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Home care vs a care home

How to understand what's right for your care in Hull, Beverley & East Yorkshire...

A set of old fashioned scales to represent the weighting up of home care options and advice

Choosing the right type of care is a big decision, whether for yourself or a loved one. At Sirius Homecare, we’re here to help you make an informed choice that feels right for your family. Below, we’ve outlined the key differences between home care, care homes, and hiring a personal assistant (PA) to support your decision-making.

Home care (domiciliary care)

With home care, support is provided in the comfort of your own home by trained care professionals. This is the service we specialise in at Sirius Homecare.

Pros:

  • Stay in familiar surroundings – no need to move away from your home, pets, or community.

  • Personalised care – tailored support that fits your daily routine and preferences.

  • One-to-one attention – consistent carers who build meaningful relationships.

  • Flexible support – from 30-minute visits to 24/7 round-the-clock care.

  • Family involvement – easier for loved ones to stay involved in day-to-day care.

Cons:

  • May require additional equipment or home adjustments.

  • 24-hour care at home can become more costly compared to residential settings.

  • Can feel isolating for those who enjoy group social activities (although we can help support social inclusion through activities at home, or by taking you on outings).

Carer supporting an older adult at home in Hull and East Yorkshire

Want more information on home care?

If you'd like to find out more information about our home care services, take a look at our home care page or get in touch by using our online form or calling 01482 655002.

Care homes (residential care)

Care homes offer round-the-clock support and accommodation in a communal setting, typically with shared mealtimes and activities.

Pros:

  • 24/7 support available – support always on hand, especially helpful for complex medical needs.

  • Social opportunities – group activities and companionship with other residents.

  • Structured environment – routine care in a managed setting.

Cons:

  • Loss of independence – less personal control over routines, meals, and environment.

  • Emotional impact – moving away from home can be very unsettling, especially for those with dementia.

  • Shared care – staff in residential settings care for multiple residents, which can significantly reduce one-to-one time and attention.

Personal assistants (direct employment)

Some people choose to hire a Personal Assistant (PA) using Direct Payments from their local authority or personal funds.

Pros:

  • Direct choice – you choose who supports you and when.

  • Potential cost savings – PAs are likely to be more affordable per hour than agency-based care.

  • Tailored care – built around your exact preferences and lifestyle.

Cons:

  • You become the employer – responsible for payroll, insurance, sick leave cover etc.

  • Less oversight – PAs may not have formal training or any form of management supervision unless you arrange it.

  • No backup – if your PA is unwell or on holiday, finding cover can be difficult, and often it is left to family or friends to step in.

So, what's the best option?

It depends on your needs, preferences, and circumstances. Here’s a quick summary:

Option
Best For
Considerations
Personal assistant

Directly hiring someone for specific support

Offers choice and continuity, but comes with employer responsibilities and lack of guaranteed cover.
Care home

24/7 care in a structured environment

Suited to people with high care needs who enjoy communal living and social activities.
Home care

Staying independent at home with flexible support

Ideal for those who want to remain in their own home with tailored, professional help, and guaranteed cover.

Need support choosing?

If you're unsure which route is right for you or your loved one, we’re here to help. At Sirius Homecare, we offer free, no-obligation assessments to help you explore your options and create a plan that works for you.

Choosing care is personal - let us help you get it right.

Call us on 01482 655002, email us at info@siriushomecare.co.uk or use our online form by clicking below.

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