How to Get Started with In-Home Care: A Step-by-Step Guide

When it comes time to explore professional in-home care for yourself or a loved one, it’s an important decision. The good news is that the process doesn’t have to be overwhelming. At Brightwood Health, we’ve helped hundreds of Arizona families navigate the journey from first questions to receiving quality care in their homes.

We’ve created this step-by-step guide to walk you through everything you need to know, from assessing your needs to getting care started—often within 24 hours.

This guide breaks down the real differences so you can make the right choice for your family.

Step 1: Assess Your Loved One's Care Needs

Before reaching out to any home care provider, take time to understand what kind of support is actually needed. Not everyone needs the same level of care, and understanding your specific situation will help you choose the right service and provider. Ask yourself these questions: Does your loved one need help with bathing, grooming, or dressing? Are they struggling with meal preparation or household tasks? Do they need companionship and emotional support? Are they recovering from surgery or a hospital stay? Is there dementia or memory loss involved? Write down specific needs and daily activities where help would make a difference. This clarity will save you time when talking to care providers and ensure you're comparing the right options.

Step 2: Understand Your Care Options

There are different types of in-home care available, and choosing the right level is crucial. Do you need part-time support for a few hours each week, full-time daily care, or round-the-clock 24-hour assistance? Some families start with part-time care and adjust based on how things go. Others know they need comprehensive support from day one. The beauty of in-home care is flexibility. You can start with one level of service and increase, decrease, or pause whenever your situation changes. At Brightwood Health, we offer Essential Care for daily support and Premier Care for families who want elevated, concierge-level service. You can customize your plan around your loved one's actual needs and your family's schedule.

Step 3: Research In-Home Care Providers

Not all home care agencies are the same. When researching providers, start by confirming they serve your area. Brightwood Health, for example, covers Phoenix, Scottsdale, Tucson, Mesa, Chandler, and surrounding Arizona communities. Look for agencies with strong reviews and clear information about their services. You should also check that they're properly licensed and insured. The Arizona Department of Health Services regulates home care providers, so verify that any agency you're considering meets state requirements. Read testimonials and ask about their experience with your specific needs. If you need dementia care, look for agencies with specialized training. If you're transitioning from a hospital, ask about their post-discharge experience. The right provider will have relevant expertise.

Step 4: Ask Key Questions

Once you've narrowed down your choices, it's time to have a real conversation with potential providers. Here are essential questions to ask:

  • How do you match caregivers to clients?
  • What training and certifications do your care professionals have?
  • How do you handle medication reminders and health coordination?
  • What's your process if a caregiver can't make a scheduled visit?
  • How do you ensure privacy and confidentiality?
  • What's included in your pricing, and are there hidden fees?
  • Can you start care quickly if needed?
  • How do you handle changes to care plans as needs evolve?

Pay attention to how they answer. Do they listen to your specific concerns? Do they ask follow-up questions about your situation? A good provider wants to understand your needs thoroughly before suggesting a care plan.

Step 5: Understand Costs and Flexibility

In-home care costs vary based on location, service hours, and care level. Part-time care typically costs $1,500–$2,500 monthly, while full-time care runs $4,500–$7,000 monthly. 24-hour live-in care may cost $6,000–$10,000 monthly. Ask about what's included, whether long-term contracts are required, and what flexibility you have to adjust services. At Brightwood Health, we don't require long-term contracts. You can adjust your care plan with just 7 days' notice, which gives you peace of mind and flexibility. Also ask about insurance. Some families have VA benefits, long-term care insurance, or private pay options. A good provider will help you understand what might be covered and what you'll pay out of pocket.

Step 6: Schedule a Consultation

Most reputable agencies offer a free consultation where they can learn more about your situation and answer your questions. This is your chance to get a feel for whether they're the right fit. During a consultation, a care coordinator should discuss your loved one's specific needs, ask about preferences and personality, and explain how they'd approach care. They'll likely ask about your loved one's daily routine, any health conditions, family involvement expectations, and your timeline for starting care. This conversation matters. It's not just about paperwork—it's about whether you feel heard and understood. You want an agency that takes time to understand your situation rather than rushing through a generic process.

Step 7: Choose Your Caregiver Match

Once you've selected a provider, they'll work to match your loved one with the right caregiver. This is where personality and compatibility matter as much as qualifications. A good agency will ask about your loved one's personality, hobbies, preferences, and communication style. Are they quiet and prefer calm routines? Do they enjoy conversation and activity? Do they have specific preferences about their caregiver's background or experience? At Brightwood Health, we call this personality-based matching. We don't just assign whoever is available. We take time to find a caregiver who fits your loved one's unique personality and needs. This foundation matters—it's the difference between adequate care and truly great care.

Step 8: Get Care Started

Once you've chosen a caregiver, the process moves quickly. Many agencies can begin care within 24 hours for urgent situations, or within a few days for planned care. Before the first visit, make sure you've covered the basics: Does the caregiver know the daily routine? Are there any specific safety concerns? What time should they arrive? What's the process if something changes? Most good providers will do a thorough orientation with both your loved one and family members present for the first visit. This sets expectations, builds comfort, and ensures everyone's on the same page.

Step 9: Communicate and Adjust

In-home care isn't set-it-and-forget-it. Good providers maintain regular communication with families and remain flexible as needs change. Check in after the first few visits. Is the match working? Is your loved one comfortable? Are there adjustments needed? A good agency will be responsive to feedback and willing to make changes quickly if something isn't working. As circumstances evolve—whether it's increasing hours, changing activities, or addressing new health concerns—your care provider should adapt with you. This flexibility is one of the biggest advantages of in-home care.

Why Choose Brightwood Health?

Navigating the search for in-home care can feel complicated. At Brightwood Health, we've designed our process to be straightforward and compassionate. We listen carefully to understand your needs, we take time to match the right caregiver, and we remain flexible and responsive as your situation changes. Our care professionals are trained, vetted, bonded, and insured. We offer essential care for daily support and premier care for families wanting elevated service. We coordinate with physicians, we don't require long-term contracts, and we can start care quickly. Most importantly, we believe your loved one deserves personalized care in their home—and your family deserves peace of mind. Ready to get started? Call us at 480-718-7180 or visit our contact page to schedule your free consultation. We serve Phoenix, Scottsdale, Tucson, and all surrounding Arizona communities. Let's find the right care for your loved one.