Sundowning: What It Is And How To Help

Gabriela Vilela • 14 October 2022

Sundowning refers to a change in a person's behaviour in the later afternoon or toward the end of the day. Hence the name sundowning.

This might continue into the night, which of course means it can be really difficult for them to get enough sleep at night.


Sundowning isn't necessarily linked to the sun setting or limited to that time of the day. Sundowning can happen at any stage of dementia but is more common in the middle stages and later stages and can occur at any point during the day.


What is Sundowning?


Sundowning usually starts in the late afternoon towards the evening. It can present itself through agitation, irritability, confusion, and even hallucinations. Sundowning dementia can be dangerous for the person and other people around them.


Other names:

  • Sundowners
  • Sundown syndrome
  • Night-time dementia


Symptoms of sundowning


Some of the most common symptoms of sundowning are:

  • Disorientation
  • Confusion
  • Agitation
  • Pacing
  • Wandering
  • Restlessness
  • Demanding behaviour
  • Insomnia
  • Anxiety


What causes sundowning?


The reasons behind why sundowning happens are not well understood. Many experts believe different reasons why sundowning might occur. Some experts believe it is caused by changes in the brain as dementia memory loss progresses. Some believe it is related to our internal body clocks and that we tend to be more active during the day, and more restful at night which can cause dementia sufferers to become more confused at night. Others believe it is due to environmental factors such as light or noise in the environment around them.


What triggers Sundowning?


There are a few things that trigger sundowning. These changes become more significant when there are changes to their environment, like moving home for example.


Other triggers might be some of the following:

  • Fatigue
  • Hunger or pain
  • Overstimulation during the day
  • Changes in their body clock
  • Mood disorders such as anxiety or depression
  • Side effects of prescribed drugs


It is important to note that some of these are not affected by the time of day and may happen at any time.


Although it can be really difficult for the caregiver of the person suffering from sundowning, it is important to remember that they might be trying to communicate a need such as going to the toilet, experiencing pain, or being hungry.


Tips on reducing sundowning


  • Make sure all medications are taken as prescribed
  • Seek help and support from family and friends around you
  • Distract them by talking about something they really enjoy, or even a memory they might love to remember.
  • Reducing noise, clutter, and people from the room
  • Make the early evening a quiet time of day
  • Adjust lighting, natural lighting in the daytime, and softer lighting in the evenings.


How homecare services can help with sundowning dementia


Everyone experiencing sundowning will experience it in their own unique way. There is no one size fits all answer for sundowner treatment. Some people might benefit from medication, others from trying to remain physically active, having a steady routine, or even being in touch with family and friends more often.


To help someone with their sundowning, their loved ones might look to get help from a home care service. This will allow the home care service to work together with the loved ones and the person experiencing sundowning to create a routine that keeps them on track with a care plan and medications. Home care services can help with lots of different tasks, such as laundry, cleaning, medication, food shopping, and more in-depth personal care. They can even provide companionship and respite care which is crucial to those with sundowning dementia. It is a good way for family, friends, and loved ones to reach out for help in a safe, understanding, and caring way to allow them to take a break when they are feeling overwhelmed.


Getting help



 It is important to reach out for help to ensure the safety of both yourself and your loved ones. You can get help and treatment from your GP service who will be able to get the right treatment that will help you manage your sundowning better.


 If you would like more information about the home care services that can be of help then please get in touch so that we can help you to create the home care plan you need that works around you.


