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How Does 24-hour Care Work?

24-hour care works by:

  • Supplying a personal assessment to establish the level of care required
  • Providing the benefits of receiving care, while living at home
  • Offering a round-the-clock service
  • Providing two carers who work in tandem with one another

We are fortunate to have a variety of care options available for us to provide better care for our loved ones, depending on their circumstances. Each variant offers a level of care particular to a specific need, such as care at home, elderly care, dementia care and companion care.

Some options overlap in areas, and all have an element that sets them apart from the others. When making care decisions, it’s useful to understand the different types of care available and how they differ from each other.

Assessment is key

It is crucial your loved one is assessed to determine the care options best suited to their requirements. While we may have an idea of what our loved ones need, it’s important to receive a professional assessment of the type of care that would benefit them the most.

An assessment will confirm whether your loved one can remain living at home and whether they require nursing or daily living assistance. Attention will also focus on any existing medical conditions, and make provision for the changing nature of degenerative illnesses.

Round-the-clock care is ideal for loved ones requiring regular attention for a medical condition or considered at risk if left alone for long periods of time. Your carer works in tandem with another carer, either working one 12-hour shift each, or sharing three eight-hour visits to maximise their level of alertness. Caregivers are permitted to work a maximum of four 12-hour shifts per week.

24-hour care and dementia

Loved ones dealing with Alzheimer’s-related dementia will be assessed on whether they are independent enough at this stage of their illness to remain living at home. The level of supervision required will also be determined based on the help and safety your loved one needs, such as whether they can cook and perform other household chores for themselves.

Dementia can cause anxiety and stress, and it’s important to verify whether your loved one can be alone for any length of time without becoming a risk to themselves and/or others. Another element is assessing any other existing health conditions, how they live alongside dementia and whether they require any medication. Your loved one will also be assessed regarding social needs and whether some of those can be met with round-the-clock care.

What are the benefits of 24/7 care at home?

There are many benefits of receiving care while living at home. A person’s perspective and their outlook are critical to the success of daily living. Remaining in a place that they know and love and are surrounded by the comforting familiarity of community keeps loved ones independent, positive, and reduces anxiety and stress.

Dulcie’s care story

Duclie is one of our longest serving customers. In this video her and her family talk through their decision to arrange care in the home rather than the care home.

Is round-the-clock care expensive?

The quality of one-on-one attention for loved ones round the clock can lead to the misguided assumption that 24-hour care is too expensive for most of us to manage financially.

The average hourly rate paid for round-the-clock care in the UK is £15.50, according to the Health and Social Care Information Centre.

Introduction agencies - those that match you with professional carers - are affordable. Leading care live-in care providers like Elder can offer 24-hour care at home for up to 30% less than a care home. Contact our care support team for a tailored care assessment.


Your loved one may be eligible for funding from their local authority. Their financial situation will be discussed alongside care needs during their formal assessment, to make sure they gain access to all avenues of support available to them.

The role of a carer

The role of a carer can be loosely divided into two main areas: personal care and companionship care. The specifics of care are determined by your loved one’s care needs.

Personal care includes helping with grooming, personal hygiene, assistance with continence, eating and medication, coordinating with other healthcare professionals such as your loved one’s doctor or local nurse, writing daily reports documenting care and completing Medication Administration Records (MAR) if necessary.

Companionship care helps loved ones with household chores, preparing and cooking meals, driving your loved one to appointments, communicating with family, friends and professionals on your loved one’s behalf and providing positive company to boost your loved one’s confidence, self-esteem, comfort and security.

Call us for expert live-in care advice
0333 150 2350

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