Companionship careTypes of care

What does a live-in companion do, and where do you find one?

A live-in companion moves into the spare room to be with your relative day and night: company, meals, outings, a settled evening and somebody there overnight. They are not a live-in carer providing hands-on personal care, and knowing the difference before you start looking saves families choosing the wrong kind of help. This guide covers a typical day, where the role stops and a personal carer's begins, what your home needs, what it costs, and the three routes families use to find someone.

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By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  10 min read · See a typical day

A young companion holding an older woman's hands as they talk together on a shopping street

Part of our guide to companionship care.

What they do

What fills a live-in companion's day

A live-in companion's day is built around your relative's own routine rather than a task list. It has a shape rather than a schedule, and it is worth seeing what an ordinary one looks like before deciding whether this is the kind of help your relative needs.

7 – 9am

Waking up together

Up in their own time, breakfast made and eaten together, and the day ahead talked through over the post or the news.

9am – 1pm

Out, or busy at home

A walk, the shopping, a GP appointment, or a hobby at the kitchen table, followed by a hot lunch made together.

2 – 6pm

Afternoon

Visitors, a game or a favourite programme, a rest if it is wanted, and the evening meal started.

Evening and overnight

Evening and night

Company until bedtime and a settled house, then the companion sleeps in the spare room, there if anything happens overnight.

The companion eats with your relative, shares the day's small decisions with them rather than making those decisions alone, and sleeps in the house so somebody is there if anything happens overnight. What they do not do is administer medication, help with washing or dressing, or provide any kind of medical or nursing care. If your relative needs that kind of help as well as company, a carer who covers both personal care and companionship is usually the better fit, and how does live-in care work? sets out a fuller day for that kind of arrangement.

Companion or carer

Where a live-in companion's role ends and a personal carer's begins

The word companion is sometimes used loosely to mean any live-in carer, so it is worth being precise about what it covers. This is the line PrimeCarers draws between the two, and it is the same line that decides what a carer can safely take on for your relative.

A live-in companion's role

  • Meals cooked and eaten together, and the shopping done
  • Conversation, hobbies, a walk, a trip out or a visit to family and friends
  • Company at a GP or hospital appointment, and a note of what was said
  • Prompting tablets that are already set out in a dosette box
  • Light housework around the person: laundry, the bins, tidying up after meals
  • A settled evening and a presence in the house overnight

Personal care, needing a different kind of carer

  • Washing, showering, dressing and toileting
  • Continence care
  • Moving somebody who cannot get up from a chair or bed unaided
  • Giving medication, rather than prompting it
  • Waking in the night to attend to somebody, which is priced and arranged as a waking-night carer instead
  • Any nursing or medical task

Getting this distinction right matters for safety as much as for cost: a companion is not trained or expected to move somebody who has fallen, and asking one to would put both of them at risk. What are the advantages of companionship care? covers what company on its own gives a person who is otherwise managing well.

What it needs at home

What your home and your relative's week need to look like

Live-in companionship works best when a few practical things are settled before the companion arrives, rather than worked out afterwards.

Before a live-in companion moves in

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The room

Rest and time away

The person

A short trial, a few days or a week before committing to an ongoing arrangement, tells you more about whether somebody fits than any profile can. How does live-in care work? has more on rotas, breaks and what the room needs in practice.

What it costs

What a live-in companion costs, and how that compares

Live-in care is priced by the week rather than the hour, and how much help your relative needs changes the figure more than anything else.

Companionship & light help

What it covers
Mostly independent: company, meals, prompts and a hand with the day.
A week on PrimeCarers
£1,050–£1,120

Standard personal care

What it covers
Washing, dressing, continence, medication and housekeeping. Most people need this.
A week on PrimeCarers
£1,050–£1,260

Both bands are what carers on PrimeCarers charge for live-in care, with our fee included. If your relative's needs are lighter still, a few hours of companionship a week may cost less: an hourly visit runs from £15 to £20.

