Your complete guide to live-in care in the UK

  • Everything you need to know, from costs and funding to choosing the right provider
  • Written by our expert care team and updated July 2026
  • Download the full guide free, including our printable care checklist
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This guide covers everything you need to know about live-in care in the UK: how it works, what it costs, how it is funded, and how to choose the right provider. Each section links to our dedicated pages for more detail. Download the PDF below for a printable version including our full care checklist.

What is live-in care?

Live-in care is a 24-hour home care service where a trained Caregiver lives with you in your own home. It is a direct alternative to moving into a residential care home or nursing home, allowing you or your loved one to remain in familiar surroundings with round-the-clock, one-to-one support.

A live-in Caregiver helps with daily activities including personal care, meal preparation, housekeeping, medication management, and companionship. You and your Care Manager agree the carer's working hours around when you need support most. Outside of agreed hours, your carer rests in their own room.

At Unique Senior Care, live-in Caregivers are directly employed by us. They are not self-employed contractors. They are highly trained, DBS-checked, and carefully matched to each client based on care needs, personality, and preferences. Caregivers typically work on a two-week rotational basis, building consistency and strong relationships over time.

A Unique Senior Care Caregiver and client sharing a moment at home

How does live-in care differ from hourly care?

The key difference is time. With hourly (visiting) care, a carer attends for agreed visits, typically one to four times per day, for a minimum of one hour, charged at an hourly rate. With live-in care, a Caregiver sleeps in the property and is available throughout the day, charged at a daily rate.
Live-in care A Caregiver lives with you, providing support throughout the day and night. Charged at a daily rate. Ideal for those who need continuous or complex support.
Hourly care A carer visits at set times during the day for a minimum of one hour. Charged per hour. Works well for those who are largely independent but need help at specific points in the day.
Both can work together If a client has moving and handling needs requiring two people, or if the live-in Caregiver needs a regular break, hourly visits can be scheduled alongside the live-in arrangement.
A natural progression Many families begin with hourly care and find that as needs increase, live-in care becomes the natural next step. We can support that transition smoothly.

What conditions can live-in care support?

Live-in care supports a wide range of health conditions and care needs. It is particularly well-suited to people living with dementia, where continuity of routine and familiar surroundings is clinically important. It is equally effective for many other complex conditions.
Alzheimer's disease
Vascular dementia
Lewy body dementia
Frontotemporal dementia
Parkinson's disease
Motor neurone disease
Multiple sclerosis
Stroke recovery
Cancer care at home
Palliative and end-of-life care
Post-operative convalescence
General frailty and mobility decline
A Unique Senior Care Caregiver spending time with a client in their garden

Not every client has a formal diagnosis. We also support many older people whose health and mobility has gradually declined and who need consistent daily support to continue living independently at home.

All Caregivers complete specialist dementia training as part of our award-winning induction programme, recognised with a Princess Royal Training Award and accredited by Skills for Care as a Centre of Excellence.

Want to know if live-in care is right for your situation? Download our free guide or speak to a care expert today.
Download free guide

Speak with a care expert today

0808 239 7313 Book a free assessment

How much does live-in care cost?

Live-in care in the UK typically costs between £900 and £1,400 per week for an individual, with a current market listing average of around £1,347 per week (HomeCare UK, 2026). At Unique Senior Care, ongoing live-in care starts from £265 per day for an individual. This is a fully managed, CQC-regulated, all-inclusive service.
Individual

Respite live-in care

£300 per day

Short-term cover from one to four weeks. Ideal for planned breaks, hospital discharge, or trying live-in care before committing long term.

Couples

Respite live-in care

£355 per day

Short-term cover for two people from one to four weeks.

What affects the cost?

Level of care plays a big part: complex needs or specialist skills increase the weekly cost. Provider type also matters. CQC-regulated providers carry the full cost of direct employment (PAYE, National Insurance, DBS checks, training, management) within their all-inclusive fee, so unregulated agencies may appear cheaper but transfer many of these responsibilities to the family. Location is less of a factor than you might expect: unlike care homes, current UK data shows little significant London or South East premium for live-in care on published listing averages.

Want a printable version of this guide? Download the PDF. Includes our full checklist, funding summary, and questions to ask your provider.
Download free guide

Is live-in care cheaper than a care home?

For a single person, live-in care is typically more expensive than residential care on a direct weekly comparison. For couples however, it can be significantly cheaper. One Caregiver supporting two people at home costs less than two separate residential placements. Staying at home also has a financial advantage at means-test stage: the value of your property is not included in the assessment if you remain living in it.

The UK average for a residential care home self-funder is now around £1,298 per week (around £185 per day), and a nursing home around £1,535 per week (around £219 per day) (CareHome.co.uk, 2025 fee data). The UK live-in care average is around £1,347 per week (around £192 per day). That is a relatively small gap, and live-in provides one-to-one support in your own home.

Evidence on outcomes for people living with dementia consistently supports remaining in familiar surroundings with a consistent Caregiver. Transitions to residential care can have a measurable negative impact on wellbeing, particularly for people with cognitive decline.

Care type UK weekly average (daily equivalent)
Unique Senior Care (individual) £265 per day
UK live-in care average ~£1,347/week (~£192/day)
Residential care home ~£1,298/week (~£185/day)
Nursing home ~£1,535/week (~£219/day)

Sources: HomeCare UK 2026, CareHome.co.uk September 2025 fee data.

