Home care · London

24-hour care in Hackney

Round-the-clock care at home comes in two main forms: a live-in carer who stays in the home, or daytime visits combined with a carer who stays awake overnight. If someone needs help at night most nights, two carers usually share the work. 39 agencies registered with CQC cover Hackney. Check with each one that it provides this kind of care.

Agency data: CQC register · Updated 27 October 2026 · Prices: Usual 2026 prices in London

Quick summary

  • Of the 39 CQC-registered agencies that are based in the borough of Hackney, 24 have a Good or Outstanding rating.
  • Typical prices here: live-in care £1,300–£1,800 a week; waking night £240–£320. 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.
  • The London Borough of Hackney has to offer a care needs assessment free of charge.

Citation: "24-hour care in Hackney", The Care Panel analysis of CQC register data, 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 £1,300–£1,800 a week; a waking night £240–£320; a sleeping night £190–£230; a residential care home £1,615 a week.

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.

Help paying for 24-hour care

The London Borough of Hackney 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. How to ask the London Borough of Hackney for an assessment.

What the register shows for Hackney

Compare Hackney's 89% Good or Outstanding with 89% for the rated agencies among the 2,452 we list in London. Curam Managed Care Services Limited is the most recently registered, joining the CQC register in February 2026. Green Arrow Care has the oldest rating still in force, from December 2018. No nearby town we list has a higher share of its listed agencies rated Good or Outstanding than Hackney (62%); Camden follows at 62%. Dementia appears on 31 of 39 registrations here (79%), compared with 81% in London as a whole. On their CQC registrations, 36 of 39 list physical disabilities, 22 of 39 list learning disabilities and 24 of 39 list mental health conditions.

Paying for 24-hour care in Hackney: typical prices

Usual 2026 prices in London
Visiting care£30–£40 an hour
Sleeping night£190–£230
Waking night£240–£320
Live-in care£1,300–£1,800 a week

What the council pays (London Borough of Hackney): £21.55 an hour for home care (2025/26 average paid to agencies); £1,044.48 a week for residential care (2025/26 average, over-65s); £1,304.83 a week for nursing care (2025/26 average, over-65s) (source).

The Homecare Association puts the minimum sustainable price for council-funded home care in England at £34.42 an hour for 2026/27. Estimate the weekly cost or see what you might pay

Home care agencies covering Hackney

Not confirmed for 24-hour care, so ask. Listed by CQC rating and rating date, then distance.

  1. Bluebird Care (Islington) & Bluebird Care (Hackney)

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £36–£44/hr

    GoodRated Jun 2026Inspected recently
    Full profile (Bluebird Care (Islington) & Bluebird Care (Hackney))
  2. London Borough of Hackney Extra Care

    0.7 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Mar 2025Inspected recently
    Full profile (London Borough of Hackney Extra Care)
  3. Goldsmith Personnel Limited

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Feb 2024
    Full profile (Goldsmith Personnel Limited)
  4. Social Care 4U

    0.6 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Apr 2023
    Full profile (Social Care 4U)
  5. Smarter Care Provision Ltd

    0.6 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Dec 2022
    Full profile (Smarter Care Provision Ltd)
  6. Home Instead Stoke Newington, Leyton & Wanstead

    0.7 miles · Dementia, Older people, Physical disabilities

    Est. £37–£45/hr

    GoodRated Feb 2022
    Full profile (Home Instead Stoke Newington, Leyton & Wanstead)
  7. YoD Care Services

    0.8 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated May 2023
    Full profile (YoD Care Services)
  8. Elect Care Consultants Ltd

    0.9 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Feb 2023
    Full profile (Elect Care Consultants Ltd)
  9. Hatszz Prestige Care Limited

    1.2 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Jan 2022
    Full profile (Hatszz Prestige Care Limited)
  10. Umbrella Health Care Ltd

    1.2 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Mar 2023
    Full profile (Umbrella Health Care Ltd)
  11. Airmid Staffing

    1.4 miles · Services for everyone

    Est. £34–£42/hr

    GoodRated Jul 2023
    Full profile (Airmid Staffing)
  12. Dignity Direct Homecare Limited

    1.6 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Jun 2022
    Full profile (Dignity Direct Homecare Limited)
  13. Ezer Leyoldos Domiciliary Care Agency

    1.8 miles · Older people, Physical disabilities, Sensory impairments

    Est. £34–£42/hr

    GoodRated Dec 2022
    Full profile (Ezer Leyoldos Domiciliary Care Agency)
  14. Yad Voezer Limited Supported Living Service

    1.9 miles · Older people, Physical disabilities, Mental health conditions

    Est. £34–£42/hr

    GoodRated Jun 2022
    Full profile (Yad Voezer Limited Supported Living Service)
  15. Mondonovo Care Limited

    under 0.5 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Apr 2020
    Full profile (Mondonovo Care Limited)
  16. Care Outlook (Hackney)

    0.8 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Sep 2019
    Full profile (Care Outlook (Hackney))
  17. Unique Care UK

    0.8 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Feb 2021
    Full profile (Unique Care UK)
  18. edyn.care Head Office

    1.1 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated May 2021
    Full profile (edyn.care Head Office)
  19. Tetra Live - in Care

    1.4 miles · Physical disabilities

    Est. £34–£42/hr

    GoodRated Jul 2019
    Full profile (Tetra Live - in Care)
  20. Green Arrow Care

    1.5 miles · Dementia, Older people, Physical disabilities

    Est. £34–£42/hr

    GoodRated Dec 2018
    Full profile (Green Arrow Care)

The full list: 39 agencies covering Hackney →

Questions about 24-hour care in Hackney

Which home care agencies offer 24-hour care in Hackney?

The CQC register does not show who offers 24-hour care. There are 39 registered agencies that are based in the borough of Hackney, 24 of them rated Good or Outstanding, so ask each one.

How much does 24-hour care cost in Hackney?

Usual 2026 prices in London: live-in care typically costs £1,300–£1,800 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 the London Borough of Hackney'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 are agencies covering Hackney rated?

Of 27 agencies with a CQC rating, 24 (89%) are Good or Outstanding. Dementia is a specialism for 31, and 4 have a rating or inspection from the past two years.

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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.