Orleans, Ottawa · Serving Ottawa and up to 50 km around the cityOrleans, Ottawa
Mon to Fri, 9 AM to 5 PM(343) 644-3431
24 hour home care in Ottawa means a caregiver is in the house day and night, so your parent is never alone when it matters most. 1st Home Health Care provides overnight care, 24 hour shift coverage and live-in care for seniors who need someone close at all times. This is non-medical care: we do not give medication, change dressings or do nursing procedures. Our office is on Talcy Crescent in Orleans, and care is available 24 hours a day, seven days a week.
Families usually arrive at this decision after a scare: a fall in the night, a parent who wanders, or a spouse who has run out of energy. A few hours a day are no longer enough, and the question becomes how to make sure someone is there all the time.
There are two main ways to do it. A live-in caregiver lives in the home and is there through the day and night. Shift coverage uses two or more caregivers who take turns, so someone is awake and present around the clock. Both keep your parent in their own home, with familiar rooms, routines and neighbours.
We will help you decide. Tell us how your parent's days and nights look, and we will suggest the setup that fits.


One person cannot safely work around the clock for days on end. Round-the-clock care is therefore built from shifts. A caregiver might cover the day, and a second caregiver takes over in the evening and stays through the night. Some families add a third person on weekends so everyone can rest.
What this looks like in practice:
We send the same caregivers each time wherever we can, because familiar faces matter most to a parent who is anxious or confused.
Nights are when many families feel most worried. A parent may get up to use the bathroom, wake confused, or wander. Falls often happen in the dark, and a spouse who is up several times a night soon becomes exhausted.
An overnight caregiver is in the home while your parent sleeps and helps when they wake. Depending on your parent, the caregiver may:
Overnight care is often the first step families take, and many keep it for years. It lets a family caregiver sleep through the night, which is hard to replace.
Overnight care comes in two forms. An awake overnight caregiver stays up through the night, which suits a parent who wanders, is often up, or needs frequent help. A sleep-in caregiver has a bed in the home and rests, but is there if your parent needs them, which suits a parent who sleeps well and only needs someone nearby.
The right choice depends on how your parent sleeps. If they are up several times a night, awake care is usually the safer option. If they sleep through and only need reassurance, a sleep-in may be enough. We will ask about a typical night and suggest the better fit, and we can change it later.

Families often ask which is better. The honest answer is that it depends on your parent and your home.
If your parent's nights are unsettled, shifts are usually the better choice. If nights are quiet and the home has the space, live-in care can be a good fit. We can cover both, and we can move from one to the other as things change.
A caregiver who is tired cannot look after anyone well. Employment rules in Ontario, including the Employment Standards Act, set minimum rest and meal breaks for workers, and a good care plan is built around them. That is why a live-in or 24 hour setup uses more than one caregiver, so each person gets proper rest and your parent gets safe, alert care.
When you ask about round-the-clock care, ask how breaks and time off will be covered. We will explain how we plan the schedule, so you know who is in your home and when.

Round-the-clock care is not for everyone, and we will say so if a lighter plan would do. It tends to suit seniors who:
It also suits families who live far away and want to know that someone is always at home. If your parent has dementia, read about our dementia care in Ottawa. If you need a short-term solution after a hospital stay or while you travel, see our respite care.
Our rates run from $35 to $45 per hour, depending on the care and the hours booked. We confirm the price for your schedule before care begins, so there are no surprises. Round-the-clock care is a significant commitment, so many families start with overnight care or a few days a week and add hours later.
We work with private-pay clients and with clients funded through Ontario Health atHome. Our home care cost guide explains rates, funding and tax credits in more detail.
Yes. We provide care 24 hours a day, seven days a week, including overnight care, 24 hour shift coverage and live-in care. We do not give medication or nursing care. Call (343) 644-3431 and tell us about your parent, and we will suggest the right setup.
Live-in care means one caregiver lives in the home and rests there. A 24 hour setup uses shifts, so a caregiver is awake at all times. Live-in suits parents who sleep through the night. Shifts suit parents who need help or supervision overnight.
Yes. Many families start with overnight care, so a spouse or adult child can sleep. It can be one night a week or every night. We will plan it around how your parent sleeps and what help they need at night.
Our rates run from $35 to $45 per hour, depending on the care and the hours booked. We confirm the exact price for your schedule before care begins. Our home care cost guide explains rates, funding and tax credits in detail.
Yes. Round-the-clock care can last a few days after a hospital stay, a couple of weeks while you travel, or an ongoing arrangement. Tell us how long you need it, and we will plan the schedule around that.
Call us and tell us what is going on. We will explain what is possible and how soon care can begin. If the need is urgent, say so when you call, and we will work with you to get care in place as soon as we can.
If your parent needs someone close at all times, call (343) 644-3431 or send us a message about 24 hour home care in Ottawa. Tell us how your days and nights look, and we will talk through the options with you.