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Alternatives to care homes

When care needs increase, many families assume that a care home is the only answer. However, the idea of leaving the familiarity, comfort, and independence of home can be distressing - both for the individual needing care and for their loved ones. The good news is, there are several alternatives available, each offering a different level of support while preserving enabling people to live the life they choose.

At Consultus Care and Nursing, we firmly believe life is better at home - surrounded by memories, routines, and the people who matter most. We’re proud to have supported individuals to remain in their own homes when receiving care for over 60 years. 

What are the alternatives?

When considering care for a loved one there are a number of alternatives available depending on the level of support that is needed and the lifestyle someone wishes to maintain.

  • Live-in care - A dedicated carer moves into the home, offering one-to-one, round-the-clock support.

  • Domiciliary (visiting) care - A professional carer visits at regular times each day to help with specific tasks.

  • Living with family - Moving in with a relative who can help provide support.

  • Sheltered housing or retirement villages - Independent living with access to communal facilities and some on-site assistance if needed.

Each alternative comes with its own benefits, and the right option will depend on personal preferences, care needs, and the way a person wishes to live their life.

Live-in care - the best alternative

Live-in care offers individuals the chance to continue living at home with complete peace of mind. A fully trained carer lives in the home, providing personalised support tailored to the individual's needs - from help with personal care and medication, to preparing meals, companionship, and even support with complex healthcare needs in the case of live-in nursing.

What makes live-in care particularly special is the consistency and familiarity it brings. Unlike residential settings where carers rotate and care is shared across multiple residents, live-in care offers a unique one-to-one relationship - supporting not just physical wellbeing, but emotional and psychological health too.

Live-in care vs residential care

Live-in care

Residential care home

Personalised 1:1 care

Remain in your own home

Familiar routines and surroundings

Companionship and continuity

Visits from friends and family

Control over meals and schedules

Couples allowed to stay together

Domiciliary or visiting care

For those who don’t yet need full-time support, domiciliary care - also known as visiting care or hourly care -  maybe an option. A trained carer visits once, twice or several times per day to assist with specific tasks, such as washing, dressing, medication, or mealtime support

While this can be an effective short-term solution, it may not provide enough support as needs change, for those who need specialist care, or individuals who feel anxious, unsafe or lonely being left alone for long periods. In these cases, live-in care offers a more comprehensive and reassuring option

Other alternatives: living with family, sheltered housing or retirement villages

While a care home may not feel right for everyone, there are several alternative living arrangements that can offer comfort, security, and varying levels of support depending on individual circumstances. These options can help maintain a sense of independence while ensuring care needs are met in a more personalised setting.


Living with family

For some, moving in with a family member can be a natural choice, offering emotional closeness and a familiar environment. This arrangement can provide a strong sense of belonging and reduce feelings of loneliness. However, it’s important to consider the potential strain on family life, particularly when care needs change or increase.  Ensuring the right support is in place for family carers is important, including  respite care can help ease this pressure and maintain a positive living arrangement that meets everyone’s needs.

Sheltered housing

Sheltered housing is designed for older adults who are still largely independent but may appreciate living in a more secure setting. These schemes typically consist of self-contained flats or bungalows with emergency call systems and on-site wardens or managers. Whilst this is  not a substitute for hands-on care, sheltered housing offers peace of mind and can be a practical step for those who don’t yet require daily assistance but want the reassurance of support nearby.

Retirement villages

Retirement villages offer a similar level of independence, often within a welcoming community setting, with other people of the same age. With communal areas, organised activities, and optional services such as cleaning or meals, these villages can provide a socially enriching lifestyle. However, like sheltered housing, they do not typically include dedicated care services, so additional support may be required as health and mobility needs change.

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Talk to us today

Give us a call to discuss your needs with one of our friendly, expert Care Advisors. They will guide you through your options to ensure you make the right choice for you and your family.

The benefits of live-in care over a care home

There really is no place like home to receive the care that you need. Some of the many benefits include:

One-to-one personalised care built entirely around the individual's needs, preferences, and routines.

Independence and dignity, preserved by staying in the familiar environment of home

Consistent companionship, helping to reduce loneliness and maintain emotional wellbeing.

Peace of mind for families, knowing their loved one is supported 24/7.

Flexibility and control, from meal choices to daily routines and social visits.

Live-in care - more affordable than you might think

Many people are surprised to learn that live-in care can be comparable in cost to a care home - and in some cases more cost-effective, particularly for couples who wish to remain together at home. Read our guide to learn more about the costs of live-in care.

