Hiring a caregiver on a friend's say-so is a gamble. Here is the exact vetting process careful families in Ghana use before letting anyone into their home.
Most of us find caregivers the same way we find house help. A relative knows someone. A church member vouches for a girl from their hometown. An agent "has somebody." Sometimes it works out fine. But think about what this person will actually do: spend hours alone with your mother, your newborn, or your father recovering from surgery. "My cousin says she is good" is not vetting. It is hope.
The good news is that proper vetting is not complicated. It takes a few phone calls, a few documents, and the discipline to actually check instead of assuming. This guide covers all of it.
Why home care is different from any other hire
A caregiver works unsupervised. Their clients are often confused, frail, or too polite to complain. They handle medication schedules, money for errands, and private family matters. When this hire goes wrong, it goes wrong quietly: missed medication nobody notices, an elderly person slowly parted from her savings, neglect that only shows up weeks later in weight loss and bedsores.
Most caregivers are honest, hardworking people. Vetting is simply how you confirm the person in front of you is one of them.
The five checks, in order
1. Confirm who they are
Ask for a valid Ghana Card. Check the photo, the name, and the date of birth against the story they have told you. Keep a copy. This sounds obvious. It is also the step most families skip, and a surprising number of problems trace back to a household that never confirmed who was actually living in it.
2. Match the papers to the job
Different care needs different credentials:
- Nurses. A registered or enrolled nurse should have a current PIN from the Nursing and Midwifery Council of Ghana. Ask for it and verify it. A real professional will not be offended. They will be pleased you asked.
- Care aides and healthcare assistants. Look for certificates from recognised training schools. Then ask what the training covered. Someone who actually sat the course can describe it without hesitating.
- Companions. No licence needed for cooking, errands and company. But a companion should never be dressing wounds or giving injections.
The danger zone is the mismatch: an untrained person quietly doing tasks that need a licence, because nobody drew the line on day one.
3. Call the references. Actually call them.
Ask each referee three questions. What care did this person provide, and for how long? Would you rehire them tomorrow? Why did they leave? Then listen for the pauses. A police clearance report is worth requesting too. It is not a guarantee of anything, but people who know they cannot pass one tend to disappear when you ask.
4. Interview with scenarios, not slogans
Skip "tell me about yourself." Give them real situations:
- "Papa refuses his blood pressure medicine this morning. What do you do?"
- "You notice a bedsore starting. Walk me through your next hour."
- "The person you care for accuses you of stealing, and you didn't. What now?"
There are no perfect answers. You are listening for calm, for structure, and for the instinct to observe, write things down, and call someone rather than improvise in silence.
5. Run a paid trial with checkpoints
The first two to four weeks are the real interview. Put the duties in writing. Ask for a short daily WhatsApp update with specifics: what she ate, when the medicine was given, how she slept, anything unusual. Drop in unannounced if you can. And talk to the person receiving the care, alone. Ask how they feel about the caregiver. Their answer matters more than any certificate.
Red flags that end the conversation
- Reluctance to show ID, certificates, or referee phone numbers.
- Certificates that look freshly printed for training done years ago.
- A referee who will only answer by text.
- Pressure to pay everything upfront, or to move payment off the agreed channel.
- Vague answers about why the last job ended.
- Any hint that they can handle medical tasks "small small" without training.
One of these is a question mark. Two is a pattern. Walk away.
Or start with caregivers who are already vetted
Everything above takes time, and most families are arranging care in a crisis: right after a diagnosis, a fall, or a discharge date. That is exactly when there is no time to call referees. This is the problem Welnesse exists to solve. Every caregiver on the platform has already passed identity checks, credential and licence verification, reference calls and a background screen before they can accept a single booking. The full process is on our Trust & Safety page.
If you are starting a search now, browse the care services, and read our guide to what home care actually costs in Ghana before you interview anyone. Knowing the fair price range protects you from overpaying, and from offers cheap enough to be suspicious.
Common questions
Can I check a nurse's registration myself?
Yes. Ask for the PIN and confirm their status with the Nursing and Midwifery Council of Ghana before work starts. Registered professionals expect this.
Is a police report enough on its own?
No. It only shows convictions. It says nothing about competence or how someone treats a confused old woman at 3 a.m. Use it as one of the five checks, never the whole process.
I already hired someone without vetting. Now what?
Vet them this week, retroactively. ID, certificates, reference calls, daily updates. A good caregiver will cooperate without fuss. A bad one will react in ways that tell you everything.

Dominic Forson