At first I used a service who carefully vetted all their workers and I was able to request that the same person come regularly . It was more expensive than private pay but she also did some vacuuming and sweeping for me when she had time. They sang, worked puzzles, played games, had lunch, and just sat out in the sun on pretty days. She took another full time job with better conditions. She got paid less than half of what I paid the service.
Now I have a private pay sitter whom I have known for many years and have known several people in town for whom she worked. I pay her less than the service charged, but a little more than she made at previous jobs. My husband is much farther along on this journey now, doesn’t really engage in games or puzzles, and sleeps a lot. They listen to music, she gives him his meds and lunch, and they watch Gunsmoke and Andy Griffith. One day they participate in a zoom group with other local patients and their caregivers, directed by a local respite program that he’s no longer able to attend in person. When I leave, I usually just tell him briefly where I am going and that our “friend” will hang out with him while I’m gone and I’ll be back soon.
Again, your local Area Agency on Aging, or friends, or church family may be helpful in finding a good fit for your husband.