Care at home or a care home?

The decision most families make too early

A care home is sometimes the right answer. It is rarely the only one, and it is usually reached for before anyone has priced the alternative. Here is the comparison, fairly, with the numbers.

Live-in care, one person

£1,120 a week, typically

One carer, one-to-one, in their own home. From £1,050.

A care home, one person

£1,160 a week, typically

Range £1,100–£1,600+. Staff shared across a floor.

A couple

£1,350 at home vs £2,320 for two places

One carer looks after both, for about a fifth more than one.

Side by side

What each one costs, and what you get for it

For one person the two costs are close together. For a couple, care at home usually costs a good deal less.

Care at homeA care home
Typical weekly cost£1,120 live-in, or hourly visits from about £20 an hour£1,160, range £1,100–£1,600+
With complex needs£1,340 a week live-inNursing home fees, often £1,410 and up
Who does the caringOne carer, chosen by you, one-to-oneA team on shifts, shared across a floor
WhereTheir own home, routines and petsA room, usually with meals and activities laid on
The houseDisregarded in the means test while they live in itCounted in the means test once they move, unless a partner stays
Scales with needVisits, then nights, then live-in, without movingMay mean a second move to a nursing home later

Care home figures are typical UK residential fees; nursing homes cost more. Home care figures are what carers on PrimeCarers charge, with our fee included.

Which way

Signs it is time for a care home, and signs it is not

We help families find carers for care at home, so the first list is the argument against us. Every point on it is one we take seriously.

A care home may be right when

  • They want company around them all day, and a home offers it
  • Nursing needs that district nurses cannot cover at home
  • The house itself is unsafe and cannot reasonably be adapted
  • Nobody in the family can visit, and they are lonely with a carer alone
  • They have said, clearly and more than once, that they would rather move

If that is where you are, start with The Care Home Directory for fees by area, and read nursing home vs care home.

Home is usually right when

  • They want to stay, and say so
  • There is dementia: familiar surroundings slow the confusion
  • They are a couple, or there is a pet they love
  • Needs change week to week and care needs to flex with them
  • The budget stretches to live-in care, which for one person is about the same as a good care home

And it is not a one-way door. Families who try care at home first can still choose a home later, with more information than they have now. How live-in care works.

How it works

From “something has to change” to a carer at the door

No assessment visits, no waiting list. Some families are talking to a carer the same day.

1

Search your postcode

See the carers who cover it, with photos, rates, experience and reviews. Filter by hourly, live-in or overnight.

2

Talk to the ones you like

Message them directly, or tell us what you need and we can suggest some carers to look at. The choice is always yours.

3

Meet before deciding

A call, a video chat or a visit, free and before anything is booked. A lot of families have a good idea within the first ten minutes.

4

Book, and change it as needs change

Contract, insurance and payment run through us. You can add visits, add nights, or move to live-in care as things change, and you only pay for care that happens.

Safety first

Someone coming into their home? We take that seriously.

Letting a carer into the home of someone you love takes trust. We've built every layer of protection so that trust is earned, not assumed.

See exactly how we vet carers or call 0203 369 3624

Vetting that never stops

Enhanced DBS, ID and right-to-work checks and an online interview before a carer appears, then continuous DBS monitoring for as long as they work. We check that a carer is caring; their skills and training are for you to check with them.

Insured and above board

Every visit is insured, contracted and paid securely online after care happens. There is no cash and no informal arrangement to manage.

A real person who knows you

Your own account manager and a UK support team who know you, your carer and your situation, not a call centre script.

Help when plans change

If your carer is unwell or away, our team will always do their best to find you vetted cover at short notice.

What clients say

Our Latest Carer Reviews

Photo of carer Margaret N

Margaret N

"Excellent - Lovely lady. My mother is so pleased with the work she does in helping her."

Read the full review
Photo of carer Julia S

Julia S

"Julia is a highly skilled and companionate carer who is able to give so much of herself and adapt to any situation."

Read the full review
Photo of carer Andres Felipe C

Andres Felipe C

"My son who he is caring for automatically welcomed Andres and can be heard laughing & having fun with Andres."

Read the full review
See More Reviews

Questions families ask

Home or a care home, answered

If you only need a few hours of care a day, it is much cheaper. For round-the-clock care, live-in care for one person is typically £1,120 a week against about £1,160 for a care home (range £1,100–£1,600+), so about the same, but one-to-one. For a couple it is £1,350 at home against about £2,320 for two places. The comparison in full.

When the person wants company all day and a home can provide it, when nursing needs go beyond what district nurses can cover at home, when the house is unsafe and cannot be adapted, or when they have said clearly that they would rather move. The signs either way.

Not for care at home: the home is disregarded in the means test while the person lives in it. For a care home it is counted after twelve weeks unless a partner or dependent relative still lives there. How care is funded.

A nursing home has registered nurses on site and charges more; a residential care home provides personal care and daily support. Many people who are told they need a nursing home can have the same nursing at home from the district nurse team, with carers doing the rest. Nursing home vs care home.

Usually better than a move can, because familiar surroundings and one consistent carer slow the confusion. Late-stage dementia at home means live-in care, sometimes with a waking-night carer as well. Dementia care at home.

This is where staying at home has the biggest advantage. A live-in carer looks after both for one rate, the partner stays in their own bed, and the house stays out of the means test. A care home separates them and charges a full fee for one place. Live-in care for couples.

Yes, and most families should. You can start with visits, add nights later if they are needed, and move to live-in care if things change. Our standard contract asks for 48 hours’ notice to end hourly care and 7 days for live-in, so nothing is locked in. If a care home turns out to be right, you will choose it knowing what the alternative was.

Not if they have the capacity to decide for themselves, even if the family disagrees. If capacity is in doubt, the decision is made in their best interests under the Mental Capacity Act, and staying at home with support is often what that means. Can someone be forced into care?

Use the calculator with your hours, then search your postcode to see what carers near you charge. For care homes, The Care Home Directory lists fees by area. Care cost calculator and the cost of care.

It is for some families, and it changes the sums, because the care then happens in your home, with hourly or live-in support. Granny annexes and living with elderly parents.

Price the alternative before you decide

See the live-in and visiting carers near you, with their rates, and put a real number next to the care home quote.

Try home first, decide laterNo long contractCouples stay togetherThe house stays out of the means test