homecare.co.uk Top 20 Home Care Award 2026Top 20 Award 20267th of 1,203 in the East Midlands
Newark · Southwell · Grantham

Live-in care that keeps your Mum or Dad in the home they know

Live-in care is a trained carer living in the home, supporting someone through the day and overnight, so they stay in the house they know.

CQC Rated GoodFamily-run from Newark
Carer completing a crossword with a client at home

Where are you up to?

  • Planning ahead

    • Nothing urgent, but you want to know what is possible.
    • What care costs, and what help with paying for it exists.
    See what care costs
  • Urgent: Leaving hospital soon

    • A discharge date, or one expected this week.
    • Care that can start the day someone comes home.
    • Forms received outside our office hours are reviewed when we open at 8am Monday to Saturday. For urgent matters relating to hospital discharge, use our fast-track form and we’ll respond within a few hours.
    Use the discharge fast-track
  • Things have changed at home

    • A fall, a hospital letter, or managing less well than before.
    • A free assessment, usually within a few days.
    Request a care assessment

The short answers

What we do

Personal care, help getting up and settling at night, meals planned and cooked, medication prompting or administration, mobility support, companionship, and light housekeeping and laundry. A steady presence rather than a visit.

Who it's for

Someone who would otherwise move into a care home, and couples who want to stay together. We cover the whole of Nottinghamshire and into South Lincolnshire, because a live-in carer lives in the home and does not travel to visits.

Cost

From £1,800 a week for one person and from £2,250 a week for a couple. Care is exempt from VAT, so nothing is added. The household provides the carer's food and a room. Full costs and funding.

Who will come

A carer directly employed by us and paid £14 an hour flat for 10 waking hours a day. We are not a franchise and we never use agency staff.

Live-in care is a trained carer living in the home, supporting someone through the day and overnight. Your Mum or Dad stays in the house they know, with their own bed, their own routines and one familiar face.

The short version

  • Compared with a care home: close in price for one person, usually cheaper for a couple.
  • Coverage: the whole of Nottinghamshire and into South Lincolnshire.

What a live-in carer helps with

Day to day, a live-in carer can help with:

  • Washing, dressing, bathing and continence support, with privacy and dignity.
  • Getting up in the morning and settling at night.
  • Planning and cooking meals, and encouraging someone to eat and drink well.
  • Medication prompting or administration, in line with the care plan.
  • Moving safely around the home.
  • Company, hobbies, routines and keeping in touch with family.
  • Housekeeping, laundry, and trips to appointments, the shops or a favourite place.

What live-in care costs

Live-in care with Helping at Home starts at £1,800 a week for one person and £2,250 a week for a couple. Care is exempt from VAT under the welfare services rules, so there is nothing to add to those figures.

The household provides the carer’s food and the room they sleep in. Some providers charge those separately at £50 to £100 a week, so check what any quote includes.

One thing to know about breaks. Every live-in carer has a protected break each day, because carers need proper rest to work safely. Many clients are fine on their own for that period and nothing further is needed. Where someone cannot safely be left alone, a second carer comes in to cover the break. That is an additional charge on top of the weekly fee, confirmed at assessment. We tell you which applies to your situation before you agree to anything.

Care can be paid for privately, funded by the local authority after a needs and financial assessment, or covered in full by NHS Continuing Healthcare for people who qualify on health grounds. Attendance Allowance is not means-tested and can contribute regardless of savings. Our costs and funding hub explains each route. Where health needs come first, start with NHS Continuing Healthcare.

Live-in care compared with a care home

OptionTypical weekly costWhat you get
Live-in care, one personFrom £1,800One carer in your own home, one-to-one, own routines
Live-in care, a coupleFrom £2,250One carer supporting both people, staying together at home
Residential care home£1,298A staffed building, on-site company, shared attention
Nursing home£1,535As above with a registered nurse on site
Two care home places for a couple£2,400 to £3,400Two rooms, often in different parts of the building

Care home averages are UK-wide figures published by carehome.co.uk for 2026. They vary by area and by home, and specialist dementia care usually costs more.

