Our care, where you live
Our live-in care in Bude
Live-in care means one-to-one support in your own home: personal care, medication support, meals, help around the house, getting out and about, and someone close by at night. Whether it suits the person, and whether one carer can support a couple, is worked out at the free assessment. Read more in live-in care explained and how it works day to day.
How we arrange live-in care in Bude
Day and Nightcare provides fully managed live-in care in Bude, Stratton, Kilkhampton and the villages around them, from £1,550 a week. One main carer lives in the home; a relief carer covers their holidays and time off, and a manager is on call. Care starts with a free assessment, a written quote and a written care plan.
Care can be paid for privately, by Cornwall Council (including direct payments) or by NHS Continuing Healthcare. We have provided Discharge to Assess (D2A) care since 2014. If someone is in hospital, tell us the expected discharge date (see care after hospital). Our care team is on 01865 715780.
Arranging care and funding in Bude
Cornwall Council, a unitary council, runs adult social care and collects council tax. To ask for a care needs assessment, call 0300 1234 131 (Monday, Tuesday, Thursday and Friday 9am to 5pm; Wednesday 10am to 5pm; emergencies out of hours on the same number) or use the online “Request help for an adult” form. This applies even if your relative is in a Devon hospital.
Read more: arranging care and funding in Bude
The needs assessment is free, and anyone can ask for one. The council sends a self-assessment form, then an assessor visits; a carer, family member or independent advocate can be there. A financial assessment follows: with assets over £23,250 your relative would usually pay for their own care, and the home is not counted for care at home. If the council arranges care for someone paying in full, the fee is £300, and £300 for any significant change. If savings are falling, contact the council at least 90 days before they reach £23,250.
After a crisis or hospital stay, the council’s Short Term Enablement Planning Service (STEPS) gives temporary help with personal care, meals and getting about, after an assessment or a referral from you or your GP.
Carers can ask for their own carer’s assessment on 01736 756655, Cornwall’s carers’ service (a new provider takes over in November 2026; see below).
For council tax (0300 1234 171), ask about the severe mental impairment discount (a medical certificate plus a qualifying benefit), the carer disregard for a relative or friend who lives with the person, is not their partner and gives at least 35 hours of care a week, and the disabled band reduction. See council tax discounts for care.
Urgent care and leaving hospital in Bude
- Minor injuries: Stratton Community Hospital, Hospital Road (01288 287 700): minor injury unit open 24 hours every day (walk in or call 111), with X-ray Monday, Tuesday, Wednesday and Friday, 9am to 5pm. Hours can change at short notice. It is not an emergency department.
- Emergency departments: North Devon District Hospital, Barnstaple (switchboard 01271 322577), and the Royal Cornwall Hospital at Treliske, Truro (switchboard 01872 250000), both open 24 hours.
Treliske aims to have people ready to leave the ward by 10am. Families arrange the journey home; NHS patient transport for Cornwall residents with a medical need is booked on 01872 252211. Stratton Community Hospital has a 17-bed rehabilitation ward where your relative may recover; to speak to someone on the ward, call 01288 287 712.
Back home, Cornwall Partnership’s Home First team gives short-term reablement, free for up to two weeks. For NHS Continuing Healthcare, contact NHS Cornwall and Isles of Scilly ICB at ciosicb.chc@nhs.net or on 01209 832400.
Local help in Bude
Carers' services, dementia support, transport, befriending and other local help, with phone numbers.
Read more: local help in Bude
- A local charity for older people. Age Concern Bude and District, at 5 Princes Street, offers people over 50 subsidised transport to hospital appointments as far as Exeter, to GP surgeries and to local supermarkets; its office is on 01288 355007 (weekdays, 10am to 2pm).
- Memory worries. Ask the GP, or refer yourself to the NHS memory assessment service. Bude Memory Cafe meets at the Park House Centre, Ergue-Gaberic Way, on the first and third Friday, 2pm to 4pm, and Week St Mary’s café at St Mary the Virgin’s Church on the second and fourth Monday, 2.30pm to 4.30pm; both are free. See live-in dementia care.
- One number for local help. The free Community Gateway (01872 266383, 8am to 8pm every day) helps anyone settle back home after hospital, with benefits, home safety and volunteer visits.
- Getting about. Volunteer Cornwall (01872 265300) drives people to medical appointments, occasionally as far as Barnstaple, for 50p a mile from the driver’s home plus £3 a booking, with at least 10 days’ notice, but not wheelchair users.
