Villa in Marbella, family of 4, seasonal residence with guests; Format: full-time, live-in (private room with bathroom); 5/2 schedule, paid vacation, annual flights home
When a Family Needs a Live-In Caregiver
A live-in caregiver takes on the daily care of an elderly person and is always nearby: helping morning and evening, monitoring medication and wellbeing, and running the client’s household. Families most often come to us when a relative can no longer live alone, when children live far from their parents, or when they want home care instead of a care home. The family needs more than someone who lives in the house: they need an experienced caregiver with whom their loved one feels comfortable and calm every day. These are the specialists we select for private families around the world.
Falls, missed medication, confusion — as the risks grow, a live-in caregiver provides supervision and help at any time.
If relatives live in another city or country, the caregiver becomes their support on the spot and regularly reports on their loved one’s wellbeing.
Home care preserves familiar surroundings, routine and social circle — many elderly people find this easier and calmer.
With dementia or limited mobility, a caregiver needs experience, the stamina for constant care and knowledge of its specifics.
Caregivers with live-in experience
Candidates who have lived and worked with clients’ families for years — in Europe, Israel and other countries. Each has been interviewed and references checked.
Live-in caregivers in Europe, the UAE, the USA and beyond
We select caregivers who are ready to live in the client’s home, including in another country. We take into account visa requirements and legal employment, the language needed with the client and doctors, living conditions and the caregiver’s readiness to move with the family — for example, for a season at a country house or resort.
What a live-in caregiver does
Duties are tailored to the client’s condition and the family’s routine, and working hours and rest time are set out in the contract. Most often they include the following.
- Medication as prescribed by the doctor, with a medication log
- Monitoring blood pressure, pulse, blood sugar and general wellbeing
- Morning and evening hygiene, help with dressing and mobility
- Fall and pressure sore prevention for low-mobility clients
- Help at night when needed
- Accompanying the client to doctors, procedures and tests
- Contacting the doctor and family if the condition changes
- Cooking in line with the diet, monitoring fluid intake
- Keeping the client’s room tidy, laundry and clothing care
- Shopping for groceries and medication, keeping the medicine cabinet stocked
- Walks, exercises and a familiar daily routine
- Conversation, reading, hobbies and shared leisure
- Travelling with the client and family on holiday or to a country house
- Regular updates to relatives on wellbeing and events
Additional responsibilities such as travel assistance or extended household tasks are discussed individually and outlined in the agreement.
Why choose Royal Keeper when hiring a caregiver
We help families skip months of searching and connect directly with vetted caregivers — locally and worldwide
Royal Keeper has a large private database: we have been working since 2000, and many caregivers deliberately do not post their CVs online or enter the open market. You gain access to professionals impossible to find through regular listings.
When urgent care is needed for an elderly family member, independent searching takes valuable time. We maintain a ready pool of vetted caregivers and can present suitable candidates promptly.
Should a caregiver need to leave, we handle the replacement process seamlessly. Our agency ensures minimal disruption to the established routine and emotional well-being of the elderly person.
When relocating abroad it becomes difficult to identify caregivers who understand local medical regulations, visa requirements and cultural expectations around elder care. Royal Keeper maintains an international network and selects professionals who can relocate with the family while meeting specific health and legal standards.
Without thorough background checks families may entrust elderly relatives to individuals lacking medical training or verified experience. Royal Keeper maintains detailed candidate histories, verifies references and excludes profiles that do not meet professional geriatric care standards.
Families seeking caregivers often face uncertainty about qualifications and long-term reliability. Royal Keeper handles verification and selection so you can focus on your loved one’s comfort rather than administrative concerns.
Need companion caregiver for your elderly family member
Submit your request and a Royal Keeper recruiter will contact you to discuss your requirements and introduce carefully selected candidates.
How we recruit staff
We discuss the family's lifestyle, schedule, level of responsibility, and service expectations — not just a list of duties.
We record all key collaboration terms in an individual contract. After signing, the team launches the project.
We run an extensive search, interview candidates, and verify their experience, references, and work history.
You receive a shortlist with detailed profiles and recruiter notes; interviews are arranged with selected candidates.
We help agree on terms, support onboarding, and remain available for any questions after the candidate starts.
Safety and privacy
standards
standards
We work with private households where what matters
is not just skills, but the professional's ethics too.
Verified experience in private households and checked references.
Competency-based interviews: reactions to non-standard situations, respect for house rules and the family's personal boundaries.
Confidentiality: ban on publishing family photos and information, NDA on request.
VIP environment understanding: many candidates have already worked in public and international families.
About Us
Royal Keeper is an international agency for the selection of premium household staff and nannies for families around the world, founded in 2000. For over 25 years we have combined luxury service standards with a very attentive approach to each family.
Our recruitment team speaks several languages and works with clients across Europe, the UK, the USA, the Middle East and Asia, so we understand the cultural nuances and requirements of different countries.
We build long-term relationships: most families come back to us or refer their friends, and candidates bring their colleagues and acquaintances.
Service pricing and cooperation terms
Ranges from 12% to 22% of the specialist’s annual salary and depends on the country of recruitment, the level of the position, the urgency of the search, and the selected contract format. The replacement guarantee period ranges from 6 to 12 months, and the number of replacements depends on the selected contract.
Payment is made in two stages: an initial deposit is required to confirm the order and start work on the request, and the remaining balance is paid after the candidate has been approved.
Special conditions are available for returning clients, repeat requests, and orders involving the selection of several specialists for one family.
Live-in
caregiver
A live-in caregiver lives in the client’s home and provides care, attention and safety throughout the day and, when needed, at night. Families choose this format when an elderly relative can no longer live alone but they want to keep familiar home surroundings instead of a care home. A permanent caregiver gets to know the client’s character, habits and condition, quickly notices changes and becomes a close, reliable person for them.
Royal Keeper selects live-in caregivers with medical training and experience in elderly care, including dementia, recovery after a stroke, fracture or surgery, chronic conditions and bedridden patients. The caregiver monitors medication and wellbeing, helps with hygiene, meals and mobility, accompanies the client to doctors, keeps their room in order and keeps the family informed. A caregiver does not replace a doctor and follows the doctor’s instructions.
Every candidate is vetted: interview, education documents, references from previous employers and a background check. We help agree living conditions, working hours, days off and holidays, draw up a contract in line with local law and, if care must continue without breaks, find a relief caregiver for days off.
We place live-in caregivers in Spain, Italy, Switzerland, the UAE and other countries. More about elderly care is on our elderly caregiver page.

Latest
vacancies
We update the list of vacancies daily for nannies, housekeepers, chefs, estate managers and other staff. Pick a role and a country to see offers that best match your experience.
















