Home care · County Durham

24-hour care in Chester-le-Street

When someone cannot be left alone, 24-hour care at home is usually a live-in carer, or day visits plus waking nights. Where night help is needed often, plan for two carers sharing the day and night. None has confirmed it to us yet, so ask the 67 CQC-registered agencies covering Chester-le-Street directly.

Updated 27 October 2026 (CQC register) · Prices: Prices typically seen across England in 2026

Key points

  • 67 CQC-registered home care agencies have an office within 7 miles of Chester-le-Street; 51 are rated Good or Outstanding.
  • Typical prices here: live-in care around £1,540–£1,610 a week. Live-in care is usually the cheapest way to cover day and night.
  • Ask each agency about 24-hour care; the CQC register has no record of who provides it.
  • Ask County Durham council for a care needs assessment, which is free.

Reference this page as: The Care Panel, "24-hour care in Chester-le-Street", Oct 2026, based on the CQC register.

Live-in care or waking nights?

Live-in care is usually the most affordable way to have someone there day and night: one carer lives in, but needs about two hours off each day and an unbroken night's sleep. Waking nights put a carer in the home who stays awake all night; combined with daytime visits, that covers all 24 hours. If help is needed most nights, one live-in carer is not enough: add waking nights or a second carer.

Typical local prices: live-in care around £1,540–£1,610 a week; a residential care home £1,185 a week.

Help paying for 24-hour care

County Durham council must offer a free care needs assessment; if it finds eligible needs by day and night, care at home can be part of a council care plan, and the value of the home is not counted for care at home. Attendance Allowance pays its higher rate of £114.60 a week to people over State Pension age who need help both day and night, whatever their savings. When the main need is a health need, NHS Continuing Healthcare may pay in full. Getting assessed by County Durham council.

When 24-hour care is needed

Families usually look for it after a hospital stay, when dementia means someone cannot be left alone or wanders at night, after repeated falls, or at the end of life. A care home is the alternative to compare: for one person it often costs less than staffing every hour at home, but many people want to stay in their own home.

Agencies covering Chester-le-Street: the data

Looking at specialisms, 51 of 67 list physical disabilities, 36 of 67 list learning disabilities and 45 of 67 list mental health conditions. In Chester-le-Street, 73% of agencies support people with dementia (49 of 67); the County Durham figure is 72%. Ranked against the 6 closest towns on our site by the share of every listed agency that is rated Good or Outstanding, Chester-le-Street comes 6th of 7 (76%), with Sacriston top at 87%. One rating goes back to September 2018: Crescent Homecare Limited. Ask what has changed since. CQC registered Human Support Group – Gateshead in August 2026, the newest on this list. At 98% Good or Outstanding, Chester-le-Street sits in line with the County Durham figure of 97% (from 189 agencies).

What 24-hour care costs in Chester-le-Street

Prices typically seen across England in 2026
Visiting carearound £32–£34 an hour
Live-in carearound £1,540–£1,610 a week

What Durham County Council pays providers: £22.83 an hour for home care (2025/26 average paid to agencies); £857 a week for residential care (2025/26 average, over-65s); £890 a week for nursing care (2025/26 average, over-65s) (source).

The gap between agencies is bigger than the gap between regions. Ask for prices in writing, and check what weekends and bank holidays cost. According to the Homecare Association, councils across England should pay no less than £34.42 an hour for home care in 2026/27 if it is to be sustainable. Source: Lottie Care Index, Q3 2026. Check what you would pay · Weekly cost calculator

Home care agencies serving Chester-le-Street

Check with each agency that it offers 24-hour care. Order: CQC rating, then how recent, then distance.

