Caregiver sharing tea with an elderly woman at her kitchen table

Homemaker and Companion Care · A Pillar Guide for MetroWest Families

A Family Guide to Aging in Place Comfortably at Home

Preferred Care at Home of MetroWest Boston is Brent Auslander's Framingham office, and we help elderly parents stay home with homemaker and companion care. Each caregiver clears our 7-step screening, and one call is all it takes to plan care from 1 to 24 hours a day.

  • What homemaker and companion help covers, task by task
  • Care from 1 hour to 24 hours a day
  • The signs it's time to add personal care

At a glance

Who this guide is for
Elderly parents who want to stay home, and the families helping them
Where to start
Grab bars in the bathroom and lights on the stairs
What we take on
Meals, laundry, errands, company and rides to appointments
Hours of care
1 hour to 24 hours a day, with 24/7 availability for urgent needs

What you can check
7-step caregiver screening · Experienced caregivers, including CNA and HHA professionals · Long-term care insurance accepted

Talk it through with us
Start here, before anything in the house changes

What Aging in Place Means and Who It Suits

Aging in place means staying in your own home as you get older, with the changes and help that keep daily life safe. It works when it's planned before a fall forces the question.

Q1

How many people want to stay home?

The AARP 2024 Home and Community Preferences survey found that 75 percent of adults 50-plus want to live in their current home for as long as possible.

  • Staying put is the most common wish, per AARP
  • Home holds the routines, the neighbors and the memories
  • Planning early keeps more choices open
Q2

Who does staying home suit?

It suits a parent who is safe alone for parts of the day and wants to keep their own routines. It gets harder when the house works against them, like a bathroom up a flight of stairs, or when nobody checks in for days at a time.

  • Safe alone for parts of the day
  • Wants to keep their own routines
  • Harder when the only bathroom is up a flight of stairs
Q3

What help already exists in MetroWest?

Springwell is the state-designated Aging Services Access Point for 22 communities, including Natick, Ashland, Sudbury and Wellesley. Its programs include home-delivered meals, homemaking and shopping help.

  • Springwell merged with BayPath Elder Services in 2022
  • Home-delivered meals, homemaking and medical escort programs
  • Ask what your town offers before you plan private hours
Q4

How does winter change the plan?

New England winters bring ice on the front steps and darkness by late afternoon. Settle who clears the walk and who drives to appointments before the first storm, not after it.

  • Salt and a clear path from the door to the car
  • Nightlights for the long, dark evenings of December
  • A backup driver for appointments on snowy days
The fixes the CDC puts first

Home Modifications That Matter Most, Room by Room

Grab bars installed beside the toilet and inside the tub of a home bathroom01

Start in the Bathroom

The CDC's Check for Safety checklist says to have grab bars put in next to and inside the tub, and next to the toilet, with a non-slip mat or self-stick strips on the tub or shower floor. We'd do both before anyone plans a bigger bathroom remodel.

Caregiver walking beside an older man on a staircase with handrails on both sides02

Light the Stairs at Both Ends

The same checklist calls for a light and a light switch at the top and bottom of the stairs, and handrails on both sides that run the full length. Keep shoes, mail and bags off the steps, and salt the outside path before the first ice of the season.

Caregiver and a senior woman cooking together in her kitchen03

Bring the Kitchen Down to Waist Height

Keep the things your parent uses most on lower shelves, about waist high, so nobody climbs for a mug; if a step stool is a must, the checklist says to get one with a bar to hold and never to stand on a chair. In the bedroom, a lamp within reach of the bed and a nightlight on the path to the bathroom cover the walk in the dark.

Why routine matters

Daily Routines That Keep a Parent Steady

2xthe chance of another fall once an older adult has fallen, per the CDC, and more than 1 in 4 older adults fall each year

The CDC lists lower body weakness, walking and balance problems, and some medicines among the risk factors for a fall. A daily walk, meals at set times and medication reminders from someone who's there keep those physical risks in view.

Winter Moves the Day Indoors

Short December days and icy sidewalks mean fewer errands and more hours inside. Plan one outing a week your parent looks forward to, with a ride that doesn't depend on who's free.

A Second Set of Eyes on the Everyday

Less than half of older adults who fall tell their doctor, per the CDC. A caregiver who's in the kitchen a few mornings a week notices a new bruise or a skipped lunch, and tells you.

Caregiver and a senior man laughing together on a walk outdoorsCaregiver folding laundry with an older woman at homeCaregiver helping a senior woman into a car for an appointment
What we take on, and when

How We Help MetroWest Families Stay Home

Homemaker and companion help usually come first, and personal care joins when bathing or dressing gets hard.

