We used a caregiving agency for years. The caregivers ranged from incompetent to marvelous. Unfortunately, the caregivers needed constant monitoring and lacked carry-over. "I forget," one kept saying. Unfortunately, some caregivers relied on me to the point that I was doing all the work and they watched me--hardly worth our thousands of dollars. We stopped using this agency and switched to another agency that has registered nurses and certified nursing assistants. It's comforting to be able to talk with caregivers who understand my disabled husband's needs. Every caregiver has been polite and eager to help out. Point of my story: If one agency doesn't work switch to another.