At The Good Care Group, we know through our experience in helping many families to plan live-in care over the last 10 years, that the cost of 24 hour care is a significant consideration. Once you have decided that live-in care is the right choice for you and your family, our friendly and expert care advisors are here to help you make sense of the costs of 24-hour home care. We can help you to better understand everything you need to think about when considering the cost of 24-hour live in care. Call our team today on 0203 728 7570. We are here to help you and your family every step of the way.
We have created a useful guide below which gives you information on how to evaluate live-in care costs, what social funding may be available to you and how you can finance live-in care if you are self-funding care.
What is the cost of 24-hour live-in care?
There are many factors that impact the cost of 24 hour live-in care, including the health of the person receiving care, the conditions they are living with and the type of provider you use to receive care in your own home. The range of weekly fees will differ dramatically from provider to provider.
At The Good Care Group our expert care manager will meet with you and your family at home, or in hospital if you are waiting to be discharged to undertake a comprehensive assessment of your needs covering not just your care and support needs, but all your choices, preferences and social requirements as to how you wish to live your life in your own home. We will then provide a quotation for the live-in care package that will best meet your needs.
Our 24 hour live in care cost is quoted as a weekly inclusive price based on a person’s assessed needs – there are no extras.
This makes it very straightforward for families to plan the annual live-in care cost for their loved one. Care homes will charge a weekly fee for care and some separate out the care and accommodation costs, in addition to charging monthly for extras like hairdressing, newspapers, therapy appointments like chiropody and social events and activities. This can make it more challenging for families to plan the total cost of care over the course of a year.
Once the inclusive weekly fee is agreed with you, there will not be an increase in 24-hour care unless there is a significant change to the care your loved one needs. Annual inflationary rises in live-in care costs are usual practice with all providers in the sector and will need to be considered by families when looking at the longer term.
Considering the cost of 24-hour live-in care
24-hour live-in care costs vs. care home costs
The costs of 24-hour in-home care are typically in line with a care home, and sometimes less. The cost of a care home can vary significantly depending on the standards of care and the environment, as well as the location of the care home. Care homes are typically more expensive in the South East of England. If nursing care or specialist care of conditions is needed, then the weekly fee can be considerably higher. When considering a care home, it is important to ask them what is included in the weekly fee as there are generally optional extras, such as trips or hairdressing all of which can add up over the course of a year.
The weekly cost of receiving quality, award-winning care in a care home can range from £1,600 to £2,000 per week, depending on the level of care provided and the room you choose in the home. If you are a couple live-in care really is a cost-effective option. In a care home you would be charged double for two bedrooms. With live-in care there is only a nominal cost if two people receive care at the same address.
With live-in care you have the added value of being able to keep your family home and the fee you pay for your care is purely for the quality support you receive and not the room and board of a residential home.
Benefits of 24-hour live-in care
When considering the cost of 24-hour care compared to the cost of care in residential or nursing home, it is worth looking at the compelling benefits of receiving care at home.
One-to-one care and support around the clock – one-to-one care simply cannot be achieved in any care home.
A uniquely developed, highly personalised plan of care designed to meet your care needs whilst addressing how you wish to live your life – none of the rigid timetables or set routines experienced in a care home.
Specialist and complex care provided by highly trained carers delivered in the comfort of your own home. Familiar surroundings and routines are paramount in helping those living with specialist conditions, like dementia or Parkinson’s.
No need to move out of your much-loved home, with all the upset and disruption that brings. The family home can then be kept in the family, instead of being sold to fund care home fees. Staying at home means you can keep control of your life, with all your treasured memories and possessions around you.
With live-in care you can keep your pet and the carer will support looking after it, and if you have a dog will be happy to walk it for you. Pets are generally not permitted in care homes.
Considerable and proven benefits to overall health and wellbeing, with much needed peace of mind and reassurance for family members.
Those who require couples care can stay together as a loving couple, whilst receiving individual care plans. Couples may be split up to be cared for in different areas of a care home.
24-hour home care for couples
24-hour home care for couples is fast becoming the preferred choice when one or both of you require long term care instead of moving into a care home. Even the best care homes generally do not have double bedrooms for couples to share together, living the life they always have.
If you both have different needs you could find yourselves being split up and cared for on different floors or units within the home, which many will find very distressing as it results in couples not spending quality time together.
Our 24-hour home health care cost is quoted as one inclusive weekly fee for providing care at the same address, with a nominal charge to provide couples care. In a care home costs can be double for two separate packages of care and accommodation, making the choice to move into a care home, not as cost-effective for couples.
24-HOUR LIVE-IN CARE COSTS VS. DOMICILIARY CARE COSTS
Depending on the care you require, hourly domiciliary care may be more expensive than live-in care. This is because domiciliary care is charged at an hourly rate and you may require several visits a day to ensure you receive the care you need. If overnight care is required, this rate is typically more.