Why do some live-in care providers appear cheaper? Our care expert explains what to look for when comparing prices

How is live-in care funded?

Live-in care can be funded through local authority support, NHS Continuing Healthcare, government benefits and allowances, equity release, or paid for privately. Most families draw on a combination. The right route depends on your financial situation, health needs, and where in the UK you live.
Local authority funding Your council may contribute following a needs assessment and means test. In England the upper capital threshold is £23,250. Your property value is not counted if you remain at home.
NHS Continuing Healthcare A fully funded package for those with primarily medical needs. Not means-tested. Eligibility is based entirely on health needs, assessed via the NHS Checklist Tool.
Attendance Allowance For those over state pension age with a disability or health condition. Not means-tested. £76.70 (lower) or £114.60 (higher) per week in 2026.
Carer's Allowance For family members providing 35 or more hours of unpaid care per week. Worth £86.45 per week in 2026. Apply through GOV.UK.

Capital thresholds by nation (2026)

Nation Home care threshold Care home threshold
England£23,250£23,250
Wales£24,000£50,000
Scotland£22,750 lower / £36,750 upper (from April 2026)Same
Northern Ireland£23,250£23,250

Thresholds correct July 2026. Always verify with your local authority or a regulated financial adviser.

Regulated vs unregulated live-in care providers

CQC-regulated providers are independently inspected against national standards covering safety, effectiveness, caring, responsiveness, and leadership. Unregulated introductory agencies are not inspected. They connect families with self-employed carers and responsibility for managing care quality passes to the family.
A care professional meeting with a family to discuss live-in care options
Fully managed (CQC-regulated) Introductory agency (unregulated)
Regulatory oversight Inspected and rated by CQC. Rated Outstanding, Good, Requires Improvement, or Inadequate No regulatory inspection or rating
Carer employment Directly employed. Provider manages PAYE, NI and holiday pay Self-employed. Family manages payroll
Background checks Advanced DBS and references carried out by provider Family typically responsible for verifying
Training Structured induction, ongoing CPD and specialist training. Provider accountable Variable. No mandated standard
Accountability Provider fully accountable. Face-to-face assessments and ongoing Care Manager oversight Provider not accountable. Family assumes responsibility
Cost structure All-inclusive weekly fee Registration fee plus separate carer wage. Additional management burden falls on the family
Speak to our team about CQC-regulated live-in care We are happy to answer any questions and help you understand your options.
Download free guide

Ready to find out more?

0808 239 7313 Book a free assessment

What do I need to provide for a live-in carer?

Less than you might expect. The essentials are a private bedroom, two hours of break time per day at an agreed time, working Wi-Fi, and provision for the carer's meals. Our Caregivers are flexible and adaptable to most home environments.

A private bedroom

A simple room with some storage. Shared bathroom access is fine. Décor is not a concern. Basic comfort is all that is needed.

Two hours of daily break time

Agreed at a convenient time. If your loved one cannot be left alone, we can arrange hourly visiting care or time this with family visits.

Working Wi-Fi

Required so Caregivers can stay in contact with our management team and keep care records up to date.

Meals provision

A food allowance of £40 per week is included in the monthly invoice. Shared mealtimes are encouraged. They benefit both carer and client.

A habitable home

Basic cleanliness and working utilities. Simply a safe and comfortable environment for everyone in it.

Live-in care checklist

Use this checklist when considering live-in care. The full printable version, with a funding summary and questions to ask providers, is in the downloadable guide below.

  • Assess the level and type of care needed day to day
  • Identify specialist requirements: dementia, palliative or complex medical
  • Decide between live-in, hourly, or a combination
  • Set a realistic budget for ongoing or respite care
  • Research all funding routes: council, NHS CHC and benefits
  • Compare regulated and unregulated providers
  • Check CQC registration and read inspection reports
  • Arrange consultations with at least two providers
  • Review Caregiver profiles and matching criteria
  • Prepare the home: bedroom, Wi-Fi, daily routine and break times
  • Agree the care plan with your Care Manager in writing
  • Organise relevant documents: Lasting Power of Attorney and medical records
  • Establish a regular check-in schedule with your Care Manager
  • Confirm emergency and out-of-hours protocols
A family member supporting an elderly relative at home

Download the complete guide

Everything on this page, plus a printable checklist, funding summary, and questions to ask your provider.

  • Printable care checklist
  • Funding options summary
  • Questions to ask a provider
  • Regulated vs unregulated comparison
In Page Live In Guide Download Form

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Sources and references
  • Care Quality Commission - Services we regulate, updated April 2026
  • HomeCare UK - live-in care listings average and advice pages, February 2026
  • CareHome.co.uk - 2026 fee guide, self-funder fee data September 2025
  • DHSC - Care and Support Statutory Guidance, updated July 2025
  • DHSC - local authority charging circulars 2025-26 and 2026-27
  • DWP - Benefit and pension rates 2026 to 2027, updated February 2026
  • NHS England - NHS Continuing Healthcare, current guidance
  • Scottish Government - Care Information Scotland, updated May 2026
  • Welsh Government - Charging for social care, current guidance
  • Skills for Care - Centre of Excellence recognition, Unique Senior Care

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This page was last updated on 21st July 2026

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