Why Small Agencies Provide More Personalized Care Than Large Providers

When families search for disability services in Cuyahoga County, they often face a choice: work with a large, multi-million-dollar provider or choose a smaller, community-based agency like PAC Services.

At PAC Services, we believe that smaller is better when it comes to personalized care, consistency, and true community connection. Here’s why families continue to trust small agencies like ours.

1. You’re More Than a Number

Large agencies often focus on numbers, quotas, and growth. At a small agency, every individual is known by name, story, and personality. We tailor support plans to each person’s goals, not just what looks good on paper.

2. Stronger Relationships With Staff

One of the biggest advantages of a small agency is staff consistency. At PAC Services, many of our staff have been with us long-term. This stability allows individuals to form trusting, family-like relationships with the people who support them every day.

3. Flexible, Person-Centered Support

Big providers may have rigid schedules and one-size-fits-all services. PAC Services offers flexibility, adjusting activities, transportation, and care to fit each individual’s preferences and needs. Whether it’s a late-night call or a special outing, we go beyond standard “shift care.”

4. Community Connection

Smaller agencies are deeply rooted in the local community. At PAC Services, we don’t just provide in-home support, we encourage community inclusion through bowling nights, concerts, shopping trips, sporting events, and holiday gatherings. These experiences build confidence, independence, and joy.

5. A Family-Like Environment

Our motto is “Better Together,” and we live it every day. Families choose PAC because we treat staff and residents like family, something that can be hard to find in larger organizations. Our founder, Lisha Manuel, created PAC Services with this vision, and her legacy continues to guide us.

Why Families Choose PAC Services

We’re not the largest agency in Northeast Ohio, and that’s the point. Families choose PAC because we’re already the best at being personal, approachable, and caring. Our mission is to improve quality of life, not through numbers, but through real relationships and meaningful support.

10 Activities Our Residents Love Most at PAC Services

At PAC Services, we know that life is always Better Together, and that means making space for joy, laughter, and shared experiences. For adults with developmental disabilities, community activities aren’t just fun; they’re a chance to build confidence, independence, and lasting friendships. Here are 10 favorite activities our residents love most when spending time with PAC Services.

1. Bowling Nights

Bowling is a classic PAC favorite! With ramps, bumpers, and lightweight balls, it’s an inclusive activity where everyone can join in the fun. Residents love the excitement, the cheering, and the chance to celebrate every strike (and even the gutter balls).

2. Arts & Crafts

Creativity has no limits at PAC Services. From painting and beadwork to seasonal crafts and holiday projects, our residents enjoy expressing themselves through art and taking pride in what they create.

3. Concerts & Live Music

Music brings people together, and our residents love attending concerts and community performances. These outings are not only entertaining but also great opportunities for social interaction and new experiences.

4. Movie Outings

Nothing beats the magic of the big screen. Residents enjoy going to the movies, complete with popcorn and friends. Many local theaters offer accessible seating and sensory-friendly showings, making it comfortable for everyone.

5. Festivals & Fairs

From the Cuyahoga County Fair to seasonal festivals and holiday markets, our residents love exploring community celebrations. These events are filled with sights, sounds, and tastes that bring out plenty of smiles.

6. Shopping Trips

Whether it’s picking out groceries, browsing the mall, or finding a gift for a loved one, shopping trips give our residents a chance to practice independence, budgeting, and decision-making while having fun.

7. Holiday Gatherings

At PAC Services, holidays are celebrated like family. From decorating and baking to festive parties, holiday gatherings are filled with warmth, laughter, and memories our residents cherish year after year.

8. Sporting Events

Cheering on Cleveland’s teams, from the Guardians to the Cavaliers and Monsters hockey, is always a hit. Sports outings are exciting, social, and a great way to feel part of the community.

9. Outdoor Adventures

Nature is another favorite. Residents enjoy farm visits, outdoor walks, and trips to local parks. These outings are relaxing, educational, and a perfect way to connect with the outdoors.

The Importance of Consistency in Direct Support Staff

For adults with developmental disabilities, trust, stability, and routine are essential for building confidence and independence. One of the biggest factors that makes a difference is the consistency of direct support staff. At PAC Services, we know that families want more than just coverage, they want caregivers who are reliable, long-term, and invested in the people they serve. That’s why our small, family-centered agency focuses on staff consistency as one of our greatest strengths. Why Consistency Matters:

1. Building Trust and Relationships

When staff turnover is high, individuals are constantly adjusting to new faces. With consistent direct support staff, clients are able to form strong, trusting relationships, which helps them feel safe and respected.

2. Supporting Routine and Stability

Many adults with developmental disabilities thrive on predictable routines. Consistent staff know individual schedules, preferences, and triggers, which reduces anxiety and helps daily life run smoothly.

3. Encouraging Skill Development

Progress in daily living skills takes time and patience. When the same staff provide ongoing support, they can track growth, encourage independence, and celebrate milestones in a way that new staff can’t always replicate.

4. Improving Quality of Care

Consistency allows staff to truly understand each person’s needs, communication style, and goals. This leads to more personalized care and better outcomes for clients and families.

5. Bringing Peace of Mind to Families

Families feel more comfortable knowing their loved ones are supported by caregivers who stick around, know them personally, and treat them like family.

How PAC Services Ensures Consistency

Unlike large agencies where turnover is common, PAC Services is proud to have many long-term employees who are committed to our mission.

We are a smaller agency, which means staff and clients form closer, family-like bonds.
We provide training, certifications, and ongoing support so employees feel confident and capable.
We value our staff, which creates a positive workplace and encourages long-term commitment.

Our direct support staff aren’t just employees, they’re the heart of PAC Services.