Carers by the hour, live-out, live-in and for the night, so that your father or mother can stay at home, in the city of Madrid or anywhere in the region.
Placement agency no. 1300000318
4.8 · 94 Google reviews
One-off fee · 6-month guarantee
Elderly carer in Madrid
Elderly carers for families in Madrid
In Madrid, the search for a carer usually starts with one specific change: a fall, coming home after a hospital stay, or a memory that no longer allows a parent to spend the day alone.We select elderly carers so that the person can stay in their own home and their own neighbourhood, with the help their level of dependency calls for.
The right arrangement depends on that level and on the home: a few morning hours for washing and a walk, a live-out carer from Monday to Friday, a live-in carer with weekend cover, or a carer just for the nights. Madrid also mixes period flats in the centre with detached houses over several floors in the north-west, and each calls for a different profile.
We have been placing staff in Madrid homes since 2009, and we select carers the same way: an in-depth interview built on real cases and references checked with previous families. You receive the first profiles in under 3 hours and pay nothing until you hire.
At home or in a care home
A carer at home or a care home?
Two ways of caring, neither better in itself. This is how they compare, point by point.
A carer at home or a care home?
Carer at home
Care home
Who looks after them
Carer at homeA carer devoted to them alone, who knows their routines.
Care homeA team working in shifts, looking after several residents.
Where they live
Carer at homeIn their own home and neighbourhood, with their neighbours and habits.
Care homeIn the care home, with shared areas and activities.
Health care
Carer at homeTheir health centre and their usual doctor; the carer goes with them.
Care homeContinuous personal and health care services (Law 39/2006, art. 25).
Hours
Carer at homeThe person's own, within a maximum working week, with cover for nights and rest.
Care homeThe care home's, with care throughout the day.
How it is paid
Carer at homeThe carer's salary and Social Security: the family is the employer.
Care homeThe place, private or public; public places come through the dependency system.
When it fits best
Carer at homeIf they want to stay at home and the home allows it.
Care homeIf they need care that can no longer be given at home.
If in doubt, start with what can be undone: a carer by the hour or live-out lets you see what your relative needs before deciding. If they already need someone living with them, read how a live-in carer works.
In Madrid, the level of dependency is assessed and decided by the regional government, the Comunidad de Madrid: the person or their representative applies, and the decision sets the level and the services or benefits that apply, valid throughout Spain (Law 39/2006, arts. 27 and 28).
Those services are provided through the region's social services network, by public or contracted accredited centres and services (art. 14). A carer hired by the family does not replace them: she can work alongside telecare or a day centre, cover the hours they leave uncovered, or be the main help while the assessment is processed.
Telecare
Home help
Day and night centres
Residential care
Prices in Madrid
What it costs
2026 benchmarks for a carer in Madrid: the legal minimum is the same across Spain, and the live-in range is the market range we publish on our prices page. The level of dependency, nights and experience with dementia push the figure up.
one month of the agreed salary plus VAT, only if you hire
Coverage in Madrid
Areas we cover
In the centre — Salamanca, Chamberí, Retiro, Chamartín or Argüelles — many older people live in period flats, with steps at the entrance and narrow lifts.There it matters that the carer can handle transfers in tight spaces and go out with a wheelchair or walking frame, so the usual walks, market trips and pharmacy visits carry on.
In the north and north-west — Pozuelo de Alarcón, Aravaca, Majadahonda, Las Rozas, Boadilla del Monte, Torrelodones or La Moraleja — detached houses over several floors are common. It pays to plan a room for a live-in carer and, if the person can no longer manage stairs, a ground-floor bedroom; and because distances are longer, we look for carers who drive when there are medical appointments.
Madrid has the same minimums as the rest of Spain: by the hour, from €9.55 per hour worked, and full time, from €1,424.50 a month over 12 payments. A live-in carer earns between €1,500 and €2,500 gross a month over 12 payments; with the family's Social Security contribution, the total comes to between about €1,835 and €3,060 a month. What moves the figure is the level of dependency, nights and the experience the case requires.
Do I need a dependency assessment before hiring a carer in Madrid?
No. You can hire her from day one and apply to the Comunidad de Madrid for the assessment at the same time; when the decision arrives, we advise on how the services or benefits granted fit with the carer. Meanwhile, we plan the care around what your relative needs each day.
Which parts of Madrid do you cover?
The whole city, from Salamanca, Chamberí, Retiro or Chamartín to Moncloa-Aravaca, and the towns of the region: Pozuelo de Alarcón, Majadahonda, Las Rozas, Boadilla del Monte, Torrelodones, Alcobendas and La Moraleja, among others. Interviews are held remotely and the 2 trial days take place in your relative's home.
Can the carer take my relative to medical appointments?
Yes. Going with them to the health centre or the hospital, collecting their medicines from the pharmacy and helping them take the medication the doctor prescribes are part of her job. If your relative uses a wheelchair or the appointments are far away, we take it into account when choosing the profile, for example a carer who drives.
What should we prepare at home before a live-in carer arrives?
A room of her own in decent conditions and, if your relative can no longer manage stairs, an accessible ground-floor bedroom, especially in multi-storey houses in Pozuelo, Majadahonda or Las Rozas. In central flats, check the bathroom and whether a wheelchair can get through; we go over it with you before the trial.
How quickly do you present carers in Madrid?
The first profiles, for a flat in Chamberí or a house in Majadahonda, arrive in under 3 hours; for a very specific profile, up to 48 hours.
What guarantee comes with a hire in Madrid?
In Madrid, a free replacement within the first 6 months if the carer leaves or does not settle in and, if you are not satisfied during the first month, we refund 50% of the fee. You only pay if you hire.
“We are very happy with our experience with Maids & Co. We had quite a demanding search, as we have three children under five and were preparing for a big international move from New York to Spain. Although we were unlucky with a few candidates who changed…”
Tatiana2 months ago · Google review
★★★★★
“Isabella and her team were fantastic in helping us find a nanny. From an initial call to align on profiles to the process and platform they use, together with the candidates presented, it was a smooth an easy process. They were very communicative and helped…”
David5 months ago · Google review
★★★★★
“Great and easy experience hiring our new house keeper with Maids & Co. They are very helpful and were continuously searching for the perfect candidate. We are very happy and will keep working with them in the future.”
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