Israel boasts a highly developed (and heavily subsidized) system of live-in care that enables seniors to age in place and maintain maximum independence, even when they require full assistance in their activities of daily living. 

Stories abound of kind, compassionate and skilled caregivers who become like family members, caring for elderly loved ones as if they were their own parents. But there are also heartbreaking stories – stories of neglect and abuse, undetected in a home occupied only by vulnerable senior and unscrupulous caregiver.

So, the question emerges: how can we ensure the safety and well being of an elderly loved one aging at home with a caregiver?

The first line of defense is a thorough vetting process to find and hire the right person. Equally important is ongoing support and oversight by a family member, trusted friend, or a professional such as a Care Manager. 

Finally, consider installing surveillance cameras. It’s a hotly debated topic. The decision is a complex one: a balance between ensuring the safety and well-being of our loved ones while also respecting privacy and trust.

Here, are some things to consider on both sides of the debate, and suggestions how to approach it.


  • Quality Assurance:  Cameras allow families to monitor their loved one’s care, even if they cannot be physically present.
  • Peace of Mind:  Cameras offer the reassurance of knowing that your loved one is being cared for properly, even when you can’t be there and peace of mind knowing that you can check in at any moment.
  • Accountability: Cameras can be a powerful deterrent against mistreatment, and footage can serve as impartial evidence should disagreements arise.
  • Protection for Caregivers: In case of accidents or misunderstandings, cameras can validate the caregiver’s actions and safeguard their reputation.


  • Privacy Invasion: Everyone, including caregivers and the elderly, has the right to privacy in their personal lives. Cameras can feel invasive and an infringement on personal rights.
  • Eroding Trust: Continuous monitoring can feel like a sign of distrust, which can strain the relationship with the caregiver.
  • Changing Care Dynamics:  Constant surveillance can foster a fear of actions being misinterpreted which, in turn, may discourage caregivers from forming genuine bonds with their patients.
  • Potential Overreach: Unlimited access to footage may lead families to micro-manage, which can be counter-productive and strain professional relationships.
  • Risk of Misinterpretation: Without context, actions seen on camera can be misunderstood, leading to undue concern. For example, a caregiver might appear rough when helping an elderly person stand, but in context, they might be preventing a fall.

Check the Law

If you decide on cameras, familiarize yourself with privacy and consent laws regarding recording audio and video, including where cameras may be placed and whether notice or consent is required.

Striking a Balance

If you decide on cameras, it is important to talk about it with both your loved one and the caregiver. Here are some recommendations:

  • Open Discussion: Share your reasons for wanting to install cameras and actively listen to concerns.
  • Consent: Ensure that everyone involved is comfortable with the idea and provide them with the right to consent or decline.
  • Restricted Placement: Consider placing cameras only in shared living spaces and avoid private areas such as bedrooms and bathrooms (again, check regulations on this).
  • Digital Safety: If you’re using Wi-Fi cameras, ensure that they’re secure to prevent unauthorized access.

Final Thoughts

There is no one-size-fits-all solution. The decision to install cameras should weigh safety with dignity and privacy. While cameras can offer a watchful eye, direct involvement and open communication with caregivers will always be the bedrock of ensuring quality elderly care.