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Paying for care at home, explained properly

Long answers to the questions families ask us most. Written in plain English, with the figures for England and where every one came from.

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Start here · Paying for care at home

How much does home care cost in 2026? Hourly, live-in and overnight rates

What agencies charge an hour, why the rate is what it is, what a week comes to for the visits you need, and where live-in care becomes the cheaper shape.

8 minute read

Paying for care at home

Who pays, what the council and the NHS cover, direct payments, and how the sums work.

  1. a weekextra

    How much does home care cost in 2026? Hourly, live-in and overnight rates

    What agencies charge an hour, why the rate is what it is, what a week comes to for the visits you need, and where live-in care becomes the cheaper shape.

    8 minute read

  2. £23,250£14,250

    Who pays for home care, and when the council helps

    The means test for care at home in plain English: the savings limits, why your house does not count, what you keep each week, and how to get assessed.

    7 minute read

  3. the whole fee

    Direct payments: taking the council money and choosing your own care

    The council can pay for your care or give you the money to arrange it yourself. Here is how direct payments work, what you can spend them on, and what you take on.

    6 minute read

  4. a week

    NHS Continuing Healthcare at home: when the NHS pays for all of it

    For people whose needs are mainly about health, the NHS can pay for care at home in full, including live-in care. The test is strict. This is how it works.

    6 minute read

Choosing an agency

How to read a CQC report, what to ask before you sign, and what the hourly rate buys.

  1. Good

    What a home care rate includes, and what costs extra

    The hourly rate covers more than the carer and less than you might hope. A guide to the rate, the uplifts, the extras and the yearly rise.

    6 minute read

  2. Choosing a home care agency: what to ask before you sign

    You learn more in one phone call with the right questions than in a week online. What to ask about carers, cover, rates, coverage and what happens when things go wrong.

    7 minute read

Kinds of care at home

Hourly visits, live-in care, nights and respite, and the alternative of choosing your own carer.

  1. Agency or your own carer? The honest comparison

    An agency runs the rota and covers sickness; a self-employed carer costs less and is the same face every time. What each gives you, what each costs, and how to decide.

    7 minute read

  2. Hourly visits or live-in care? Where the crossover is

    Visits suit a few hours a day. Past about 35 hours a week, one carer living in usually costs less and covers the night. How to tell which you need.

    6 minute read