In-Home Services

Does your loved one need help in daily living activities or other non-medical in-home services? Get them the patient care they deserve here at Noble Plus Healthcare. Our services cater to a wide range of tasks, from accompanying your loved one to helping them with personal care, medication reminders, and more!

A. Companionship and Care:

1. Grooming and dressing guidance: Dressing assistance with ordinary clothing and the application of support stocking of the type that may be purchased without a physician’s prescription. Grooming includes hair care, such as shampooing (non-medicated /non-prescription shampoo), drying combing, and styling hair. Home service workers may also assist clients with shaving with an electric or safety razor.
2. Medication reminding: Home service workers may assist a client with medication reminding when medications have been pre-selected by the client, a family member, a nurse, or a pharmacist and are stored in containers other than the prescription bottles, such as medication minders. Medication reminding includes inquiries as to whether medications were taken, verbal prompting to take medications, handing the appropriately marked medication minder container to the client, and opening the appropriately marked medication minder container for the client if the client is physically unable to open it.
3. Housekeeping services: Light cleaning, including sweeping, mopping, dishwashing, making beds, taking out the trash, wiping down hard surfaces, and other general clean-up
4. Personal laundry and linens: Using a washer and dryer and/or drop off and pick up from dry cleaners or laundry services
5. Cooking and Meal Preparation
6. Shopping for groceries, toiletries, and other household needs
7. Errands: The Personal Care Assistant may run routine errands for clients or transport clients and assist them in completing their routine errands
8. Accompanying clients to and from appointments
9. Mail and phone assistance and organization
10. Companionship and conversation: Providing fellowship, care, and protection

B. Personal Care

1. Assist with Bathing/showers: sponge baths, tub bathing, and sitting/standing showers.
2. Skin Care. A home services worker may perform general skin care assistance. Preventative skin care may be performed by a home services worker only when skin is unbroken and when any chronic skin problems are not active. This includes the application of non-medicated lotions and solutions or lotions and solutions not requiring a physician’s prescription.
3. Ambulation. A home services worker may assist clients with ambulation when the client is comfortable walking on his or her own with the adaptive equipment.
4. Dressing. A home services worker may assist a client with dressing. This may include assistance with ordinary clothing and the application of support stockings that can be purchased without a physician’s prescription.
5. Feeding: assistance can be provided when the client can independently swallow, be positioned upright, and is not at high risk of choking
6. Mobility and routine exercise: Home Service Workers may provide passive assistance with exercise, which includes the encouragement of normal bodily movement, as tolerated on the part of the client, and the encouragement with a prescribed exercise program. Home service workers may also assist with positioning when there are no medical issues with the client’s skin. Basic positioning includes simple alignment in bed, wheelchair, or other furniture. Personal Care Assistants may assist with transfers only when the client has sufficient balance and strength to reliably stand and pivot and assist with the transfer to some extent. Adaptive and safety equipment may be used in transfers when directed and the staff trained on its use, provided that the client is fully trained in the use of the equipment and can direct the transfer step by step.
7. Hair Care: A home services worker may assist clients with the maintenance and appearance of their hair. This includes shampooing with non-medicated shampoo or shampoo that does not require a physician’s prescription, drying, combing, and styling hair.
8. Mouth Care. A home services worker may assist in and perform mouth care, including denture care and basic oral hygiene, such as oral suctioning for mouth care on a conscious client.
9. Nail Care. A home services worker may assist with nail care. This assistance may include soaking of nails, pushing back cuticles without utensils, and filing of nails on clients who do not have a medical condition that might involve peripheral circulatory problems or loss of sensation.
10. Positioning. A home services worker may assist a client with positioning when the client is able to identify to the personal care staff, either verbally, non-verbally, or through others, when the position needs to be changed. Positioning may include simple alignment in a bed, wheelchair, or other furniture.
11. Shaving. A home services worker may assist a client with shaving only with an electric or a safety razor.
12. Assistance with restroom needs, including toileting: A home service worker may assist a client to and from the bathroom, bedpans, urinals, and commodes, provide peri care, or change clothing and pads of any kind used for the care of incontinence.
    • a. A Personal care Assistant may empty or change external urine collection devices, such as catheter bags or suprapubic catheter bags. 
    • b. Home service workers may empty ostomy bags and provide assistance with other client-directed ostomy care only when there is no need for skilled skin care, for observation, or reporting to a nurse.
13. Special diets, cooking, and meal preparation
14. Transfers. A home services worker may assist with transfers only when the client has sufficient balance and strength to reliably stand and pivot and assist with the transfer to some extent. Adaptive and safety equipment may be used in transfers, provided that the client is fully trained in the use of the equipment and can direct the transfer step by step. Adaptive equipment may include, but is not limited to, wheelchairs, tub seats, and grab bars. Gait belts may be used as a safety device for the home services worker if the worker has been properly trained in their use. In general, a home services worker may not assist with transfers when the client is unable to assist with the transfer. Home services workers may assist clients in the use of a mechanical or electrical transfer device only when the following conditions are met:
    • a.The home services worker must have been trained in the use of the mechanical or electrical transfer device by the licensed agency.
    • b.The client or client representative must be able to direct the transfer step by step; and
    • c.The agency must have conducted a competency evaluation of the worker using the type of device available in the home.