24-Hour Care in Horden: Costs, Funding and 19 Local Agencies (Oct 2026)

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.

What the register shows for Horden

16 of the 19 agencies (84%) list dementia as a specialism, against 72% across County Durham. The oldest current rating dates from October 2018 (Housing 21 - Bramble Hollow). The newest registration is Vestra Homecare Durham, registered with CQC in August 2026. By specialism, 16 of 19 list physical disabilities, 9 of 19 list learning disabilities and 17 of 19 list mental health conditions. Compare Horden's 100% Good or Outstanding with 97% for the rated agencies among the 189 we list in County Durham. 21% of agencies covering Horden have a CQC rating from the last two years, against 15% across County Durham. No Outstanding ratings covering Horden yet, against 3 across County Durham. Counting all listed agencies, not only rated ones, Horden (68% Good or Outstanding) is 5th out of 7 local towns, led by Seaham (79%).

What 24-hour care costs in Horden

Usual 2026 prices across England
Visiting care	around £32–£34 an hour
Live-in care	around £1,540–£1,610 a week

Durham County Council's own rates: £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).

Ask every agency for a full list of charges, with weekend and bank holiday rates: hourly rates vary more between agencies than between regions. Homecare Association figure for 2026/27: a sustainable council rate for home care in England starts at £34.42 an hour. Source: Lottie Care Index, Q3 2026. Estimate the weekly cost or see what you might pay

Questions about 24-hour care in Horden

Who provides 24-hour care in Horden?

19 agencies on the CQC register have an office within 7 miles of Horden, and 13 hold a Good or Outstanding rating. Which of them provide 24-hour care is not recorded by CQC: ask them.

How much does 24-hour care cost in Horden?

Usual 2026 prices across England: 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 Horden?

100% Good or Outstanding (13 of 13 rated). 4 were inspected or rated within two years, and 16 are registered for dementia.

Arranging 24-hour care in Horden?

Tell us what's needed once. Featured partners and up to three rated agencies that take enquiries through us reply to you directly, by email.

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Care options in Horden

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24-hour care in Horden