A well intentioned former caregiver who charges my mother by the hour and wants my mom to move home secretly takes her to her home. My mother doesn’t tell me that. We haven’t done anything with her home or furniture because we’re waiting on LTHC approval. These visits are terribly upsetting and she becomes isolated and combative with staff when she returns. I’ve taken a hands off approach but this is becoming a problem.
Good luck to you.
Okay, now I read your post that it stopped for a short while. What happened after that or did I miss something?
Well, at least she is bringing her back, I guess, that's something.
I agree with posters about talking first of all to the caregiver, and explaining how upsetting this is after the event. She needs to understand that the visits are anything but a kindness when it comes to your mother's real welfare. You might also suggest techniques the caregiver might use to change the subject of conversation and redirect your mother's requests to go home.
Through this kind of conversation with her, you should be able to figure out if the caregiver is getting the message or not. If you get nothing back but stubborn or mutinous silence or tearful arguments, you're going to have to be kind but firm and explain that the trips home have got to stop or you will be forced to take more formal steps.
I think the AL is temporary because AT1234 says:
"We haven’t done anything with her home or furniture because we’re waiting on LTHC approval."
I think this means the mother will be going to a LTC facility meaning she needs more care than the AL is able to provide.
As Barb said "I'd shut this down ASAP" - I wonder why you haven't done this already? Don't wait for something to happen. Your mother is at potential risk. If needed, get a letter from an attorney directed to a caregiver and what they can and cannot do - and what they are responsible for. A caregiver who wants to hold on to whatever assets they have, or not end up with nothing - will change their behavior immediately. However, YOU need to step up and take responsibility being the POA requires. Gena.
As her POA and her daughter you are trying to protect her, and no one can fault you for that. But, it's also tricky because you have not been appointed as a guardian, so legally Mom can still make some decisions for herself- even if they are poor choices. You might feel more comfortable knowing what your rights/responsibilities are by talking to an elder care lawyer or ombudsman at the facility if they have one. If the caregiver is interfering more than helping, try explaining to both your mom and the caregiver together that they need a break from each other for a while. If the caregiver turns on you and accuses you of trying to overrule your mother, you may have to go as far as a restraining order for the caregiver, so know your rights. Keep us posted!
As POA, you have been given a gift of responsibility in caring for your mom. Both of my parents (now deceased) had dementia issues. My mom had Parkinson's disease and my dad had cancer which brought him to the point where he just couldn't make wise and healthy decisions for himself or my mom, so I was required to do this for them. (Both parents had 2 doctors state in writing that they could no longer make financial and health decisions. My dad willingly signed over the legal documents for me to make decisions first for my mom and then later for him.)
At the AL facility where my mom resided, we gave an approved list of people who were allowed to take my mom places. We also gave a very short list of people who could not have contact with her. Most facilities recognize that there are people, including family members and even grandchildren, who take advantage of the elderly and the vulnerable. The facility personnel, like those responsible for their loved one, don't want to have people visiting who will harm their resident in any way.
I had a great attorney who would have willingly assisted me with making sure my parents were safe and would have readily advised me in this situation. It would cost my parents' trust account to do this, but I (and my family) would have recognized it a justifiable expense—anything to keep our parents safe!
My parents' house was sold after my mom passed away and my dad had to move into a nursing care facility. I took time to discuss with my dad how much it cost to hold on to his nearly empty house. We did some updates to the house, took Dad through the house, sat outside for a bit to share memories we had for the years he and mom and us 5 kids grew up there—along with the years of hosting family gatherings with the grandchildren, and we even talked about the neighbors who had passed over the years. It was a sweet time—difficult, but necessary. Dad for those moments knew that the house was going on the market and that this part of our lives would change. Because we have the hope of a forever home in heaven, we've known all along that someday we will leave this earthly home and that all of this pain and turmoil will come to an end.
I would chat with this woman about her liability during the time away from AL. It might get her to realize her vulnerability in taking this step.
And I agree with other comment that you should change the locks on the doors to the house... you might even tell her the house is in escrow. Good grief, what will happen when you do sell it?
Perhaps you need take your mom there to say goodbye to the house for closure on that chapter of her life.
In this case given that she's so well meaning and you obviously believe that, maybe start with cluing her in on just how disruptive and harmful these visits home are on your mom even though you know her intent is the opposite. The fact is Mom isn't going back home to live, it just isn't practical, possible or safe for her (Mom can't afford to pay this caregiver for 24/7 care and she wouldn't be able to provide it anyway) because she is needing more care and that's just going to increase. The best thing for her in many ways is to adapt now to living where she is going to be as she declines and needs more skilled care (this is assuming it's a facility that offers AL aft IL and or other skilled options) and the thing this person who has been and is such an important part of mom's, the family's, life and care is for her to help make the transition easier. If taking the "you are so important and valuable...we need your help" approach doesn't work then it's time to shut her off, she is no longer allowed to take mom out and if she continues to persist in sneaking around with mom, not playing within the guidelines you and the facility set, then her visits will need to be curtailed and controlled more by you. You will have to start "approving" each visit and touching base both in the beginning, during (depending on length) and at the end of each visit to get a report on what they do etc. Make it clear you are keeping a closer track of her time with mom as well as how it affects mom's behavior because if it's going to upset her enough to make her harder to deal with or less comfortable with her current living situation then her time with mom will come to an end. You could even start by deciding her "services" are no longer necessary but of course since you know she cares for mom and mom cares for her she is welcome to "visit", without pay of course along with the rest of Mom's friends and family. Her visits may dry up quickly at that point but if they don't and she is still disruptive (still undermining the situation for instance) then it's time to take her off the list of approved visitors. I hope I wrote this clearly enough (I was distracted while I did) and it's clear I'm suggesting a progression starting with the here are the facts we could use your help conversation and ending with cutting her off from your mom but giving her every chance to jump on board in between. That's my suggestion anyway, I haven't directly been in your position so far though so I'm not speaking from direct experience as others might be.
I would also tell whoever is in charge at your mom’s ASL your concerns about your mom’s safety and emotional well-being.
I will bet, once you tell the Caregiver she can no longer take Mom out, her visits will become less or not at all. Your Mom was probably a cash cow. Caregivers get on average $10/15 an hour in private pay. Your Mom may have been giving far more.
Don't tell her you have talked to the AL but inform the AL what people are allowed to take her out of the facility. Tell them and put it on the paper, that the Caregiver has been informed that she is no longer allowed to take Mom out of the facility. That if she tries, they are allowed to ban her from the facility. Their responsibility is to keep Mom safe.
If you don't feel comfortable with this caregiver, then ask the AL that she not be alone with Mom. That when she visits, she is to visit in the common area. Believe me, the CNAs have big ears. Residents talk and they hear. So if she continues to talk about "home" a CNA will hear. Moms AL was small, 39 rooms. So I knew most of the staff and would feel comfortable asking them to watch the Caregiver.
I agree too, to change the locks on Moms house.
That is really sensible advice. Agree with your thinking on this situation.
Other than this being a bit shady there is also a huge liability issue if something were to happen. Knowing you do not give permission for your mom to leave with this person the facility could be liable if something were to happen, the caregiver could be liable as well if something were to happen.
Are you POA or Guardian? If so you can not take a "hands off approach" as this could be dangerous. And I do hope you have your moms house inventoried and I would also suggest changing ALL the locks and if there is a code for the garage change that as well.
If the AL cannot comply with doctor's orders, then it's time to move her to a secure Memory Care unit.