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 72-hour placement guarantee, every time.
Someone always there
Day, night, and every hour
Live-in from
LKR 4,500/day
+ LKR 20,000 annual registration
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, at any point, we arrange a replacement at no cost — unlimited for members. 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
Round-the-clock care, priced simply.
One annual membership covers coordination, payroll, and unlimited caregiver replacements. After that you pay a flat daily rate — the same rate whether care runs through the day, the night, or both.
BetterHands Annual Membership
LKR 20,000
One-time annual registration fee
- Unlimited caregiver replacements at no additional cost if you are not satisfied
- Payroll management and caregiver administration
- Ongoing coordination and support from the BetterHands team
- Access to all services covered under the BetterHands membership
Step two — daily service rates
Duties below are what each role normally provides — your care plan is tailored during the free assessment.
Caregiver
Daily living support and companionship
LKR 4,500/day
Most families start here — a parent who is managing, but should not be alone all day.
- Friendly conversation and companionship
- Bathing and personal care assistance (if required)
- Medication reminders and general supervision
- Simple meals and refreshments
- Short walks and light activities (if appropriate)
- Day-to-day assistance and emotional support
Nursing Assistant
Personal care plus basic clinical support
LKR 6,000/day
Common where diabetes, blood pressure or early-stage dementia needs daily monitoring.
- Everything in the caregiver role
- Vital signs monitoring (BP, blood sugar, SpO₂)
- Medication reminders and administration support
- Basic wound and continence care
Professional Nurse
Complex medical and post-operative needs
LKR 9,000/day
Usually after a hospital discharge, a stroke, or where wounds and IV care are involved.
- Everything in the nursing assistant role
- PHSRC-registered clinical nursing
- Wound care, injections, and IV therapy
- Catheter, NG tube, and post-operative care
Daily rates are charged in addition to the one-time annual registration fee of LKR 20,000. The same daily rates apply to day care, night care and live-in support — no shift premiums, no travel supplements for any district. Hospital bystander cover is priced by shift length instead — see that service page for its packages. A free care assessment is provided before any commitment.
A one-way transfer for the caregiver is arranged at the start of placement.
PHSRC
Registered Nurses
Verified before placement
48h
Background Checks
Reference & credential verified
1,000+
Caregiver Profiles
Island-wide — reviewed one by one
72 Hours
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.
BetterHands operates on a membership model. A one-time annual registration fee of LKR 20,000 covers unlimited caregiver replacements, payroll management, caregiver administration, and ongoing coordination from our team. Daily service rates are then LKR 4,500 per day for a caregiver, LKR 6,000 per day for a nursing assistant, and LKR 9,000 per day for a professional nurse. The same daily rates apply to day care, night care and live-in support — there are no shift premiums and no travel supplements for any district. Hospital bystander cover is priced separately by shift length, from LKR 4,500 per shift. A free care assessment is provided before any commitment.
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.
BetterHands live-in care is LKR 4,500/day plus a one-time annual registration fee of LKR 20,000 — comparable to a private nursing facility, which typically charges LKR 80,000–200,000/month before medical extras. The advantage of home care is that it is delivered in your loved one's own home, with one dedicated caregiver, and without the disruption of relocation.
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.
24-hour care, city by city.
Round-the-clock cover is a logistics question as much as a care one — the commute, the nearest hospital, whether a caregiver can stay over. Each page below is written around what that means where your parents actually live.
Colombo District
Gampaha District
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.
1,000+
Caregiver profiles
96%
First-match success
Trained
Caregiver training
72
Hours to placement