At Consultus, we tailor every care arrangement to the unique needs of each individual and their family. Whether you’re exploring care for the first time or looking for an alternative to a care home, our care advisors can help you make an informed decision. 

Speak with one of our care advisors today to find out how live-in care could work for you.

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Why choose Consultus Care and Nursing?

One of the longest-established and most trusted providers

Founded in 1962, we have always been innovators in live-in care and live-in nursing. With over 60 years’ experience, we are one of the country’s longest-established, most highly recommended and experienced providers.

Unrivalled choice and control over your care

We understand that every person’s needs are different and every family’s situation is unique. With our choice of fully managed live-in care and nursing, and our introductory service, we offer more flexibility and personalisation than any other provider.

Highly trained nurses and carers

We are nationally recognised for the quality of our nurses and carers. With market-leading training, delivered at our own, multi-award-winning training centre, they provide exemplary, compassionate care tailored to individual needs, offering total peace of mind for clients and their families.

Expert care and support, dedicated to you

Our Care Consultants oversee our nursing and managed care services supporting only a small number of families.  This means our service is truly personal, with unrivalled support and continuity of care. Reassurance that we are there when you need us most.

Family-founded, family-owned

We continue to be a family-owned and family-managed business. The largest wholly family-owned live-in care provider in the UK, we focus on what our clients and their families need from a high-quality care service, not on meeting investors’ expectations.

Your live-in care questions, answered

Live-in care is a highly personalised care service where a professional carer lives in your home to provide one-to-one care and support, around the clock.  It enables people to maintain independence and safety in the comfort and familiarity of their own home, whilst receiving all the support they need.  We know through our decades of experience that people feel better in their own homes, and our live-in care and live-in nursing give more people the freedom to make their own choices, and to live life their way.

A live-in carer is there to support your holistic needs, including all your care and support requirements, lifestyle and social preferences and companionship.  They will help with:

·        Personal care

·        Medication support

·        Mobility support

·        Companionship and emotional support

·        Meal preparation and cooking

·        Housekeeping and domestic tasks

·        Health monitoring

·        Transportation and running errands

·        Ensuring a safe and secure environment

·        Specialist care of conditions, such as dementia and Parkinson’s

·        Family support

·        Ensuring connections with your local community

·        Respite for family carers

Carers cannot perform any medical procedures, such as administering injections, dressing wounds or handling complex medical equipment.  If you need medical care, we provide expert live-in nursing to support clients who have nursing needs.  Additionally, carers cannot provide services outside of the scope of their role, like heavy lifting or manual tasks requiring specialist equipment.

We work closely with you and your family to match you with a carer based on your preferences, lifestyle and care needs.  To ensure you have continuity of care, you will have a team of carers who will get to know you and provide cover for each other’s time off.  We have over 60 years’ experience in successfully matching carers with clients ensuring peace of mind for everyone.

The cost of live in care is based on your specific care needs and circumstances, but ranges from a starting package of between £1,036 to £1,540 per week. Find out more about our live-in care services.

Live-in care is ideal for individuals who need continuous support due to age, illness, disability or who are recovering from surgery.  It is also suitable for couples who want to stay together whilst receiving the care they need, or for anyone preferring not to have to leave their home and move into residential care.

Yes.  We offer short-term live-in care, which can be arranged for respite care to give a family carer a much-needed break or following surgery to support rehabilitation and recovery.  Short-term respite care also offers an opportunity for a family to try live-in care for the first time to make sure it is the right long-term care choice.

Yes.  Live-in care is the ideal choice for couples who both need care.  It provides a cost-effective way to provide tailored support, whilst allowing both individuals to remain together in the comfort of their home, avoiding the need to be separated through a move to a residential care home.

Yes of course.  One of the many benefits of live-in care, when compared to moving into a residential setting, is that you do not need to be separated from your beloved pet.  When we are planning care and matching you to the perfect carer, we will take this into consideration when making our carer selection.  Many carers are happy to help with pet care, such as feeding, walking and companionship.

You will need to provide a private bedroom with basic amenities, including a bed and somewhere to store their clothes.  They need to have access to a bathroom, but this doesn’t need to be a dedicated bathroom.  Carers will also need access to WIFI to enable them to complete administration tasks.  Meals and food allowance will also need to be agreed between the you and the carer.  Most of our carers enjoy cooking and eating with their clients.

It is expected that your live-in carer sleeps during the night, so they are rested and refreshed to provide high-quality care during the daytime.  We understand that occasional night calls are required, which the carer will respond to.  Your dedicated Care Consultant will monitor this, to ensure it is not impacting our carer’s wellbeing and their ability to perform their role.   Should you need more care during the night, then a second carer can be provided to cover a waking night package of care.

