Overnight Care Options: In-Home vs. Residential Care for Dementia Patients

July 31, 2025
In-Home vs. Residential Care for Dementia Patients

For many families supporting a loved one with dementia, night-time is an especially challenging time. Restless sleep, confusion, wandering and agitation can all become more pronounced after dark, leaving both carers and clients feeling vulnerable, exhausted, and unsure of what to do next.

At Abode, we understand how daunting this can feel. That’s why we offer flexible overnight care solutions that support families through this stage of the dementia journey – with empathy, expertise, and reassurance. Whether you're considering in-home support or exploring residential care, here’s what you need to know.

Why Dementia Requires Overnight Care

As dementia progresses, cognitive changes often disrupt the body’s natural sleep cycle. Your loved one may struggle to fall asleep, wake frequently, or become disoriented during the night – a phenomenon known as ‘sundowning’. Some may attempt to leave the house or move about unsafely. These behaviours are distressing – and dangerous – if left unsupported.

Overnight care isn’t just about managing risk. It’s about creating calm, safety, and a sense of continuity when the world feels confusing.

In-Home Overnight Care: Support That Comes to You

In-home care is the first choice for many families for one simple reason: your loved one stays in the place they know best. That familiar armchair, the dog at the end of the bed, the comfort of their own pillow. These details matter deeply to someone living with dementia.

Our overnight care options are tailored to what each person needs:

  • A sleepover shift offers peace of mind, with a carer sleeping on-site and available if needed.
  • An awake night shift provides constant, active support through the night.

Remaining at home often reduces anxiety and disorientation. It also allows families to stay closely involved while still receiving the professional help they need. For many, it’s the most gentle way to navigate this next chapter.

Residential Overnight Care: A Different Type of Support

Residential dementia care facilities are purpose-built environments that offer structure, security, and trained staff around the clock. They’re often the right call for those in later stages of dementia, or with complex health needs. 

Residential care can offer families a sense of relief and assurance. But it comes with its own challenges for clients. New surroundings, unfamiliar routines, and separation from loved ones can be deeply disorienting at first.

Additionally, unlike in-home care, where clients receive one-on-one support throughout the night, residential care typically operates on a carer-to-resident ratio. This means staff may be assisting another resident when your loved one needs help, which can result in delays or missed support in the moment. 

It’s a crucial distinction for families weighing the importance of dedicated and immediate overnight care – and one our team can help you to understand, and navigate.

Choosing What’s Right for Your Family

There’s no one-size-fits-all approach. The right decision will depend on your loved one’s stage of dementia, overall health, safety needs, and your family’s ability to support them at home. Emotional, practical, and financial factors all play a role.

In-home care can be a gentler starting point, especially if your loved one is still aware of their environment. But it’s important to plan ahead and remain flexible, as needs will change over time.

Understanding the Costs

Residential care typically involves higher fixed costs, while in-home care offers more flexibility and control over hours. Financial support may be available through government subsidies, dementia-related services, or insurance. The Abode team can help you understand what you may be eligible for.

We’re Here When You’re Ready

Making care decisions for someone you love isn’t easy. But you don’t have to do it alone.

At Abode, we believe people living with dementia deserve to feel safe, supported and respected, day and night. Our experienced team is here to help you explore what’s right for your family, whether that means starting with a simple overnight check-in, or transitioning to full-time support.

If you’d like to know more about our overnight care services, you can get in touch with our caring team here.

We’re here to help, whenever you need us.