The home healthcare sector plays a vital role in delivering patient-centered services, particularly for elderly and chronically ill individuals. The effectiveness of such services largely depends on caregiver competencies. This study aims to analyse the skill gaps among caregivers working at Carefirst Home Healthcare, Chennai. A descriptive research design was adopted, and primary data were collected from 51 caregivers using a structured questionnaire. Percentage analysis, correlation, and ANOVA were employed to examine relationships between training adequacy and caregiver performance. The results revealed significant positive relationships between training sufficiency and caregiver competencies such as medication administration, patient care knowledge, and emergency handling ability. Despite possessing basic caregiving skills, caregivers demonstrated deficiencies in advanced clinical skills, communication abilities, hygiene awareness, and stress management practices. The study recommends structured training programs, certification-based learning, and continuous professional development initiatives to enhance caregiver competencies and improve service quality.

Keywords: Home healthcare, Skill gap, Caregivers, Training effectiveness, Workforce development, Patient safety