There comes a point when a few hours a day isn't enough. Maybe it's the 2 a.m. fall nobody heard, or Mom getting confused and wandering after dark, or you realizing you haven't slept through the night in months because you're listening for Dad. Castleton Home Care provides 24/7 home care across Alpharetta: a caregiver in the home around the clock, in rotating shifts, so someone attentive is always there when help is needed. Every plan runs under RN oversight, with 24/7 on-call support for your family.
Round-the-clock care covers the full day, not just the difficult hours. Here's what a caregiver provides across every shift:
Care runs in shifts, usually 8 or 12 hours, from a small team of familiar W-2 caregivers. Every plan runs under RN oversight, and the schedule adjusts as needs change.
In Alpharetta, the need for round-the-clock care often shows up at night. The houses here are generous, Windward, the Manor, the big lots off Webb Bridge, and after dark a senior alone in one can be a long way from help. A 2 a.m. bathroom trip, a confused walk to the front door, a fall nobody hears. Our caregivers are there through those hours, attentive and ready to help, in the home your loved one knows.
Many of our Alpharetta clients' families work the demanding jobs the Technology City of the South is known for, and plenty of adult children live in other cities entirely. The Alpharetta Adult Activity Center's programs give the daytime structure, and a familiar caregiver helps make getting there part of the week.

Sources: Centers for Disease Control and Prevention, Older Adult Falls Data; Alzheimer's Association, Wandering; AARP and National Alliance for Caregiving, Caregiving in the U.S. 2020.
No, and the difference shows at 3 a.m. With our 24/7 care, a caregiver is there through the night, attentive and ready to help as needed, in 8- or 12-hour shifts from a small, consistent team. With live-in care, the caregiver must be guaranteed undisturbed hours of sleep. We don't offer live-in care, because we believe the overnight hours deserve someone who's there for them.
The signs usually show up at night first: falls getting out of bed, wandering after dark, or a family member who hasn't slept properly in weeks from listening. If a few hours a day no longer covers the gaps, or the gaps have moved into the night, it's time for a conversation. We're glad to talk through what we're seeing.
Your loved one gets a small, consistent team of familiar faces, not a new stranger every shift. The team is chosen for skill, experience, and personality fit, with trained backups for sick days, and every shift starts with a structured handoff so nothing gets lost between caregivers.
Yes. Some Alpharetta families use round-the-clock care for the first weeks after a hospital stay or surgery, then step down to fewer hours as recovery progresses. Others need it ongoing. The schedule follows the need, not a fixed package, and we adjust as life changes.
Stays close and stays ready. Bathroom trips, repositioning, medication timing, a glass of water, and being there the moment something feels wrong. For many families, the overnight shift is the whole reason: the house is quiet, everyone else is asleep, and someone capable is watching over it.