At my mother's assessment, a range of different services were agreed to, It eventuated that for each service a different provider was sent out. Not sure why, she wasn't consulted about it.
They don't seem to take into account the amount of paperwork each provider requires from the client. Multiply that by the number of individual providers. Then think about the unnecessary duplication. CRAZY stupid when you are dealing with older people who may be losing their abilities, and already under stress from the changes they are going through.
My mother decided that this was not for her, and she would prefer to have one provider for all her in-home services. She settled on Blue Care because they covered all her needs. Blue Care are a large organisation and can cover any staff absences with alternate staff. Of the staff that I have met, they all seem to be caring and considerate. The staff are certainly not in it for the money
Having one provider has meant that a single staff member can provide multiple service while here. It also makes it easier for my mother to manage appointments and what's going on. It also means that a relationship is developed between the staff and my mother. They then get to know what/how she wants things done. Ergo, more time is spent on actually delivering services.