Care4SA

How much does elderly home care cost in Cape Town?

Updated 20 August 2026

On Care4SA, an informal Cape Town guide for a carer or companion is about R90/hr typical (R60–R160). Overnight and dementia care usually cost more. This is a marketplace range, not a frail-care quote and not medical advice.

What a home carer usually does

  • Companionship, meals, medication reminders (not a substitute for a nurse unless they are qualified)
  • Help with washing, dressing, and moving around the house
  • Day cover while family is at work, or overnight sitting

If you need clinical nursing, wound care, or a frail-care bed, speak to a registered provider. A Care4SA carer job is household help, not a hospital.

Full table for nannies, domestic workers, tutors and pet sitters: Cape Town rates. How badges work: Trust System.

Common questions

How much does elderly home care cost in Cape Town?
Care4SA’s informal guide is about R60–R160 per hour, typically around R90/hr. Live-in, overnight, and dementia support sit at the higher end. Facility frail care is priced separately.
Where can I find a carer in Cape Town?
Post a senior-care job with your suburb and a rate in ZAR on Care4SA, or browse carer profiles for Cape Town. Care4SA is a marketplace, not a nursing agency.