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Live-in Care or a Care Home? How to Decide

6 min read · Faith’s Walk care team

Live-in Care or a Care Home? How to Decide

Both can provide 24-hour support, but they feel very different day to day. Here is how live-in care and care homes compare, and the questions to ask before you choose.

When someone needs support around the clock, families often assume a care home is the only option. Live-in care is an alternative: a fully trained carer lives with you in your own home and supports you day and night. Here is how the two compare.

Staying at home. With live-in care you keep your own home, your belongings, your garden, your neighbours and your routine. Many people find this especially important when living with dementia, because familiar surroundings can reduce confusion and distress. Pets can usually stay too.

One-to-one support. A live-in carer supports one person, or a couple, rather than many residents. Care happens at your pace, from what time you get up to what you have for dinner. In a care home, staff support several residents and daily life follows a shared routine.

Couples can stay together. Live-in care can support couples who want to stay together at home, even when their needs are different. Moving into a care home together is not always possible.

Company and community. Care homes offer a ready-made community and organised activities, which some people enjoy. Live-in care offers companionship from a dedicated carer, and help to keep seeing friends, family and local groups.

Practical points. Live-in care needs a spare bedroom for the carer, and the carer needs regular breaks, which your care provider plans. People with very complex nursing needs may need a nursing home or nursing support at home, so ask for an honest assessment.

Check quality either way. Every home care provider and care home in England must be registered with the Care Quality Commission (CQC). Read their latest inspection report, ask how carers are recruited and trained, and ask what happens if a carer is ill or on holiday.

Try before you decide. If you are unsure, a short period of respite live-in care can show you how it feels in practice. Many families use it after a hospital stay or while a family carer takes a break.

At Faith’s Walk we can usually arrange live-in care within 24 hours, with directly employed, DBS-checked carers and a local management team behind them. Call 01784 697000 for a free, no-obligation assessment.

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