Live-in Care, What is It?
Live-in care means having a fully trained carer living with you in your own home, providing support whenever it’s needed.
The Care Act 2014 recognises that “modern care and support can be provided in any number of ways, with new models emerging all the time,” moving beyond traditional models of residential care
Who Benefits from Live-In Care?
- Older people requiring daily assistance
- Individuals with physical disabilities
- People living with dementia
- Those returning from hospital who need support during recovery
- Anyone approaching end of life who wishes to remain at home
Key Advantages
- Remain in your own home surrounded by personal belongings
- Maintain existing routines and social connections
- One-to-one dedicated care and companionship
- Family and friends can visit freely
- Pets can stay with you
- Continuity of care from a familiar face
What Does a Live-In Carer Do?
The Role of Your Live-In Carer
A live-in carer provides comprehensive, round-the-clock support tailored to your individual needs.
The Homecare Association states that quality homecare should be “tailored to the individual’s needs and aspirations” and “delivered by a consistent, small number of skilled workers whom the person knows”4.
Daily Support Tasks
Personal Care
- Assistance with bathing, washing, and showering
- Help with dressing and grooming
- Support with toileting and continence care
Medication Management
- Reminders to take prescribed medications
- Arranging and administering doses as required
- Collecting prescriptions
Household Support
- Meal preparation and cooking
- Light housekeeping and tidying
- Laundry and shopping
Companionship
- Friendly conversation and emotional support
- Assistance with hobbies and activities
- Accompanying you to social events
The Cost of Live-In Care
Understanding Live-In Care Costs
Live-in care costs vary depending on the level of support required, the complexity of care needs, and your location within the UK.
Typical Cost Breakdown
According to the NHS, help at home from a paid carer costs from £15 to £30 an hour, varying according to location5.
| Care Type | Typical Cost Range | Notes |
|---|---|---|
| Hourly Home Care | £15 – £30 per hour | Varies by location5 |
| Live-In Care (Standard) | £800 – £1,400 per week | Single person, standard care needs |
| Live-In Care (Complex) | £1,200 – £1,800+ per week | Higher needs, specialist care required |
| Live-In Care (Couples) | £1,000 – £1,600 per week | Often more cost-effective than two care home places |
Note: Costs vary significantly by region. London and the South East typically have higher rates.
What’s Included in the Cost?
Live-in care packages typically include:
- All personal care support
- Medication management
- Meal preparation
- Light housekeeping
- Companionship
- Accompanying you to appointments
Additional costs to consider:
- Food and utilities for your carer
- Specialist equipment if required
- Respite cover for your carer’s days off
Funding Options for Live-In Care
Local Authority Support Under the Care Act 2014, if you have limited income or savings, you may qualify for financial assistance following a care needs assessment and financial means test3. Local authorities set national eligibility criteria, and if you meet the threshold, they must meet your eligible needs3.
NHS Continuing Healthcare For individuals with significant, complex health needs, the NHS may cover the full cost of care.
Direct Payments If eligible for council support, you can choose to receive your personal budget as a direct payment, giving you control to arrange your own care5.
Attendance Allowance A non-means-tested benefit for people over State Pension age who need help with personal care.
Live-In Care vs Care Homes & Nursing Homes
Comparing Your Care Options
| Factor | Live-In Care | Care Home | Nursing Home |
|---|---|---|---|
| Location | Your own home | Residential facility | Residential facility with nursing staff |
| One-to-One Care | ✓ Dedicated carer | ✗ Shared staff | ✗ Shared staff |
| Familiar Environment | ✓ Stay in your home | ✗ New surroundings | ✗ New surroundings |
| Pets | ✓ Keep your pets | ✗ Usually not permitted | ✗ Usually not permitted |
| Couples | ✓ Stay together | Sometimes separated | Sometimes separated |
| Visitors | ✓ Anytime | Often restricted hours | Often restricted hours |
| 24-Hour Nursing | Some providers offer this | ✗ Not available | ✓ Available |
The Care Act statutory guidance emphasises that local authorities must consider “meeting needs” rather than fitting people into services, recognising that “everyone’s needs are different and personal to them”
Getting Started with Live-In Care
Your Journey to Quality Care at Home
Step 1: Initial Consultation
Contact us for a free, no-obligation conversation about your care needs.
Step 2: Care Needs Assessment
A senior member of our team will visit to discuss needs in detail. The NHS advises that even if you’re arranging care privately, “it’s still a good idea to have a needs assessment as it will help you to explain to the agency or carer what kind of help you need”5.
Step 3: Personalised Care Plan
We create a tailored care plan. The Homecare Association requires that services “deliver what has been agreed” and are “flexible and innovative to meet people’s needs”4.
Step 4: Carer Matching
We carefully match you with a live-in carer based on needs, preferences, and personality.
Step 5: Care Begins
Your carer moves in and begins providing support, with ongoing reviews.
Useful Links
| Organisation | What They Cover | URL |
|---|---|---|
| NICE | Clinical guidelines for home care | https://www.nice.org.uk |
| Care Quality Commission (CQC) | Regulation and inspection of care services | https://www.cqc.org.uk |
| GOV.UK | Care Act statutory guidance and benefits | https://www.gov.uk |
| NHS | Social care and support information | https://www.nhs.uk |
| Homecare Association | Industry code of practice | https://www.homecareassociation.org.uk |
| Age UK | Information and advice for older people | https://www.ageuk.org.uk |
| Carers UK | Support and guidance for carers | https://www.carersuk.org |
| Alzheimer’s Society | Dementia information and support | https://www.alzheimers.org.uk |
| Marie Curie | End-of-life and palliative care | https://www.mariecurie.org.uk |
| Macmillan Cancer Support | Cancer care and palliative support | macmillan.org.uk |

