The short answer
- Match the activity to todayA person with the same diagnosis wants something different on a good day and a bad one. Start from their energy, not a list.
- A short walk still countsOlder adults are advised to move every day and to do some strength and balance work twice a week. A stroll to the end of the road meets that.
- Plan an outing before you goThe first trip out after a while at home goes better with a short route, a known toilet stop, and a plan for turning back early.
- Company sits alongside personal careA companion visit is conversation, hobbies, meals and trips out. Washing, dressing and medication are a different kind of visit.
Two hours is the usual length of a companionship visit on PrimeCarers. What a week of company costs is set out on the companion cost page.
Where to start
Match the activity to how they are today, not a long list
A companionship carer is booked for regular time with somebody your relative gets to know, rather than a rota of jobs. What the visit looks like depends far more on how your relative is feeling that day than on any fixed plan. Somebody a week out of hospital wants a quiet chair and a familiar voice. The same person a month later might be ready for the garden centre.
The ladder below is a way to talk this through with the carer before the first visit. Tell them what your relative used to enjoy, the job they did, the team they followed, the music they played, and let the carer meet them near the bottom rung to begin with. Most families find their relative moves up and down it rather than steadily upward, and a chest infection or a bad week can mean a few quiet days again before an outing feels possible. That is ordinary, not a step backwards.
A quiet day, low on energy
Straight after a spell in hospital, on a bad pain day, or simply because today is like that. The visit still counts.
- Sitting and talking properly, with no rush to fill a silence
- The radio, or an old favourite on the television
- Looking through photographs together
- A cup of tea made the way they like it
Steady enough to sit up and use their hands
Enough energy for something with a bit of shape to it, still without leaving the chair.
- Cards, dominoes or a jigsaw
- A crossword, or a book read aloud
- Knitting, sewing or a hobby picked up again
- A simple meal made together at the table
Steady enough for the garden or a short walk
Able to be on their feet for a few minutes with somebody close by.
- A walk to the end of the road and back
- Feeding the birds, or a few minutes of light gardening
- Chair-based exercises, with the carer nearby
- Sitting out with a coffee if the weather allows
Well enough for a proper outing
A morning or afternoon away from the house, planned in advance.
- The garden centre, a café or the library
- Church, a social club, or lunch with a friend
- A museum, a gallery or an afternoon at the shops
- A family visit further afield
Quiet and indoors
What fills an afternoon without anyone needing to move far
On a low day, in bad weather, or simply because your relative would rather stay in, there is still a proper visit to be had. None of these need preparation beyond the carer knowing what your relative likes.
Conversation and a cup of tea
No preparation needed
Music and old favourites
Radio, records or the television
Photographs and reminiscing
20 to 30 minutes
Cards, crosswords and jigsaws
Seated, any ability
A hobby picked up again
Knitting, sewing, drawing
A simple meal made together
At the table, not just for them
None of this needs to be exciting to be worthwhile, and none of it needs to fill the whole visit either. A carer who comes every week gets to know which of these your relative settles into best.
Gentle movement
Keeping them moving without overdoing it
The NHS advises adults over 65 to be active every day, even lightly, and to do some strength and balance work on at least two days a week. None of that needs a gym. A companion carer can build small amounts of movement into an ordinary visit.
Movement a companion carer can help with
0 of 7 ticked
A few minutes, most visits
A couple of times a week
The guidance above follows the NHS physical activity guidelines for older adults, which recommend being active every day and doing strength and balance activities on at least two days a week.
Getting out
Planning a trip out so the first one goes well
A companion carer can take your relative out, whether that is a walk, the shops or further afield, and a well-planned outing can do more for morale than almost anything else you try. Getting it right the first time makes a second one easier to agree to.
- 1
Pick the time of day they have most energy
Usually late morningMany older people are at their best mid-morning and flag by mid-afternoon. Book the visit for when your relative tends to be brightest, not when it suits everyone else. - 2
Keep the first trip short and close by
The garden centre, not the coastA shorter outing that goes well builds confidence for a longer one later. Somewhere your relative already knows, with parking close to the entrance, is an easier first choice than somewhere new. - 3
Check the practical things before you go
Seating, a toilet, level groundA carer can check a venue has somewhere to sit down and a toilet nearby before booking the trip, so the outing does not end early over something that could have been planned for. - 4
Agree it is fine to turn back early
No explanation neededTell your relative in advance that coming home after twenty minutes is a perfectly good outcome. Knowing there is no pressure to see it through often makes people more willing to go in the first place.
