Agencies hire their own employees and conduct background checks. They handle all of the insurance, payroll, taxes, employee training, scheduling and supervision, and ensure appropriate care is given.
Registries hire independent contractors who are directed to care for clients but are not employed by the registry. When using a registry, the burden of screening prospective caregivers, payroll, taxes, insurance, training, supervision, and ensuring the loved one receives appropriate care is the responsibility – not of the registry – but of the client and their family.
It is important to understand the differences in liability between agencies and registries.