LIVE IN CAREGIVERS / 24 HOUR CARE

OUR LIVE IN CAREGIVERS ARE ALWAYS THERE FOR YOU

Hiring a caregiver for 24 hour or live in home care is the choice for OUR LIVE-INfamilies looking for a comprehensive, cost effective alternative to a nursing home or assisted living facility.  A live in caregiver from a quality home care agency eliminates the emotional strain associated with moving away from the familiarity and comfort of home, which often leads to physical decline, further loss of independence and diminished quality of life.  24 hour and live in care allows your aging loved one to retain independence by living at home or near family members, making it a great choice for elderly or respite care.

Who can benefit from 24 hour live in home care?

24 hour live in home care assistance is especially useful for anyone with Alzheimer’s disease or memory conditions that may cause them to wander. It is also beneficial for a person who is a fall risk at night when getting up to use the restroom or is generally frail when moving about. If someone is not able to respond to an emergency and would need assistance, the presence of a live in caregiver is needed for both safety as well as comfort. Live in home care assistance is necessary for any bedbound person who needs total assistance. It is also useful for people who feel anxious or get lonely easily or who have incontinence and cannot do their personal care on their own.

 NO TWO HOMES ARE EXACTLY ALIKE.  OUR CARELink CAREGIVER MATCHING SYSTEM WILL FIND THE IDEAL LIVE IN CAREGIVER TO BRING INTO THE MOST INTIMATE ENVIRONMENT – YOUR HOME.

LIVE IN CAREGIVERS AND 24 HOUR CARE

Unlike nursing homes, 24 hour live in home care provides the most independent option for seniors. With a ratio of one caregiver to one client, seniors are able to function at their own pace, following a schedule of their preferences and choosing their own meals. Avoiding the disorientation of moving to a new facility, elderly adults enjoy living in their own home with 24 hour live in care.

24 hour live in caregiver responsibilities are tailored to individual families based on conditions, preferences, hobbies and lifestyle of the individual, but often include:

  • Assistance with Personal Care – bathing, toileting, dressing
  • Meal Preparation – planning/shopping lists
  • General household upkeep/light housekeeping
  • Laundry – keeping linens and bedding fresh
  • Quality Companionship – conversation, oversight
  • Escort to  doctors’ visits, appointments, weddings and other events
  • Outside the home excursions – parks, houses of worship, going to lunch, recreation areas, senior centers, etc.
  • Shopping
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WHAT IS THE DIFFERENCE BETWEEN 24-HOUR CARE AND LIVE IN CARE?

When home care for your loved one i required at all times, you have the option of 24 hour or Live in Care to ensure a caregiver will be there throughout the day and night. Both services are great alternatives to assisted living facilities and nursing homes, as they provide seniors with around-the-clock care, while simultaneously allowing them to remain in the comfort of their own homes. Decide which service is the right one for your family.

24 Hour Care Live In Care
Number of caregivers per day 2 caregivers (minimum) 1 caregiver
Hours per day the caregiver works 8 or 12 hours per caregiver 24 hours
Sleeping break Optional 8 hours
Cost Hourly rate per day Flat rate per day
24 Hour Care Live In Care
Pros
  • A caregiver is present at all times and will be awake throughout the night
  • Caregivers are more refreshed and alert since there is at least one caregiver rotation in a 24-hour period
  • Reduced number of caregivers, resulting in consistency of care
  • Establishment of a relationship between the senior and the caregiver
Cons
  • Higher cost of care due to hourly billing rate (compared to a flat daily rate for live in care)
  • Less consistency due to rotations of multiple caregivers
  • Mandatory eight-hour sleeping break and personal/mealtime breaks during daytime hours for caregiver
  • The senior is left  with no direct supervision during breaks – if necessary, the family steps in to fill the gaps or hires additional care

24 HOUR HOME CARE WITH TWO CAREGIVERS PER DAY

This type of 24 hour care is typically comprised of two 12 hour shifts, and the caregivers are required to remain alert throughout their entire shift in order to assist clients with:

  • Memory loss behaviors such as wandering
  • Bed Sore Prevention by providing attention at least every two hours
  • Bedside Safety by reducing fall risks (i.e. night time trips to the bathroom)

 

 LIVE IN CARE WITH ONE CAREGIVER PER DAY

Live in care with one caregiver per day may be an affordable option. The U.S. Department of Labor requirements for live in care include:

  • Client must sleep at least 5 hours continuously throughout the night to provide the live in caregiver a minimum of 5 hours of uninterrupted sleep, and a total of 8 hours of sleep.
  • Overnight live in caregivers will need to be provided a bed in a private room.
  • Live in caregivers must have adequate time for meal periods and personal breaks.

