What is the difference between home health and home care?

Home health care involves skilled nursing and therapy services, while standard home care provides non-medical services. These can include companionship, housekeeping, errands, light cleaning, meal preparation and personal care assistance (assistance with Activities of Daily Living). Only home health care providers, not personal care assistants, are qualified to provide medical services.

Are your caregivers insured?

Yes, all our caregivers are insured and bonded.

Are your caregivers fluent in English?

Yes, we have a diverse team of caregivers from various cultural backgrounds. They are all fluent in English. Ask about our bilingual caregivers.

How fast can you start home care in Middletown, CT?

In many cases, we can begin services within 24 to 48 hours after the initial consultation and care assessment. Our team works closely with families to create a personalized care plan and match seniors with the right caregiver as quickly as possible.

Do you serve surrounding towns for senior care in Middletown?

Yes. In addition to providing trusted senior care in Middletown, we proudly serve families throughout Middlesex County, Hartford County, New Haven County, and surrounding Connecticut communities.

What's the difference between live-in care and 24/7 home care in Middletown, CT?

Live-in care typically involves one dedicated caregiver staying in the home and assisting throughout the day and overnight with scheduled rest periods. This option offers consistency, companionship, and a familiar routine for seniors. 24/7 care usually involves multiple caregivers rotating in shifts to provide continuous awake coverage around the clock. Families often choose this level of home care for seniors with advanced medical, mobility, or safety needs requiring constant supervision.

Helping Durham Seniors Age at Home with Dignity

Compassionate Home Care & Elder Care Services in Durham, CT

Families in Durham want care that helps their loved ones continue living with comfort, dignity, and independence in the place they know best: home. At One Patient At A Time, we provide reliable home care that Durham, CT, families can trust, with support built around daily needs and long-term peace of mind.

Get Free In-Home Assessment

What We Offer

In Home Care Services

Our focus is simple. We help seniors remain safe and comfortable in their own homes while preserving the routines and familiarity that matter most. Aging at home often brings emotional comfort, confidence, and a stronger sense of independence, which is why our care is designed to support daily life without disrupting it.
Whether your loved one needs occasional assistance or regular daily support, our team works closely with families to create care that feels personal and steady.

Our Home Care Services in Durham

Our Durham care services are designed to support both seniors and the families who care for them.

Companionship Care

Friendly visits, meaningful conversations, and emotional support can make a real difference in a senior’s day. Companion care helps reduce loneliness and brings comfort through consistent human connection.

Respite Care

Family caregivers need time to rest and manage their own responsibilities. Respite care gives families trusted support so they can step away while knowing their loved one is well cared for.

24/7 Care

Recovery and daily life don’t follow a 9-to-5 schedule. We offer flexible monitoring and round-the-clock companionship for those who need constant peace of mind, ensuring a friendly face is always nearby.

Medication Management Support

Our caregivers provide medication reminders and routine assistance to help seniors stay consistent with their prescribed schedule.

Personal Care Assistance

For seniors who need help with dressing, bathing, grooming, mobility, or daily hygiene, our caregivers provide respectful and attentive support that protects dignity.

Memory Care

Caring for a loved one with Alzheimer’s or dementia requires patience, consistency, and understanding. Our memory care is designed to support both seniors and their families through this journey.

Why Families Choose Us for Durham Elder Care

What makes our Durham elder care services different is the way we approach every client as an individual. Our one patient at a time philosophy means care is never rushed. We take time to understand daily routines, preferences, habits, and the level of support needed before care begins. Caregiver matching is a major part of this process. The right caregiver relationship creates trust, comfort, and consistency, which often makes a meaningful difference in how seniors feel about receiving support. We do not believe in one-size-fits-all care. Every plan is shaped around the individual, whether they need help a few times a week or more regular daily assistance. This personalized approach is why Durham families continue to trust our team.

What Families Are Saying

Don’t just take our word for it, here’s how we’ve helped neighbors right here in your community.

    
 
 
        
   Marie Sheehan 
 
 
 
   Trustindex verifies that the original source of the review is Google. As I sit here recovering I had to take time to thank you and your fine company for the ways in which you aided me in my recovery.  As I faced upcoming surgery on my right hip I decided to look into employing an aide to assist me.  Fortunately for me, my dearest friend had used One Patient At A Time when she needed help and was well pleased with the care provided.  In her lifetime she was an aide at CT. Valley Hospital for her entire work career and had many definite opinions on what she expected.  Before she passed she shared her thoughts on your company and what it meant to her.  It certainly took lots of the guesswork out of the equation for me.
Mike, the owner, answered on the first ring and I explained my need for assistance.  We made an appointment to meet the following Tuesday.  Mike and Annmarie, husband and wife, were right on time and we spent the next half hour discussing what I needed and the services they offered.  Mike was meticulous in explaining every bit of their contract and what I could expect.  I found them responsive to my needs and how they would be met.  They showed willingness to adjust our contract if something unexpected arose.  They were both warm and friendly while professional throughout our meeting.  When my friend was their client she was attended by Alice and fortunately, she would be available when I needed her.  Déjà vu….lucky me.  The following day Annmarie brought Alice to my home to personally introduce us and cover any last minute questions.  I thought it was a wonderful way to eliminate any possible future awkwardness.  Upon discharge Alice arrived promptly as promised and I immediately felt comfortable with her.  Alice was amazing. Our time together was comfortable and easy.  She is the mother of four boys and still has the energy to care for others.  In her soft spoken way she simply did everything needed, be it with me or my surroundings.  Make no mistake….Alice was in charge and it’s wonderful that she was.  She kept safety in mind at all times.  She allowed me my dignity and still attended to my needs.  As I look back on my experience with One Patient At A Time I am 100% satisfied.  I would urge anyone looking for assistance to give Mike & Annmarie a call,  You won’t be sorry!

