Live-in care: how it works
A live-in carer moves into your relative's home and provides one-to-one support around the clock. It's a popular alternative to a care home for families who want their relative to stay in familiar surroundings, with continuity of personal routines, pets and possessions.
Who live-in care suits
Live-in care works well when needs are moderate to high but the family home is suitable. It's particularly valued for couples (where one partner doesn't need care), people with dementia who do better in familiar surroundings, and end-of-life care.
How carers rotate
A live-in carer typically stays in the home for two to four weeks at a time before another carer takes over. Many providers offer a small 'team' of two or three carers who rotate, so your relative builds a relationship with each.
Cost compared with a care home
Live-in care typically costs £1,300–£1,800 per week, broadly comparable to a good nursing home — but with one-to-one care. It can also be more cost-effective for couples who would otherwise pay two care home fees.
Two models: managed vs introductory
A managed service is provided by a CQC-registered agency that employs and supervises carers. An introductory agency simply matches families with self-employed carers — this is usually cheaper but isn't regulated, and the family takes on more responsibility. Most families benefit from the safeguards of a managed service.
What to ask before signing
- Is the agency CQC-registered (managed) or an introductory service?
- How are night-time disturbances handled? Is a waking night included?
- How is cover arranged when the regular carer is on a break?
- What's included in the weekly fee — and what's extra?