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Skilled, reassuring overnight care so both you and your loved one can rest safely. Sleep-in or waking night support, 7 nights a week.
A peaceful night's sleep should not be a luxury. Kome Care's overnight service provides skilled, reassuring support through the night for people in London, so clients and families alike can be confident that help is always at hand. There are three models, and choosing the right one matters more than most families expect — the difference is set out below.
A carer sleeps at the property, ready to assist if needed through the night.
The carer remains fully awake, providing active monitoring for complex or high-risk needs.
If a fall or a deterioration happens overnight, there is someone present who follows the care plan and the agreed escalation route — including calling 999 where that is what is needed.
Toileting, repositioning, and hygiene assistance delivered discreetly and with dignity.
Night-time medication support and recording, in line with the assessed care plan. More complex medication needs are assessed for additional clinical oversight.
Proactive monitoring and safe mobility assistance to reduce night-time fall risk.
These are genuinely different services at genuinely different costs, and picking the wrong one is the most common reason overnight care stops working. The question to answer is not “how worried am I?” but “how often does someone actually need help between going to bed and getting up?”
A care professional stays in the home overnight and is available if occasional support is needed — help to the toilet, getting in or out of bed, reassurance, an unexpected need. They are expected to sleep, and they are not awake all night.
Right when: the person is usually settled at night but you would not want them alone if something happened.
The care professional stays awake through the agreed night shift, providing active support: frequent toileting, regular repositioning, night-time personal care, help when someone wakes repeatedly, or reassurance through dementia-related confusion and distress.
Right when: help is needed repeatedly rather than occasionally. If a sleep-in carer is being woken most nights, this is the honest answer.
Where the night involves significant healthcare needs — seizures, complex medication, respiratory support, enteral feeding, catheter or stoma needs, significant pressure-area risk, neurological conditions or palliative needs — we assess the package through our complex care pathway instead.
The staffing model may involve a waking-night professional, additional staff, specific clinical competencies, planned monitoring and defined escalation arrangements, or a wider 24-hour package. Explore complex care at home.
Overnight care suits many situations where having a skilled professional present through the night makes a real difference to safety and wellbeing, and lets families rest too.
Free consultation, no obligation. We aim to respond promptly during enquiry hours.
Call or submit an enquiry. We aim to respond promptly during enquiry hours.
A free assessment of what actually happens at night, with nursing involvement where needs are clinical or complex.
A personalised care plan is built around the individual.
Your matched care professional starts, with an out-of-hours on-call route behind them.
Care professionals work to the person's care plan and the agreed escalation procedure. If they notice a concern, the next step depends on what it is: following the care plan, contacting the on-call team, contacting the family where that is appropriate, contacting a healthcare professional where one needs to be involved, or seeking emergency medical help.
Staff are trained to call for emergency help immediately where it is needed, rather than waiting for management approval first. To be clear about what this service is: our overnight care is not an emergency medical service. If someone needs urgent emergency medical help, call 999.
Every overnight package at Kome Care is overseen by our nurse-led clinical team. A qualified nurse writes the care plan, and any health concern observed during the night, whether a change in breathing, a rise in temperature or other signs of deterioration, is escalated straight away through our clinical governance pathway. This is more than a friendly face in the home. It is clinically supervised overnight support.
Overnight care can be combined with daytime visiting care or companion care, or built into a full 24-hour care package for clients who need continuous support. We work with families, GPs and hospital discharge teams so care starts quickly and safely, often within days of a first enquiry.
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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Thank you. A member of our care team will be in touch very shortly. For anything urgent, call 020 8075 5966.
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