Choosing the right support for an older adult can feel overwhelming, especially when balancing independence, safety, cost and emotional well-being. For many families, the decision becomes clearer when they focus on whether the person needs companionship and light help, or care. Once that distinction is made, the path forward is easier to navigate.

Homeshare and Live‑in Care are two models that enable someone to remain in their own home. They differ significantly in cost, level of support and suitability for different needs. Understanding these differences can help families and professionals make confident, informed decisions.

What Homeshare offers

Homeshare brings together an older person or someone with disabilities who has a spare room with a younger adult looking for affordable accommodation. Through our Two Generations programme, every match begins with thorough safeguarding checks and a careful matching process, followed by ongoing support throughout the arrangement. In return for low‑cost housing, the sharer offers companionship, an overnight presence and around ten hours a week of help with everyday household tasks. While the older householder gains friendship, reassurance and practical support, the younger sharer benefits from a welcoming home for approximately £350 per month.

However, Homeshare is not a regulated care service, and sharers do not provide personal care, medication support or clinical tasks. The model focuses on reducing loneliness, offering reassurance and helping with day‑to‑day living. For older adults who are largely independent but would benefit from company and a bit of help, Homeshare can be transformative.

“Having a sharer has made me feel safe….. If I didn’t have Dela I wouldn’t be able to stay in this house. We both care about each other and we both joke with each other, we chat together, it’s just so natural.” Sheila, Householder, Bournemouth.

Homeshare can often work alongside other care and communiy services. So householders can still benefit from care services or care visits whilst having a Sharer living with them for an overnight presence.

What Live‑in Care provides

Live‑in Care is a very different model. A trained professional carer moves into the home and provides round‑the‑clock support, tailored to the individual’s needs. This can include personal care, mobility assistance, medication management, meal preparation, household tasks and specialist care.

Live‑in Care is regulated by the Care Quality Commission (CQC). This means carers are trained, supervised and accountable, and families have the reassurance of a regulated service. Costs are higher than Homeshare, typically £1,200–£1,500 per week for standard support, rising with complexity.

For older adults with minimal care needs, Homeshare offers excellent value. For those with moderate to high needs, Live‑in Care is the more appropriate service.

Comparing support levels

For someone who is lonely, anxious at night, or struggling with small tasks, Homeshare can be life‑enhancing. For someone who needs help getting out of bed, managing medication, or staying safe, Live‑in Care is essential. The key distinction between the two models is the type and intensity of support.

Homeshare provides:

  • Companionship
  • Light household help
  • A reassuring presence overnight
  • Social connection and reduced isolation

Live‑in Care provides:

  • Personal care (washing, dressing, toileting)
  • Medication support
  • Mobility assistance
  • Specialist care for complex conditions
  • Full household support
  • 24‑hour supervision

Some Practical Considerations 

Safety and Regulation

Homeshare programmes include safeguarding checks but are not regulated care. Live‑in Care is fully regulated, which may be essential for adults with vulnerabilities or complex needs.

Home Environment

Homeshare requires a spare room and a willingness to share living space. Live‑in Care also requires a room for the carer but does not involve the same level of shared living.

Future Needs

Homeshare works best when needs are stable, or when working alongside other care or community services, such as morning and evening visits.  If an older adult’s needs are likely to increase, families and social workers should plan for a potential transition to Live‑in Care or another regulated service.

Making the right choice

“We’ve seen a huge difference in her confidence. She is definitely no longer lonely, they make a great team!” Daughter of Lynn, Householder, Richmond

There is no one‑size‑fits‑all answer. The right option depends on the older person’s needs, preferences, home environment and financial situation. Homeshare can be a wonderful early‑intervention model, and it can work alongside daily care visits and keep someone connected, active and independent. Live‑in Care offers peace of mind, safety and comprehensive support for those who need it.

The Social Care Institute of Excellence has published an excellent guide to Homeshare programmes (link), or speak to the team to find out more about the Two Generations Homeshare programme.