? Typically, people forget things sometimes, but if you notice they are forgetting simple tasks they normally perform regularly, this may be a a sign that assistance is necessary.

It is not uncommon for elderly adults to experience trouble walking, getting up from a seated position or need help getting in and out of bed. Signs like this can be dangerous. The risk of a fall increases as mobility declines. The aide of a home care caregiver may assist with moving around the house safely.

Did you notice your loved one’s home is in disarray? Have they usually shown signs of tidiness or regular cleanliness, and now the home is disheveled and dirty. In Home Aides may assist in normal household maintenance like dusting and sweeping, cleaning the kitchen or doing laundry.

What Assistance do In-Home Care Aides Provide?

Home Care Aides provide a variety of services and assistance. Depending on the individuals condition, elderly adults may require different types of care.

In home care aides in Washington will help with ambulation, eating, toileting, grooming, personal hygiene, and dressing.

Services included in home care:

  • Companionship 
  • Socialization 
  • Cognitive stimulation 
  • Medication reminders 
  • Grocery shopping 
  • Transportation 
  • Respite for family caregivers 

Often times, people think of nursing homes or retirement homes as the only places for senior care. As we’ve discussed earlier, there are multiple care options. And even within home care, there are levels of care suited for an individuals needs. The specific services offered in home care will vary state by state.

What are the different Home care options? 

The various care services and options

Personal Care Assistant 

  • Companionship as well as assistance with activities of daily living, (non-medical personal care) toileting, dressing, grooming, and bathing.  
  • They can help with grocery shopping and meal preparation. 
  • A personal care assistant can help with family difficulties. If a family caregiver must leave town or be away from the home overnight the caretaker can stay with the individual and monitor and assist as needed. 
  • If a spouse is too heavy, a personal assistant can be a great asset in helping the individual move without risk of injury. 
  • These care assistants cannot perform any medical care. 

Companion Care 

  • These companions spend time with older adults. Providing companionship is especially relevant for people who live alone, or do not leave the house due to cognitive impairments or frailty.  
  • These companions are there to look after the person, keep a watchful eye, act as an extension of the person to help with mobility and general physic functions.  
  • They may drive the person to appointments, prepare light meals and snacks. They may even play games or read and listen to music together. 
  • Companion care is a great way to bring social interaction and assistance to a person who may otherwise spend long periods of time alone. 

In home care in Washington does is non-medical care in the client’s home. Medical care is not typically included in home care.

Find the Senior Care You’re Looking For

Laws and regulations for home care in Washington State

Licensing

Home care agencies in Washington state are licensed and regulated by the Department of Health. This licensure covers non-medical services.

Staffing

Staff in Washington state must complete 75 hours of training which has been approved by the Department of Health and pass the HCA examination to receive their certification. Additionally, 12 hours of continued education.

Grievances

Any suspected abuse of any vulnerable resident of Washington 65 and older should be reported to Adult Protective Services.

How much does home care cost in Washington state?

In home care in Washington State is expensive. That should be noted right away. On average, one month of in home care in Washington is $6,575 per month – in comparison with the national average of $5,000 per month.

  • National average cost of home care per month: $5,000
  • Washington State: $6,575
  • Oregon: $6,010
  • Idaho: $5,450
  • Montana: $5,350

The cost of in home care varies within the state of Washington, while still remaining on the higher end of costs:

  • Seattle: $6,800
  • Mount Vernon: $7,250
  • Olympia: $6,700
  • Spokane: $6,400
  • Wenatchee: $5,925
aging planning ahead

Questions and inquiries about home care

Agency Information

  • Is the agency RN operated?
  • Is the agency a franchise or locally owned and operated?
  • Is the agency licensed by WA State Department of Health?
  • Is the agency licensed for both home care and home health?
  • Does the agency have liability insurance?
  • Can the agency respond to you 24/7?

Caregiver Information

  • Are employees licensed, bonded & insured? Or are they independent contractors?
  • Does the agency test skills, conduct behavioral interviews and verify caregiver credentials?
  • Are caregivers required to have current certifications for First Aid, CPR, and TB?
  • Are caregivers provided continuing education/training?
  • Can authorized individuals monitor care and make requests online in real time?
  • Does the agency offer caregiver replacement when the “fit” may not be right?

Documentation and Supervision

  • Does an RN/MSW/Care Manager conduct a free home care assessment?
  • Does an RN/MSW/Care Manager create a home care plan?
  • Does an RN/MSW/Care Manager supervise the caregivers?
  • Do caregivers receive client orientation before arriving at a client’s home?

Policies and Cost

  • Can services be cancelled with a 4-hour notification?
  • Does the agency offer flexible scheduling, custom care plans, and  a continuum of care?
  • Does the agency have weekly or monthly minimums?
  • What is the hourly minimum per shift?
  • Does the agency offer home care discounts?
  • What is the required deposit?
  • Will the agency accept long-term care insurance?

Community Living Connections For people who are looking primary for Information and assistance line for people facing aging and disability issues.

Washington State Long-Term Care Ombudsman Program – Promotes and protects the rights of long-term care residents living in licensed care facilities with the assistance of trained volunteers, the Ombudsman investigates and resolves complaints made by or on behalf of residents, and identifies problems that affect a substantial number of residents.

Adult Protective Services (APS) For those who are looking to contact APS for reports on allegations of abandonment, abuse, financial exploitation, neglect, or self-neglect of vulnerable adults living in the community and in facilities.

Department of Social and Health Services Adult Abuse and Prevention A Department we are tied together by a single mission: to transform lives. Each administration within DSHS has a refined focus on this mission. Individually we have the following missions to transform lives by promoting choice, independence and safety through innovative services.

Office of Insurance Commissioner, Statewide Health Insurance Benefits Advisors (SHIBA)– SHIBA has volunteers who can help you with your health care coverage questions. You get free, unbiased and confidential education and assistance.

Eldercare Locator This is a great resource to search for specific care in specific counties and cities. This database is a nationwide resource that connects older Americans and their caregivers with trustworthy local support resources. Connect with services such as meals, home care or transportation, or a caregiver education or respite from caregiving responsibilities. The Eldercare Locator is a public service of the Administration on Aging (AoA), an agency of the U.S. Administration for Community Living.

Medicare provides a search feature to find & compare providers near you, most senior housing and care providers are included on CareAvailability.com. Find & compare plans in your area. Determine if you qualify for premium savings

Medicaid offers information on how to apply for Medicaid, eligibility criteria, links to local state offices, and additional resources

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support, and research. Whether you are living with Alzheimer’s or caring for someone with the disease, information and resources are available.

Washington State Department of Health supports all residents of the state by providing information and resources to navigate healthcare needs.

Association of Area Agencies on Aging in Washington is a membership organization made up of the leadership from the thirteen Area Agencies on Aging in the State of Washington. W4A’s mission is to advocate at the local, state, and federal level for services and supports that enhance the lives of seniors and adults living with disabilities.

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Written by The Care Availability Team
Experts in the senior care & retirement living industries

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