Attention
Care home staff have a whole floor to get round on each shift. A live-in carer's attention belongs to a single household, morning to night. That makes a difference to the little things: meals when you're hungry, a walk when the sun comes out, a conversation that isn't cut short.
Home, routine and belongings
Staying at home means keeping your own bed, your garden, your neighbours and your local shops. For people living with dementia, familiar surroundings can reduce confusion and distress. A care home room, however comfortable, is a big change.
Couples and pets
Couples with different needs can find themselves split between homes or rooms. Live-in care lets them stay together. Pets are welcome too, and a carer can help with the dog walking.
Cost
If one person needs only light support, a residential home can work out cheaper. As needs increase - and especially for couples - live-in care often compares well, because one carer supports both partners. And don't forget: with care at home, your house stays out of the council's means test.
When we'd suggest a care home
We'll always be honest. A nursing home may be better if someone needs registered nursing care day and night, needs two people for every transfer, or would be safer and happier with more people around them. Some people simply prefer the company of a care home. The right answer depends on the person.
This guide is general information, not financial or legal advice. Funding rules and benefit rates usually change each April.