Hi Sian, I have used live in carers for my mother a number of times. Going through an agency gives a degree of responsibility for their actions and training etc, but in reality the checks on them may not be what you would hope for. I have not gone independently to compare. My experiences are not good- with every carer, mum ended up being hospitalised through a fall, or latterly, dehydration leading to a acute urine infection. I suggest you spend at least 24 hours with any prospective carer and listen to your instinct as to whether they are genuinely a caring person. My experiences have lead me to believe that many live in carers do it more because it is a cheap and easy way to live, and do not genuinely care for their clients. Choose someone you get on well with as well as getting on with your parents- if you are overseeing them, you need a good relationship with them. Be aware that a paid carer will not care as well as you do, it will take them time to read and understand all the little signs that are given off, and instinctively know how to respond. I'm not saying don't do it, just choose carefully and find the right person. For short term care, I have decided not to do it again. For long term care, it is worth putting the effort in to find a good carer. Good luck!