How to plan live-in care

Sort the day into three lists — what the person still does alone, what needs a prompt, and the two or three moments where someone must physically be there. That third list, more than any label, sets how many hours live-in care actually needs.

A useful outcome from this guide is a short written decision note for the family: what was considered, what was confirmed, what remains uncertain and who will follow up.

Turn the notes into a short written brief: the routine, the risks, the preferences that matter, and who in the family decides and receives updates. A brief a competent stranger could follow is worth more than an hour of conversation.

Note what remains independent as carefully as what needs help. Removing an ability the person still values is the quickest way to make sound support for live-in care unwelcome, so protect it in writing from the start.

Throughout live-in care, keep daily-living support separate from clinical work. Personal-care routines, meals, companionship and agreed mobility assistance can form a caregiver brief. Assessment, treatment, medication administration and anything needing clinical judgement stays with appropriately qualified healthcare professionals, and urgent symptoms mean calling 999 first.

What to have ready

• Budget, hours and practical constraints
• The current professional plan or instructions
• The options actually available in your situation
• Sources or bodies to verify current facts against
• A date to review the decision after it is made