One thing that stood out to me from excel is the consistency. It’s really good, my father has been with this caregiver (Oluwakemi G.) for over a year and the familiarities for elders are good. The management communications are great and always answer any questions I may have, that right there is 10 out of 10. I love the system excel has with the registered nurse that comes out quarterly. The RN is very helpful and gives us good advice pertaining to my father’s care. That advice helps the caregiver, me, my father and his doctor’s. I would recommend excel to anyone in need of home care. They caregiver is always there with scrubs and badge. A suggestion I would like to make is that the office give us a more advance notice in cases of the caregiver not being able to make it. So I can better prepare my schedule. I would rate excel an 8 out of 10.