Professional 24-Hour Care in London, Day and Night at Home
CQC-registered 24-hour care across London, UK. One dedicated carer living in your loved one’s home, or a waking team through the night, so they are never alone. Psychotherapist-led care plans, specialist dementia support, and honest advice on which model your family actually needs.
- Round-the-clock support: live-in or waking-night team
- Stay at home instead of moving into a care home
- Psychotherapist-led care plans, reviewed clinically
- CQC-registered, with carefully matched, vetted carers
- Honest advice on which model your family needs
What is 24-Hour Care?
24-hour care means professional support is in your loved one’s home around the clock, so they can stay where they feel safest instead of moving into a care home. It comes in two forms. Live-in care places one dedicated carer in the home, supporting the day and sleeping nearby at night, and it is the model most families need. Around-the-clock waking care uses a small team working in shifts so someone is awake at every hour, for higher or more complex needs. Our complete guide to 24-hour home care explains both in detail.
24-Hour Care in London: What Your Carer Covers
Our 24-hour carers provide comprehensive, personalised support covering every aspect of daily living, by day and by night:
Personal Care
Washing, dressing and personal hygiene handled with dignity at the hours that suit your loved one, from first thing in the morning to last thing at night.
Medication Management
Every dose given correctly around the clock, including time-critical night-time medication, with records your family and GP can rely on.
Meal Preparation
Breakfast through to supper and a warm drink before bed, cooked at home around preferences, appetite and any swallowing or dietary needs.
Overnight Support
Sleeping-night or waking-night cover as assessed, with safe support to the bathroom and reassurance if your loved one wakes unsettled.
Household Support
The house keeps running while care continues: laundry, shopping and a comfortable, safe home kept in order day after day.
Mobility Assistance
Steady support moving about the home at any hour, including the night-time bathroom trips where most falls happen.
Who is 24-Hour Care Right For?
24-hour care suits a wide range of needs and circumstances. These include:
Dementia & Alzheimer's
Round-the-clock continuity for someone living with dementia, so the same familiar faces are there whether it is 3pm or 3am.
Post-Hospital Recovery
Day-and-night support through the first weeks home from hospital, when risk is highest and confidence is still returning.
Long-term Conditions
Continuous care for Parkinson’s, MS, stroke recovery and other conditions where needs do not stop when evening comes.
Couples at Home
One 24-hour care arrangement can support both partners together at home, often at far lower cost than two separate care home places.
Our Person-Centred Approach
Around-the-clock care only works when it is built around the person. Our approach makes sure the whole 24 hours reflects your loved one’s needs, routines and preferences, not a rota’s convenience.
We assess the whole day and the whole night: routines, medical history, sleep patterns, night-time risks and what your loved one needs at every hour, not just during visits. That picture decides whether live-in care or a waking team is genuinely right.
A carer who shares a home around the clock has to be the right fit as a person, not just on paper. We match on personality, interests and clinical need, and where nights are covered by a second carer, both are introduced properly.
Night needs change faster than day needs. Our plans are reviewed regularly so a sleeping-night arrangement can step up to waking cover during a difficult phase and step back down again, without starting from scratch each time.
Your dedicated care manager keeps you informed about the nights as well as the days, including how your loved one slept, and is available whenever you need guidance about the care.
What Does 24-Hour Care Cost with Tidal Living?
In 2026 there are two ways to deliver 24-hour care at home, and they are priced very differently. Live-in care, where one professional carer lives in the home with proper breaks and a sleeping arrangement, is the option most families need: our live-in packages typically range from £1,400 to £2,100 a week depending on the level of need, alongside typical London live-in rates of around £1,300 to £1,800 for standard support. Around-the-clock waking care, where two or three carers work in shifts so someone is awake at every hour, is staffed hourly and costs substantially more, usually £2,000 to £2,500 or more a week.
The Homecare Association calculates a minimum sustainable price for homecare in England of £34.42 an hour for 2026/27, and we follow its guidance on transparent, sustainable pricing: a quote noticeably below that level usually means corners are being cut on carer pay, training or supervision. Every Tidal Living quote follows a free home assessment, arrives in writing with no hidden fees, and is agreed with you before care begins. Prices correct as of July 2026. For the full picture, read our guide to 24-hour and live-in care costs.
Arranging 24-Hour Care in Three Simple Steps
Our friendly team makes arranging 24-hour care simple and stress-free
Get in Touch
Call us on 0203 576 1970, day or night arrangements included, and tell us what is happening at home right now.
Free Care Assessment
We visit for a free home assessment covering days AND nights: sleep, falls risk, medication times and what a full 24 hours really looks like.
Care Begins
Your carefully matched carer or care team begins, with day and night cover from the very first evening.
Talk to Our 24-Hour Care Team
Our friendly care advisors are here to answer your questions and help you decide whether 24-hour care at home is right for your family, including honest advice on live-in care versus a waking-night team.
Let Us Help You Care for Your Loved Ones!
Get professional and personalized home care tailored to your family’s unique needs.
Sabbir Ahmed
UKCP Registered Psychotherapist
Founder & Director of Care
Umar Alvi
MPharm, MSc Data Science
Director of Technology & Innovation
Frequently Asked Questions
Find answers to common questions about 24-hour care. If you need more information, our team is always happy to talk it through.
24-hour care means professional support is present in your loved one's home around the clock, as an alternative to moving into a care home. It is delivered either by one live-in carer who supports the day and sleeps nearby at night, or by a small team working in shifts so someone is awake at every hour.
Our live-in packages typically range from £1,400 to £2,100 a week depending on the level of need, and a fully waking rota usually costs £2,000 to £2,500 or more. Every quote follows a free home assessment and arrives in writing with no hidden fees. For the full breakdown, read our 24-hour and live-in care costs guide.
That depends on what the assessment finds. With live-in care the carer sleeps nearby and is available if needed, which suits most families. Where there is high falls risk, frequent waking or time-critical medication overnight, we arrange waking-night cover so someone is awake and alert throughout. We will tell you honestly which one your loved one actually needs.
Live-in care is the most common way 24-hour care is delivered: one carer lives in the home, supports the day and sleeps at night unless needed. Fully waking 24-hour care uses two or three carers in shifts so someone is awake at every hour, and costs substantially more. Our live-in care service covers the first model in detail.
For most families, care can begin within three to seven days of the first call, following a free home assessment. For urgent situations, such as a sudden hospital discharge or a family carer becoming unwell, we can often arrange cover faster. Call 0203 576 1970 and we will tell you honestly what is possible for your dates.
Round-the-Clock Care in London, from a Team That Knows You
When care is needed at every hour, what matters most is who is beside your loved one at 3am as much as 3pm. Tell us what your family is facing and we will design the day and the night around them.