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Elderly parents

Carers charging for 30 minutes but only working 15-20 minutes - is this normal for care?

112 replies

ImissSpangles · 07/08/2026 09:25

I am not sure if this is a normal thing to expect from care or not.

Mum lives with my dad, she has dementia and is incontinent. Last year we employed a team of carers to help mum.

They are all self employed but work together as a team, so not an actual care company. In retrospect we absolutely should have gone with a company because things can often become a bit too fragmented for my liking, for example I have to pay everyone individually, they insist on being paid weekly, I would have preferred monthly but they don't want that. Tbh, we had to rush about finding these carers a year ago after mum had come out of a long hospital stay and the NHS discharge carers let us down. It was all frantic at the time and very stressful. Looking back at it all a care company would have been a much better fit.

Anyhow, the carers come three times a day, around 9.30am to get mum up, put on the loo and showered/dressed, then again after lunch for a toilet break and again at 7pm to put mum to bed. They come in pairs and charge £26 per hour and £20 per half hour. This is 7 days a week.

However, they will often only do 15-20 minutes during the afternoon and evening visit and will round their charge to the nearest half hour. I am usually at my parents for the afternoon visit and I have never known them to ever do a full half hour.

I have no idea if this is normal practice for carers? I asked on a Subreddit and was piled upon by some people saying that it's poor enough money as it is and the carers have to consider travel expenses etc. I am a self employed cleaner and when I tell my clients that I am doing an hour, I will do the full hour, I have also incorporated the cost of my travel into my fee as this isn't my clients concern (and my fee is a lot less than the carers).

Does anyone else have private carers for a parent and do they do this? Maybe it is normal, I honestly don't know?

OP posts:
ShetlandishMum · 07/08/2026 13:37

With my neighbour it was 20 minutes = 20 min in the house and 10 min on the road.

ImissSpangles · 07/08/2026 13:37

Victorius19 · 07/08/2026 13:28

I've commented on your other thread OP, thought I recognised your story.

Please call them out on it. I worked for a care company and we had to dial into a number off the clients phone to say we'd arrived and then dial out as we left. If we didn't stay at least 25 minutes we would be asked why. And it worked both ways - if we were regularly going over time on 2 carer visit, it was clear that not enough time was being allowed.

Private carers should be allowing travel time in between the visits. It sounds like your family is being taken advantage of, sadly.

Thank you. I hope the SS care needs assessment will come through soon.

In the meantime I have a telephone appointment with an Admiral dementia nurse in half an hour to see if they can offer any more advice.

I have indeed posted a few times. I just try to reach out to whoever I can tbh, dementia care is a lonely world, absolutely none of my friends are going through this, they are either lucky to still have elderly parents alive and in good health or others have been, dare I say it 'lucky' that their parent went quickly without too much suffering or needing care.

I have had enough really, there always seems to be something to sort out for my parents. I've been on the phone all morning trying to find a local pharmacy who stocks mum's dementia meds because Boots have missed it off her delivery and can't tell me when it will be available.

Always something to do.......

OP posts:
PermanentTemporary · 07/08/2026 13:36

It is really normal to change care companies. I like the idea of a kind of cooperative carer company but not if they’re going to reproduce all the worst aspects of private care provision. Presumably they’ve found it’s still hard to make a living providing care without ripping people off. I work with people just coming out of hospital so I see a lot of care companies in action and they do vary - some of them obviously do work harder in recruitment and training than others.

I think insisting on using the commode so that your poor dad is sleeping in the stench is simply unacceptable.

ByQuaintAzureWasp · 07/08/2026 13:32

Just thinking about this £26 for two people for an hour diesnt even ci er minimum wage, NI and pension. I'd say i am happy to pay more but say I want the full time covered.

7238SM · 07/08/2026 13:31

Do you have any sort of written contract with these people? What notice period do you need to given if/when you change to other carers? I wouldn't get rid of them until something else is sorted and in place.

Victorius19 · 07/08/2026 13:28

I've commented on your other thread OP, thought I recognised your story.

Please call them out on it. I worked for a care company and we had to dial into a number off the clients phone to say we'd arrived and then dial out as we left. If we didn't stay at least 25 minutes we would be asked why. And it worked both ways - if we were regularly going over time on 2 carer visit, it was clear that not enough time was being allowed.

Private carers should be allowing travel time in between the visits. It sounds like your family is being taken advantage of, sadly.

