24-Hour Care in Horley: Costs, Funding and 96 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 £1,555 a week.

Help paying for 24-hour care

Surrey 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 Surrey 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 Horley

Looking at specialisms, 84 of 96 list physical disabilities, 44 of 96 list learning disabilities and 59 of 96 list mental health conditions. CQC registered Ideal Complex Care in October 2026, the newest on this list. One rating goes back to March 2018: Home Instead Senior Care Reigate & Tandridge. Ask what has changed since. In Horley, 77% of agencies support people with dementia (74 of 96); the Surrey figure is 84%. Reigate has the highest share of listed agencies rated Good or Outstanding nearby (69%); Horley, at 59%, is 5th of the 7 towns compared. Surrey has 16 Outstanding agencies in total; covering Horley the figure is 4. Ratings are more recent than average here: 28% of agencies have one less than two years old, compared with 22% across Surrey. At 90% Good or Outstanding, Horley sits in line with the Surrey figure of 91% (from 1,090 agencies).

What 24-hour care costs in Horley

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

Surrey County Council's own rates: £24.87 an hour for home care (2025/26 average paid to agencies); £952.38 a week for residential care (2025/26 average, over-65s); £988.04 a week for nursing care (2025/26 average, over-65s) (source).

Hourly rates vary between agencies more than between regions; ask each agency for its full price list, including weekend and bank holiday rates. 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. Check what you would pay · Weekly cost calculator

Home care agencies serving Horley

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

See all 96 agencies covering Horley →

Questions about 24-hour care in Horley

Who provides 24-hour care in Horley?

96 agencies on the CQC register have an office within 7 miles of Horley, and 57 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 Horley?

Typical 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 Surrey 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 Horley?

90% Good or Outstanding (57 of 63 rated). 28 were inspected or rated within two years, and 74 are registered for dementia.

24-hour care in Horley

Live-in care or waking nights?

Help paying for 24-hour care

When 24-hour care is needed

What the register shows for Horley

What 24-hour care costs in Horley

Home care agencies serving Horley

Questions about 24-hour care in Horley

Arranging 24-hour care in Horley?

Care options in Horley

24-hour care in nearby towns

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