- Hospice care. Mount Edgcumbe Hospice in St Austell (01726 65711) has end of life care beds for mid and east Cornwall, by GP or professional referral. Cornwall Hospice does not currently offer Hospice at Home. See live-in end-of-life care.
What may change soon
Cornwall Rural Community Charity’s Cornwall Carers Service model ran until the end of October 2026. Cornwall Council expects a new carers’ service, coordinated by Disability Cornwall and Isles of Scilly, in November; the number, 01736 756655, stays the same.
Useful local contacts
Useful contacts in Bude
The council, NHS teams, hospitals and local services you are most likely to need in Bude, with links to their official pages. Open any heading for the details.
Council and care assessments
Adult social care in Bude is arranged by Cornwall Council. Anyone who appears to need care can ask for a free care needs assessment, whatever their savings. If the council funds care, you can usually take it as a direct payment and use it for live-in care from us.
- Cornwall Council: ask for a care needs assessment (telephone 0300 1234 131); carer's assessment.
NHS Continuing Healthcare
When someone's main need is a health need, the NHS pays for all of their care through NHS Continuing Healthcare, and it is not means-tested. For Bude it is arranged by NHS Cornwall and Isles of Scilly Integrated Care Board (NHS Cornwall and Isles of Scilly ICB) (Continuing Healthcare information). See our NHS Continuing Healthcare guide.
Hospitals near Bude
If someone is in hospital, tell us the expected discharge date as early as you can, and we will work with you and the discharge team on when live-in care can start.
- Stratton Community Hospital: Hospital Road, Bude EX23 9BR, 01288 287 700. Minor injury unit open 24 hours every day, walk in or call NHS 111 (closed at 8pm on 30 October 2026 per the live feed); X-ray Monday, Tuesday, Wednesday and Friday 9am to 5pm. Not an A&E. One 17-bed rehabilitation ward. A community treatment centre run by Kernow Health CIC is reached through NHS 111. (leaving hospital information)
- North Devon District Hospital: Raleigh Park, Barnstaple EX31 4JB, switchboard 01271 322577. Royal Devon University Healthcare NHS Foundation Trust; a 24/7 emergency service including its emergency department (A&E).
- Royal Cornwall Hospital (Treliske): Treliske, Truro TR1 3LJ, switchboard 01872 250000. Cornwall's emergency department (A&E), open 24 hours. Discharge planning starts soon after admission; the trust aims to have people ready to leave the ward by 10am, with a Discharge Lounge for those waiting for transport. (leaving hospital information)
- Mount Edgcumbe Hospice: Porthpean Road, St Austell PL26 6AB, 01726 65711. Cornwall Hospice: end of life care beds for mid and east Cornwall; referral through the GP, consultant or another healthcare professional. No Hospice at Home service.
Local support and charities
- Cornwall Carers Service: Carers' support (01736 756655)
- Bude Memory Cafe: Dementia support
- Age Concern Bude and District: Community support (01288 355007)
- NHS Memory Assessment Service and Dementia Together: Dementia support
- Community Gateway (Age UK Cornwall & The Isles of Scilly): Local services directory (01872 266383)
- Volunteer Cornwall Community Transport: Community transport (01872 265300)
- Healthwatch Cornwall: Healthwatch: your independent voice on health and care (0800 038 1281)
Council tax
Council tax in Bude, including discounts for people with a severe mental impairment, for disabled people and for some carers, is handled by Cornwall Council. See council tax discounts for care.
Villages around Bude
- Stratton
- Flexbury
- Poughill
- Widemouth Bay
- Marhamchurch
- Kilkhampton
- Morwenstow
- Launcells
- Poundstock
- Week St Mary
- Whitstone
- Jacobstow
Your questions
Questions about live-in care in Bude
Which A&E do people in Bude use?
North Devon District Hospital in Barnstaple, run by Royal Devon University Healthcare NHS Foundation Trust, has a 24-hour emergency department, and Cornwall Partnership lists Barnstaple among the area's main 24-hour emergency departments. Cornwall's own emergency department is at the Royal Cornwall Hospital at Treliske, Truro. For minor injuries, Stratton Community Hospital's unit is open 24 hours a day. Call 999 in an emergency, or NHS 111 if you are unsure.
Who do I call in Bude to ask for a care assessment?
