If you value safety, security, and reliability, yes. A quality home care agency is insured and also manages the performance and scheduling of its caregivers, handles billing and payroll, and has back-up caregivers to fill in when needed. With a private hire caregiver, you’re responsible for setting up payroll and withholding taxes, caregiver vetting and background checks, and purchasing sufficient liability insurance to cover any accidents or injuries in the home.