Elderly careLewisham

Types of elderly care in Lewisham

An older person in Lewisham can have care at home, from a visit a week to a carer who lives in, or move into a care home. 2,784 carers are based within about 45 minutes of Lewisham and 27 care homes in Lewisham take older people. This page sets out each kind of care, what it costs here and who provides it, with carers and client reviews from nearby.

By James Bowdler, founder of PrimeCarers  ·  Updated September 2026  ·  9 min read · See every kind of care, with local prices

Every kind of care

Every kind of care in Lewisham, with what it costs here

Each row is a level of help, with the price carers near Lewisham charge and how much of it there is locally.

Help during the day

Help at home during the day in Lewisham

Visiting care

A carer comes for an hour or more at the times you agree, such as a morning call to help someone up and washed.

  • 2,784 carers are based within about 45 minutes of Lewisham, charging £19 to £20 an hour with our fee included, typically £19.
  • 13 of the 53 with a rate on their profile drive, which matters for trips out and for visits outside the towns.

“She is a genuine, kind and caring person, full of warmth and love. Ese takes her work really seriously and has been very adaptable as my mothers needs progressed and varied. Nothing has been too much for her and she provided feedback to me regularly. I have come to see Ese as part of the family and would highly recommend her to anyone wanting a trustworthy, reliable and instinctive carer.”

Vidia N., about Ese E. of London, 2024

Hourly care explainedPrivate carers in Lewisham

Companionship

Visits for company rather than personal care: a conversation, a walk, the shopping or a lift to a club.

  • Of the 42 nearest carers with a full profile, 23 write about companionship, conversation or days out in their own profile.

“My mum's last few months were most definitely a lot easier with Carla there for both my mum and for me; She is an empathetic listener and also gives very sound advice. She cared effortlessly for my mum and often came up with solutions to 'challenges' that I did not know how to manage. I would thoroughly recommend her and also say, that anyone who has the privilege to have Carla caring for them will be very fortunate.”

Jackie D., about Carla A. of Greater London, 2021

“From the moment met Andres could tell he had a calming, caring nature. He plays instruments which is great as music can be great therapy. My son who he is caring for automatically welcomed Andres and can be heard laughing & having fun with Andres. I would highly recommend him & especially for adolescents he has good knowledge & background of SEN children.”

Stephanie W., about Andres Felipe C. of London, 2020

Companionship care explainedCarers who share a hobby in Lewisham

Personal care

Help with washing, dressing, the toilet and continence, from the same carer each time.

  • Of the 42 nearest carers with a full profile, 28 describe personal care in their own words, not just on a checklist.

“When my step-father was dying and not any longer at home she made sure they spoke on the phone. This effort she made still moves me to tears. She understands Dementia and how it affects human beings-how it can make them. She is endlessly patient. My Mother trusted her and found her absence hard to deal with. She could also be trusted with money.”

Anne R., about Maria Del Mar A. of London, 2023

“It was clear that my husband felt safe and comfortable in her care and enjoyed being with her. I felt confident to leave him, and my home, in Esther’s care and I am more than happy to provide this reference.”

Susan H., about Esther J. of London, 2023

Personal care at home

Help with a condition

Care for a condition or a change in health in Lewisham

Dementia care

Care from someone who has looked after people with dementia before and knows how to keep a day calm.

  • Of the 42 nearest carers with a full profile, 24 write about caring for someone with dementia.

“Maria cared for my elderly aunt from 2017 until she passed away in 2020. My aunt had complex care needs having suffered a stroke which left her paralysed down her right side. She also suffered from dementia. Maria was fabulous with my aunt and enabled her to fulfil her wish of remaining in her own home until she passed away. I cannot recommend Maria highly enough.”

Julie R., about Maria Del Mar A. of London, 2023

“Carla is an exceptional, kind, professional carer. She cared for my mum with Alzheimer’s with endless patience and kindness, always arriving with a smile and a positive attitude, despite having to deal with lots of the the challenging behaviour that Alzheimer’s brings.”

