My mom has three full time caregivers and one part-time caregiver. At the end of their shift, each caregiver will email a report of mom's activities, eating habits, daily mental and physical activities, and anything unusual to my designated head caregiver. She provides me a daily email report every morning and will call me just to chat. The head caregiver, who is a former nurse, does all the Safeway delivery orders, Netflix request, conducts blood pressure testing every week, ability to request an emergency caregiver through an agency, and someone I TRUST.
This caregiving system allows mom to stay in her own home and gives me a LIFE after several years of taking care of mom. It's not the perfect system because it's extremely expensive but my work provides the income to make it work.