Live-In Care That Fits Around You

Personalised support for spinal cord injury, acquired brain injury, and other complex conditions

What is Live-In Care?

Live-in care is a service where a dedicated carer lives with you in your home, providing consistent, one-to-one support throughout the day and evening. It offers an alternative to residential care or visiting care, allowing you to stay in your own environment with the support you need to live safely and independently.

This type of care is particularly suited to people living with spinal cord injury, acquired brain injury, neurological conditions, or other long-term or complex needs. It can also support individuals recovering from illness or surgery, or anyone who requires flexible care that adapts throughout the day.

Support is overseen by our experienced Clinical team, who work closely with you to ensure your care is safe, effective, and tailored to your evolving needs.

How Does it Work?

We start by getting to know you—your daily routine, support needs, preferences, personality, and what helps you feel at ease. Our Clinical team will carry out a detailed assessment and work with you and your family to build a personalised care plan.

We understand that care is about more than clinical tasks. For many clients, especially those living with SCI or ABI, structure, routine, and compatibility with carers are key. That’s why we take time to find people who not only meet your clinical needs but who also fit your lifestyle and values.

Who Will My Carers Be?

We create a small, consistent team around you. Usually, this means two carers working a regular rotation pattern of two weeks on, two weeks off. One carer stays with you for two weeks at a time, then hands over to the next carer, and so on. This setup provides stability and familiarity, with clear handovers and minimal disruption.

Carers are recruited specifically for you. We’ll share their profiles so you can review their background and experience and decide who you'd like to meet. You’re fully involved in shaping your long-term care team.

What Kind of Support is Provided?

Live-in care covers everything related to your physical, emotional, and practical well-being. This may include support with clinical routines such as bowel care or medication management, but also day-to-day activities like diary planning, light housekeeping, shopping, or helping you access hobbies and appointments.

Some clients want help preparing meals or driving to hydrotherapy or physio. Others may need cognitive or communication support, or just someone to help keep life organised. Your carer is there not only to support your health but to help you live the life you want to lead. It’s a blend of care and personal assistance, fully tailored to you.

How Are Hours Structured?

Carers work a set number of average hours across a 24-hour period, depending on your assessed needs. They are available throughout the day to support your routine, and they take a daily break at an agreed time. They also rest overnight in a private bedroom.

If overnight support is needed—for example, if care is required during the night on a regular basis—we will work with you to explore appropriate options, such as waking night shifts or additional cover.

What If a Carer is Unavailable?

If one of your regular carers becomes unwell or is unable to attend, we will arrange a trained and informed replacement to step in. We maintain clear handover protocols to ensure continuity of care and minimise disruption to your routine.

Who Employs the Carers?

All carers are employed directly by Paragon Home Healthcare. We handle recruitment, employment checks, training, clinical supervision, insurance, and payroll. We are regulated by the Care Quality Commission and provide full clinical governance across all care packages.

This means you do not need to worry about managing employment responsibilities—we take care of it all so you can focus on living your life.

What Do I Need to Provide?

To support a live-in arrangement, your carer will need a private bedroom for overnight rest, access to a bathroom, and use of the kitchen for food preparation.

You can choose how food arrangements are managed. Some clients prefer to agree a food allowance which we can manage and pay directly to the carer. Others choose to manage this personally—by providing meals, doing a joint food shop, or reimbursing the carer directly. We’ll help you decide what works best for you and your household.

If overnight care is part of your routine, we’ll also discuss the safest way to deliver this, whether through your live-in carer or through a separate waking night arrangement.

What Makes Our Live-In Care Different?

We don’t send a different carer each week. We build a small, stable team just for you, based on your personality, preferences, and clinical needs.

We provide care that is truly personalised—whether that means structuring your day after an acquired brain injury, providing complex bowel care after a spinal injury, or simply helping you manage daily life with more ease and control.

Unlike introductory agencies, we employ our carers and oversee every aspect of their work. That means we are always accountable, always responsive, and always here for you.

What Happens Next?

If you're considering live-in care for yourself or a loved one, we're here to help you explore the options. We’ll guide you through the assessment, talk through your preferences, and begin the process of building the right team around you.

Get in touch to speak to a member of our team or to arrange an initial conversation with our Clinical lead.