This will completely depend on your care and support needs. Should you have healthcare needs that a professional carer cannot support, for example help with administration of injections or PEG feeds, or tracheostomy care then you would need a live-in nurse. Our Care Advisors are here to guide you through which of our services would best meet you or your loved one’s needs, to ensure you have the right level of care and support.

There are many differences in the level of care and oversight provided between our fully managed, regulated live-in care service and our introductory service.

Fully managed care is just that. Our service is fully managed by a dedicated Care Consultant local to you, who provides high levels of oversight, management and support to the client, their families and our care team. In addition, there is 24/7 around the clock emergency support. This service is regulated and inspected by the Care Quality Commission (CQC) in England, to ensure the highest possible standards of care. We are very proud to be rated a ‘Good’ service by the CQC.

Introductory care is when we match you with a self-employed carer, providing initial support, but with on-going oversight and management of the care provided by a nominated family member or representative. 

All our carers are thoroughly vetted through a rigorous selection process, which covers all background checks, including Right-to-Work, an enhanced DBS (Disclosure and Barring Service) check and employment reference checks.  Carers then complete an aptitude test to ensure they have the necessary skills, ability and personality traits to provide high-quality live-in care.  Candidates then go through an interview process and once successful complete our market-leading training, followed by a two week on-boarding in a client placement, overseen by their local Care Consultant, as they work to complete their Care Certificate.  We are dedicated to ensuring all our carers are compassionate and have the necessary skills and experience to meet our client’s needs.

If you’re not satisfied with the carer for any reasons, we will work quickly with you to address your concerns and arrange an alternative carer.  Our priority is to ensure continuity of care whilst a change of carer is facilitated.

Live-in carers will typically work over a 12-hour period, working up to 10 hours a day with a two-hour daily break. If a client cannot be left alone, a family member or other care provider will need to ensure their care needs are met during the carers break.

Carers are entitled to adequate breaks and time off.  We ensure you have a small team of carers who get to know you or your loved one, and understand your needs who then cover each other’s time off ensuring continuity of care.

Our live-in care service is highly flexible.  Care plans are regularly reviewed by your dedicated Care Consultant, who will ensure it accurately reflects the support required working closely with the care team, the client’s family and any healthcare professional involved in your care.  Should your health needs evolve and cannot be met by a professional carer, we can offer our expert live-in nursing service and seamlessly transition you to this level of care.

Carers are trained to respond to emergencies, such as contacting emergency services, notifying family members, and following agreed protocols to ensure your safety. If you are receiving our high-quality managed live-in care service, you have around-the-clock support from a Care Consultant local to you and our office-based team.  Should you be receiving our introductory live-in care service, the appointed family member or representative would need to be contacted in an emergency.

Depending on your financial and health circumstances, there may be financial support for funding live-in care, including local authority funding, or NHS Continuing Care funding from your Integrated Care Board (ICB), formerly a Clinical Commissiong Group.  Many families are faced with having to fund live-in care themselves. However, there are many options including Care Fees insurance policies, and equity release schemes that can provide the financial support you need.  At Consultus Care and Nursing, our Care Advisors are help you get the best advice, so you can make the right choice for you or your loved one.

Depending on the complexity of an individual’s needs, we can generally set up live-in care within 24-48 hours. 

It starts with a friendly discussion with a member of our experienced Care Advisory team who will talk through your requirements, expectations and guide you as to the suitability of our different live-in care services.  Should you wish to proceed with our managed care service, a Care Consultant who is local to you will conduct a comprehensive assessment of your needs in your home, alongside your family if you choose.  If you decide to go ahead with the service, will then match you with the most suited carer. Once all the contractual paperwork is concluded a service start date is agreed.  If you choose our introductory service, we will discuss your care and support needs with you as part of our registration process.  We then match you with a suitable carer who we introduce to you to provide the care you need.

Looking for care?

Please fill out the enquiry form below and we will aim to contact you within 24 hours. Looking to work for Consultus Care and Nursing? Please apply here.

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"All my mother's carers have been fantastic: kind and extremely caring, conscientious and flexible. They and our care manager are very knowledgeable about her condition and circumstances, and always keep me informed. The Consultus Connect app gives detailed day to day updates and allows me to check her bookings. I am so grateful for the support and would highly recommend the agency."
Hannah, August 2024

Download our brochure

To find out more about our award-winning live-in care services, download our brochure below.

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The Consultus Care and Nursing brochure