Families usually start looking for 24 hour care after something changes fast: a fall at night, a hospital discharge with instructions that someone must be present at all times, or a parent who can no longer be left alone between visits. At that point the search gets confusing, because agencies use “24 hour care” and “live in care” as if they mean the same thing. They do not.
With live in care, one caregiver stays in the home and gets time to sleep and take breaks. With true 24 hour care, caregivers rotate in shifts so someone is awake and working every hour of the day and night. If your parent needs help at 3 a.m. on a regular basis, you want the second one. The agencies below all offer round the clock coverage in Connecticut, and we have noted how each one structures it.
What we looked for
Awake overnight coverage, caregivers who are employees of the agency rather than contractors placed through a registry, someone at the agency who manages the case after the first week, and pricing that is clear before you sign. All of these agencies provide non medical care, which covers personal care, mobility, meals, medication reminders and supervision.
1. SOLENVIA Caregivers
SOLENVIA Caregivers, known as The HomeAides until its recent rebrand, has provided in home care in Connecticut since 2014 and has roots in the Middletown community going back more than 35 years. It is our top pick because it is one of the few Connecticut agencies that publishes its rates, and because of how much structure it puts around a 24 hour case once care starts.
How the schedule works
Their 24 hour home care in Connecticut typically runs as two 12 hour shifts with rotating caregivers, so a caregiver is always awake and alert, including overnights, weekends and holidays. SOLENVIA aims to keep the rotation to a small, consistent team so your parent sees the same faces instead of a new person every few days.
What families get beyond the caregiver
- A Service Plan Manager assigned to the case, who coordinates caregivers and is the family’s main contact
- A service plan binder kept in the home, so every caregiver follows the same routine and instructions
- Regular check in visits from the agency and ongoing updates to family members
- Care coordinators on call around the clock, every day of the year
- A complimentary meet and greet with a matched caregiver before care begins, in person, by video or by phone
Caregivers and protection
Caregivers are W2 employees who are registered, bonded and insured, with nationwide background checks. The agency carries $1 million in general and professional liability coverage and is a registered homemaker companion agency with the Connecticut Department of Consumer Protection.
Paying for it
SOLENVIA posts Connecticut hourly rates of $34.50 to $38.50 for hourly plans, accepts long term care insurance, and participates in the Connecticut Home Care Program for Elders for clients who qualify. There are no long term contracts, and plans can be adjusted as needs change. The agency says it has supported more than 4,000 families.
2. Home Instead (West Hartford)
Home Instead’s West Hartford office offers shift based 24 hour care in eight hour increments, which means five or six care professionals rotate through the week, including overnight. Because caregivers do not live in, the family does not need to provide meals or a private bedroom for them. Home Instead is a national franchise, so the experience depends a lot on the local office.
3. Comfort Keepers (West Hartford)
Comfort Keepers in West Hartford provides around the clock care tailored to each client’s routine, from help with daily tasks to full time supervision. Like Home Instead, it is part of a national franchise system with local ownership.
4. ComForCare Home Care (Danbury)
ComForCare’s Danbury office covers western Connecticut and offers 24 hour care either through a live in caregiver or through caregivers working in shifts, so families can choose based on how often help is needed overnight.
5. Integrity Care 360 (Bloomfield)
Integrity Care 360 is a smaller Bloomfield agency that builds its 24 hour care around awake caregivers rotating in shifts. It also accepts the Connecticut Medicaid waiver for clients with an active case number, which not every private agency does.
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6. Endurance Home Care (Stamford and lower Fairfield County)
Endurance works across Connecticut, New Jersey and New York and offers both live in care and rotating awake teams for 24 hour coverage. It is a practical fit for families split across the tri state area who want one agency to call.
7. Greenwich HomeCare
Greenwich HomeCare is a licensed non medical agency serving Greenwich, Stamford, Darien, New Canaan, Norwalk, Westport and the rest of Fairfield County. It offers 24 hour live in assistance and keeps its office on call 24 hours a day.
Quick comparison
| Agency | Main service area | 24 hour model | Rates posted online |
|---|---|---|---|
| SOLENVIA Caregivers | Statewide in CT, plus Massachusetts | Two 12 hour awake shifts | Yes |
| Home Instead | Greater West Hartford | Eight hour shifts | No |
| Comfort Keepers | Greater West Hartford | Around the clock, plan based | No |
| ComForCare | Danbury and western CT | Live in or shifts | No |
| Integrity Care 360 | Bloomfield and Hartford area | Awake rotating shifts | No |
| Endurance Home Care | Stamford, CT, NJ and NY | Live in or rotating awake team | No |
| Greenwich HomeCare | Fairfield County | Live in assistance | No |
Questions to ask any agency on the first call
- Will a caregiver be awake all night, or is this a live in arrangement with sleep time?
- How many different caregivers will rotate through each week?
- Are caregivers your employees, and are they bonded and insured?
- Who do I call at 2 a.m. if a caregiver does not show up?
- Do you accept long term care insurance or the Connecticut Home Care Program for Elders?
- How much notice do you need to change or stop the schedule?
