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Care at home

More support without leaving home

A care worker lives in the home and gives frequent support across the day, following the tasks, routines and preferences agreed in the care plan.

Ask about live-in care

Prefer to speak to someone? Call 020 8153 3774

An older woman and a Muzaana care worker standing together in a living room

Understanding the service

What live-in care means

Live-in care gives someone frequent help while they remain among their own belongings, neighbours and daily routines. A resident care worker supports the parts of the day written into the agreed care plan.

The worker has agreed working time, rest, breaks and time off. Live-in care does not mean one person works or remains awake continuously for 24 hours.

What support can look like

What live-in care can include

The assessment identifies what the person wants help with and what they prefer to keep doing for themselves. The care plan then sets out the agreed support.

  • Personal care

    A carer can help with washing, dressing, grooming, oral care and continence while respecting privacy and choice.

  • Meals and drinks

    Support may include planning and preparing ordinary meals, making drinks and helping with the person’s usual mealtime routine.

  • Medication support

    Any support with medication is assessed, agreed and recorded in the care plan.

  • Mobility and transfers

    After assessment, carers use the method and any equipment agreed in the care plan.

  • Light household tasks

    The plan may include washing up, changing bed linen, laundry or keeping the immediate living space tidy.

  • Companionship

    There can be time for conversation, shared interests and ordinary parts of home life alongside practical help.

  • Appointments and activities

    A carer may accompany the person when the purpose, transport and practical arrangements have been agreed beforehand.

  • Records and handover

    Carers record the support given and pass relevant information through the route written into the care plan.

What to understand

Planning the arrangement

Agreeing how the home will work

Before care begins, Muzaana discusses the practical arrangements with the person and anyone they want involved. These details are written down so neither the person nor the care worker has to rely on assumptions.

  • Suitable private space and agreed arrangements for rest and meals
  • Household access, keys, alarms and internet use
  • Pets, smoking and other details of daily life in the home
  • Usual night-time needs and the likely number of interruptions

Working time and rest still apply

A resident care worker can provide frequent planned help, but they do not work or stay awake without a break. Their working time, rest, breaks and time off form part of the arrangement.

If someone regularly needs active help during the night, Muzaana must assess that need and discuss a separate agreed arrangement. It should not be treated as part of one worker’s uninterrupted day.

Short bookings need a separate discussion

If support is needed for a family-carer break or another temporary period, short-term and respite care may be a better place to start. Muzaana will explain what it can offer after learning about the person and the dates under consideration.

What planned live-in support can cover

  • Frequent personal and practical help across the agreed working day
  • Meals, drinks, companionship and light household routines written into the care plan
  • Appointments or activities when the practical arrangements have been agreed
  • Recording care and reporting relevant concerns through the named route

What one resident care worker cannot cover

  • One worker does not work or remain awake continuously for 24 hours
  • Regular active help at night needs assessment and a separate agreed arrangement
  • Needs outside the agreed plan must be reviewed before the care arrangement changes

How care begins

Starting care is simpler than you may think

  1. Step 1: Tell us what support is needed

    Tell us what is happening, what support may help and which routines or preferences matter to the person.

  2. Step 2: Have a care conversation and assessment

    We discuss the person’s needs, choices and day-to-day circumstances, including any risks or practical points that need a clear plan.

  3. Step 3: Agree the care plan and practical arrangements

    The written plan records the agreed support, how the person wants it provided and the practical arrangements that must be in place.

  4. Step 4: Start care and review it as needs change

    Care starts after the plan and arrangements have been agreed. Reviews allow the plan to change when the person’s needs, wishes or circumstances change.

Questions families ask

Answers before you decide anything

Does live-in care mean a carer works for 24 hours?
No. A resident worker has agreed working time, rest, breaks and time off; they do not work or remain awake continuously for 24 hours.
What happens if help is often needed at night?
Muzaana assesses the night-time need and discusses a separate agreed arrangement. Regular interruptions cannot simply be added to one resident worker’s day.
Can a live-in carer help with medication?
Any support with medication is assessed, agreed and recorded in the care plan.
What needs to be agreed about the home?
Muzaana discusses suitable private space, rest, meals, internet, access, pets and likely night interruptions, then records the arrangement before care begins.
Can I ask about live-in care for a short period?
Ask us about short-term and respite care. We will assess the person’s needs and explain whether an arrangement is available for the dates being considered.

What a family said about Muzaana

Muzaana Care provided excellent support to not just my mother but the entire family.

Philippa HoddellFamily memberGoogle review

Talk to our care team

Talk through the support needed across the day

Tell us about the person’s routines, night-time needs and home. We can arrange an assessment and discuss whether live-in care fits the situation.

You can contact us for yourself, a family member or someone you support professionally.

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