EagerQuail · 07/08/2026 13:26

ImissSpangles · 07/08/2026 13:18

I am embarrassed to admit that we did no research on them at all, they are all local and it was a kind of 'friends of a friend' situation. They told us they are all insured and have up to date DBS and we have taken their word for it.

In our defense, we were in a zoned out bubble at the time. The fall mum had taken was quite severe, she had split her head open, fractured her hand and dislocated her knee. She had sustained an odontoid peg neck fracture and we were told by orthopaedics that most elderly people with osteoporosis and cancer, as mum sadly has, won't fully recover and are likely to die but here she still is, she is as strong as an ox. Her hospital stay was dire and I had to be her voice and advocate for her all the time, there is never any continuity of communication on hospitals wards (mum also had another stay this Jan which was an absolute nightmare). Mum was bedbound and couldn't communicate at all when she was discharged, we genuinely thought she had only weeks left and we just got in the care we could after the NHS discharge care had let us down.

Obviously, hindsight is a great thing and if I knew then what I know now I would have done things so differently but it is hard for me as my dad is 85 and gets confused easily and my sister will often just put her hands up and say she doesn't understand so will be no use so everything regarding my parents wellbeing is often down to me to deal with. I have my own issues and am down for a hysterectomy in October, God only knows how they will cope but my dad and sister seem to believe that I will be back on my feet within a few weeks.

This is why I have arranged for SS to come. I want things set in place in case my surgery doesn't go to plan.

You did the best you could do at the time. We are all just learning and adapting as we go. We were with social services which I found helpful especially as things progressed to no longer being suitable for home care. Good luck

ImissSpangles · 07/08/2026 13:19

FinallyHere · 07/08/2026 13:13

Their pay is very low and I gather they don’t get paid for travelling between appointments so are likely just trying to keep on schedule.

You can ask them in a kind way, rather than in a not getting full value way, whether they have enough time to do everything they see could be done. Offer to pay for longer and see how they feel about that ?

you might still not get the last ten minutes but you will be loosing a smaller percentage of the overall time.

At £26 per hour, per carer I don't think that's too bad, I don't get paid anywhere near that hourly rate.

They don't use any of their own equipment or PPE, we even supply their gloves.

OP posts:
ImissSpangles · 07/08/2026 13:18

7238SM · 07/08/2026 12:58

How did you vet these people? Do you have DBS checks on them all? Is there a care plan? 😬

I'm glad she is having a social services review soon. I'd would be asking them, IF you stopped the private 'carers' what provisions would be made. I know you didn't like the previous NHS, but she might be entitled to a different package now. Your dad might even get some support. A relative is having 4 visits a day, 2 carers each time and I don't think paying near the fees you are. And yes, carers often do other things not just shower and dress people. If they have time over, they could make them a cup of tea, heat a meal, brush her hair, help with feeding etc etc.

I've worked in a similar medical role and understand the pressure to get from A to B, and house to house, BUT, these people are self employed and working their own rota system. The fees seem extremely high IMO! I'm not saying carers shouldn't be paid a decent wage, but in most areas, its lucky to be above minimum wage. I'd be asking about them cutting the time short because its fraud.

I am embarrassed to admit that we did no research on them at all, they are all local and it was a kind of 'friends of a friend' situation. They told us they are all insured and have up to date DBS and we have taken their word for it.

In our defense, we were in a zoned out bubble at the time. The fall mum had taken was quite severe, she had split her head open, fractured her hand and dislocated her knee. She had sustained an odontoid peg neck fracture and we were told by orthopaedics that most elderly people with osteoporosis and cancer, as mum sadly has, won't fully recover and are likely to die but here she still is, she is as strong as an ox. Her hospital stay was dire and I had to be her voice and advocate for her all the time, there is never any continuity of communication on hospitals wards (mum also had another stay this Jan which was an absolute nightmare). Mum was bedbound and couldn't communicate at all when she was discharged, we genuinely thought she had only weeks left and we just got in the care we could after the NHS discharge care had let us down.

Obviously, hindsight is a great thing and if I knew then what I know now I would have done things so differently but it is hard for me as my dad is 85 and gets confused easily and my sister will often just put her hands up and say she doesn't understand so will be no use so everything regarding my parents wellbeing is often down to me to deal with. I have my own issues and am down for a hysterectomy in October, God only knows how they will cope but my dad and sister seem to believe that I will be back on my feet within a few weeks.