An outing does not need a destination to be worth planning. Grocery shopping together, with your relative choosing what goes in the basket, gives the same sense of purpose as a longer trip, and a local market or a seasonal fair adds people and noise for somebody who has been mostly indoors.
Can carers take you out? covers how outings work in practice: driving, mileage, and what a trip out costs on top of the visit. If a longer day away is the goal, holidays with an older relative covers what a carer-supported break involves.
If they have dementia
Choosing activities that feel familiar rather than testing
Everything on this page can suit somebody living with dementia. The difference is in how it is offered, built around what has personal meaning for that person rather than picked from a general list.
Familiar over new
Their past, not a new skill
Sensory and hands-on
Something to hold or smell
Short and flexible
Ten minutes is a success
No right answers
Nothing marked wrong
This follows the Alzheimer's Society's guidance on activity ideas, which centres on finding what has meaning for that person rather than a general list.
Can lack of social interaction cause dementia? looks at the research on loneliness and dementia risk, and 37 activities for people with dementia has a longer list of specific ideas by stage. Dementia care covers the wider picture, from a diagnosis through to what changes as it progresses.
What a companion can help with
Where company ends and personal care begins
Companionship and personal care are priced and booked differently on PrimeCarers, and it helps to know the boundary before the first visit rather than discover it partway through one.
Part of a companionship visit
- Everything on this page: conversation, hobbies, meals, gentle movement and outings
- Prompting a tablet that is already set out in a dosette box
- Company at a GP or hospital appointment, with a note of what was said
- Light housework around the person while they are there
Needs a personal or medical carer
- Washing, showering, dressing, toileting or continence care
- Moving somebody who cannot get up from a chair or bed unaided
- Giving medication, rather than prompting it
- Carrying out exercises set by a physiotherapist, rather than encouraging attendance at the sessions
A carer who does both companionship and personal care will usually help with a small thing that falls on the wrong side of that line, a cardigan that will not do up, without it becoming a different kind of visit. What changes the booking is when personal care becomes the reason for it. At that point personal care at home is the right guide, and how much does a companion carer cost? explains how the rate compares. Every carer on PrimeCarers has had an identity check, a right-to-work check, an enhanced DBS check on the Update Service, and an online interview before their profile appears.
Questions
Questions families ask about companionship activities
Conversation, hobbies, games, music, a meal made together, light housework alongside the visit, and outings such as the shops, a café or an appointment. What does not fit is washing, dressing, toileting or giving medication, which is personal care rather than companionship. Where company ends and personal care begins sets the boundary out in full.
It happens, and it is not a sign the visit has failed. Offering something specific usually works better than asking an open question. Sitting together without an activity still counts as a good visit, and a carer who visits regularly will keep trying things until something lands.
Start at the quiet end: conversation, familiar music, looking through photographs, or a seated game. The activity ladder on this page matches ideas to how much energy your relative has, and it is normal to stay at the quiet end for a while before building up to a walk or an outing.
Yes, if the carer is comfortable driving and has business use on their car insurance. Their time is charged at their normal rate, and mileage is only added if you have agreed it in advance and in writing, usually at 55p a mile. Can carers take you out? covers how this works in practice.
The same activities as anyone else, offered in a way that leans on familiar memories rather than new skills, and with no right or wrong answer expected. 37 activities for people with dementia has ideas by stage, and choosing activities that feel familiar explains the principle.
A companion carer can remind your relative to do them and sit with them while they try, but carrying out physiotherapy exercises is not part of a companionship visit. If hands-on support with exercises is needed, say so when you are looking for a carer, since some hourly carers who also do personal care are comfortable with this.
Companion carers on PrimeCarers charge £15 to £20 an hour with our fee included, so two hours usually comes to around £36. How much does a companion carer cost? sets out a full week at different visit patterns.
Every carer’s profile lists their experience and interests, and you can message a few before booking to ask about anything specific, whether that is a shared hobby, a football team or simply whether they enjoy a good chat. Most families choose after a phone call rather than from the profile alone.