Sincerely,
Marie S.
  
  Posted on Google  
 
 
 
       
   Gail Martin 
 
 
 
   Trustindex verifies that the original source of the review is Google. The aides are very attentive to my husband and communicate with him.
  
  Posted on Google  
 
 
 
       
   David DeCrescente 
 
 
 
   Trustindex verifies that the original source of the review is Google. I was very intimidated in my search to find quality in home care services for our mother. Too many stories about care givers not showing up, caregiver turnover because they quit (it’s a hard job) and caregivers simply not doing anything. My first call to OPAAT gave me hope that we would not experience this. Mike made it clear to me in our first conversation that they can competently do the chores, the light housekeeping and companionship but he made it very clear to me that their services were about people.  OPAAT has been providing service for our 92 year old mom for 2 months. They were very compassionate, experienced and patient at the beginning when it was hard for Mom to deal with this change and accept help and from a stranger! Mike, AnneMarie and their caregivers we have walk the talk and are truly special people to deal with such difficult, personal work at a stage of life with so many challenges.

At the end of our first two months Mom has come a long way and really bonded with her caregiver. We are very pleased with OPAAT. So far, so good! I look forward to provide a review after many months of the same excellent, knowledgeable and compassionate service.
  
  Posted on Google  
 
 
 
       
   Dorothy Meerbach 
 
 
 
   Trustindex verifies that the original source of the review is Google. I would highly recommend the home care service of One Patient at a Time.  My caregiver Vivian has given me outstanding care in the performance of her responsibilities.  She is a very caring person providing me with compassion and support as I progress through my daily routine.  My family is very pleased knowing that  I am receiving such good care.  Michael and Ann Marie , owners of the agency are very supportive.
  
  Posted on Google  
 
 
 
       
   Lucy D 
 
 
 
   Trustindex verifies that the original source of the review is Google. We have used One Patient at a Time for a couple of months in 2024 while our mother was rehabbing from a car accident. The care that is given is awesome and the owners are kind, caring and compassionate! They listen to your wants and needs and follow up to make sure you are happy with the care you are receiving from their caregiver's . We are using them again in 2025 and are still using them to this day for my mom. I cannot say enough about this company or the caregiver that our mom has. I highly recommend One Patient at a Time!
  
  Posted on Google  
 
 
 
       
   Donna Foster Foster 
 
 
 
   Trustindex verifies that the original source of the review is Google. Renee and I are getting along fine.  I’m comfortable with her and she’s been kind and very helpful.
  
  Posted on Google  
 
 
 
       
   Monica Urick 
 
 
 
   Trustindex verifies that the original source of the review is Google. Mike and Anne Marie are great to work with.  They are responsive, offer insight and assistance.  In managing my mom’s care from another state, they have been incredibly helpful.  The caregivers that we have worked with are excellent.  The fact that they have  been able to provide consistency in the people coming to care for my mother has brought us  a lot of comfort.  They have always come thru for us.  I cannot say enough about the quality of care and service that they provide.
  
  Posted on Google  
 
 
 
       
   Veronica Warren 
 
 
 
   Trustindex verifies that the original source of the review is Google. Home health care was at my home. The Francises came to our house for an
“intake “ before they sent an aide to us.
Mike and Ann Marie are kind and gentle and run their service with utmost integrity. We had an aide for eight weeks while I was recovering from surgery. Not only did she take care of my medical needs like showering and dressing, but also straightening the house and keeping me safe when my husband went grocery shopping. She was kind and efficient and regaled us with stories with a fine sense of humor.
Don’t call anyone else! This company is the real deal.
  
  Posted on Google  
 
 
 
  
  
 
 
  Google rating score: 4.8 of 5, 
based on 17 reviews

Your Journey to Better Care Starts Here

Getting started with home care is easy. We handle the details so you can focus on what matters most.

Free In-Home Consultation

A friendly Care Coordinator will visit your home to listen to your concerns, assess safety, and discuss your personality, preferences, and daily routine.

Customized Care Plan

We develop a personalized plan and match you with a caregiver whose personality and interests are the perfect fit for your family.

Ongoing Support & Adjustments

We start care immediately and stay in touch. We review your plan regularly to adapt to any changes in your routine or needs.

Frequently Asked Questions

Q: What areas do you serve?

A: We serve Durham, CT, and surrounding communities. Our local focus allows us to respond quickly and understand the unique needs of Durham residents.

Q: How do you determine which caregiver is right for my loved one?

A: We follow a “one patient at a time” philosophy. We learn your loved one’s routines, personality, and needs, then carefully match them with a caregiver whose skills and demeanor are the best fit.

Q: What is the difference between companion care and personal care?

A: Companion care focuses on emotional support and social connection. Personal care involves hands-on help with bathing, dressing, grooming, and mobility. We provide either or both.

Q: Can you help with medication reminders?

A: Yes. Our caregivers provide medication reminders to help seniors stay on schedule. We do not administer medications but support consistency and safety.

Q: Do you offer part-time or full-time care?

A: Absolutely. We build flexible schedules around each individual, from a few hours a week to daily assistance.

Q: How does respite care work for family caregivers?

A: We step in to provide professional care while you rest, work, or travel whether for a few hours or longer periods, so you can recharge with peace of mind.

Help Your Loved One Thrive at Home

If your family is looking for trusted home care in Durham, CT, we are here to help.

Call: 860-788-2437