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Expert hourly care, for all of life

Through our established family of leading home care brands in the UK, we provide hourly care at home services through Prestige Nursing & Care. A range of expert and personalised home care services are provided by highly trained and skilled carers, registered nurses and clinical experts that mean a person can be cared for in the comfort and familiarity of their own home throughout their life.

With a 75-year history, Prestige is an established provider caring for babies, young children and adults with complex needs, as well as older people who require visits from carers to ensure they can remain independent and live life to the full. Our service has been trusted by families up and down the country to provide care at home for generations of people, evolving the care to meet changing needs.

Prestige Nursing & Care, like The Good Care Group is not an agency and provide a fully regulated and managed service, so you can be assured that the hourly care service you receive is of the highest quality. Through a network of over 30 locations across England and Scotland, Prestige has over 96% of its services offering a ‘Good’ service as rated by the Care Quality Commission (CQC) with 4% rated as ‘Outstanding’. In Scotland their services have all achieved a five-star rating from the Care Inspectorate.

What is hourly home care?

Hourly home care is provided to people living in their own homes who require additional support with day-to-day life, for example household tasks, personal care, preparing and cooking meals or any other activity that allows them to maintain their independence and quality of life, whilst allowing a family carer looking after a loved one to have a much-needed break to rest and recharge.

There are a range of terms different providers will use to describe hourly care services.  Hourly care definitions include domiciliary care, care at home and visiting care, but all refer to the same service – a carer visiting your home at times during the day to provide care and support.

Female home carer and elderly female client sitting on a couch looking at a photo album
How is hourly care at home provided?

How is hourly care at home provided?

Hourly care from a competent and compassionate visiting carer, supported by a team of registered nurses can be provided from a 30 minute visit a day, although most of our clients benefit from a visit of one hour or more.  Some of our clients will require us to visit more than once a day, sometimes several visits a day, a few or more times a week.  Our service is flexible so you can have as many hours as you require to make sure you have the support you need.

If you have complex needs care can be provided over a 24-hour period.  Home care can also be provided by us as a live-in care arrangement if a more permanent service is required.  For families looking after a child or adult who needs complex care, for example a child living with a disability like spina bifida or for those looking after an elderly loved one with dementia, we offer flexible respite care at home.

Who is hourly home care for?

If you are living with a condition, illness of disability that impacts your physical or mental ability to live well with independence, hourly visiting care really could be the answer.

From babies who require paediatric care at home, through to a child living with cerebral palsy or an adult rehabilitating from a life-changing accident to older people living with mobility issues or conditions that impact daily living, like Parkinson’s – we provide high-quality care at home for generations of people, for all of life.

Who is hourly home care for?
How hourly care can be used to support your live-in care arrangement

How hourly care can be used to support your live-in care arrangement

If you are receiving a live-in care service from The Good Care Group and you require extra hourly support to cover the live-in carers’ daily breaks, depending on the area in which you are receiving our service, we can provide an hourly arrangement from Prestige Nursing & Care.

This hourly care service can also be used to support those who have more complex needs, where two carers may be required at certain times of the day to provide the care you need, whether this is during the day or in the evening.

Where we provide hourly care

We can provide our comprehensive range of hourly care services from our network of over 30 locations in England and Scotland:


South East Region

  • Banbury
  • Bath
  • Bracknell
  • Bristol
  • East Sussex
  • Gloucestershire
  • Plymouth
  • Redhill 
  • Taunton
  • Worthing

East Region

  • Chingford/London
  • Dartford
  • Derby
  • Halesworth
  • Ipswich
  • Leicestershire
  • Northampton
  • Norwich
  • Peterborough
  • Shrewsbury
  • Sleaford

North Region

  • Blackpool
  • East Lancashire
  • Leeds
  • Liverpool
  • Manchester
  • Staffordshire
  • Wakefield
  • York


  • Angus
  • Cupar
  • Edinburgh
  • Dundee
  • Kirkcaldy

Conditions we care for

We have a wealth of expertise in the specialist care of conditions and disabilities that impact a person’s ability to live independently with choices in their life including:


  • Arthritis
  • Brain injury
  • Bariatric care
  • Cancer
  • Cerebral palsy
  • Dementia
  • Diabetes
  • Learning disabilities (including Autism and Down’s)
  • Knee and hip replacement
  • Mobility and frailty issues
  • Motor Neurone Disease
  • Multiple sclerosis (MS)
  • Muscular dystrophy
  • Palliative and end-of-life care
  • Parkinson’s
  • Spina bifida
  • Spinal injury
  • Stroke

An established and expert nurse-led service

Our hourly care service is nurse-led, which means the care we deliver is led and overseen by a team of expert registered nurses working locally to you. Our nursing teams provide monitoring, supervision and support to our carers to ensure the clinical service we provide those with complex needs is safe, effective and focused on improving overall health outcomes, as well as quality of life. Family is at the forefront of our approach to providing complex nurse-led care and carers respect the involvement of family members, whilst offering all the support they need.

The approach we take to training our care teams is bespoke. Every carer is trained to meet the specific needs of an individual client, so the care plan and its delivery is tailored to that persons’ very individual physical, psychological, emotional and well-being requirements.

