Home care · County Durham

24-hour care in Spennymoor

24-hour care means someone is on hand at any hour. At home it is usually arranged as live-in care, with one carer living in, or as daytime visits plus waking nights; when help is needed all night as well as all day, two carers share the hours. Compare the 32 CQC-registered agencies covering Spennymoor and ask which of them provide it.

Agencies from the CQC register, updated 27 October 2026. Prices: Typical prices across England in 2026

The short version

  • Agencies that have an office within 7 miles of Spennymoor: 32, with 22 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.
  • Which agencies provide 24-hour care is not on the CQC register, so ask each one.
  • A care needs assessment from County Durham council costs nothing.

To cite: "24-hour care in Spennymoor", The Care Panel, Oct 2026, from CQC register analysis.

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.

Spennymoor's agencies in figures

One rating goes back to July 2019: Human Support Group Limited - Appleton Lodge. Ask what has changed since. In Spennymoor, 50% of agencies support people with dementia (16 of 32); the County Durham figure is 72%. Looking at specialisms, 21 of 32 list physical disabilities, 18 of 32 list learning disabilities and 18 of 32 list mental health conditions. CQC registered County Durham Office in October 2026, the newest on this list. Ratings are older than average here: 9% of agencies have one less than two years old, compared with 15% across County Durham. At 92% Good or Outstanding, Spennymoor sits below the County Durham figure of 97% (from 189 agencies). Counting all listed agencies, not only rated ones, Spennymoor (69% Good or Outstanding) is 5th out of 7 local towns, led by Durham (82%). County Durham has 3 Outstanding agencies in total; covering Spennymoor the figure is 2.

How much 24-hour care costs in Spennymoor

Typical prices 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).

Agencies differ more than regions do on hourly rates, so request a complete tariff from each one, covering weekends and bank holidays too. For 2026/27, the Homecare Association says council-funded home care in England is only sustainable at £34.42 an hour or more. Source: Lottie Care Index, Q3 2026. Work out a weekly cost · What would we pay?

Home care agencies that cover Spennymoor

Ranked on CQC rating, its date and then distance. Ask each one about 24-hour care.

  1. ROC Support Network

    5.4 miles · Physical disabilities, Sensory impairments, Mental health conditions

    Est. £32–£39/hr

    OutstandingRated Nov 2021
    More details (ROC Support Network)
  2. Home Instead Durham

    6.5 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    OutstandingRated Nov 2023
    More details (Home Instead Durham)
  3. MMAB Healthcare- MMAB Consulting Ltd

    3.2 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jul 2025Inspected recently
    More details (MMAB Healthcare- MMAB Consulting Ltd)
  4. RCS Domiciliary Agency Ltd

    4.4 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Sep 2025Inspected recently
    More details (RCS Domiciliary Agency Ltd)
  5. Social Return Case Management Ltd

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

    Est. £30–£37/hr

    GoodRated Nov 2025Inspected recently
    More details (Social Return Case Management Ltd)
  6. Extra Care

    0.6 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Feb 2024
    More details (Extra Care)
  7. Excellence Home Care

    3.2 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Sep 2022
    More details (Excellence Home Care)
  8. Dale Care Durham

    3.2 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Mar 2023
    More details (Dale Care Durham)
  9. St Anne's Community Services - Durham DCA

    3.2 miles · Learning disabilities

    Est. £30–£37/hr

    GoodRated Mar 2023
    More details (St Anne's Community Services - Durham DCA)
  10. Potens Dipton Supported Living and Outreach

    4.0 miles · Mental health conditions, Learning disabilities

    Est. £30–£37/hr

    GoodRated Jun 2022
    More details (Potens Dipton Supported Living and Outreach)
  11. Premier Community Care

    4.4 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jun 2023
    More details (Premier Community Care)
  12. Positive Care and Support Ltd

    4.7 miles · Older people, Learning disabilities, Adults under 65

    Est. £30–£37/hr

    GoodRated Jun 2023
    More details (Positive Care and Support Ltd)
  13. Deaconstar Limited

    4.7 miles · Learning disabilities

    Est. £30–£37/hr

    GoodRated Dec 2023
    More details (Deaconstar Limited)
  14. Beechfield Care & Support Limited

    5.3 miles · Older people, Learning disabilities, Adults under 65

    Est. £30–£37/hr

    GoodRated Jan 2023
    More details (Beechfield Care & Support Limited)
  15. Helping Hands Durham

    5.8 miles · Dementia, Older people, Physical disabilities

    Est. £29–£35/hr

    GoodRated Sep 2023
    More details (Helping Hands Durham)
  16. Blossom Home Care Durham

    6.9 miles · Older people, Physical disabilities, Sensory impairments

    Est. £30–£37/hr

    GoodRated May 2022
    More details (Blossom Home Care Durham)
  17. Perfect Care - Durham Home Care

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jul 2021
    More details (Perfect Care - Durham Home Care)
  18. Human Support Group Limited - Appleton Lodge

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £30–£37/hr

    GoodRated Jul 2019
    More details (Human Support Group Limited - Appleton Lodge)
  19. Supportive SRC Ltd

    1.8 miles · Services for everyone

    Est. £30–£37/hr

    GoodRated Oct 2020
    More details (Supportive SRC Ltd)
  20. The Integration Trust Limited

    3.2 miles · Physical disabilities, Learning disabilities

    Est. £30–£37/hr

    GoodRated May 2020
    More details (The Integration Trust Limited)

See all 32 agencies covering Spennymoor →

What families ask about 24-hour care in Spennymoor

Who provides 24-hour care in Spennymoor?

CQC does not record which agencies provide 24-hour care. 32 CQC-registered home care agencies have an office within 7 miles of Spennymoor; 22 are rated Good or Outstanding. Ask each whether it provides 24-hour care.

How much does 24-hour care cost in Spennymoor?

Typical prices 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 Spennymoor?

92% Good or Outstanding (22 of 24 rated). 4 were inspected or rated within two years, and 16 are registered for dementia.

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CQC register data (Oct 2026), reused under the Open Government Licence v3.0. The Care Panel is independent of every provider listed.