It is common for care needs to change over time, and this can greatly increase the cost of receiving hourly care. If you find that you are suddenly requiring several daily visits to your home, it may be time to consider a more permanent arrangement such as live-in care.
However, it is worth noting that live-in care from a fully managed and regulated provider who employs and trains its professional carers to provide specialist support for these conditions is far cheaper than using a domiciliary provider, who provides hourly or visiting care at home. If you are living with a condition that involves specialist medical or complex care and are receiving hourly care, there will be additional charges on top of the cost for the visit to support you, which quickly add up and can become costly
FINANCING THE COST OF 24-HOUR CARE AT HOME
CARE FUNDING OPTIONS EXPLAINED
When faced with financing long-term care, it is important to understand if there is any support you can get in terms of funding that can minimise the financial investment needed for your chosen option. You may be entitled to either social care funding provided by Local Authorities or healthcare funding provided by the NHS.
For families that are faced with having to fund live-in care themselves (referred to as self-funding care) there are options to help with live-in care costs, including a Care Fees Annuity, which is an insurance policy you purchase to cover the cost of your care, or by realising capital in your assets through an Equity Release scheme.
Read the Live-in Care Hub’s guide to funding and financing care at home here.
NHS CONTINUING HEALTHCARE
Healthcare in the UK is free at the point of delivery. Therefore, if you have an identified healthcare need and are receiving care for this in your own home, you may be eligible for NHS Continuing Healthcare funding, which is arranged and funded by your local Clinical Commissioning Group (CCG). If you feel you are entitled to this funding, you need to visit your GP who will complete an initial assessment and refer your case to the CCG for consideration. They will then ask you to complete a full assessment with a multidisciplinary team of healthcare professionals so they can understand the complexity of your needs.
Sadly, for many, specialist conditions like dementia are not in isolation considered a healthcare need so care for dementia is not necessarily funded by NHS Continuing Healthcare. It is always worth checking though, as funding can considerably contribute to the overall cost of care and in many cases will fund the total cost.
If you are successful in securing funding it is worth noting that funding is reviewed by the CCG annually, so if your needs decrease because you are receiving good quality care your funding may be at risk and you may have to start funding the total cost of your care.
LOCAL AUTHORITY FUNDING
The Local Authority will only fund care at home (referred to as social funding) if your assets are worth less than £23,500 in England, which we know that sadly for many families their financial situation exceeds. The figure differs across the country and in Scotland is £26,500. To understand if you are eligible, a care needs assessment will be completed by your local authority to understand your specific needs. You will also be required to do a means assessment, so the local authority can better understand your financial circumstances and how this impacts your ability to meet care fees.
In addition, you may be eligible for other forms of local authority funding including exemption of discounts on your council tax, attendance allowance, and savings credit. All of these forms of funding can be used to reduce the cost of receiving care in your home.
Care Fees Annuities and Equity Release Schemes are two common options for self-funding care.
A care fees or immediate needs annuity is a type of insurance policy also known as a ‘care fees plan’ that is commonly used to self-fund care. An individual will have to go through an assessment to understand their current health and care needs and what will be required in the future. Following this assessment, a fee is paid in order to cover weekly care fees.
Equity release schemes enable homeowners aged 55 years or older to release some or all of the accrued value of their property without the need for selling their home or moving elsewhere. This allows you to use the value of your home to pay for any care fees or to purchase a care fee annuity.
The Good Care Group works in partnership with Symponia, a professional body representing over 120 financial and legal advisors who are all specialists in the area of financing private care fees. They can help you with funding long-term care at home so you can have peace of mind and reassurance that you are receiving the very best advice.
Case study: How Eric financed the cost of 24-hour care
Eric and Alma had been married for over 65 years. Sadly, Eric’s deteriorating health meant that a move into a care home seemed an inevitable end to their life together. Alma and the family wanted him to stay at home but knew that this would not be an easy decision, as Eric needed specialist personal care and Alma was unable to provide this. As a potential solution, the family considered having a live-in-carer and both arranged a meeting with The Good Care Group. Following our assessment, we knew we could deliver a live-in care package to meet their needs.
Expert advice from Symponia
To help them explore the best way to fund the care they needed, they talked through the option of equity release with the local Symponia member, who suggested that the whole family became involved in the discussions. A key decision was how much money should be released. Did the family just take enough for one year and continue to draw down each subsequent year, until the maximum sum had been exhausted?
Exploring an Immediate Care Plan
To help the family get the peace of mind they desired, the advisor suggested they explored an Immediate Care Plan. They calculated the income Eric and Alma received, by way of pensions and other investments and compared that to their expenses, which had to take into account not only the household costs, which largely remained unchanged, but importantly Erics care costs.
After assessing Eric’s health, the cost of the Immediate Care Plan, with a built in automatic 5% inflation was £92,000. Eric and Alma then used equity release to by the Care Plan. As their property was valued at over £500,000, the release of equity was just under 18.5% of the total value.
