I kind of agree that the private route is better and gives you much more autonomy, but only up to a point. The SS assessment is useful to have done, as it gives you a lot of pointers about the type of care needed.
The thing with private ones (at least, I found this) is that as soon as the oldie becomes a bit too difficult or frail, they dont want to know and will back right off very quickly. So if you dont have SS carers in place you could be landed with a sudden no care situation if the worst comes to the worst.
Our cleaner/friend was wonderful, as was the gardener, and I think they would have stayed through thick and thin, but cleaner couldnt up her hours so we went to an agency. Brilliant for a good few months, but as soon as mum got tricky it went very tits up.
If you can work it so you can have the SS carers visits and then top up in between it could be ok. however we had that for a little and mum managed to fall over between one leaving at 9.15 and the next arriving at 11.15 (at this stage she wouldnt go into a care home).
we spent this afternoon in A&E with DH - chest pain and very high temperature after his bronchoscopy on Thurs. got in and out within 2 hours because temp right down and after ecg they said chest pain was muscular. apparently, once you start chemo you get a kind of 'cancer card' which fast tracks you - told DH it sounded like what you can buy at Disneyland!!