1

A Call and a Consultation

Call us at (508) 375-7174 and tell us what a normal week looks like. We set up a consultation and build a care plan around it.

2

Companion Care for Company and Outings

Our companion care covers conversation, walks, reading together and company at appointments and events. It's for a parent who lives alone and has started going quiet.

3

Homemaker Help Around the House

Our homemaker care takes on meal planning and cooking, light housekeeping, laundry, linen changes, groceries and errands.

4

Personal Care When It's Needed

When bathing, dressing or getting to the toilet gets hard, our personal care adds assistance with each, plus medication reminders.

5

Hours That Change as Needs Do

Plans move from 1 hour to 24 hours a day with the same office, and we're reachable 24/7 for urgent needs.

Locally owned

The Framingham Team Behind Your Care

Why Brent Auslander Opened This Office

Brent Auslander opened our office after visiting his grandmother in a Florida assisted living facility where she wasn't being properly cared for hygienically. "I couldn't believe it and thought, how could this be?" he says.

Screened in 7 Steps, Matched by Personality

Every caregiver goes through our 7-step screening: background checks, reference verification, a skills assessment, a personality evaluation, an experience review, a multi-touchpoint interview and ongoing quality monitoring. We match caregivers to your parent by personality and experience.

Caregivers Who Speak English and Creole

This office has bilingual caregivers who speak English and Creole, and our experienced and trained caregivers include CNA and HHA professionals. We also accept long-term care insurance.

Talking with a parent

How to Raise It With a Parent

Four steps that keep the decision theirs
Step 1

Pick a Calm Moment

Raise it over coffee at their kitchen table, not in the car home from a doctor's visit.

Ask about companion care
Step 2

Start With What They Want

Ask what they want their days to look like a year from now, then talk about what would make that possible. Staying home is often their goal too.

Step 3

Start Small

Suggest help with one chore they dislike, like laundry or the weekly grocery run. A few hours of homemaker help is an easier yes than a full plan.

Step 4

Meet the Caregiver

Let your parent meet the caregiver we match by personality and have a say in who comes back. If the fit feels wrong, tell us: "If you are not happy, neither are we!" is how Brent runs this office.

Two levels of help

Signs It's Time to Add Personal Care

Homemaker and companion help look after the house and the day. Personal care adds hands-on assistance with bathing, dressing, toileting and getting around, and these signs show which one fits.

Homemaker and Companion Help

  • The kitchenExpired food and an empty pantry
  • The houseLaundry and dishes piling up
  • Your weekSeveral check-in drives every week
  • Social lifeSkipping the things they used to love
Or

Personal Care

  • BathingPut off, or ends in a struggle
  • Getting aroundA near-fall on the stairs
  • MedicationMissed or doubled doses
  • NightsYou haven't slept through in weeks
Plain answers

Questions MetroWest Families Ask Us About Staying Home

Is aging in place cheaper than assisted living?

It depends on how many hours of help your parent needs: our care runs from 1 hour to 24 hours a day, so a plan covers only the hours you choose. Call us for the cost of your plan; we also accept long-term care insurance.

Does Medicare cover aging in place?

Medicare doesn't pay for most of the everyday help that keeps someone at home. According to Medicare.gov, that includes 24-hour-a-day care, homemaker services like shopping and cleaning unrelated to a care plan, and personal care when it's the only care you need.

Do you accept long-term care insurance?

Yes, we accept long-term care insurance. Bring your policy to the consultation and we'll go through which hours and services it covers with you.

Can we start with just a few hours a week?

Yes, care starts at 1 hour a day, so a couple of short visits a week for laundry, groceries or company is a normal place to begin.

Can I follow my parent's care if I live out of state?

Yes, through our Transparency of Care portal. You can see the shared calendar, caregiver visits and notes, hear voice messages from caregivers and pay invoices online.

Can someone stay overnight or around the clock?

Yes, care is available up to 24 hours a day, so overnight and around-the-clock care are part of the same plan. Our office also has 24/7 availability for urgent needs.

Do you provide medical care at home?

No, the care our caregivers provide is non-medical: help around the house, company and assistance with personal care. Medical care at home, like nurse visits a doctor orders, comes from a home health agency.

Which towns does your office serve?

Our priority towns are Framingham, Natick, Hopkinton, Holliston, Ashland, Sherborn, Newton, Wellesley, Sudbury and Needham. We also serve Waltham, Belmont, Chestnut Hill, Watertown, Concord, Lincoln, Weston and parts of Boston listed on our service areas page.

Not Sure What Kind of Help Fits Yet?

You don’t need a plan before you call. Describe a normal week to our Framingham office at (508) 375-7174, and we’ll suggest where homemaker or companion help fits.

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