What is included in our hourly care at home service?

  • Specialist care of conditions and disabilities
  • Expert nurse-led care
  • Palliative care and end-of-life care
  • Personal care
  • Safe mobility support
  • Socialisation and companionship
  • Medication management and administration
  • Facilitating and supporting hospital discharge back home
  • Preparing meals and cooking food
  • Domestic and household tasks
What is included in our hourly care at home service?

Case study: Enabling Margaret to rehabilitate at home after a fall


Margaret is a 94-year-old lady and lives with hypertension. This means that she is at risk of falling and her limited mobility and frailty impact her condition. When Margaret experienced a significant fall and broke her arm she was admitted to hospital for a long stay. Her family did not want her to go into a residential care home, and as did not live nearby they contacted us to support with hourly care at home.

We put a care and support package in place, that would enable Joan to get the support she needed with her mobility needs, personal care and domestic tasks that meant she could focus on her rehabilitation. We quickly identified a team of carers that were trained in moving and handling, but who were also aligned to her interest which was important to her family as she was a sociable lady, who at times would get lonely being on her own.

The team worked closely with other healthcare professionals involved in Margaret’s care ensuring a holistic plan of care was created. This included a physiotherapy programme and recovery exercises. The team spent time with Margaret to ensure she had the support she needed to follow the programme.

Gentle encouragement was needed from the team to entice Margaret to complete her physiotherapy programme. This meant she was able to achieve the outcomes required by the healthcare team involved in her care. The team constantly monitored progress, communicating this to others efficiently and she was able to rehabilitate at pace. Slowly, the visits required to support her each day were able to be reduced and she regained much independence. For her family they were reassured that she did not have to move into a care home, but with support could get back on her feet.

Hourly care vs. care home

We know from experience that families will prefer for their child or loved one to stay in the safety and comfort of their own home instead of moving into a care home or being cared for in a specialist setting. Here we explain the benefits of receiving care at home as opposed to moving away.


  • One-to-one care and support - not achievable in even the best care home
  • Familiar surroundings for those who are living with conditions like dementia or Parkinson’s or for those receiving nursing care at home is very reassuring
  • You can live life as you wish without having to adhere to a programme of daily routines, which is common in most care homes
  • If you move into a care home, it is likely that you will have to sell the family home to fund your care home fees instead of keeping the family home where it should be – in the family
  • With hourly care at home families have peace of mind that their loved one is safe in their own home with all the care and support they need
  • Hourly home care is ideal for couples as they can stay together and not be separated as they are likely to be if both move into a care home. Typically, a couple moving into a care home will have a different bedroom and may not even live in the same part of the home as each other
  • If you have a beloved pet, special memories associated with your home, or possessions that could not be taken into a care setting, then hourly home care far outweighs moving into a care home
  • When comparing the cost of hourly care at home to becoming a resident in a care home it is very cost effective

Case study: Providing much-needed companionship for Joan


Joan is 85 years old and is living with diabetes and a heart condition. Her family live many miles away, so they wanted to have peace of mind that Joan was being checked throughout the day to ensure she not only managed her diabetes, but she had company to avoid long periods of time on her own. Whilst this was her family’s wish, Joan was fiercely independent, so we had to manage the introduction of home care to her sensitively and respectfully. Our carers would visit Joan over a number of weeks, gradually increasing the number of visits until she had built a strong bond with her care team and felt comfortable with the arrangement.

Her family now have peace of mind and Joan has the companionship she craved as she would sometimes go week’s without seeing a single person.

Joan’s son said: “This has been such a huge milestone for us all. Well done team Prestige and please thanks to Cheryl for making an impact so quickly. We really do feel reassured that she is in safe hands with all her socialisation needs being catered for. She no longer feels so lonely or isolated.

Local care management

Local care management

Our service is highly responsive, and, in most situations, we can implement an hourly care package within 24-hours. Our registered nurse or local care expert will conduct an assessment of your needs so that a comprehensive care plan can be put in place that meets not just your care needs but ensures your preferences and choices are respected. If you are in hospital awaiting discharge or living in another care setting, our experts are able to conduct an assessment to facilitate a speedy return home.

Once you are receiving our hourly care package, we provide on-going support – not just to person receiving care but to all the family to make sure everything is in place and any changes required to are responded to efficiently and effectively.

Hourly care costs

The number of hours our carers visit you and the frequency of visits will determine the overall cost of hourly care, in addition to the level of care you require. When we conduct our assessment, we will be able to confirm the cost of hourly care at home. We then know exactly what is needed so that you have an accurate cost to help with planning and financing the care arrangement.

Hourly care costs
Local authority funding

Local authority funding

As an established provider of funded care packages, we have many years’ experience of working with local authority social care teams. This means we have a strong understanding of the funding that is available and how families can access it, which ensures our reliable care at home service can be put in place smoothly and quickly.

Talk to us about your hourly home care needs

We are experts in providing a fully managed, high-quality hourly home care service. Call our friendly and approachable team today to see how we can help you and your family.