This is why I have arranged for SS to come. I want things set in place in case my surgery doesn't go to plan.

OP posts:
FinallyHere · 07/08/2026 13:13

Their pay is very low and I gather they don’t get paid for travelling between appointments so are likely just trying to keep on schedule.

You can ask them in a kind way, rather than in a not getting full value way, whether they have enough time to do everything they see could be done. Offer to pay for longer and see how they feel about that ?

you might still not get the last ten minutes but you will be loosing a smaller percentage of the overall time.

CloudPop · 07/08/2026 13:07

ImissSpangles · 07/08/2026 12:47

If dad does decide to keep these carers on I think we will need to install a Ring doorbell and monitor it closely.

Isn't it dreadful enough having to deal with elderly and unwell parents without having this extra load on top?

Yes it is dreadful.

Bobsterbunny · 07/08/2026 12:59

We use a care company. They stay for the full hour we pay for - shower, dress, breakfast, make beds, put washing on and put clothes away if time. I tried to get self employed carers due to cost but they either didn't turn up or were unreliable. It's not easy!

7238SM · 07/08/2026 12:58

How did you vet these people? Do you have DBS checks on them all? Is there a care plan? 😬

I'm glad she is having a social services review soon. I'd would be asking them, IF you stopped the private 'carers' what provisions would be made. I know you didn't like the previous NHS, but she might be entitled to a different package now. Your dad might even get some support. A relative is having 4 visits a day, 2 carers each time and I don't think paying near the fees you are. And yes, carers often do other things not just shower and dress people. If they have time over, they could make them a cup of tea, heat a meal, brush her hair, help with feeding etc etc.

I've worked in a similar medical role and understand the pressure to get from A to B, and house to house, BUT, these people are self employed and working their own rota system. The fees seem extremely high IMO! I'm not saying carers shouldn't be paid a decent wage, but in most areas, its lucky to be above minimum wage. I'd be asking about them cutting the time short because its fraud.

LoafofSellotape · 07/08/2026 12:55

ImissSpangles · 07/08/2026 12:47

If dad does decide to keep these carers on I think we will need to install a Ring doorbell and monitor it closely.

Isn't it dreadful enough having to deal with elderly and unwell parents without having this extra load on top?

I was just about to suggest a Ring door bell,I expect the appearance of that alone might help without you having to say anything.

LoafofSellotape · 07/08/2026 12:54

It was the norm with my experience,one of the reasons my mum went into a home.

It's not acceptable,if they're paid for half and hour then they should be there for that time,I don't care how rushed off their feet they are. If they're doing that all day then they're being paid for not a lot of work.

ImissSpangles · 07/08/2026 12:47

EagerQuail · 07/08/2026 12:40

We had exactly the same issue so installed a ring doorbell with us having access. I monitored over a 3 day period, they had charged for 510 minutes, booked on their app as being present for 373 minutes and as per the ring doorbell were actually there for 247 minutes. A shortfall of nearly 4 hours care over just 3 days. I sent this as a formal complaint to the care company and they thanked me for getting the ring doorbell installed and out a qr code in the flat that the carers had to scan. Once they knew I was documenting this they then stuck to their times properly. I hated doing it but was infuriated the first night to see that she had been washed, fed, put to bed and tablets in 8 minutes.

If dad does decide to keep these carers on I think we will need to install a Ring doorbell and monitor it closely.

Isn't it dreadful enough having to deal with elderly and unwell parents without having this extra load on top?

OP posts:
EagerQuail · 07/08/2026 12:40

We had exactly the same issue so installed a ring doorbell with us having access. I monitored over a 3 day period, they had charged for 510 minutes, booked on their app as being present for 373 minutes and as per the ring doorbell were actually there for 247 minutes. A shortfall of nearly 4 hours care over just 3 days. I sent this as a formal complaint to the care company and they thanked me for getting the ring doorbell installed and out a qr code in the flat that the carers had to scan. Once they knew I was documenting this they then stuck to their times properly. I hated doing it but was infuriated the first night to see that she had been washed, fed, put to bed and tablets in 8 minutes.

ImissSpangles · 07/08/2026 12:35

I have tried to edit my OP as I don't think it's clear to some but sadly I can't at this late stage.

So to clarify, there are currently no care companies involved at all, we have a team of carers who are all self employed but know each other and work together.

