24-Hour Home Care - Shift Models vs. Live-In Care in London, ON

When care needs reach the point where someone requires constant supervision, 24-hour home care offers complete peace of mind. London families turn to this service when loved ones can no longer be left alone safely or when mobility and medical needs demand round-the-clock support.

How Around-the-Clock Care Works

Our 24-hour service provides continuous coverage using rotating caregivers throughout the day and night. Depending on the client’s routine and comfort level, we typically use:

  • Two 12-hour shifts (day and night)
  • Three 8-hour shifts for clients who prefer shorter rotations or smaller teams

This structure ensures each caregiver remains alert and well-rested while minimizing staff turnover during sensitive hours.

What’s Included in 24-Hour Care

24-hour caregivers assist with every aspect of daily living:

  • Personal hygiene and dressing
  • Meal preparation and feeding assistance
  • Medication reminders and mobility support
  • Toileting and incontinence care
  • Housekeeping, laundry, and errands
  • Companionship and emotional support

We also handle transportation in the client’s own insured vehicle or accompany them by taxi to appointments.

Why Senior Home Care by Angels No Longer Offers Live-In Care

Live-in care once worked well when caregivers stayed for several days at a time, but changing overtime regulations in Ontario, and lifestyle demands have made it increasingly difficult to sustain.

Today, shift-based 24-hour care ensures better coverage, safer conditions, and reliable rest periods for our caregivers, which translates into better care for clients.

Case Study: 24-Hour Home Care for One of Our Long-Term Clients

To understand how this works in practice, consider one of our long-term clients. Originally, we provided 13 hours of daily assistance, but after she experienced a series of falls and injuries, her family realized she needed more eyes on her. They chose to expand our services to 24-hour continuous care. Our dedicated team of three caregivers now works in rotating shifts to manage every aspect of her daily life, including:

  • Personal Care: Bathing, dressing, and toileting.
  •  Household Management: Meal preparation, light housekeeping, and grocery shopping.
  •  Mobility: Coordinating transportation and driving the client’s personal vehicle to appointments.

 The heart of this transition was continuity. Having been with the client since services began in 2018, the family was determined to keep her original caregiver on the team. We successfully integrated her "OG" caregiver into the new three-person rotation, ensuring both clinical safety and emotional comfort.

Understanding the Cost of Continuous Care at Home

One of our long-term clients first received 13 hours of daily care, but after multiple falls, her family decided to transition to full 24-hour coverage.

We’ve now provided continuous care for over six months, using three shifts each day and keeping familiar caregivers who have supported her for years.

Typical cost: Approximately $7,200 per week. Though this may seem high at first glance, it includes full coverage and eliminates the need for facility placement, and keeps clients safe and comfortable at home.

Continuity and Familiar Faces

We know that familiarity builds trust. Whenever possible, we schedule the same London caregivers who have been part of a client’s care team for years. Even as schedules change, that continuity of care is one of the most important benefits of choosing a dedicated local 24-hour home care agency.

Each Senior Home Care by Angels agency is a franchise that is independently owned and operated. The Franchisor, Visiting Homecare International Inc., does not control or manage the day to day business operations of any Senior Home Care by Angels franchised agency.