Elderly care
From the first worry to round-the-clock care: how to spot what they need, the conversations nobody wants to have, and the kind of help that lets them stay in their own home. It is written for the sons and daughters who are doing the worrying.
3,500+ vetted carers across the UK
Not sure where to start? Find their stage on the ladder or call 0203 369 3624

How much help do they need?
Ageing rarely announces itself. It shows up as small things you notice on a visit. Find the step that sounds like now, and see what tends to help at that point.
Nobody climbs this in order and nobody has to reach the top. Most families sit at step two for years. Pick the one that sounds like this month.
Step 1 of 5
What you might be noticing
What usually helps
Keep them strong and connected, with regular walks, enough to drink, and a reason to leave the house. It is also worth making small adaptations at home before a fall makes them urgent.
Companionship visits
£15–£20 an hour
Read
Step 2 of 5
What you might be noticing
What usually helps
A carer can come once or twice a week for shopping, a hot meal, company and a look around the house. Most families start here, and most wish they had started sooner.
Hourly visits
£18–£25 an hour
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Step 3 of 5
What you might be noticing
What usually helps
Morning and evening visits work well here, for personal care and medication, with a regular carer so that nothing gets missed. Having the same person each time matters more than anything else.
Daily personal care
about £20 an hour
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Step 4 of 5
What you might be noticing
What usually helps
An overnight carer stays in the house, sleeping nearby, or awake if they are needed often. It is the step that lets the family sleep again.
Overnight care
£130–£160 a night
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Step 5 of 5
What you might be noticing
What usually helps
A live-in carer stays in their own home, one-to-one. For one person it costs about the same as a good care home, and for a couple it is usually far less.
Live-in care
from £1,050 a week
Read
Eight things to look at on your next visit
People rarely say they are struggling, but the house usually shows it. Each of these links to what it can mean and what to do about it.
If you are noticing three or more of these, read how to tell someone they need care before you raise it.
When it is more than family can do
Every carer on PrimeCarers is self-employed, checked and insured, and you interview them before anything is booked. Start small and add as needs change.
The library
They are written to be read at eleven at night after a difficult phone call, and they are short, practical and specific to the UK.
Care for a condition
The type of care follows from what the person needs, and what they need often follows from a condition. Each of these guides explains what a carer does day to day for it, and when needs tend to change.
How it works
No assessment visits, no waiting list. Some families are talking to a carer the same day.
See the carers who cover it, with photos, rates, experience and reviews. Filter by hourly, live-in or overnight.
Message them directly, or tell us what you need and we can suggest some carers to look at. The choice is always yours.
A call, a video chat or a visit, free and with no commitment. A lot of families have a good idea within the first ten minutes.
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
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.
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.
Every visit is insured, contracted and paid securely online after care happens. There is no cash and no informal arrangement to manage.
Your own account manager and a UK support team who know you, your carer and your situation, not a call centre script.
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
"Excellent - Lovely lady. My mother is so pleased with the work she does in helping her."
Read the full review"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"My son who he is caring for automatically welcomed Andres and can be heard laughing & having fun with Andres."
Read the full reviewQuestions families ask
Help for an older person with the parts of daily life that have become hard: shopping, cooking, washing, dressing, medication, getting out, and company. It ranges from a family member popping in, to a carer visiting a few hours a week, to live-in care around the clock. Most of it can happen in the person’s own home. What elderly care means, in full.
Look at the house rather than asking them: the fridge, the post, their weight, whether they are drinking enough, any falls, missed medication, mood, and how the housework is going. Three or more slipping usually means it is time to talk. The eight signs and how to raise it.
Start earlier than feels necessary, share the load with a carer for the tasks you find hardest, and treat respite as part of the plan rather than a failure. Families who wait until crisis point end up with fewer choices. How to care for elderly parents and the challenges, named.
This is very common, and it is usually about dignity and the fear of losing control rather than about the help itself. Start with something they would accept from anyone (a cleaner, a companion for a walk), let them choose the person, and keep the first carer the same each visit. How to get someone to accept care.
On PrimeCarers hourly visits are £18 to £25 an hour, typically £20, with our fee included. Overnight care is £130 to £160 a night. Live-in care starts from £1,050 a week and is typically £1,120. The full cost guide.
Attendance Allowance is not means-tested and most older people who need daily help qualify for it. Councils contribute after a care-needs and financial assessment, and NHS Continuing Healthcare can cover everything where needs are mainly health-related. Funding explained.
In the UK, no. Adult children have no legal duty to care for or pay for a parent. Councils cannot make you, and a care home cannot bill you unless you have signed a guarantee. Many people choose to help anyway, which is a different thing. The legal position in detail.
Not if they have the mental capacity to decide for themselves, even if the decision seems unwise. If capacity is in doubt, decisions are made in their best interests under the Mental Capacity Act, and staying at home with support is often what that means. More on this.
For most people who want to stay at home, yes: familiar surroundings, one-to-one attention and their own routine. For a couple, live-in care is usually far cheaper than two care home places. A care home suits people who want company around them all day or need nursing that cannot be delivered at home. The living options, compared.
Most healthy people in their eighties can aim for 20 to 30 minutes of walking a day, split into shorter walks if that is easier, with a rest day when they need one. The point is regular movement, not distance. Our most-read guide.
See the carers near your parent, with their experience, rates and reviews. Meet the ones you both like. There is no commitment until you are sure.