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I have used agencies for over 4 years and I can tell you that there are good ones and bad ones. My first one was just awful The second one was better and the third is wonderful.
Go local.
Try to find an agency that has an office in your town or one near you.
Be very specific in your needs. We needed someone who did not have small children. Did not want her to bring in colds, flu or take days off for school calendar or child illnesses.
Also, we wanted someone who spoke with little or no accent since mom is hard of hearing.
If you are paying them, you call the shots!! Make a list of what you expect to be done during the day. One woman told my friend who has her 99 year old mom with her that she did laundry only once a week. She is now doing it everyday as per my friend telling her what her job is. Some people will get away with what you let them.
Make sure the agency has a list of your needs and concerns.
Check prices. I found a wide range of prices even within the same company but in different counties.
I try to keep a very worker employer relationship with my help, but it does not always work. You really come to think of many of these wonderful woman as family. My best helper is 72 and comes 4 hours a day, three days a week and we think of her as family( loves my dog too).
Have more than one person- you need a backup if someone can't come.
Using an agency is less paperwork for you, but I also have a private hire who comes on Saturdays. She has been coming for 3 1/2 years and she is now such a dear friend.
If you don't want to go to an agency, then call your church or hang up notices in public places. That is how I found some help when mom first moved in. MAKE SURE YOU CHECK REFERENCES!!! Good luck,
Linda
~Rose