24-hour care—also called 24/7 home care or round-the-clock care—provides continuous support in your own home, day and night. It’s designed for people who cannot safely be left alone or whose needs vary across the 24-hour cycle: advanced dementia, Parkinson’s, complex or palliative care, frequent falls, or recovery after hospital discharge. Unlike standard domiciliary care with set visit times, 24-hour care ensures a trained professional is always available for personal care, practical help and reassurance.
How our 24-hour service works
At the first enquiry we complete a person-centred assessment and risk assessment focused on what matters to you. Together we agree clear outcomes and build a tailored care plan combining daytime and overnight support. Depending on your needs, we can provide:
- Live-in care: a professional carer resides at home, offering consistent daytime help and an on-site presence overnight.
- A 24-hour rota: carers work shifts so someone is awake through the night (waking nights) or sleeping nights with a planned response.
Both models help prevent avoidable hospital readmissions and keep you safe in familiar surroundings. We deliver care to CQC standards for home care in England, with safer recruitment, training, supervision and clear visit records so families know exactly what has been provided.
Who benefits from 24/7 home care
- People living with dementia who experience disorientation, wandering or night-time anxiety.
- Individuals with high falls risk, pressure-care needs or unpredictable continence requirements.
- Those at end of life who want dignified, compassionate support at home.
- Anyone returning from hospital who needs intensive post-discharge support to stabilise safely.
What 24-hour care can include
Personal care
washing, dressing, continence, catheter or stoma care within a delegated plan.
Medication support
time-critical prompts, administration where assessed, and monitoring.
Mobility and transfers
safe use of equipment, moving and handling, and confidence-building.
Night care
waking night care or sleeping night care aligned to your routine to reduce risk.
Nutrition and hydration
meal preparation, support with eating and safe-swallowing strategies when advised.
Domestic support & companionship
housekeeping, laundry, errands and community re-engagement.
Clinical liaison
with GPs, district nurses, therapists and hospice teams so your plan stays joined-up.
We review your plan regularly, adjust visit patterns and ensure you always have the right level of care—no more and no less than you need. We can also signpost funding routes such as private pay, local-authority direct payments, or NHS Continuing Healthcare where eligibility applies.
Live-in care or 24-hour rota: choosing the right fit
Both options deliver care at home and avoid an unnecessary move to residential care. Live-in care offers continuity from one or two consistent carers and can be cost-effective for couples. A 24-hour rota provides constant awake support and is recommended where night-time risks are high or clinical tasks are time-critical. We’ll advise on the safest, most practical configuration for your home and budget.
Why families choose Tidal Living
- Regulated, accountable service operating to CQC standards with transparent governance.
- Experienced carers trained in dementia care, falls prevention and end-of-life support, matched for skills and compatibility.
- Continuity and compassion: consistent faces, respectful communication and a focus on dignity, safety and independence.
- Outcome-focused approach that measures quality of life and stability—not just hours delivered.
Getting started
If you’re exploring 24-hour home care, contact Tidal Living for a friendly, no-obligation conversation. We’ll arrange a prompt assessment, develop a tailored 24/7 care plan, and build a rota that fits your routine—whether that’s live-in care, daytime support with waking nights, or a blended arrangement. Our team coordinates closely with health professionals and keeps families informed, so everyone has confidence in the plan and in the everyday wins that matter.
Frequently Asked Questions
Home care services in London provide personalized support for individuals who want to remain in their own homes while receiving help with daily living. This may include personal care, medication reminders, mobility support, companionship, housekeeping assistance, and tailored health-related support.
24-hour care at home means a trained carer is available around the clock—day and night. This ensures constant support, supervision, and safety for individuals who need continuous care, whether due to mobility issues, dementia, medical conditions, or recovery needs.
24 hour home care is ideal for people who can’t be left alone, such as:
- Individuals with dementia or Alzheimer’s
- People at high risk of falls
- Those with complex medical needs
- People healing after hospital discharge
- Someone requires end-of-life or palliative support
Counting on personal needs 24 hour care at home may have:
- Personal care (washing, dressing, toileting)
- Medication support
- Meal preparation and hydration monitoring
- Mobility and transfer assistance
- Night care (waking or sleeping nights)
- Light housekeeping assistance
- Moving help and companionship
- Coordination with nurses or other specialists
Live-in care means one carer lives in the client’s home and provides daytime support with an overnight presence.
24-hour care uses two or more carers working in shifts so someone is always awake and available, day or night—ideal for those with higher care needs.
Yes. Along with personal care, clients can receive help with tasks such as laundry, cleaning, organizing, meal preparation, and maintaining a safe home environment. This is part of the wider home care services London families often choose.
The process is simple:
- Contact the care provider
- A home care assessment is carried out to understand needs
- A personalised care plan is created
- Carer matching and introduction
- Care begins with regular reviews and adjustments
A trained assessor visits the home to understand your health needs, routines, risks, preferences, cultural considerations, and the level of support required. This helps create a tailored care plan for safe and effective 24 hour care at home.
Yes. 24-hour home care services are often essential for dementia support. Carers assist with safety, communication, routines, reassurance, nighttime disturbances, and maintaining independence in familiar surroundings.
Care can often start within 24 hours once the assessment and care plan are completed—especially in urgent situations such as hospital discharge or sudden changes in health.
Absolutely. You can combine 24-hour care with hourly visits, respite care, specialist dementia care, housekeeping assistance, companionship, and more. Care plans are fully flexible.
Yes. If a carer is ill or on leave, a trained and vetted replacement carer will be arranged to ensure continuous, uninterrupted care.
