Housework is where families quietly pay for hours they did not plan to buy. The kitchen reset becomes a deep clean. The trash run becomes a yard job. Decide the split before you sign anything.
Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.
Three lanes
The family does it. The caregiver does it. An outside crew does it, such as a house cleaner, a yard service, or a handyman. Each lane has a different buyer, a different schedule, and a different paper trail. Blur the lanes and the caregiver ends up doing a crew's job inside visit time you pay for by the hour.
The test
List every household job you can think of. Kitchen reset after a meal. Bed linens. Bathroom wipe-down. Trash out. Windows. Gutters. Yard. Snow. Plants. Water bowls. Mail. Next to each one, write family, caregiver, or crew.
Use these rules to break ties. If the job needs a ladder, a power tool, or a second person, it is not a caregiver job. If the job is a quick reset that keeps the room usable during the visit, it may belong to the caregiver. If the job is a deep clean, it belongs to a crew or to the family.
What to ask the agency
Ask where the agency draws the line between tidying and cleaning. Ask whether a caregiver changes bed linens, and whether that is included or added on. Ask whether taking out the trash is a caregiver task at all. Then ask them to write each answer into the scope.
An agency that answers each line in plain words has done the hard part for you. Credit it. An agency that says it depends and will not write the lines down has left the split open. That is a finding.
Hiring out the crew
An outside crew is a separate arrangement. The home care agency does not carry it. Get the crew's own terms in writing, with its own visit length and its own notice rule. Keep it on a separate line in your household paperwork so no one mistakes it for part of the care hours.
For how the total is built from hours, see Budgeting a year of home care.