More news and updates

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by David Chalk 9 February 2026
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by David Chalk 23 January 2026
In today’s fast-paced world, more families are choosing homecare services as a compassionate and practical solution for their loved ones. Homecare allows individuals to remain in the comfort of their homes while receiving the personalised support they need. Whether it’s assistance with daily activities, medical care, or companionship, homecare promotes independence and peace of mind for both clients and families. What Is Homecare? Homecare encompasses a wide range of professional services delivered directly in the home. It can include:  Personal care: Help with bathing, dressing, grooming, and mobility. Companionship: Providing emotional support, conversation, and friendship. Household help: Light cleaning, meal preparation, and errands. Specialised medical care: Supervision for conditions like dementia, chronic illness, or mobility challenges. The focus is not just on meeting physical needs—but also on nurturing emotional and social well-being. Why Choose Homecare? Comfort and Familiarity: Staying in a known and loving environment reduces stress and promotes quicker recovery. Personalised Attention: Care plans are tailored to individual preferences and evolving needs. Family Involvement: Loved ones remain actively engaged in the care process. Independence: Clients retain autonomy and dignity in their daily lives. Homecare blends professional expertise with a human touch—making it one of the most compassionate choices for long-term wellness and comfort. The Heart of What We Do At Windrush Care, we believe that care goes beyond tasks—it’s about connection. Our amazing care staff are trained not just to assist but to listen, reassure, and build genuine relationships. Every smile, shared story, and moment of trust brings us closer to our mission: helping people live life fully, at home. Final Thoughts Homecare isn’t just a service—it’s a partnership based on respect, empathy, and commitment. Whether you need short-term recovery support or long-term assistance, professional homecare ensures your loved one receives the compassionate and personalised care they deserve.
by David Chalk 9 February 2026
When choosing home care in England, one of the biggest decisions families face is whether to use a CQC-registered care agency or hire a personal (independent) carer. While personal carers can seem cheaper or more flexible, there are important reasons why a CQC-registered company offers greater protection and peace of mind. 1. Independent Regulation and Inspection A CQC-registered care company is legally regulated by the Care Quality Commission (CQC). That means: They are inspected by an independent regulator They receive a public rating (Outstanding, Good, Requires Improvement, or Inadequate) Families can read inspection reports before choosing care A personal carer is not inspected or rated by the CQC. There is no external check on how safe, effective, or reliable their care is. šŸ‘‰ With a CQC provider, quality is monitored. With a personal carer, you’re relying on trust alone. 2. Safer Recruitment and Background Checks CQC-registered companies must: Carry out enhanced DBS (criminal record) checks Verify references and work history Ensure carers are trained and competent Provide ongoing supervision When hiring a personal carer, you become responsible for checking: Their background Their experience Their right to work Their training šŸ‘‰ A registered company removes this risk from families. 3. Legal Protection and Accountability CQC-registered providers must follow strict laws around: Safeguarding vulnerable adults Medication management Infection control Health & safety Complaints handling If something goes wrong, there is: A formal complaints process CQC oversight Clear accountability at management level With a personal carer: Complaints are harder to resolve There is no regulator to escalate concerns to Legal responsibility often falls on the individual or family 4. Cover, Continuity, and Reliability A care company must ensure: Cover if a carer is sick or on holiday Care continues without disruption Visits are monitored and logged With a personal carer: If they are ill or unavailable, care may stop Families may need to find emergency cover themselves šŸ‘‰ Continuity of care is critical, especially for older or vulnerable people. 5. Insurance and Risk Management CQC-registered companies must have: Public liability insurance Employer’s liability insurance Risk assessments in place Many personal carers: Are uninsured or under-insured Leave families exposed if an accident or injury occurs 6. Clear Standards of Care CQC providers must meet five key standards: Safe Effective Caring Responsive Well-led These standards don’t apply to personal carers in the same way. šŸ‘‰ CQC registration means care is delivered to nationally recognised standards. The Bottom Line CQC-Registered Care Company Regulated and inspected Trained, vetted staff Backup care provided Clear complaints process Legal and insurance protection Personal Carer No independent oversight Checks are the family’s responsibility No guaranteed cover Limited accountability Higher risk for families A Balanced View: Personal Carers and CQC-Registered Care Providers It is important to recognise that not all private or personal carers are bad. Many independent carers are experienced, compassionate, and dedicated professionals who provide excellent support and build strong, trusted relationships with the people they care for.  For some individuals, particularly those with low-level or companionship needs, a personal carer can be a suitable option. However, the key difference lies not in intent or care quality, but in regulation, accountability, and safeguards.
