Hey mamas ... Do any of you work at home AND have a nanny or in-home childcare?

I'm a designer (home studio), and I know that I will need some help once I'm back after my maternity leave. I am initially thinking about someone coming in 3 days a week for 5 hours or so. I think I can adjust my workload accordingly.

My question involves logistics ... I don't have an office with doors that close (we have a bungalow, and my office is in a room next to the living room). Basically, I would be really distracted by baby/nanny the whole time.

Soooo ... what do you do? Find a room with a door? Work somewhere else? Just work with baby/nanny around? Does it actually work out (do you get work done)? I'm open to any pointers or advice!!

Oh, and we have a person in mind. She's shown interest in child care + light housekeeping (thank goodness), so as far as the person, I think I'm set on that piece of the puzzle.

THANK YOU!