  1. Home Instead Durham

    4.2 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    OutstandingRated Nov 2023
    See details (Home Instead Durham)
  2. New Vision Care Services

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jan 2026Inspected recently
    See details (New Vision Care Services)
  3. Medsolve (UK) Limited

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Feb 2026Inspected recently
    See details (Medsolve (UK) Limited)
  4. TLC Community Services Limited

    2.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jan 2026Inspected recently
    See details (TLC Community Services Limited)
  5. The Care and Support Group County Durham

    4.8 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jun 2025Inspected recently
    See details (The Care and Support Group County Durham)
  6. Social Return Case Management Ltd

    4.9 miles · Older people, Adults under 65, Caring for children (0 - 18yrs)

    Est. £30–£37/hr

    GoodRated Nov 2025Inspected recently
    See details (Social Return Case Management Ltd)
  7. My Home Care Ltd

    5.1 miles · Dementia, Mental health conditions, Learning disabilities

    Est. £30–£37/hr

    GoodRated Feb 2026Inspected recently
    See details (My Home Care Ltd)
  8. Coquet Trust

    5.5 miles · Older people, Physical disabilities, Sensory impairments

    Est. £30–£37/hr

    GoodRated Nov 2024Inspected recently
    See details (Coquet Trust)
  9. Nupath Care Gateshead

    5.6 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated May 2025Inspected recently
    See details (Nupath Care Gateshead)
  10. Cergus Prime Care Durham and Sunderland

    5.7 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Oct 2025Inspected recently
    See details (Cergus Prime Care Durham and Sunderland)
  11. Vanguards Healthcare Ltd

    5.7 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Dec 2025Inspected recently
    See details (Vanguards Healthcare Ltd)
  12. Bluebird Care (Gateshead)

    5.7 miles · Dementia, Older people, Physical disabilities

    Est. £32–£39/hr

    GoodRated Oct 2026Inspected recently
    See details (Bluebird Care (Gateshead))
  13. KEYFORT North East

    5.7 miles · Physical disabilities, Sensory impairments, Learning disabilities

    Est. £30–£37/hr

    GoodRated Feb 2026Inspected recently
    See details (KEYFORT North East)
  14. ESPA Agency

    6.4 miles · Learning disabilities

    Est. £30–£37/hr

    GoodRated Dec 2025Inspected recently
    See details (ESPA Agency)
  15. Housing 21 - Fountain Court

    6.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Aug 2026Inspected recently
    See details (Housing 21 - Fountain Court)
  16. Living Well North Ltd

    6.7 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Sep 2025Inspected recently
    See details (Living Well North Ltd)
  17. SureCare Gateshead

    6.8 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Mar 2026Inspected recently
    See details (SureCare Gateshead)
  18. Orchard Home Care Services Limited

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jun 2023
    See details (Orchard Home Care Services Limited)
  19. Office NE

    under 0.5 miles · Older people, Physical disabilities, Sensory impairments

    Est. £30–£37/hr

    GoodRated Feb 2023
    See details (Office NE)
  20. North East Autism Society

    1.2 miles · Learning disabilities, Adults under 65, Caring for children (0 - 18yrs)

    Est. £30–£37/hr

    GoodRated Aug 2023
    See details (North East Autism Society)

See all 67 agencies covering Chester-le-Street →

24-hour care in Chester-le-Street: common questions

Who provides 24-hour care in Chester-le-Street?

Ask each agency: CQC keeps no record of who provides 24-hour care. Of the 67 registered agencies that have an office within 7 miles of Chester-le-Street, 51 are rated Good or Outstanding.

How much does 24-hour care cost in Chester-le-Street?

Prices typically seen across England in 2026: live-in care typically costs around £1,540–£1,610 a week. Covering every hour with separate day and night carers costs much more, because each hour is paid.

Is 24-hour care the same as live-in care?

Not quite. A live-in carer is there day and night but needs a daily break and a full night's sleep. If help is needed through the night most nights, true 24-hour care means adding waking nights or a second carer.

Can the council pay for 24-hour care at home?

It can, if County Durham council's care needs assessment finds eligible needs by day and night and care at home is a suitable way to meet them. A financial assessment follows; for care at home the home is not counted. NHS Continuing Healthcare pays in full when the main need is a health need.

How good are home care agencies around Chester-le-Street?

98% Good or Outstanding (51 of 52 rated). 16 were inspected or rated within two years, and 49 are registered for dementia.

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