We know that care is expensive, whether a few hours a day from a reputable local agency or a full-time carer from us. Our “Live in Care Costs” page will help explain more.
A Choice of Supervision, Management and Control
Most of this website describes our service where we are a CQC -registered, domiciliary care agency. We employ the carer and take full responsibility for carrying out care tasks properly and in accordance with current regulations. A week of live-in care costs between £1,000 and £1,500, depending on our client’s condition.
There is an alternative
If you are confident that the manner in which the carer carries out their tasks will not be subject to supervision, direction or control by anyone, then you may use us as an introducing agency, where we don’t employ the carer but introduce them to you, to work under contract to you and to carry out your wishes.
This arrangement costs less, overall, than one where we employ the carer and ranges from about £700 to £950 a week. It is subject to rules set out in the Finance Act 2014.
If you should decide to use our introductory service, then to preserve the genuine self-employed nature of the carer’s work, the following rules must be followed:
- The manner in which the carer carries out their tasks must not be subject to (or to a right of) supervision, direction or control by anyone;
- The carer will be self-employed. We will have made sure that they have a NI number and self-employed tax reference or have at least started the process of registration. We will also ensure that they complete a tax return each year and settle their NI and tax obligations. If a carer cannot produce evidence of this we will stop introducing them to clients;
- The carer is free to work with their choice of client and for more than one agency. They may accept work for a portfolio of clients, each for a comparatively short time of a few weeks, and they will decide whether or not they wish to work for a particular week or set number of weeks;
- The carer will be trained by us to be ‘suitable’ to meet your wishes and needs. By this we mean that they will be competent to carry out agreed wishes and normal social care tasks;
- It is important to evidence this relationship and we ask our clients and carers to agree and sign a contract for services, which will set out clearly the carer’s responsibility to do her work without supervision, direction or control.
There are certain aspects where the two services have much in common:
- We recruit, vet and train all our carers to the same award-winning induction standards;
- We make the same initial visits to our clients, to assess needs and wishes and to examine risks. These visits are free of charge;
- We expect to achieve the same standard of continuity and consistency in care and carers;
- We offer the same out-of-hours service.
There is a third choice for our client:
- In this scenario the carer is subject to supervision, management and control by the client, while working with their client;
- It is for the client to employ the carer, deducting tax and NI;
- That choice is contained in our contract with our client.