In this episode of the Able to Care Podcast, Andy is joined by Gary Derbyshire, live‑in care business owner and care advocate, for an honest and practical conversation about what live‑in care really looks like in everyday life. Together, they unpack how live‑in care differs from domiciliary care and residential care homes, why it can be a powerful option for people living with dementia, learning difficulties, anxiety, or complex needs, and how it can dramatically reduce stress and burnout for unpaid family carers. This episode is especially relevant for parents, teachers, and caregivers who are supporting someone vulnerable, feeling overwhelmed, or unsure what “the next step” should be. Gary shares real examples, clears up common fears, and explains how joined‑up, preventative support can protect dignity, independence, and wellbeing — for everyone involved. 🧠 What You’ll Learn in This Episode What live‑in care actually is — explained in clear, human terms How live‑in care compares to domiciliary care and residential care homes Why familiarity, routine, and one‑to‑one support matter so much for people with dementia How live‑in care can reduce guilt, burnout, and anxiety for unpaid carers What families should ask before choosing any care provider How joined‑up working with charities, NHS teams, and local services improves outcomes ⏱️ Episode Chapters (Timestamps) 00:01 – What is live‑in care? A simple explanation 03:07 – Live‑in care vs domiciliary care vs care homes 08:00 – Who live‑in care is (and isn’t) suitable for 11:24 – Cost, value, and funding options explained 17:21 – Common fears families have about live‑in care 27:14 – Practical first steps for families feeling overwhelmed 29:16 – What a live‑in carer actually does day‑to‑day 36:50 – Joined‑up care: working with NHS, charities, and community services 45:31 – Guilt, burnout, and becoming a daughter again (not just a carer) 48:26 – Questions families should ask any care provider 57:39 – Final takeaway: when to seriously consider live‑in care 🔑 Three Key Messages Live‑in care is about dignity, not dependency Staying at home, keeping routines, pets, relationships, and identity intact can dramatically improve emotional and psychological wellbeing. Prevention matters more than crisis response Early support can prevent falls, hospital admissions, UTIs, medication errors, and carer burnout — protecting everyone long‑term. Good care supports the whole family, not just the individual Live‑in care can help unpaid carers step out of constant responsibility and back into meaningful relationships. 📌 Resources & Organisations Mentioned Promedica24 Live‑in Care 👉 https://www.promedica24careathome.co.uk Dementia Forward 👉 https://www.dementiaforward.org.uk Lancashire Mind 👉 https://www.lancashiremind.org.uk Care Quality Commission (CQC) 👉 https://www.cqc.org.uk Homecare.co.uk (provider reviews) 👉 https://www.homecare.co.uk 🎯 Why Listen to This Episode? If you’re: Supporting a loved one with dementia, learning difficulties, or increasing vulnerability Feeling exhausted, guilty, or unsure how long you can keep going A professional wanting a clearer understanding of care pathways Trying to make sense of confusing care options …this episode offers clarity, reassurance, and realistic alternatives, without pressure or sales talk. 🤝 About the Guest Gary Derbyshire runs Promedica24, delivering live‑in care across Lancashire, Yorkshire, and Cumbria. With a background in NHS work, care advocacy, and community collaboration, Gary supports families navigating dementia, learning difficulties, and complex needs. He is known for his calm, empathetic approach and for building joined‑up support networks with organisations such as Dementia Forward, Lancashire Mind, and local services. 🔗 Connect With Gary LinkedIn: https://www.linkedin.com/in/gary-derbyshire-5b484240/ Instagram: @derbyshire.gary Website: https://www.promedica24careathome.co.uk 🔗 Connect With Able 📲 Instagram: @AbleTraining 📲 LinkedIn: Able Training 📲 TikTok: @AbleToCarePodcast 🌐 Website: Ablle-training.co.uk