by David Chalk 23 January 2026
In today’s fast-paced world, more families are choosing homecare services as a compassionate and practical solution for their loved ones. Homecare allows individuals to remain in the comfort of their homes while receiving the personalised support they need. Whether it’s assistance with daily activities, medical care, or companionship, homecare promotes independence and peace of mind for both clients and families. What Is Homecare? Homecare encompasses a wide range of professional services delivered directly in the home. It can include:  Personal care: Help with bathing, dressing, grooming, and mobility. Companionship: Providing emotional support, conversation, and friendship. Household help: Light cleaning, meal preparation, and errands. Specialised medical care: Supervision for conditions like dementia, chronic illness, or mobility challenges. The focus is not just on meeting physical needs—but also on nurturing emotional and social well-being. Why Choose Homecare? Comfort and Familiarity: Staying in a known and loving environment reduces stress and promotes quicker recovery. Personalised Attention: Care plans are tailored to individual preferences and evolving needs. Family Involvement: Loved ones remain actively engaged in the care process. Independence: Clients retain autonomy and dignity in their daily lives. Homecare blends professional expertise with a human touch—making it one of the most compassionate choices for long-term wellness and comfort. The Heart of What We Do At Windrush Care, we believe that care goes beyond tasks—it’s about connection. Our amazing care staff are trained not just to assist but to listen, reassure, and build genuine relationships. Every smile, shared story, and moment of trust brings us closer to our mission: helping people live life fully, at home. Final Thoughts Homecare isn’t just a service—it’s a partnership based on respect, empathy, and commitment. Whether you need short-term recovery support or long-term assistance, professional homecare ensures your loved one receives the compassionate and personalised care they deserve.
by Sean Kennedy 3 November 2025
Making the decision to bring care into your home is never easy. For many people, it can feel daunting — even frightening. You might be thinking: “What if the carers are strangers I don’t feel comfortable with?” “What if they don’t really care?” “What if I lose control over my own life?” These are natural worries. At Windrush Care, we speak to families every day who feel exactly the same way before they start receiving support. Let’s talk about those fears — and how a good care company can help you feel safe, respected, and in control. šŸ’­ 1. Fear: “I don’t want strangers in my home.” We completely understand. Your home is your private space — your comfort zone. Letting someone new in can feel like a big step. That’s why the best care companies take time to match you with the right carers. At Windrush Care, for example, we carefully choose carers whose personality, skills, and temperament suit you. Over time, most of our clients tell us their carers feel less like strangers and more like trusted friends. šŸ’™ 2. Fear: “Will they really care about me?” Sadly, we often hear stories about rushed visits or impersonal service — and that can make anyone hesitant. But not all care companies are the same. A regulated, independent, and compassionate provider like Windrush Care invests in recruiting people who genuinely care. Every carer is trained in empathy, communication, and dignity — not just the practical side of care. You should always feel respected, listened to, and treated as an individual — never as a “task” on a schedule. āš–ļø 3. Fear: “I’ll lose my independence.” Many people worry that accepting help means giving up control. But the opposite is true. Good home care is about empowering you to stay independent for longer — helping you live your life your way, in your own home. You choose the times, the tasks, and the level of support you need. The goal isn’t to take over — it’s to make things easier, safer, and more enjoyable for you. šŸ”’ 4. Fear: “Is it safe?” A reputable care company should always be CQC-regulated, fully insured, and transparent about its policies.  This means: Carers are DBS checked and professionally trained Visits are monitored for quality and reliability There’s always backup if a carer is ill or unavailable You have someone to contact 24/7 if you need help or have concerns You’re never left alone to figure things out — and your safety is the company’s top priority. šŸ’¬ 5. How to build trust step by step If you’re still feeling anxious, here are a few gentle ways to start: Ask for an introductory visit — meet a manager or carer before committing. Start small — try short, flexible visits before moving to regular care. Involve family or friends — they can be there during early visits. Ask questions — any good provider will be happy to answer openly. Remember: you’re in control. Care should feel like partnership, not intrusion. 🌿 Final Thoughts Feeling nervous about using a care company is completely normal — it means you care deeply about your home, your independence, and your dignity. The right care company will respect all of that. They’ll take time to understand you, earn your trust, and help you feel confident in your own home again. At Windrush Care, we believe that care isn’t just about what we do — it’s about how we make you feel: safe, respected, and truly cared for. If you’d like to chat — no pressure, no commitment — we’re always happy to listen and answer your questions. Sometimes, that’s the best place to start.