24-Hour Home Care
in Sri Lanka.
24-hour home care means someone is always there — not just visiting. BetterHands provides live-in caregivers, split-shift overnight care, and round-the-clock nursing for families who cannot leave their loved one unsupervised. Vetted caregivers. PHSRC-registered nurses. A 14-day placement guarantee, every time.

Someone always there
Day, night, and every hour
Live-in from
Rs. 55,000/mo
Most cost-effective 24h option
Three models of continuous care
24-hour care matched to your situation.
Not every family needs the same model. BetterHands assesses your loved one's actual supervision requirements — day, night, and clinical — and recommends the right arrangement before any commitment.
Most Cost-EffectiveLive-In Care
A single, matched caregiver lives in your loved one's home — providing continuous presence, structured daily routines, and immediate response at any hour. Live-in care is the most cost-effective 24-hour model because one consistent person manages both day and night, building a trusted relationship over time. For families managing dementia, progressive illness, or post-discharge recovery, live-in care provides the stability and continuity that two-shift models cannot replicate. The same face, the same voice, the same reassuring presence — every morning, every evening, and every night.
Clinical-Grade CoverageSplit-Shift Day & Night Care
Two trained caregivers work alternating 12-hour shifts — one covering the day, one covering the night — ensuring someone is actively awake and attending at all hours. Split-shift care is the right model when your loved one requires clinical monitoring at night, has unpredictable medical needs, or when a single caregiver's rest periods cannot safely accommodate the level of supervision needed. This model mirrors the staffing standard used in private hospital wards, applied to the home environment. It is particularly appropriate for post-stroke monitoring, advanced chronic disease management, and post-operative recovery after major surgical procedures.
For Advancing ConditionsProgressive & Palliative Care
For families managing a loved one whose condition is advancing — Parkinson's disease, ALS, advanced dementia, or terminal illness — 24-hour home care provides the increasing level of support that escalating needs demand. BetterHands coordinates round-the-clock care plans that adapt over time, adding clinical nursing visits as medical needs increase while maintaining the continuity of a trusted caregiver who knows your loved one deeply. According to the World Health Organization's ageing and health framework, familiarity of environment and continuity of care are the most protective factors for quality of life in advancing illness — 24-hour home care delivers both.
Recognising the need
Signs your loved one needs 24-hour care.
Many families wait too long — arranging 24-hour care before a crisis is always safer than responding to one. These are the clearest indicators that continuous care is needed.
Not sure if 24-hour care is the right level? Book a free care assessment → Our coordinators will assess honestly and recommend only what is genuinely needed.
How it works
From first call to someone always there.
Arranging 24-hour home care involves more coordination than a standard placement — we need to assess the home environment, the clinical requirements, and the right care model before any caregiver is matched. Our process is designed to get this right quickly, without shortcuts.
Free 24-Hour Care Assessment
A 20-minute call covering medical history, overnight supervision needs, home layout, and family situation. We determine whether live-in, split-shift, or clinical nursing is the right model — before any commitment.
Care Plan & Model Recommendation
Our care coordinator produces a written care plan specifying supervision requirements by hour, clinical tasks, and the right staffing model. You receive this before any caregiver is matched.
Caregiver Matching (50+ Factors)
We assess our pool of vetted caregivers against your loved one's medical profile, personality, language preference, and overnight care experience. We match for long-term compatibility — not availability.
48-Hour Verification
Criminal background checks and professional reference verification completed in 48 hours. Every live-in or overnight caregiver placed by BetterHands has passed our full multi-stage screening.
Care Starts. We Stay Involved.
Daily check-ins for the first 14 days. If the placement is wrong for any reason, we arrange a replacement at no cost. Our under 4% replacement rate reflects how seriously we take getting the first match right.

Arranging care from overseas?
BetterHands regularly arranges 24-hour care remotely for families in Australia, the UK, and the Middle East. We manage the full placement, coordinate with hospitals, and send weekly welfare updates — so you stay fully informed from anywhere. See affordable elderly care in Colombo →
Transparent pricing
24-hour care packages for every situation.
All three models include a free assessment, a dedicated care coordinator, PHSRC-registered nurses for clinical tasks, and the written 14-day placement guarantee.
Prices are indicative. All packages include a dedicated care coordinator and the written 14-day placement guarantee. Contact us for a custom quote.
PHSRC
Registered Nurses
Verified before placement
48h
Background Checks
Reference & credential verified
250+
Vetted Caregivers
Island-wide network
14 Days
Placement Guarantee
Written — not verbal
Family stories
What families say.
“BetterHands transformed my mother's quality of life. The caregivers are professional, compassionate, and treat her with so much dignity. Our whole family is relieved and grateful.”
Chamari W.
Colombo 07
“After my father's heart surgery at Lanka Hospitals, the nursing team from BetterHands provided exceptional post-operative care at home. They were thorough, kind, and always on time.”
Roshan & Dilini P.
Nugegoda
“The wound care provided for my mother's post-surgical recovery was exceptional. The nurse was highly skilled and always explained everything clearly. I would recommend BetterHands without hesitation.”
Dr. Tharanga S.
Colombo 05
FAQs
Common questions.
Everything about 24-hour home care in Sri Lanka, answered honestly.
24-hour home care means a caregiver or nurse is present in your loved one's home continuously — not visiting. BetterHands provides this through live-in caregivers, split-shift arrangements, or clinical 24-hour nursing for medically complex needs, across Colombo, Kandy, Galle, and beyond.
24-hour home care starts from Rs. 55,000/month for a live-in caregiver — the most cost-effective option. Split-shift care (two caregivers on 12-hour rotations) starts from Rs. 120,000/month. Clinical 24-hour nursing starts from Rs. 180,000/month. All include a free assessment and written 14-day placement guarantee.
Not exactly. Live-in care means one caregiver lives in the home with reasonable rest periods overnight. Full 24-hour care means someone is actively awake at all hours — typically two caregivers on 12-hour shifts. BetterHands recommends the right model based on your loved one's actual night-time supervision requirements.
Common conditions include advanced dementia with nighttime wandering, post-stroke continuous monitoring, Parkinson's or ALS, post-surgery recovery after major procedures, severe mobility limitations, and palliative care. If your loved one is unsafe to be left alone at any hour, 24-hour care is the appropriate level of support.
Yes. Private nursing homes in Colombo typically charge Rs. 80,000–200,000/month before medical extras. BetterHands live-in care starts at Rs. 55,000/month — in your loved one's own home, with verified caregivers and the 14-day placement guarantee. Your parent also avoids the disruption of relocation entirely.
For urgent post-discharge needs, BetterHands can typically arrange 24-hour care within 24–48 hours in Colombo. We coordinate directly with the hospital discharge team, review the care plan, and ensure the caregiver is fully briefed before your loved one arrives home. Full verification still applies.
Explore more
Care across Sri Lanka.
Same standard. Same guarantee. Every district.
Our service area
24-hour home care — across Sri Lanka.
Ready to arrange 24-hour care
for your family?
Book a free care assessment — our team will assess your loved one's overnight supervision needs and recommend the right model before any commitment.
250+
Vetted caregivers
96%
First-match success
Trained
Caregiver training
14
Days to placement