“We Tried Agencies First”: How We Learned the Real Gaps in Home Care, and How Companions Is Solving Them
- Arul Nambi T
- Dec 31, 2025
- 4 min read

When my father first needed help at home, we did what many families in Chennai do. We searched for elder care at home services near us. We asked neighbours, searched forums, and called every local home care agency we could find.
What happened next was eye-opening, not because one thing failed, but because a series of small disappointments revealed systemic issues in the way most local home care agencies operate.
These weren’t isolated problems. They were patterns repeatedly shared by families across Chennai: stories of unreliable caregivers, poor communication, lack of training, and agencies that seemed more like middlemen than true partners in care.
This experience didn’t just change how I cared for my father. It became the foundation for how we built Companions, and how we are solving the gaps in elderly home care services in Chennai.
1. The Trust Problem: Unknown Caregivers, Unvetted Profiles
One of the biggest issues I saw early on was that many local home care agencies in Chennai would send caregivers without proper background checks or standardized training.
Families would tell us:
“The person they sent didn’t know how to transfer my mother safely.” “They said they were experienced, but couldn’t manage basic tasks.” “They just showed up with no introduction or clear role explanation.”
This matches what countless families reported of untrained or semi-trained workers sourced informally, with no structured vetting or quality assurance.
Even online forums show people across South India struggling to find reliable home care support, often after multiple failed caregivers from agencies.
At Companions, we decided early on that trust must come first. We don’t treat caregiving as a commodity. Every caregiver undergoes:
Structured verification
Skills assessment
Soft-skills and empathy training
Ongoing supervision
This ensures families in Chennai receive consistent, dependable support, not strangers sent at random.
2. Training Gaps: Why “Bodies” Aren’t Enough for True Care
The industry gap isn’t just in trust, but it’s in training.
India’s home caregiving space has historically lacked structured, recognised training pathways for caregivers. Many workers are:
Self-taught
Borrowed from informal labour pools
Unsure how to handle medical or mobility needs
Unable to communicate well with elders
In many cases, caregivers aren’t equipped for complex needs like dementia support, fall prevention, or medication monitoring. This is a known challenge in elder care worldwide and within India too: inconsistent skill levels due to a lack of standardised training.
At Companions, we intentionally invest in training that goes beyond basic tasks. Our caregivers learn:
Safe mobility assistance
Geriatric behavioural understanding
Emotional communication
Cognitive engagement techniques
This means families in Chennai get elder care at home that supports both physical and emotional well-being, and not just task execution.
3. Continuity & Turnover: Why Constant Change Breaks Care
One caregiver coming in one week and a different one the next isn’t just inconvenient, but destabilizing for elders.
Consistency is critical in elder care. Studies and family reports both show that frequent caregiver turnover:
Breaks routines
Reduces emotional bonding
Can actually worsen outcomes
Creates anxiety for both the elder and the family
Yet, this is exactly what happens with many local agency models, where:
Caregivers are hired casually
Employment is unstable
Workers are overworked or unsupported
This leads to high turnover rates and inconsistent care, which is something families in Chennai frequently voice frustration about.
Companions addresses this by focusing on:
Caregiver retention through support systems
Fair compensation and role clarity
Scheduling that builds stable relationships
Because continuity of care isn’t a bonus. It’s fundamental to quality elder care at home.
4. Poor Communication: Families Left in the Dark
One thing conventional agencies rarely do well is communication.
Families often don’t know:
What happened during the day
Whether medications were given correctly
How elders responded to care
What changes should you watch for
This leaves families anxious, uncertain, and often feeling like they still have to manage care on their own.
Professional elder care shouldn’t feel like outsourcing stress. It should feel like shared responsibility with clear communication, which is a gap many local agencies still fail to bridge.
At Companions, our process includes:
Daily summaries
Health updates
Family caregiver touchpoints
Care planning meetings
Families in Chennai deserve transparency — not silence.
5. Lack of Emotional Support: Ignoring the Human Side of Aging
Too many agencies focus only on physical assistance, such as feeding, bathing, and hygiene.
But what about:
Emotional loneliness?
Loss of identity?
Boredom?
Anxiety about declining abilities?
The simple need for kindness?
Older adults don’t just need care tasks. They need a human connection. They need someone who listens, smiles, and knows them.
This is where many agencies miss the mark.
At Companions, we train caregivers in emotional care—so elders feel:
Heard
Valued
Engaged
Respected
Because care isn’t just physical support. It’s emotional presence too.
How Companions Is Closing the Gap in Elder Care at Home in Chennai
When we built Companions, we did so with a clear goal:
To evolve elder care from transactional help to compassionate partnership.
We recognised that:
✔ Families are afraid of trusting strangers
✔ Elders need consistent relationships
✔ Caregivers need training and support
✔ Communication must be transparent and regular
✔ Emotional well-being matters as much as physical care
What we offer is not just caregivers, but a dedicated support system for families navigating elder care in Chennai.
If you’re looking for reliable, compassionate elder care at-home services in Chennai, we’ve built a model that learns from the flaws of conventional agencies and prioritises people over process.
Learn more about how we serve families in Chennai and tailor care plans that really work.
Care Isn’t a Service — It’s a Relationship
So many families come to us after trying local home care agencies and feeling let down, and not because they didn’t try hard enough, but because the model itself was never built for real, consistent, human-first care.
Our mission at Companions is simple:
To make elder care at home not just available — but truly trustworthy, personalised, and loving.
Because when caregiving combines skill with heart, families don’t just find help. So, they find peace of mind.



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