One-to-one care at home — undivided attention for one person

When one-to-one care is the right answer

Not every situation needs constant company. These usually do:

Dementia with night-time restlessness:

Getting up, wandering, confusion between day and night. Relatives manage a few weeks of this, then they are finished themselves. A constant companion brings structure back — and sleep for the family.

Risk of falling:

Someone who gets up at night and is no longer steady should not be alone in the flat. We are there when they get up, we help in time, and we prevent falls that would otherwise shape a whole phase of life.

The final phase of life at home:

Many people would like to die at home. For that to work, the family needs someone who carries the long hours with them — awake, calm, experienced, unhurried.

After an operation:

The first nights of recovery are the most critical: confusion, unsteadiness, pain. Company bridges the gap until things are stable again.

When relatives reach their limit:

Family carers need nights when they sleep through and days when they do not have to be reachable. We take those hours on, reliably.

What a carer does with us

Be there:

Present, attentive, approachable. Talking when someone wants to talk. Silent when someone wants silence.

Observe and make sense of it:

Noticing changes and passing them on plainly — to the family, to the GP, to the nursing service. With more than fifteen years of experience, our staff know what matters and what can wait.

Hold the day together:

Helping with food and drink, accompanying trips to the bathroom, helping with repositioning, giving medication as prescribed, keeping things calm and in order.

Come along where needed:

To the GP, to a specialist, on a walk, to a family occasion. Nobody waits alone in a corridor.

Take the weight off the family:

You do not have to rush over every evening. You know someone is there — and you hear how it went.

Awake company or on-call?

For the night hours we distinguish two models — the difference shows clearly in the price:

Active (awake) company:

The carer stays awake throughout, observes actively, documents regularly. Right for acute situations — the dying phase, severe confusion, high risk of falling.

On-call:

The carer sleeps in an adjoining room, or in a reclining chair in the same room, and wakes at every sound. Right when the nights are usually quiet but nobody should be left alone.

Which model fits, we settle in the first conversation. Switching is possible at any time if the situation changes.

What one-to-one care costs

One-to-one care is a private-pay service. Statutory long-term care insurance does not cover it directly. Where a care level (*Pflegegrad*) is in place, respite care (*Verhinderungspflege*, § 39 SGB XI) or the relief amount (*Entlastungsbetrag*, § 45b SGB XI) can often be used — you submit our invoice yourself. We will advise you on what applies in your case.

We do not quote flat rates, because situations differ too much: the hourly rate depends on the qualification required, on the extent, and on whether it is awake company or on-call. In the free first conversation we listen first, and then make a concrete, transparent proposal with an hourly rate and the likely total.

Supplements under § 3b EStG are stated openly: 25 % at night, 50 % on Sundays and public holidays.

Frequently asked questions

• How quickly can you start?

  For situations that can be planned, two or three days is enough. In acute cases we try to provide a first carer within 24 hours — depending on the day and time, sometimes sooner. Call us and we will tell you honestly what is possible.
• Can we book single nights only?

  Yes. Many of our assignments are exactly that: one, two or three nights during a critical phase. Single weekend nights or one fixed night a week work just as well as continuous company over months.
• Is it always the same person?

  As far as possible, yes. We work with a small settled team and use two or three carers in rotation for longer assignments, so that a familiar face still comes when someone is ill or on holiday. Constantly changing staff would be the opposite of what one-to-one care is for.
• What if my mother does not like the person?

  Then we replace them. Usually the strangeness is gone after the first hour, but personal chemistry is not a side issue in this work. Tell us and we will arrange it without debate.
• What qualifications do your staff have?

  It depends on the situation. Where the nursing demands are high, a registered nurse comes. Where it is about presence, attention and daily life, an experienced carer is often the better choice. What your case needs, we settle beforehand — not afterwards.
• Does health insurance cover this?

  No. Statutory health insurance pays for medical treatment, not for the continuous presence of a carer. Some private supplementary policies reimburse part of it — worth checking in advance.
• Do we need a separate room for the carer?

  For on-call care a sofa, an armchair or a reclining chair is enough — a bed is not necessary. For awake company a chair and a reading light will do. We fit ourselves around your home, not the other way round.
• What happens in an emergency?

  The carer calls the emergency doctor (112), informs the relatives and stays with the person until help arrives. What is to be done is agreed in writing with you at the start of the assignment — and, if you wish, with the GP.