When you or a loved one needs round-the-clock support, you’ll often come across two common options: live-in care and 24-hour care. While they sound similar, the way they work and what they cost can be quite different. Understanding the distinction can help you choose the right fit for your needs, lifestyle, and budget.
Live-In Care
With live-in care, a carer moves into the person’s home and provides ongoing support throughout the day and evening. The carer usually has their own room and is expected to have a set number of breaks, including time to sleep overnight.
Best for:
People who want the reassurance of a carer always being in the home
Those who need help during the day but only occasional assistance at night
Maintaining independence and familiar surroundings
Pros:
One consistent carer builds familiarity and trust
Can be more cost-effective than 24-hour care
Allows the person to stay in their own home and community
Cons:
Carer will need breaks and uninterrupted sleep, so not suitable for those needing frequent overnight care
Requires space in the home for the carer to live comfortably
24-Hour Care
With 24-hour care, support is provided by two or more carers working in shifts to ensure someone is awake and available at all times, day and night.
Best for:
People with complex health needs who require continuous monitoring
Individuals who wake often or need assistance several times during the night
Situations where medical or safety risks are high without constant supervision
Pros:
No gaps in care, someone is always alert and ready to help
Ideal for people with advanced dementia, mobility issues, or significant medical needs
Cons:
Typically more expensive than live-in care due to multiple carers and shift cover
More people coming and going can feel less personal than having one consistent carer
Which Is Right for You?
The choice often comes down to how much care is needed overnight and the person’s personal preferences. Live-in care offers companionship and continuity, while 24-hour care provides complete coverage for complex or high-need situations.
Need help deciding? You can compare live-in and 24-hour care providers quickly and easily on Pairly to find the best match for your needs.