For one person the decision is rarely about money alone. A care home offers staff around the clock and company on site, which suits some people better. We will tell you which we think fits.

Live-in care for couples

One carer can support both people in the same household for a single weekly fee, while a care home charges per person. The difference is roughly £150 to £1,150 a week, depending on the homes being compared.

Live-in care for a couple starts at £2,250 a week. Both people keep their home, their bed and each other. Where the two have different needs, the care plan sets out how the carer’s time is divided. At assessment we tell you whether one carer can meet both sets of needs safely, or whether more support is required.

Is your live-in carer employed or self-employed?

Some of the biggest names in live-in care are introductory agencies. They connect families with self-employed carers and take a fee for the introduction. Elder’s own website states that “introductory agencies, like Elder, connect families with self-employed professional carers”. Its legal notice goes further, stating that “the Care Quality Commission (CQC) defines companies like Elder as an introductory agency pursuant to the Health and Social Care Act 2008”. Elder is not registered with the CQC as a provider of personal care. Other platforms run a similar model. With an introductory model, the agency’s role largely ends once the introduction is made.

Helping at Home works the other way round. Every carer is directly employed by us, recruited by us, DBS-checked by us, trained by us and supervised by us. If something goes wrong, it is our responsibility and there is a Registered Manager’s name against it. We are also independent rather than a franchise, which several of the familiar local names are not.

Three questions to ask any live-in provider before comparing prices:

  1. Is the carer employed by you, or self-employed?
  2. Are you registered with the CQC to provide personal care, and what is your current rating?
  3. Who is accountable if the arrangement stops working?

How we train and keep our carers

Every carer completes training before working unsupervised, covering manual handling, safeguarding, medication, infection control, first aid, food hygiene and fire safety. Records are auditable and the CQC inspects them. We fund NVQ Level 3 and Level 5 for carers who want to progress, and any certificate earned with us belongs to the carer.

Pay sits above both the National Living Wage and the Real Living Wage, with travel time and training paid. Our carers have been with us an average of more than two years, in a sector where turnover is high. That is why we can put a small, settled team around each live-in arrangement. Our familiar carers page explains how.

When live-in care is the right choice, and when it isn’t

Live-in care suits someone whose needs have grown beyond a few visits a day. It works when one carer can meet the person’s needs and nights are mostly settled. It isn’t suitable on its own when someone needs two carers to move safely or frequent help at night. Our overnight care page covers waking and sleeping nights.

Some health needs sit outside the scope of live-in care, including tasks requiring clinical training such as catheter, stoma, PEG feeding or ventilation support. Our complex care page sets out exactly what our trained team can and cannot do, and where a district nurse or other clinician stays involved.

Live-in care often suits someone living with dementia, because the surroundings stay familiar. See our dementia care page.

Where we provide live-in care

Live-in care reaches further than our visiting service. It is available across the whole of Nottinghamshire and into South Lincolnshire:

  • Nottingham city, including Clifton, Wollaton, Sherwood, Basford, Bulwell and Bilborough
  • Gedling and Broxtowe, including Arnold, Carlton, Beeston, Chilwell, Stapleford and Eastwood
  • Rushcliffe, including West Bridgford, Bingham, Radcliffe on Trent, Keyworth and Ruddington
  • Mansfield and Ashfield, including Mansfield Woodhouse, Sutton-in-Ashfield, Kirkby-in-Ashfield and Hucknall
  • Bassetlaw, including Worksop, Retford, Harworth and Tuxford
  • Newark and Sherwood, including Newark, Southwell, Ollerton, Balderton, Fernwood and Collingham
  • South Lincolnshire, including Grantham, Long Bennington and the surrounding villages

Nottingham City Council is a separate unitary authority from Nottinghamshire County Council. If you are applying for council help, which one you deal with depends on your postcode, not your postal address. The Nottingham page sets out which areas fall where.

Where a second carer is needed to cover the daily break, that carer has to be local, so we confirm at assessment whether we can staff it in your area.