WHAT ARE THE OPTIONS FOR HOME CARE?

  • HOME CARE
  • ADULT DAY SERVICES
  • ASSISTED LIVING FACILITIES
  • NURSING HOMES

The most popular option, home care, can be given formally by professionals and informally by friends, family and neighbors. Home care typically includes meal preparation, bill paying, laundry, cleaning, grooming, and incontinence care. Expect to pay between $20-$27/hour for a skilled caregiver.

Pros:
  • Home is where most older adults prefer to be
  • No moving or transportation costs
  • Emotional support and companionship from caregivers; strong relationships increase care benefits and reduce coronary risks
  • Works around the older adult’s schedule
  • Preserves independence
Cons:
  • Can be difficult to find the right caregiver, especially for long-term needs
  • Costs are hourly or on a live in basis, so 24-hour care can be expensive
Ideal for:Older adults who need help with lots of little things

Those recovering from hospital stays

Mobility-impaired

Those who want to stay at home

If you believe 24 hour live in care and oversight is needed for you or your loved one, CityCARE Home Care offers a team of dedicated professionals to tailor your home care plan, find the best caregiver through our CARELink Caregiver Matching System, and continuously follow up to improve care outcomes.

Older adults seeking companionship and mental stimulation can find it in adult day services, which provide activities and therapy with out-of-home transportation. Hot meals, nursing care and light exercise, as well as art therapy, reminiscence groups, horticultural workshops and other recreations are provided. The average cost is about $65 per day, depending on services offered.

Pros:
  • Strong social element
  • Great way to cultivate new interests
  • Transportation usually provided
Cons:
  • Typically does not handle incontinence, bathing or grooming routines
  • Daily transportation can be tiring
Ideal for:Older adults with loved ones who have recently passed away

Those whose children live out of state

Older adults who can move around without much difficulty

If you believe 24 hour live in care and oversight is needed for you or your loved one, CityCARE Home Care offers a team of dedicated professionals to tailor your home care plan, find the best caregiver through our CARELink Caregiver Matching System, and continuously follow up to improve care outcomes.

In an assisted living facility (ALF), older adults find help with routine tasks, such as grooming, housekeeping, cooking, and taking medication, while having their own full bathrooms and kitchens. Costs vary based on apartment unit size, services offered, and additional fees. The average cost of a one-bedroom in an ALF can range from $3,000 to $15,000 per month (in more expensive places such as Manhattan).

Pros:
  • 24-hour availability from nurse practitioners
  • Social common areas and recreation schedules offer solidarity with other older adults
  • Independent apartments, without the restrictions of nursing homes
  • More affordable than nursing homes, staff have similar qualifications
Cons:
  • More involved needs such as washing and cleaning incur additional costs
  • Care costs are separate from food and living costs
  • Can be difficult to find ALFs that encourage personal freedom
  • Long wait lists
Ideal for:Those who need help with everyday tasks but still want a home with their own rules

Older adults who want an engaging social life

If you believe 24 hour live in care and oversight is needed for you or your loved one, CityCARE Home Care offers a team of dedicated professionals to tailor your home care plan, find the best caregiver through our CARELink Caregiver Matching System, and continuously follow up to improve care outcomes.

Nursing homes have licensed nurses and physicians on-site, available around the clock in order to handle grooming, dressing and incontinence challenges. Memory care communities prevent older adults with Alzheimer’s from wandering.They are the most expensive care option, sometimes reaching $9,000 per month.

