Live‑In Carer vs. Hourly Care: Which Is Right for You?

Choosing between a live in carer and hourly care? Maxona Care offers both at home care options, from live‑in caregiver support to flexible hourly respite care.

Dr. Aishat O. MPH

7/30/20252 min read

person wearing gold wedding band
person wearing gold wedding band

When a loved one’s care needs increase, families must decide between bringing in a live‑in carer or scheduling hourly care visits. Each model has unique benefits—and the right choice depends on health needs, budget, household dynamics, and the desired level of independence. Here’s a closer look at both options to help you make the best decision for your family.

What Is a Live‑In Carer?

A live‑in carer moves into the senior’s home—usually in a private bedroom—to provide around‑the‑clock support. This arrangement typically includes:

  • Continuous Assistance: Transfers, toileting, medication reminders, meal preparation, and companionship—day and night.

  • Seamless Schedules: No gaps between visits; the carer is present for emergencies, wandering prevention, and sleep disturbances.

  • Deep Relationship: Extended time together fosters trust, emotional security, and consistent routines.

Ideal for:

  • Seniors with advanced dementia or Parkinson’s who require overnight supervision.

  • Individuals with high fall risk or complex medical regimens.

  • Couples who want to remain together at home without a full nursing home transition.

What Is Hourly Care?

Hourly care means scheduling a caregiver for blocks of time—often 2–12 hours per visit. Services can include:

  • Personal Care & ADLs: Bathing, dressing, mobility assistance, and grooming.

  • Respite & Companionship: Relief for family caregivers, social engagement, and light housekeeping.

  • Meal Prep & Errands: Grocery shopping, lunch preparation, and medication reminders.

Ideal for:

  • Seniors with stable health who need help with daily tasks but are generally independent.

  • Families on a budget who only require targeted support (e.g., evenings or weekends).

  • Those recovering from surgery or illness on a short‑term basis.

Comparing Costs & Commitments

Feature Live‑In Carer Hourly Care Availability 24/7 Scheduled blocks only Cost Structure Flat weekly or monthly fee plus room/board Hourly rate (no room/board) Privacy Impact Carer lives in your home Caregiver comes and goes Flexibility Less flexible—house rules apply Highly flexible—book only needed hours Continuity Same carer all the time May rotate caregivers between shifts

Live‑in care often carries a higher overall price tag due to full‑time wages and accommodations. Hourly care can be more economical if needs are limited to specific times of day.

Key Factors to Guide Your Decision

  1. Level of Care Needed: Deep medical or behavioral support often mandates a live‑in arrangement.

  2. Home Layout & Privacy: Do you have a comfortable spare room? Are you comfortable hosting a caregiver overnight?

  3. Budget Considerations: Calculate total weekly costs (wages + room/board) versus hourly fees multiplied by anticipated hours.

  4. Lifestyle & Social Needs: Some seniors thrive with constant companionship; others prefer discrete, daytime visits.

  5. Family Involvement: If family members are available for nights, you might only need hourly respite care.

How Maxona Care Can Help

At Maxona Care, we provide:

  • Live‑In Caregiver Support: Rigorous screening, private room setup guidance, and nurse‑overseen training ensure safe 24/7 care.

  • Flexible Hourly Care: From two‑hour visits to full‑day blocks, our certified aides deliver personal care, meal prep, and companionship.

  • Seamless Transitions: Start with hourly care and upgrade to live‑in support if needs evolve.

  • Dedicated Coordination: A single point of contact manages scheduling, vetting, and quality checks—so you can focus on family.

Ready to explore the right home care solution? Call us at (470) 756‑1751 or visit www.maxonacare.com to schedule a free consultation. Our office is located at Cedar Falls, IA 50613—let Maxona Care tailor a care plan that keeps your loved one safe, comfortable, and independent at home.