Gutters fill up quietly. Nobody notices until water runs over the edge beside the front door or a downspout pulls away from the wall. From 500 miles away, the job is to get a crew up there once, on a day you chose, and to see proof it was done. Here is the path from first call to final check.
Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.
Before you call
Walk the outside of the house in your head, or ask a neighbor to walk it with you on video. Note which side collects the most leaves, where the downspouts end, and whether any section of gutter sags. Ask whether the gutters are metal or vinyl and whether the house has a second story, since height changes what the crew needs. You do not need exact answers. You need them so the first call sounds like it came from someone who knows the house.
The first call
Ask three things: whether they clean only the troughs or also flush the downspouts, what they do with the debris, and whether they will photograph the gutters before and after. Ask whether they bring their own ladder and whether they carry insurance for property damage. Ask what happens on a day that is too wet, and whether they reschedule or charge for the trip. Write the answers in one place so the next call starts from the same page.
Setting up the day
Pick a day when someone is in the house or can reach the yard. Tell the crew where the side gate is, whether there is a dog, and which flower beds they should not step on. If the gate has a code, send it in writing, not only by phone. If a neighbor has a key, ask that neighbor to be on call for the day. A short text the morning before works better than a long one the week before. If nobody local can be on call, the Local Help for a St. Louis Parent page is a place to start looking.
The day itself
Expect the crew to ladder up, clear the troughs by hand or with a tool, and flush each downspout with a hose. Ask them to tell you if they find a loose hanger, a seam that has separated, or a downspout that drains against the foundation. They should note those findings on the work ticket and not fix them unless you agreed to that in writing. Ask for the before and after photos to be sent that same day.
The final check
When the photos arrive, look for three things: clear troughs on every run, downspouts that drain away from the house, and a note about any repair they found. After the next rain, ask a neighbor to send a photo of the ground by the downspouts. Water pooling in one spot tells you that downspout still needs an extension. Keep the ticket and the photos in your house files so the next person knows when the work was last done.
Tonight
Write the gutter situation in three lines: which side collects the most debris, where the downspouts end, and whether a ladder is needed to reach the upper run. Then send one call or one email to a company asking for the three answers above. Keep it short.
For the doctor
Nothing about this job needs to go to the doctor. If she has ever been told to avoid climbing or lifting, put that on the work ticket so the crew does not ask her to hold the ladder or move the hose. She does not need to be outside while the work happens.