Do dementia sufferes have to pay care home fees?

One of the questions we’re asked most often at In Home Care is:
“Is live in care actually cheaper than moving into a care home?”

It’s an important one and not just because of the financial side. When you’re arranging long-term care for yourself or someone you love, the decisions are deeply personal. You’re not only thinking about money; you’re thinking about comfort, dignity, and peace of mind. You want to know that life will still feel like life, not a series of routines.

The short answer? In many cases, yes particularly for couples, or for anyone who values one-to-one care in the comfort of their own home. But the real picture is about more than numbers. It’s about lifestyle, familiarity, and what truly feels right for your family.

What Does Live In Care Really Mean?

Live in care is exactly what it sounds like a professional carer moves into your home to provide round-the-clock support, companionship, and reassurance.

It might include things like:

For many people, this isn’t just “care” it’s the comfort of sleeping in your own bed, keeping your pets close, and enjoying your own cup of tea in your favourite chair. It’s staying independent while still having that steady, caring presence nearby.

What’s Life Like in a Care Home?

Care homes offer residential support in a shared setting. You’ll usually have your own room, but most other areas such as lounges and dining spaces are communal.

Carers work on a rota, supporting several residents at once. Meals, laundry, and group activities are part of daily life. Some residents enjoy the social environment, while others can find the change unsettling or less personal.

It’s a supportive option, but naturally, the level of one-to-one attention is different from having a dedicated carer in your home.

Comparing the Costs: Live In Care vs Care Home

This is where families are often surprised.

Live In Care Costs:

Care Home Costs:

For an individual, the difference may be modest. But for couples, living in care often works out significantly more affordable and it allows you to stay together in the home you love.

What’s Included in Live In Care?

Live in care is personal and flexible, adapting entirely to your needs. That might include:

You’re not just one of many residents; you’re the focus of care, with attention centred entirely around you.

What’s Included in a Care Home?

Care homes usually provide:

It’s structured and safe, but the personal attention is naturally spread across many residents.

Other Costs and Considerations

With live in care, you’ll still cover your regular household bills, utilities, groceries, and maintenance but for many families, that’s a fair exchange for keeping the home, the memories, and the routines that make life feel familiar.

By contrast, moving into a care home often means selling the family home to cover fees, a practical step, but one that can feel emotionally difficult and final.

What Else Affects the Cost?

A few factors can shift the balance either way:

So… Is Live In Care Cheaper?

For many families, yes particularly for couples, or for anyone who wants to stay at home surrounded by the things and people they love. Live in care often proves both more cost-effective and more emotionally comforting.

It might be the right choice if:

That said, care homes play an important role especially where nursing care is needed or where someone might thrive in a more social, communal setting.

We’re Here to Talk It Through

Every family’s situation is unique, and there’s no single “right” answer. What matters most is finding the care that feels right emotionally, practically, and financially.

At In Home Care, we’re always happy to listen, answer questions, and help you make an informed decision. Whether you’re comparing live in care with a care home or simply exploring your options, we’re here to talk it through with you.

Let’s find a plan that works for your needs, your budget, and most importantly your peace of mind.

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