Pros:
  • Physicians,nurses, pharmacies, and medical equipement are on-site
  • Many activities and social engagements
  • Medicare can cover these costs
Cons:
  • Prices above $7000 per month
  • Lack of personal freedom due to regimented schedule
  • Finding the right nursing home can be difficult
  • Older adults can feel abandoned if the nursing home is not highly rated
  • Lockdown systems impede free movement and independence
Ideal for:Frail and sick

Older adults who need constant attention

Those with worsening conditions

Patients in any stage of Alzheimer's

If you believe 24 hour live in care and oversight is needed for you or your loved one, CityCARE Home Care in CT offers a team of dedicated professionals to tailor your home care plan, find the best caregiver through our CARELink Caregiver Matching System, and continuously follow up to improve care outcomes.

SPECIALIZED LIVE IN CAREGIVERS AND 24 HOUR CARE FOR CLIENTS WITH MEMORY LOSS

SPECIALIZED 24 HOURIf your loved one is suffering from memory loss, finding the correct live in caregiver and home care agency can be challenging.  A live in caregiver from a quality home care agency can provide loving and compassionate assisted living support.

Our approach to memory loss starts with our live in caregivers.  CityCARE Home Care provides extensive support to all our homemakers and companions and aides working with clients suffering from memory loss.  We only hire caregivers with extensive experience in memory loss.  If you are considering hiring a live in caregiver for a loved one suffering from memory loss and would like to learn more, please give us a call anytime.

If you believe 24 hour live in care and oversight is needed for you or your loved one, CityCARE Home Care offers a team of dedicated professionals to tailor your home care plan, find the best caregiver through our  CARELink Caregiver Matching System, and continuously follow up to improve care outcomes.

COMMON QUESTIONS ABOUT LIVE IN CAREGIVERS

1. How does the cost of live in care compare to the cost of 24 hour care?

A flat daily rate is charged for a live in caregiver arrangement and the caregiver is provided with her own room. Typically, one caregiver is assigned and is allowed an eight-hour sleeping break during the night. The live in caregiver is also allotted a lunch break and several short personal breaks throughout the day. The sleeping and personal breaks leave the senior unattended, and in some situations where seniors need around-the-clock attention, families choose to hire additional care to fill in the gaps. The additional home care is usually charged hourly.

For 24 hour care, we charge an hourly rate, as the day is typically divided among at least two caregivers. The caregivers assigned for 24 hour care are required to be alert and awake during the night. A room for the caregiver is required only if the caregiver has the opportunity to sleep.

When comparing the two options, 24 hour care tends to be more costly due to the hourly billing.

2. What’s included in live in and 24 hour care?

Live in and 24 hour care involves a referred caregiver living in the same home as your loved one. The caregiver is there to assist with activities of daily living, personal care, medical assistance, staying active, and is able to accompany your loved one to any appointments or social outings outside the home. Some caregivers are able to drive your loved one around to these activities (cost can vary based on whose car is being driven). Please tell your CityCARE Home Care representative everything you require a live in or 24 hour caregiver to do, and we will match you with someone that will fulfill all your needs.

3. Is overnight care included in live in and 24 hour care?

In a live in care arrangement, typically the caregiver is available for 16 hours and unavailable for 8 hours of sleep. If 24 hour around-the-clock care is required, multiple caregivers would need to be referred to cover an entire 24 hour day and ensure that somebody is awake and alert at all times.

4. Can live in and 24 hour care be used in both, long-term and respite situations?

Yes. We pride ourselves on building strong, long-term relationships with our clients and strive to provide only the best caregivers for any type of home care situation, especially a live in arrangement. We also understand that family caregivers sometimes need a much needed break or have other family obligations that they need to attend to. CityCARE Home Care can provide your family with a short-term care solution for both, live in and 24 hour care arrangements.

5. Can live in caregivers provide service in assisted living facilities and nursing homes?

Yes! We can refer a caregiver to help wherever your loved one resides. We have caregivers with experience inside many of assisted living facilities and nursing homes. When you hire a caregiver to assist your loved one inside one of these facilities, you can be reassured that they are receiving the care they need, and are provided with personal attention regardless of their living situation.