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The Difference Between Domiciliary Care and Live-in Care

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  • Admin
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  • Domiciliary care, Hourly care services, Live in care coverage, Types of domiciliary care, Choosing Care
  • Posted date:
  • 09-10-2024
The Difference Between Domiciliary Care and Live-in Care

We explore the difference between domiciliary care and live-in care. Find out which care option best suits your loved one's needs, lifestyle, and preferences to ensure their comfort, safety, and well-being at home. Learn about the unique benefits, services, and costs associated with each type of in-home care. Discover how domiciliary care offers flexible, scheduled support for daily tasks, while live-in care provides around-the-clock assistance and companionship.

What is the difference between domiciliary care and live-in care?

When choosing the ideal support for your loved ones, it's crucial to understand the differences between domiciliary care and live-in care. Largely, these two differ in terms of the duration and level of support provided.

Domiciliary care, frequently known as home care or hourly care, is a type of care delivered at home. Carers provide help with daily tasks on a flexible timetable, usually in specific time slots based on the client's needs. This allows individuals who require support to retain their independence by continuing to live at home while receiving necessary assistance.

On the other hand, live-in care is a continuous home care service where the carer stays with the client round-the-clock. The carer is on hand 24/7, providing a suite of care and support measures that can vary from basic companionship to more complex health needs. This kind of care is particularly advantageous for clients who need constant attention or prefer the convenience of immediate help.

The Difference Between Domiciliary Care And Live-in Care | Domiciliary Care In London

What kinds of services are available in hourly care?

Hourly or Domiciliary care is a comprehensive range of services that are specifically designed to address the unique needs of each client. 

The main goal of this type of care is to provide necessary support that enables individuals to continue living their normal daily routines whilst remaining in their own homes. This is particularly beneficial to those who value their independence, but still require some assistance with certain tasks.

The services that come under domiciliary care can be as simple as helping with personal care activities including, but not limited to, bathing, dressing, and preparing meals. 

The carers are trained professionals who can assist in these tasks, enabling the client to focus more on enjoying their day rather than struggling with challenging activities.

Apart from personal care, domiciliary care professionals also offer help with various household chores. These can range from everyday tasks such as cleaning, doing the laundry, or even grocery shopping. They take on these chores, thus freeing the client's time to engage in more enjoyable activities or relax.

A significant aspect of domiciliary care often overlooked is the provision of social interaction and companionship. It's widely acknowledged that social interaction plays a critical role in a person's well-being. Therefore, by being there and giving the client someone to talk to, share stories or simply spend time with, carers can dramatically enhance a person's quality of life.

Furthermore, domiciliary care is strikingly flexible and can be adapted to accommodate more specialist needs. For instance, if a person requires help in managing their medications, suffers from physical disabilities, or is diagnosed with cognitive disorders such as dementia or Alzheimer's disease, the care plan can be adjusted accordingly.

This holistic and flexible approach ensures every client receives the complete care they need. Finally, a certain segment of domiciliary care services provide much-needed respite care. This service provides temporary relief to family carers, allowing them a well-deserved break and peace of mind knowing that their loved ones are in good hands. Thus, hourly or domiciliary care services offer a broad and highly adaptable solution to support people in maintaining their regular day-to-day life at home.

What’s covered with live-in care?

Live-in care is a holistic service that goes beyond just addressing the immediate health requirements of the client. It's an all-inclusive solution with the objective of enhancing the overall quality of life for those who receive the care.

As is suggested by the term "live-in care", in these arrangements, a professionally trained carer takes up residence in the home of the patient, providing round-the-clock assistance. This care encompasses both physical and emotional support, handling not only the health needs of the client but also the daily domestic tasks.

The carer is there to assist with personal hygiene, help with meals, ensure medication is taken correctly and provide company for the client. Their goal is to help the client maintain as much independence as possible while ensuring their needs are fully met.

Additional elements could include assistance with mobility, such as helping the client move around their home or accompanying them on outings. Cooking nutritious meals can be a key part of the carer's role, ensuring the client's dietary needs are catered for.

The carer can even assist with pet care, be it feeding, grooming or walking the pet, which can be such a vital help if the client has a furry companion. One of the main benefits of live-in care is providing safety and reassurance for both the client and their families, knowing that professional care and support are always on hand. Indeed, it’s a holistic solution that encompasses every need of the client, aiming to improve their overall quality of life.

What’s covered with live-in care?
How do I decide between domiciliary care and live-in care

How do I decide between domiciliary care and live-in care?

Deciding between domiciliary care (otherwise known as home care) and live-in care really hinges on the particular circumstances and specific care needs of an individual. If a person primarily requires small-scale help with their daily activities for a couple of hours each day, domiciliary care might likely be the superior option. Even so, should the individual necessitate constant aid, inclusive of overnight assistance, a live-in carer would probably be more appropriate.

A few important factors to mull over include the level of independence the person wants within their own home, the extent of assistance they need, and their comfort level with having a carer occupying their home on a full-time basis. It is essential to also consider any medical requirements they might have.

For some individuals, a high level of medical attention may require specialised help that a live-in carer can offer, granting them safety 24 hours a day. For families trying to make the decision, it can be beneficial to consult the individual's doctor or social worker. They can offer insight into the level of care required and assist with advisement on the best course of action relative to the person’s needs.

It also matters to liaise with the care provider to understand the types of care they offer. Each person's situation is unique and thus, a personalised approach is key to delivering the best care. Prior to settling on a choice, take the time to explore the different options available. It's worth remembering that the ultimate aim is to provide an environment that suits your loved one's needs, promotes their well-being, and lets them retain their sense of autonomy and individuality.

What are the different types of domiciliary care?

What are the different types of domiciliary care?

Domiciliary care is a type of support service that caters for a range of different needs. This service is designed to assist individuals in various ways, based on their individual requirements. One of the main types of domiciliary care focuses on personal care.

This could entail helping people with tasks such as bathing, feeding, and taking their medication. Such care is specifically tailored to support individuals who may have difficulty in carrying out these day-to-day activities independently.

Another category of domiciliary care is known as 'complex care'. This type of care is designed to support people who have serious health conditions. Providers of complex care are specifically trained to offer specialised support and can manage more rigorous medical needs. Domiciliary care also encompasses what is known as companion care.

The primary focus of this type of care is to foster social interaction and emotional engagement. It is designed to prevent loneliness, especially in elderly individuals or those with minimal social interaction. Furthermore, there is respite care which is there to give family caregivers a break. Caring for a loved one can at times be physically and emotionally draining, and respite care offers caregivers the chance to rest, ensuring they can continue to provide effective support.

Lastly, there is palliative care. This category of care is aimed at enhancing the comfort of those living with terminal conditions. Palliative care ensures these individuals have the highest quality of life, whilst also supporting their families during difficult times. The greatest advantage of domiciliary care is its ability to be uniquely tailored towards each individual's specific needs. This type of care enables people to live independently and comfortably in the familiar surroundings of their own homes.


We offer specialist private domiciliary home care for vulnerable adults throughout London. Our home care agency will provide specialist carers to help your loved one remain at home. Get in contact today if you have a loved one that would benefit from care at home.