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An experienced care professional living in the home, providing planned support and companionship through the day. A genuine, person-centred alternative to a care home.
A trained Kome Care professional lives in your loved one's home and provides planned one-to-one support and companionship through the day. It suits people with progressive conditions such as dementia or Parkinson's, those recovering from a stroke, and people who want to stay at home rather than move into residential care. What matters is not the diagnosis but whether a live-in arrangement can support the person safely and sustainably — which is what the assessment is for.
A familiar carer in the home providing planned support and company. Live-in care does not mean one person works continuously for 24 hours without rest — carers need proper breaks and sleep. Where continuous active support is needed day and night, we assess whether a different staffing model or a complex 24-hour package is required.
Unlike a care home, support is directed at one person rather than shared across a floor of residents.
We prioritise carer continuity, so your loved one builds a genuine relationship with the person supporting them.
PEG feeding, catheter care, wound and pressure care are considered case by case. Some we can support with our existing capability; others need package-specific training and competency sign-off first.
Planned and unannounced monitoring visits, with nursing involvement where the person's needs are clinical or complex.
Meal preparation, laundry, light cleaning and shopping, as set out in the care plan. Live-in care is a care service rather than a housekeeping one, so household tasks stay proportionate to the person's care needs.
Live-in care is suited to a wide range of individuals and family situations across London. It may be the right choice if:
Free consultation, no obligation. We aim to respond promptly during enquiry hours.
Contact us by phone or online. Our clinical team listens carefully to your situation and helps you weigh up whether live-in care is the right fit, with no pressure and no obligation.
We assess care needs, safety, and the person's preferences, routines and personality in their own home. Where needs are clinical or complex, a registered nurse is part of that assessment.
We write a clinically governed care plan and find the right carer match, introducing them to your loved one before care begins.
Your live-in care professional moves in. We keep monitoring, reviewing and adapting the care plan as needs change over time.
This is the distinction families most often get caught out by. A live-in carer needs proper uninterrupted rest and sleep, like anyone else living in the house. If someone regularly needs active help during the night, that is a separate arrangement on top of live-in care — not something a live-in carer can absorb.
Where night-time support is needed, there are three models:
We would rather set this out plainly at the assessment than have a family discover it in the first difficult week. Explore overnight care.
One of the main reasons families choose live-in care is the chance to build a real relationship with the person providing support. We prioritise that, and we avoid rotating unfamiliar carers through someone's home wherever we can.
But sustainable live-in care also has to account for rest, breaks, annual leave, sickness cover and contingency. That means more than one care professional will be involved in the package over time. We are not going to promise one permanent carer forever, because that is not a promise anyone can keep. What we aim for is a small, stable, properly matched team — and we tell you when it changes.
Live-in care is a way of delivering support. It is not automatically the same thing as complex care. Plenty of people receiving live-in care also have significant healthcare needs — PEG or enteral feeding, catheter or stoma care, seizures, complex medication, oxygen therapy, pressure-area risks or a neurological condition.
Where that is the case, we assess two things separately: the clinical needs themselves, and the staffing model needed to meet them safely. A standard live-in arrangement may not be right if someone needs continuous active care, frequent clinical interventions or significant overnight support. In those situations we would look at the package through our complex care service instead of stretching live-in care to cover something it was not designed for.
For many London families, choosing between live-in care and a residential care home is one of the hardest decisions they will face. Live-in care offers something a care home cannot: one-to-one, person-centred support in the person's own home, surrounded by their own possessions, routines and community.
Staying at home reduces disorientation, particularly for people with dementia. Daily routines, food preferences and lifestyle choices are respected. Family pets can stay. Friends and neighbours remain part of everyday life. There is no upheaval of moving, no shared communal spaces and no roster of unfamiliar faces.
What sets Kome Care apart from many live-in providers is our nurse-led clinical governance. Care plans receive nursing review and sign-off where our governance process requires it, and any delegated healthcare task is assessed, trained for and signed off clinically before a carer performs it. Regular monitoring visits keep standards high, so a change in someone’s health is spotted and acted on rather than missed.
For people with significant needs, live-in care is often comparable in cost to a residential care home, while offering genuinely personalised, one-to-one support. We would be glad to talk the options through with you in a no-obligation consultation.
We provide this service across the areas below. Each page covers the neighbourhoods we reach and how to arrange care there.
See every area we cover across London. Not listed? Ask about your area — we will tell you honestly whether we can build a safe, sustainable team where you are.
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