I guess someone has to pay the care firm for an extra hour?
I'm not sure how this works out - mum is in sheltered extra care - so whilst it is care calls to her flat, it is the same team of carers on site all day, somehow they've fitted in taking the food up from the restaurant etc.
There is also a senior on site who does do calls but also has office time so I guess it came out of office time.
They are very flexible and if something needs doing it happens - but lots of carers on site so some flexibility.
Mum pays the council for her care and the council pay the agency.