Over roughly five years and more than 5,000 home-care visits, the same patterns kept returning.
Information lived in different places. Plans were difficult to adjust when someone called in sick, a visit took longer, or traffic changed the route. Care workers had to rush to hold the day together. The person waiting at home was rarely told what had happened.
Home care cannot be run like a factory. People need different amounts of time, and an unexpected need must sometimes take priority over a schedule. Change is part of care. The systems fail when they cannot manage that change and inform the people affected.
I watched care workers rescue the day again and again. Their experience and commitment kept the service running while the structures around them made the work unnecessarily difficult.
Those visits became an education I would never have chosen, but they gave me an understanding no report or meeting could provide. I saw the consequences of planning in my own home.