Every week has a supply run in it. Milk runs out, the paper towels go, the cleaning spray is empty, and somebody has to drive to the store and carry the bags inside. In most homes that job falls to whoever is nearest. When a parent needs more help at home, the run either stays with the family or moves to a hired visit, and that choice should be made on purpose before the first visit, not after the cupboard is bare.
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.
Why this job gets missed
Supply runs look small, so nobody writes them down. The family assumes the caregiver will just pick up a few things. The caregiver assumes the family already bought the staples. The list ends up on a refrigerator door that nobody checks. Write every standing item in one place before you buy any hours: the weekly food list, the household supplies, the pet food if there is a pet, and the items the parent asks for by name.
Split the list in three columns
Put each item in one of three columns. The first column is what the family buys. The second is what the hired visit buys, using money the family has set aside under a written rule. The third is what the household goes without for now. Be blunt about the third column. A list with no owner is not a plan.
For each item in the second column, name the store, the day, and who has the car. A standing trip to the same store on the same day is easier to keep than a vague promise to get things when there is time.
Questions to ask the agency before you agree
Ask each agency these questions and get the answers in writing. Who writes the list, and where does it live? Who pays for the items, and how do receipts come back to the family? Does the store trip fit inside the paid visit, or is it a separate line on the bill? If the store is out of an item, can the caregiver substitute, and who approves the swap? Will the caregiver drive the parent's car, use a personal car, or walk and ride transit? Who answers for the vehicle if something goes wrong on the trip? Will the caregiver carry a card or handle the parent's money at all, and if so, what is the written rule?
If the agency will not answer any of these in writing, record that as a finding. It tells you how the run will go when nobody is watching the receipts.
Plan one week of supply
Start with a simple week. Early in the week, the family reviews the list and fills any gaps. Midweek, someone checks the refrigerator and pantry and adds what is running low. On the scheduled day, the hired visit covers the store trip inside its paid time, brings back the receipts, and puts the items away where the parent wants them. The family checks the receipts against the list that same evening. If the trip runs long, the agency should tell you before the next visit, not after the bill arrives.
Keep one folder for receipts and the running list. The folder is your record if a question comes up about what was bought, what was returned, and what the money covered.
Local help in general terms
St. Louis area families can ask their county senior services office or their area agency on aging about grocery delivery, meal programs, and errand help that may already exist. Ask for the program by its general name at the front desk, and ask what it covers before you assume the hired visit has to do the whole run.
Once the split is settled, use the guide on budgeting a year of home care to count the supply run as its own line, and use the guide on how to read a home care quote to find where the store trip is priced. For how this desk rates what agencies say about their terms, see How We Rate.