Live-in careProviders

Who provides 24-hour care at home?

Providers mean two different things by 24-hour care. Home Instead, The Good Care Group, Trinity Homecare, Right at Home and Agincare offer care from two or more carers working day and night shifts, so someone is always awake. Helping Hands, Elder and PrimeCarers mostly provide it as live-in care, where one carer lives in and sleeps at night, with a second carer or a waking night added when needed. If the need is mainly medical, ask the NHS about continuing healthcare, which can pay for care at home.

By James Bowdler, founder of PrimeCarers  ·  Updated October 2026  ·  7 min read · See the providers

A carer at a bedroom door smiling at an elderly man sitting on the edge of his bed beside his walking frame

Part of our guide to live-in care.

The providers

Ten places to arrange round-the-clock care at home

The order is not a ranking. For each provider we say which kind of 24-hour care it means, in its own words, and link the page where it describes it.

  1. 1.Home Instead

    Managed agency with local franchised offices

    What it publishes
    A 24-hour care page where several care professionals work in shifts. Its live-in page says live-in care is not the same as 24-hour care, because a live-in carer typically works an 8 to 10 hour day. Its 24-hour care page
    Published price
    No price of its own. Its live-in cost page quotes an agency range of about £1,350 to £2,000 a week for live-in care (seen 19 October 2026).
    Suits
    Someone who needs a person awake and on duty through the night as well as the day.
  2. 2.The Good Care Group

    CQC-registered managed agency

    What it publishes
    A 24-hour care at home page where two carers exchange shifts. It says it directly employs its carers. Its 24-hour care page
    Published price
    Full-time live-in care from £256 a day, on its cost page. We did not find a separate price for two-carer 24-hour care (seen 19 October 2026).
    Suits
    Complex needs with care through the night, where you want nurse-led oversight.
  3. 3.Trinity Homecare

    CQC-registered managed agency

    What it publishes
    A 24-hour care at home page describing waking care from two or more carers on separate day and night shifts, which it treats as different from live-in care. Its 24-hour care page
    Published price
    24-hour care "typically starts from around £1,694 per week", on the same page (seen 19 October 2026).
    Suits
    Families in mainland England who want a published starting price for shift-based 24-hour care.
  4. 4.Right at Home

    Managed agency with local franchised offices

    What it publishes
    A 24-hour care page where more than one carer covers the 24 hours, separate from its live-in service. Its FAQ says every carer is directly employed by Right at Home. Its 24-hour care page
    Published price
    No price published on the pages we checked.
    Suits
    Families who want a local office to build a rota of carers.
  5. 5.Helping Hands

    CQC-registered managed agency

    What it publishes
    A 24-hour care at home page that describes it as live-in care. For complex needs it says you may need two live-in carers, or one with support from its local visiting team. Its 24-hour care page
    Published price
    Live-in care from £1,675 a week for one person, on its cost page reviewed 17 April 2026.
    Suits
    Families who want one live-in carer now, with visits added if nights get harder.
  6. 6.Agincare

    CQC-registered managed agency

    What it publishes
    A 24-hour care at home page. It says it employs and pays all its care workers, and that full 24-hour care from a rotating team often costs more than live-in care. Its 24-hour care page
    Published price
    Full 24-hour care from a rotating team "typically ranging from approximately £1,800 to £2,500+ per week", on the same page (seen 19 October 2026).
    Suits
    Families who want a published range for round-the-clock waking care.
  7. 7.Elder

    Introductory service: you hire a self-employed carer

    What it publishes
    A 24-hour care at home page. It says it arranges this through live-in care, or a two-carer plan where continuous overnight support is needed. Its 24-hour care page
    Published price
    Live-in care from £1,150 a week. Its pricing page says this includes being woken twice a night (seen 19 October 2026).
    Suits
    Someone who needs a carer in the house around the clock but sleeps most of the night.
  8. 8.Curam

    Both: an introductory service and a CQC-registered managed service

    What it publishes
    A 24-hour care page for its platform of self-employed carers. Curam Managed Care Services is its separate CQC-regulated subsidiary. Its 24-hour care page
    Published price
    The page says most 24-hour care at home packages sit between £1,250 and £1,600 a week (seen 19 October 2026).
    Suits
    Families who want to choose self-employed carers for a 24-hour arrangement.
  9. 9.PrimeCarers

    Introductory service: you hire a self-employed carer

    What it publishes
    This site. You can book a self-employed live-in carer, and add a waking night carer if your relative is awake for long stretches. Before a carer appears we check their ID, their right to work and an enhanced DBS (or PVG in Scotland, Access NI in Northern Ireland) issued within the last 2 years, and we interview them online. We do not verify references, qualifications or training, so ask the carer about those yourself. Live-in care or 24-hour care
    Published price
    Live-in care from £1,050 a week, typically £1,120. A waking night on top of a live-in week is about £148 a night. Fee included (PrimeCarers rates, October 2026).
    Suits
    Families who want to choose each carer and can organise a rota themselves.
    Worth knowing
    We are weaker where 24-hour care means a team awake in shifts every night. Each carer is self-employed, so you agree the rota with each one and arrange cover, and we cannot guarantee replacements. A managed agency does that for you.
  10. 10.NHS continuing healthcare

    NHS route

    What it publishes
    Care arranged and paid for by the NHS for people with long-term complex health needs. The NHS says it can be provided in your own home. NHS continuing healthcare (NHS)
    Published price
    Free if eligible.
    Suits
    Anyone whose need for round-the-clock care comes mainly from health needs. Ask for an assessment before paying privately.

Each provider’s own page was checked on 19 October 2026. Prices and services change, so confirm them with the provider before you rely on them.

How to choose

Live-in care or carers in shifts

The question that decides it is what happens at night. If your relative sleeps most of the night, one live-in carer is usually enough. If they need someone awake, you need shifts.

At night

One live-in carer
The carer sleeps and can be woken occasionally
Carers in shifts
A carer is awake and on duty

Carers

One live-in carer
One, with cover for breaks
Carers in shifts
Two or more

Published prices we found

One live-in carer
From £1,050 a week on PrimeCarers; from £1,150 (Elder) to £1,675 (Helping Hands)
Carers in shifts
From around £1,694 a week (Trinity Homecare); £1,800 to £2,500+ a week (Agincare)

Suits

One live-in carer
Someone who needs help in the day and occasionally at night
Carers in shifts
Someone up for long stretches at night, or who needs two people to move

Prices are each provider's own published figures, seen 19 October 2026. PrimeCarers' figure includes our fee.

On PrimeCarers, you can add a waking night carer to a live-in week for about £148 a night, fee included. Live-in care or 24-hour care explains how to tell which one your relative needs.

Questions

Questions about 24-hour care at home

Not always. Some providers, such as Helping Hands and Elder, provide 24-hour care through a live-in carer who sleeps at night. Others, such as Home Instead, Trinity Homecare and Right at Home, mean two or more carers working shifts, so someone is always awake.

One live-in carer costs less than carers in shifts. On PrimeCarers live-in care runs from £1,050 to £1,400 a week with our fee included. For waking shifts, Trinity Homecare publishes from around £1,694 a week and Agincare publishes a range of about £1,800 to £2,500+ a week.

If someone has long-term complex health needs, they may qualify for NHS continuing healthcare, which can be provided at home. Otherwise ask the council for a needs assessment.

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