A companion costs less than a live-in carer providing personal care because the role asks less physically of the carer, in the same way an hourly companionship visit costs a little less than an hourly personal care one. If your relative's needs turn out to sit between the two, most carers who offer companionship also offer personal care at the same rate, so moving from one to the other does not usually mean changing carer. The cost of live-in care sets out the full range, including complex and specialist needs, and how much does a companion carer cost? covers the hourly figures in detail if a few visits a week would do instead.

Where to find one

The three routes families use to find a live-in companion

Most families end up comparing a traditional live-in agency, hiring somebody privately, or a platform such as PrimeCarers. What changes between them is who chooses the companion, what has been checked beforehand, and how much say you keep.

Traditional agency

A week, live-in
£1,120–£1,750/week
What you get
Admin handled for you, but you rarely choose the carer, and they can be swapped without your consent.

PrimeCarers

A week, live-in
from £1,050, set by each carer
What you get
You choose a vetted carer, insured while they work; contracts and payments are handled through PrimeCarers.

Fully independent carer

A week, live-in
£840–£1,400/week
What you get
Cheapest on paper, but no vetting, no insurance guarantee, no contract help and no backup if it goes wrong.

Figures are the full live-in range across all levels of need. Companionship sits at the lower end of each.

A traditional agency assigns a companion from its own staff and can swap them without your consent, which suits families who want everything handled but leaves less say over who moves in. Hiring somebody privately, through a noticeboard or a classified advert, can cost less, but the checking, the contract and finding cover if the companion is unwell are entirely down to you. PrimeCarers sits between the two: you choose who to message from a profile that already shows they have had an identity check, a right to work check, an enhanced DBS check on the Update Service, and an online interview, and you keep the ongoing say that hiring privately gives you. How do you find the right companion for your relative? goes into choosing between candidates once you have a shortlist, and how we vet every carer sets out what each check involves.

How to start

From this page to a companion moving in

Most families move from deciding they want live-in companionship to having somebody in place within two or three weeks, allowing time for a proper trial.

Steps to take

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This week

Finding someone

Before it becomes regular

Questions

Questions families ask about live-in companions

A live-in companion focuses on company, daily life and being there overnight: meals, conversation, outings and a settled evening. A live-in carer providing personal care also helps with washing, dressing, continence and medication. Many carers on PrimeCarers offer both and charge the same rate either way, so the distinction is about what your relative needs rather than who you can find.

Breakfast and the day's plans talked through together in the morning, then a walk, an errand or a hobby, a hot lunch, an unhurried afternoon with visitors or a favourite programme, and an evening meal before the companion settles the house for the night and sleeps in the spare room.

On PrimeCarers, companionship and light help is the least expensive live-in band, from £1,050 to £1,120 a week with our fee included. A traditional agency typically charges more for the same arrangement. The cost of live-in care covers every band, including where personal care needs push the figure higher.

Yes. The companion lives in the room for as long as the arrangement runs, so it needs to be a genuine private bedroom rather than a sofa bed in a shared space. Access to a second bathroom helps but is not essential.

An identity check, a right to work check, an enhanced DBS check kept current on the Update Service, and an online interview, all completed before their profile appears. We do not check qualifications or references, since companionship does not require formal training and references sit on a carer's own profile. How we vet every carer has the detail.

A companion can prompt tablets that are already set out in a dosette box, but giving medication, washing, dressing and toileting sit with personal care rather than companionship. If your relative needs both, look for a carer who offers personal care as well as company, rather than treating them as two separate arrangements.

The standard contract runs on 48 hours' notice on either side until the companion has worked 7 days (168 hours), after which it moves to 7 days' notice. A short trial before committing to an ongoing arrangement is the best way to avoid reaching that point, and Find a carer lets you message as many people as you need to before deciding.

If you need help at home

Start with our guide to companionship care

Company, outings and a routine. What it costs, what a carer does day to day, and how to hire one directly.

Carers near you

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