Mum has two carers working together (this was not our request, the carers explained at the beginning mum needed this) and their fees are the same - £26 per hour and £20 per 30 mins - that's each so for each 15-20 minute call we pay £40 and £52 for an hour. So the average weekly care cost to us is nearing £1000 (mum also goes to a day centre every Friday costing £120).

Care certainly doesn't come cheap.

OP posts:
ImissSpangles · 07/08/2026 12:28

LathkillDale · 07/08/2026 12:08

DD1 used to have carers come to the house, for 8 hours a day Monday to Friday, which was what I wanted. IMO, part of their job was to get her meals, wash up, do her laundry, etc. Mostly, they had to keep her occupied in the mornings, by taking her for a bath, getting her dressed, reading with her, playing games with her, doing jigsaws, etc. Then the carer and I took her out every afternoon. They were funded first by SS and later the NHS. The carers didn’t have to rush off anywhere else.

The company expected them to ring in, on their arrival at our house, and ring in again, when they left, so overcharging was not possible. They also had fill in a form every day, about what they had been doing, which were collected from time to time.

Edited

I think this may be a better fit for us. If we could find a company which offers day care for several hours at a time they may be able to offer a more personalised care package and as you say, they wouldn't have to leave early to shoot off anywhere.

OP posts:
LathkillDale · 07/08/2026 12:08

rwalker · 07/08/2026 09:54

Carers aren’t there to do things in the house

DD1 used to have carers come to the house, for 8 hours a day Monday to Friday, which was what I wanted. IMO, part of their job was to get her meals, wash up, do her laundry, etc. Mostly, they had to keep her occupied in the mornings, by taking her for a bath, getting her dressed, reading with her, playing games with her, doing jigsaws, etc. Then the carer and I took her out every afternoon. They were funded first by SS and later the NHS. The carers didn’t have to rush off anywhere else.

The company expected them to ring in, on their arrival at our house, and ring in again, when they left, so overcharging was not possible. They also had fill in a form every day, about what they had been doing, which were collected from time to time.

MyDarlingRose · 07/08/2026 11:36

rwalker · 07/08/2026 11:03

It’s very much depends if it’s a care visit or a support visit
yes they are 2 different things
this need to be made clear when you take on the carers
generally this is laid out on the initial visit before the company takes a client on

Seems a stupid and inefficient way to work

MyDarlingRose · 07/08/2026 11:22

ImissSpangles · 07/08/2026 09:50

Goodness, where on earth do you turn to? I hear such horror stories regarding care homes, at least at home we can see how mum is treated.

I hate dealing with this. It's been 8 long years and I hate to say it but I have had enough.

It will only get worse with the amount of people reaching older age but in poor health.

Yes it’s frightening how many people are going to need care for 10+ years in the coming future. Life span is ever increasing but healthy lifespan is not. Much of the British public - I won’t speak on others as I don’t know - eat bad food, don’t exercise, are overweight, stressed, don’t sleep well, addicted to phones. A wave of unwell elderly is on its way.

lechatnoir · 07/08/2026 11:18

I think the only way you’re going to resolve this is by having a conversation. It doesn’t have to be confrontational and you can use it as an opportunity to say how pleased you are with the kindness shown to your mum but that you are aware the carers are only staying for 15 -20 minutes so wondered if either her care needs have changed or perhaps a review of hours is needed .

Obviously £26 an hour for two people doing such an important role is a pittance but presumably that’s what they charged for an hour, so I don’t think it’s unreasonable to expect you get an hour (Unless it’s like cleaners where you pay for an hours work and if you get two of them, they only stay for half an hour?)

PurpleLass1234 · 07/08/2026 11:05

Please raise it with the care company. My partially sighted father in law was supposed to be having half an hour of care every evening, to help put him to bed. Usually he had already put himself to bed by the time they came, so it was more of a welfare check - they were then supposed to do the washing up or whatever needed doing in the house. He told us a couple of times that the carer hadn’t turned up, we weren’t sure if he was getting a bit confused. He got more and more adamant about it so we contacted the care company. They investigated and it turned out the carer was sitting out in his car for the half hour, not even entering the house!

rwalker · 07/08/2026 11:03

Kelvinator1 · 07/08/2026 10:04

The carers come several times a day, and have a list of things to attend to - a list put in place by the Social Work team - this includes some personal care, help with meals, some tasks around the house, some errands/tasks outside the house.

It’s very much depends if it’s a care visit or a support visit
yes they are 2 different things
this need to be made clear when you take on the carers
generally this is laid out on the initial visit before the company takes a client on