24-Hour Care in Tower Hamlets: Costs, Funding and 74 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 £1,300–£1,800 a week; a waking night £240–£320; a sleeping night £190–£230; a residential care home £1,615 a week.

Help paying for 24-hour care

The London Borough of Tower Hamlets 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 Tower Hamlets for an assessment.

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 Tower Hamlets

The newest registration is Shiny Care UK Ltd, registered with CQC in June 2026. Compare Tower Hamlets's 93% Good or Outstanding with 89% for the rated agencies among the 2,452 we list in London. Of Tower Hamlets and the 6 nearest towns we cover, Tower Hamlets ranks 5th for the share of all listed agencies rated Good or Outstanding (51%); Hackney is highest at 62%. The oldest current rating dates from November 2017 (Excelcare (Home Care) Limited Tower Hamlets Office). 61 of the 74 agencies (82%) list dementia as a specialism, against 81% across London. On their CQC registrations, 67 of 74 list physical disabilities, 42 of 74 list learning disabilities and 56 of 74 list mental health conditions.

Paying for 24-hour care in Tower Hamlets: typical prices

Typical 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 Tower Hamlets): £23.17 an hour for home care (2025/26 average paid to agencies); £1,397.58 a week for residential care (2025/26 average, over-65s); £1,535.17 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. Check what you would pay · Weekly cost calculator

Questions about 24-hour care in Tower Hamlets

Which home care agencies offer 24-hour care in Tower Hamlets?

The CQC register does not show who offers 24-hour care. There are 74 registered agencies that are based in the borough of Tower Hamlets, 38 of them rated Good or Outstanding, so ask each one.

How much does 24-hour care cost in Tower Hamlets?

Typical 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 Tower Hamlets'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 Tower Hamlets rated?

Of 41 agencies with a CQC rating, 38 (93%) are Good or Outstanding. Dementia is a specialism for 61, and 9 have a rating or inspection from the past two years.

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Built from the Care Quality Commission's register (Oct 2026) under Open Government Licence v3.0. The Care Panel lists and compares services but runs none.

24-hour care in Tower Hamlets