What happens next

  1. Call us or request a care assessment. Tell us what a normal day looks like now.
  2. We visit to understand the need. Routines, risks, the home, nights and what matters most.
  3. We confirm whether live-in care fits, and what it will cost. You get the full weekly figure, including any break cover, in writing.
  4. We match a carer and plan the introduction. Wherever possible, you meet the carer before care starts.
  5. Care starts and is reviewed. We adjust the plan as needs change.

A first conversation doesn’t commit you to anything.


More on live-in care

CQC Rated Good

Independently inspected and rated by the Care Quality Commission.

Top 20 Award 2026

Ranked 7th of 1,203 home care providers in the East Midlands on homecare.co.uk.

Rated 9.9 out of 10

Ranked 1st in Newark on homecare.co.uk, the UK's largest home care review site.

Local to Newark

Family-run from Newark-on-Trent, covering Nottinghamshire and Lincolnshire.

Frequently asked questions

How much does live-in care cost in Nottinghamshire?

Live-in care with Helping at Home starts at £1,800 a week for one person and £2,250 a week for a couple. Care is exempt from VAT, so there is nothing to add. The exact figure is confirmed at assessment, before anything is agreed.

What is live-in care?

Live-in care is when a trained carer lives in the home and supports someone through the day and overnight, so they can stay in the house they know rather than move into a care home. The carer helps with personal care, meals, medication, mobility and companionship.

Is live-in care cheaper than a care home?

For one person the two are close. A residential care home in the UK averages £1,298 a week and a nursing home £1,535 (carehome.co.uk, 2026). Live-in care with a directly employed carer starts at £1,800. For a couple, live-in care is usually the cheaper option, because one carer supports both people for one fee while a care home charges for two places.

Is my live-in carer employed or self-employed?

Every Helping at Home carer is directly employed by us, trained by us and accountable to us. Introductory agencies work differently. They connect families with self-employed carers and are not themselves registered with the Care Quality Commission to provide personal care. Ask any provider which model they use before you compare prices.

Where does a live-in carer sleep?

A live-in carer needs their own room to rest and sleep. The client provides the room and shares meals, which is why there is no separate accommodation charge on top of the weekly fee.

Can a live-in carer manage care through the night?

Live-in care works well when nights are settled or need occasional help at most, because the carer needs proper sleep to work safely the next day. If someone needs frequent help every night, or turning through the night, we may suggest adding a waking night carer, or a different arrangement.

What happens during the carer's daily break?

Every live-in carer has a protected break each day. Many clients are safe to be on their own for that period, and nothing extra is needed. Where someone cannot safely be left alone, a second carer covers the break, and that is an additional charge confirmed at assessment. We say which applies before you agree anything.

Do you provide live-in care for couples?

Yes. One carer can support both people in the same household for a single weekly fee, starting at £2,250. That is usually well below the cost of two care home places, and neither person has to move.

Which areas do you cover for live-in care?

Live-in care is available across the whole of Nottinghamshire, including Nottingham, Mansfield, Worksop, West Bridgford, Newark, Retford, Southwell, Bingham, Ollerton and Collingham, and into South Lincolnshire around Grantham. Because the carer lives in the home, this area is wider than for visiting care.

Can live-in care be funded by the council or the NHS?

It can. Live-in care may be funded privately, by the local authority after a needs and financial assessment, or by NHS Continuing Healthcare where health needs are the main reason for care. Attendance Allowance can also contribute regardless of savings.

How quickly can live-in care start?

In most cases care can begin within one to two weeks of the assessment. It takes a little longer than visiting care because matching the right carer matters more when they live in. For hospital discharge we work to move faster, and we tell you at the first call whether we can meet the date.

Are your live-in carers agency staff?

No. We never use agency staff. Every carer is recruited, DBS-checked, trained and supervised by us, and paid £14 an hour as a flat rate.

Ready to talk about care?

Request a free care assessment and we'll come back to you within one working day. No automated calls, no hard sell — just a conversation, when it suits you.

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