As care needs change, support during the night can become just as important as daytime assistance. Night-time domiciliary care allows older adults to remain safely and comfortably in their own homes, even when they require help overnight. This type of care provides reassurance, reduces risks, and helps maintain dignity while ensuring essential needs are met.
This guide explains when night care may be needed, what it typically includes, and how families can decide whether it is the right option.
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Night care is often needed when an individual:
- Wakes frequently during the night and requires support
- Needs help transitioning in and out of bed
- Experiences incontinence, requiring assistance or supervision
- Has reduced mobility or risk of falls
- Lives with dementia, leading to confusion or wandering during the night
- Needs regular medication or monitoring
- Feels anxious or unsafe when alone at night
Night-time care can provide both physical support and emotional reassurance, promoting a better quality of sleep for both the individual and their family carers.
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Night care may include one of two main types of support:
A carer stays in the home overnight and is available if needed, but does not typically remain awake.
This is suitable when occasional support is required but not continuous monitoring.
A carer stays awake throughout the night, actively monitoring and assisting.
This is suitable for individuals who need frequent or intensive support.
Common support tasks are summarised below:
| Type of Support | Description | Examples |
|---|---|---|
| Mobility Assistance | Helping the individual move safely around the home. | Getting in and out of bed, using walking aids. |
| Personal Care | Support with hygiene and comfort. | Assistance with toileting, continence care, dressing. |
| Monitoring and Safety | Ensuring the individual's wellbeing during the night. | Fall prevention, dementia wandering support. |
| Medication Support | Helping ensure medication is taken correctly if scheduled overnight. | Prompts, dosage assistance. |
| Reassurance and Companionship | Providing calm, reassuring presence to ease anxiety. | Talking, emotional support, settling back to sleep. |
- Reduces risk of falls and nighttime injuries
- Supports dementia-related restlessness, agitation or wandering
- Allows family carers to rest overnight
- Helps maintain independence at home instead of overnight admission to a facility
- Provides comfort and reassurance for those who experience nighttime anxiety
Ask yourself these guiding questions:
Does your loved one wake regularly during the night requiring assistance?
Are there concerns about safety, such as falls or confusion?
Is the family caregiver becoming exhausted balancing day and night care?
Has sleep disturbance become frequent and disruptive?
If the answer to any of these is yes, night-time care may be beneficial.
Typically 8–12 hours overnight, depending on care needs and schedule.
No. It is suitable for anyone who needs support or monitoring overnight, including those with mobility issues or medical needs.
Sleep-in carers sleep on-site and assist if needed; waking night carers stay awake and provide active support throughout.
Yes. Many families use a combination to create a comprehensive, personalised care plan.
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