This meant that Eric was able to receive the high-quality care at home he needed and they both had the peace of mind that his needs would be provided for, for the remainder of his life. Much needed reassurance when they needed it.
Why choose The Good Care Group?
We have been providing high quality, live-in care to families in England and Scotland for over 10 years. At the heart of our award-winning service is enabling people to live independently in their own home with an improved quality of life. Our approach to care at home means our clients can achieve improved health and well-being. For families they benefit from peace of mind and reassurance that their loved one is receiving the very best care and support.
A perfectly matched care team
A live-in care service usually involves two carers working a two-week rotation. They will be carefully matched working with you and your family. We make sure they are skilled and equipped to meet all your care and support needs. Our focus on matching means the chosen care team shares common interests and backgrounds. We know this means life is enjoyable for everyone. Your care team really gets to know you and your needs, which means you get the consistency of care.
Expertly trained carers
All our professional carers are required to complete our leading training programme before they care for our clients. Our programme has been created with leading charities and clinical experts. It goes beyond mandatory requirements in the care sector. Carers are then equipped to provide high-quality care and support for those living with specialist conditions. Our carers never stop learning new skills to further enhance the care they provide.
Continuity of care
Unlike an agency we employ our carers. This means they are committed to us, as we are to them. Carers enjoy the security of being employed, which means they stay with us longer. Those who work for agencies move around more. For families this means that you get continuity and consistency of the same care team caring for your loved one. This means high-quality care can be achieved with improved outcomes and no disruption to your loved one’s life.
In-house clinical experts
We have a dedicated team of in-house clinical experts. This includes a specialist consultant nurse, who also provides Admiral Nurse services to those living with dementia. Our management team consists of nursing professionals. They guide our carers to provide safe and effective nurse-led care at home. We also have our own in-house Occupational Therapist (OT) who works closely with healthcare professionals and our care teams. Our OT provides guidance and advice that enables people to live well in their own home with any equipment they may need. These experts lead, monitor and support our care teams to deliver best practice nurse-led care at home.
Innovative care technology
Unlike any other live-in care provider, we have our own online care community. Families, healthcare professionals and carers can access up to date information about the care being provided. It enables more effective monitoring, which means issues can be responded to efficiently. For our families it provides a reassuring window into the care their loved one is receiving. Our carers also use the online community to share ideas and support each other. It provides a vital connection which is important when remote working. Carers will use the online community so their clients can enjoy time online. This includes video calls with family, so they feel connected. Clients can use it to shop online or browse the web.
Improving health outcomes
Every decision we make is driven by delivering improved health outcomes for our clients. Our digital technology allows us to predict risk and shape the care we provide. We measure health outcomes.
We want to know we are improving the quality of our clients’ lives every year.
Our health and well-being aim to reduce:
Behaviours that challenge
Antipsychotic drugs in dementia care
Falls in the home
Readmission to hospital
Urinary tract infections (UTIs)
They aim to promote:
Excellent nutrition and hydration
Enjoyment in life
Highest service rating from care regulators in England and Scotland
Unlike introduction agencies we are fully regulated in England and Scotland. This means the care and support we provide is regularly inspected. We are the only dedicated live-in care provider in England to achieve an ‘Outstanding’ rating by the Care Quality Commission (CQC). We have achieved this rating in all five measures – safe, effective, caring, responsive and well-led. In Scotland, our service has been inspected by the Care Inspectorate (CI). It has achieved the highest rating of a 6 (Excellent) for quality of care and support and 5 (very good) for staffing, management and leadership. We know this provides families with peace of mind that their loved one is receiving the best possible care.
A fully managed service
Families benefit from our fully managed service delivered by care experts. This means you do not need to worry about supervising and managing the carer looking after your loved one. Our professional carers are supervised by an experienced care manager and supported by clinical experts. We provide this support 24 hours a day, 7 days a week. Your dedicated care manager will be on hand to support you, your loved one and our carer teams. We invest in our care management team to ensure they have enough time to give the support everyone needs. With our fully managed service, families do not have the burden of managing the care arrangement themselves. We know this means families can have peace of mind, whilst enjoying quality time with their loved one. They do not have to worry about the tasks of caring.
Local teams with national coverage
We operate throughout England and Scotland with a local approach to management of our teams near you. Each dedicated care manager local to you has only a small number of clients to support. This means they can provide higher levels of monitoring and support than other home care providers. It also means a highly personalised approach to care can be delivered.
“My mother had very complex needs so I took time to find the right provider. From the first call, to the care manager and the carers, I have been very impressed. They also all made me feel at ease and nothing was too much trouble.”
Talk to us about 24 hour care at home
Call our friendly and approachable team today to arrange an assessment of your care needs. This will give you a better understanding of the cost of 24-hour in-home care.