Call Cornwall Council's adult social care line on 0300 1234 131 (9am to 5pm on Monday, Tuesday, Thursday and Friday; 10am to 5pm on Wednesday), or use the online 'Request help for an adult' form. Cornwall Council arranges care at home for Bude residents even when the hospital stay was in Devon, so make sure the ward knows. There is no charge for the needs assessment. A family carer can ask for their own carer's assessment on 01736 756655.
How can an older person in Bude get to hospital appointments?
Age Concern Bude and District, an independent local charity at 5 Princes Street, offers people over 50 subsidised transport to hospital appointments as far as Exeter and to local GP surgeries; its office is on 01288 355007 (weekdays, 10am to 2pm). Volunteer Cornwall (01872 265300) also drives people to appointments, occasionally as far as Barnstaple or Exeter, for 50p a mile plus a £3 booking fee, with at least 10 days' notice. NHS patient transport is booked on 01872 252211 for people with a medical need.
How much does live-in care cost in Bude?
Live-in care with Day and Nightcare costs from £1,550 a week in Bude, the same as everywhere in England, for one person with a carer who rests at night. That includes our care team's management (the assessment, care plan, reviews, supervision and the on-call manager) and the carer's food; break cover and the carer's travel are extra. For a couple it is from £1,800 a week, where one carer can safely meet both partners' needs. You receive a written quote after a free assessment.
Can the council help pay for live-in care in Bude?
Yes, if the person's care needs meet the national eligibility criteria and their savings are below £23,250 (2026/27). Adult social care in Bude is arranged by Cornwall Council. Ask for a care needs assessment; if you are eligible, council funding can usually be taken as a direct payment and used for live-in care from us.
Can live-in care start when someone leaves North Devon District Hospital?
It can. Tell us the expected discharge date as early as you can, and we will work with you and the ward's discharge team on when live-in care can start. We can often start within 24 to 48 hours of the assessment, depending on carer availability, and we confirm the start date once a carer is arranged. We have provided Discharge to Assess (D2A) care since 2014.
Sources and further information
Show the 39 official sources for this page
- Royal Cornwall Hospitals NHS Trust: Urgent care waiting times and opening hours
- Cornwall Partnership NHS Foundation Trust: Stratton Community Hospital
- Royal Devon University Healthcare NHS Foundation Trust: North Devon District Hospital
- Cornwall Partnership NHS Foundation Trust: Emergency and urgent care waiting times
- Age Concern Bude & District
- Cornwall Memory Cafe Network: Bude Memory Cafe
- Cornwall Memory Cafe Network: Week St Mary Memory Cafe (Happy Memories)
- Cornwall Memory Cafe Network: FAQs
- Cornwall Council: Request help for an adult
- Cornwall Council: Our telephone numbers
- Cornwall Council: Contacting Adult Social Care for the first time
- Cornwall Council: Adult social care needs assessment
- Cornwall Council: Paying for adult social care
- Cornwall Council: Adult social care fees and charges
- Cornwall Council: Help to stay living at home
- Cornwall Council: Assessments and financial support for carers
- Cornwall Carers Service
- Cornwall Council: Cornwall's unpaid carers will benefit from a more specialised support service
- Cornwall Carers Service: Update about support for carers in Cornwall
- Cornwall Council: Get money off your council tax
- Cornwall Council: Money off council tax for carers and care workers
- Cornwall Council: Money off council tax for severe mental disability
- Cornwall Council: Money off council tax for disabled people
- Royal Cornwall Hospitals NHS Trust: Emergency Department (ED)
- Royal Cornwall Hospitals NHS Trust: Going home
- Royal Cornwall Hospitals NHS Trust: Practical help and advice
- NHS Cornwall and Isles of Scilly ICB: Patient transport
- Cornwall Partnership NHS Foundation Trust: Home First
- NHS Cornwall and Isles of Scilly ICB: Continuing healthcare
- Cornwall Voluntary Sector Forum: Community Gateway
- Age UK Cornwall & The Isles of Scilly: Community Gateway
- Cornwall Partnership NHS Foundation Trust: Dementia and older people's mental health
- Cornwall Memory Cafe Network
- Volunteer Cornwall: Transport
- Cornwall Council: Community transport
- Cornwall Hospice Care: Our hospices
- Cornwall Hospice Care: Our care FAQs
- Cornwall Hospice Care: Contact us
- NHS website: Getting a care needs assessment
Local information checked 31 October 2026. Links go to the official council, NHS and charity pages.
