Live-in & 24-Hour PSW Home Care Across the GTA

For most families, hourly home care works until it doesn't. A morning visit covers breakfast and bathing, but then there's a long stretch with no one there — and that's exactly when a senior with mobility decline or cognitive change is most at risk. The cost of a gap isn't measured in dollars. It's measured in falls, hospital trips, and the constant low-level dread of a phone call.

24-hour home care closes those gaps entirely. Instead of scheduled drop-ins, a PSW is present continuously, awake and working through the night when needed. This level of support suits seniors recovering from a major fall or surgery, those living with advanced dementia, and families providing end-of-life care at home. It also gives an exhausted family caregiver something they may not have had in months: a full night's sleep, and the confidence that someone qualified is on watch.

Unlike many providers who rank with single-city pages, S Care Companion delivers continuous PSW care across 14 GTA municipalities from our Brampton headquarters. The promise is simple: a named caregiver rotation with no gaps in coverage — we never leave your parent alone.

Families often use these terms interchangeably, but they describe different arrangements with different costs and different uses. The right choice depends on whether your parent needs active care overnight or simply a reassuring presence in the home.

Live-in care — one caregiver, sleep time included. In a live-in arrangement, one PSW resides in the home and provides support across the day, with a designated sleep period at night and on-call availability if something happens. Live-in care for elderly clients works well when overnight needs are occasional rather than constant — someone who sleeps through the night but needs help getting up, dressed, and through the day. The term "live-in caregiver" is sometimes used in immigration and employment contexts; what we provide is a vetted PSW on a structured live-in schedule.

24-hour care — rotating awake PSWs, no sleep gap. True 24-hour care uses a small team of PSWs rotating across shifts, all of whom are awake and actively working. This is the right structure when a senior needs care overnight — frequent repositioning, toileting, monitoring for wandering, or reassurance during the night. Because no one is sleeping on shift, every hour is covered by someone alert and ready.

Overnight-only care — a PSW for overnight risk alone. Some families have daytime support handled and only need help through the night. An overnight PSW covers the hours when falls and confusion are most likely, then hands off in the morning. It's a focused, lower-cost option when round-the-clock home care isn't yet necessary.

Continuous care is the highest service tier because it's billed across the full daily cycle. As a market estimate, private home care in the GTA typically runs $30 to $35 per hour CAD (this is not S Care's published rate), and a 24-hour structure multiplies hours accordingly. For context, Ontario PSWs earn a median wage of $22 per hour per Job Bank Canada NOC 44101, with the Toronto Region median at $21.

Because cost varies so much by structure — live-in, 24-hour rotation, or overnight-only — we provide a clear, no-obligation quote tailored to your schedule rather than a one-size-fits-all number. For the full picture, see our breakdown of the cost of in-home care. All services are billed in CAD, with no hidden fees.

We provide live-in and 24-hour PSW care from our office at 4515 Ebenezer Rd, Suite #203, Brampton, ON L6P 2K7, serving Toronto, North York, Scarborough, East York, Etobicoke, Mississauga, Brampton, Caledon, Vaughan, Markham, Richmond Hill, Newmarket, King City, and Aurora. Families looking for continuous care often start with our PSW services in Vaughan, Markham, and Richmond Hill pages, where we cover named-team rotations across each community.