Marie-anne B., about Carla A. of Greater London, 2022

Dementia care at home

Palliative care at home

Support at home for someone who is very ill, alongside the district nurses and the GP.

  • Of the 42 nearest carers with a full profile, 11 write about palliative care or caring for someone who is very ill.

“Carla is exceptionally really and and honestly made my Mum’s last 18 months the best they could possibly be. She was not only an amazing Carer to my mum but also her friend and companion, her supporter and her challenger sometimes but every way making my mum’s life better. She is incredibly efficient and strong and never hesitated when she needed to make a tough decision.”

Alexandra K., about Carla A. of Greater London, 2021

Palliative care at home

Nights and round the clock

Care at night and around the clock in Lewisham

Overnight care

A carer spends the night in the house, either sleeping and on hand, or awake all night.

  • Of the 42 nearest carers with a full profile, 32 offer overnight care.
  • £130 to £145 for a sleeping night and £150 to £160 for a waking night on PrimeCarers.

Overnight care explained

Care homes

Care homes and nursing homes in Lewisham

27care homes in Lewisham take older people
6of them provide nursing
18are registered to care for people with dementia
733beds between them

24 of the 26 with a Care Quality Commission rating are rated good or outstanding, and 2 are rated requires improvement or inadequate. Few homes here publish their fees; across the UK a residential place costs about £1,160 a week and a nursing place about £1,410. A live-in carer here costs £1,001 to £1,120 a week, so for one person the two cost about the same, and for a couple live-in care costs far less.

Elderly care in Lewisham helps you weigh care at home against a care home, and care at home or a care home goes through what to ask a home before choosing it.

Agencies or private carers

Home care agencies and private carers in Lewisham

70 home care agencies for older people in Lewisham

Registered with the Care Quality Commission, and 22 of the 39 with a rating are rated good or outstanding. An agency usually charges £28 to £35 an hour and chooses which of its carers comes.

2,784 private carers near Lewisham

Self-employed carers near Lewisham charge £19 to £20 an hour on PrimeCarers, our fee included, and you choose who comes.

Every carer on PrimeCarers has passed an enhanced DBS, identity and right-to-work check and an online interview before they appear (how we check carers). Agency or private carer compares the two, and the best home carers in Lewisham profiles the best-rated private carers nearby.

Paying for care

Help paying for care in Lewisham

Attendance Allowance is not means tested and can go towards any of these. The council assesses needs for free and contributes once savings fall below £23,250, and NHS Continuing Healthcare pays in full when needs are mainly health needs. Funding home care in Lewisham sets out each route and who to contact.

Questions

Questions families in Lewisham ask about the types of care

2,784 carers within about 45 minutes of Lewisham offer care at home, from companionship visits to live-in care. Away from home, 27 care homes in Lewisham take older people, 6 of them with nursing and 18 registered to care for people with dementia.

For one person it is usually about the same: a live-in week here is typically £1,050 with our fee included, against about £1,160 for a care home place. For a couple, one live-in carer costs about £1,350 a week, far less than two care home places. Care at home or a care home goes through the decision.

A nursing home is a care home with registered nurses on shift, for people who need nursing as well as care, such as wound care or complex medication. Of the 27 care homes in Lewisham that take older people, 6 provide nursing. 18 are registered to care for people with dementia. The difference between a nursing home and a care home explains how to tell which is needed.

Often, yes. Attendance Allowance is not means tested and helps with the cost of care at any level. The council contributes once savings fall below £23,250, and the NHS pays in full when needs are mainly health needs. Funding home care in Lewisham sets out each route.

Where the nearest carers live

From the profiles of the carers based within about 45 minutes of Lewisham

Where the nearest carers live, from their profiles. For visits, a short drive makes early and late calls easier to cover.

Home care by town in Lewisham

Each town page shows the carers who list it as home, with their rates and reviews.

See who could help in Lewisham

Search the carers near Lewisham by the kind of care you need, with their photos, experience, rates and reviews. Talking to them is free and nothing is booked until you say so.

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