24-hour care in Berlin — without the grey market

Many providers advertise “24-hour care” and mean by it a single person living in the house for days or weeks at a stretch. In almost every configuration that is legally a grey market — working time law, minimum wage, social insurance, rest breaks. Recent judgments (Federal Labour Court, European Court of Justice) make it plain: this model does not deliver what it promises. Clients are increasingly held personally liable.

We do it differently.

For us, 24-hour care means a small, settled team of German nurses and care staff on a rotating shift model. Properly registered, properly paid, with night and Sunday supplements under § 3b EStG shown transparently. No hidden costs, no legal risk for you as the client.

What our shift model looks like in practice

A typical example — the reality is always individual:

Early shift 06:00–14:00:
Nurse Anna.
Late shift 14:00–22:00:
Nurse Bernhard.
Night shift 22:00–06:00:
Nurse Carla (on call, or actively awake).

Who is in the team

Our 24-hour teams are made up of:

Registered nurses:
for the clinical side (medication, wound care, advice to the family).
Nursing assistants and care workers:
for everyday support (hygiene, mobility, activity, meals).
Optionally, social workers or trained dementia companions:
where needed.

What 24-hour care costs with us

Continuous care with three shifts a day, seven days a week, is a considerable monthly investment. What it costs in a given case depends on three things: whether the night is worked on call or actively awake, what nursing qualification is required (registered nurse, nursing assistant, care worker), and what particular demands there are (ventilation, wound management, challenging behaviour).

In the first talk (60 to 90 minutes, free of charge) we go through the setting in detail and provide a written calculation with a monthly order of magnitude — no flat rates, no surprises.

What to watch for with other providers

The market is full of agencies offering “24-hour carers from Eastern Europe”. Legally, these models rest on thin ice:

Working time law:
One person cannot lawfully be “present for 24 hours”. Breaks and rest periods have to be observed.
Minimum wage:
Where 24 hours of availability a day are expected, many models in effect pay hourly rates well below the minimum wage.
Social insurance:
Where self-employed people are posted from elsewhere in the EU, there are considerable compliance risks.
Liability:
If the carer breaks a hip on the way to the bathroom, it is the client who may well be liable.

Frequently asked questions

  • How many people are in the team altogether?
    For 24/7 cover we need four to six people in the settled team — that way holidays, illness and weekends are covered too. But you only ever have one person with you per shift.
  • Do the staff change often?
    No. We employ people on long-term contracts. If a team member leaves, we first replace them from a wider pool of colleagues who already know your relative — before anyone genuinely new joins.
  • Can we agree twelve-hour shifts?
    Yes, to a limited extent (for long day and night changeovers, for instance). We check whether it is workable under employment law.
  • Who is liable if the carer breaks something?
    We carry professional indemnity insurance. Damage is settled through us — not through your household insurance.
  • Can we start at short notice?
    For acute handovers (discharge from hospital, for example) we need five to ten days. With a longer planning horizon we can be more individual in our approach.
  • What happens if our family member dies?
    On a death the contract ends automatically on the day itself. Hours already worked are invoiced; after that no further costs arise — no minimum term, no notice period.
  • Can you come for three or four weeks after an operation?
    Yes. Fixed-term 24-hour assignments (post-operative rehabilitation, convalescence) are a frequent request. The minimum booking is one week.

Ready for a first conversation?

Free, without obligation, and unhurried. We listen first — then come back to you with a concrete proposal.

Request a first talk

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