Care Agency Accountants London | CQC Registration | Domiciliary Care | LOYALS
โญ 4.8โ˜… Rating
๐Ÿข 500+ Clients
โœ… Chartered Accountants
โค๏ธ Care Sector Specialists
ยฃ12.4 BILLION SECTOR | GROWING DEMAND

Specialist Accountants for Care Agencies & Homecare Providers

From CQC registration to growth - we understand the care sector. Professional accounting for domiciliary care, nursing agencies, and supported living across all London boroughs.

July 2025 CQC Changes
ยฃ15K-ยฃ30K Typical Startup Costs
30-60 Days Council Payment Delays

Why Care Agencies Need Specialist Accountants

Running a care agency isn't like other businesses. You're navigating CQC registration requirements, managing complex payroll for variable-hours carers, dealing with delayed local authority payments, and ensuring financial viability while providing compassionate care. Generic accountants don't understand these unique challenges - we do.

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CQC Registration Support

Financial viability statements that meet CQC standards

We prepare comprehensive financial forecasts, business plans, and viability statements specifically for CQC applications. Our documents demonstrate your agency can operate safely and sustainably, meeting all CQC financial scrutiny requirements including the July 2025 enhanced standards.

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Complex Care Worker Payroll

Variable hours, mileage, sleep-ins handled seamlessly

Care worker payroll is uniquely complex - tracking hours across multiple clients, calculating travel time between visits, processing mileage claims, managing sleep-in payments, and ensuring National Living Wage compliance. We handle all of this monthly so your carers get paid accurately and on time.

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Cash Flow for Council Contracts

Managing 30-60 day payment delays professionally

Local authority contracts mean waiting 30-60 days for payment while you need to pay carers weekly. We create detailed cash flow forecasts accounting for delayed payments, help you calculate required working capital, and implement systems to chase overdue invoices while maintaining good council relationships.

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Cost Per Hour Calculations

Understanding true profitability per client

Many care agencies don't know their true cost per care hour once you factor in payroll, mileage, training, insurance, and overheads. We calculate your exact break-even point and help you price contracts profitably while remaining competitive in the London care market.

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National Living Wage Compliance

Avoiding penalties as wage rates increase

National Living Wage increases impact care agencies significantly. We monitor rate changes, ensure your payroll remains compliant, calculate how wage increases affect your contract margins, and advise when you need to renegotiate rates with local authorities or private clients.

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Insurance & Compliance Costs

Managing high insurance premiums and regulations

Care agencies face substantial insurance costs (ยฃ3,000-ยฃ8,000+ annually) for employer's liability, professional indemnity, and public liability. We help you budget for these, ensure adequate coverage levels, and identify insurance as a tax-deductible expense to reduce overall tax liability.

CQC Registration Financial Support

The Care Quality Commission requires robust financial evidence proving your agency can operate safely and sustainably. From July 2025, CQC has introduced enhanced financial scrutiny with stricter requirements for new registrations and existing providers. We prepare professional documentation that meets these new standards.

What CQC Requires Financially

โœ“ 12-Month Cash Flow Forecasts

Detailed month-by-month projections showing your agency can cover payroll, insurance, and operational costs even with delayed council payments.

โœ“ Profit & Loss Projections

Realistic revenue forecasts based on contracted hours and private clients, with detailed expense breakdowns specific to care operations.

โœ“ Startup Capital Evidence

Documentation of how you're funding the agency - personal savings, loans, investors - with proof of accessibility for operational needs.

โœ“ Insurance Documentation

Evidence of adequate insurance coverage (employer's liability, professional indemnity, public liability) with costs factored into financial planning.

โœ“ Financial Sustainability Plan

Clear demonstration of how the agency will maintain financial stability through growth phases, staff turnover, and market changes.

โœ“ July 2025 Enhanced Requirements

Additional assurance statements, governance evidence, and stronger financial oversight documentation meeting new CQC standards.

LOYALS prepares comprehensive financial viability statements that have helped care agencies across London gain CQC approval. We understand what inspectors look for and present your finances in the most favorable light while remaining completely accurate and compliant.

Who We Help in the Care Sector

We provide specialist accounting services to all types of care providers across London, from new startups navigating CQC registration to established multi-site agencies looking to expand operations.

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Domiciliary Care Agencies

Home care providers offering personal care, companionship, and daily living support in clients' homes

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Home Care Providers

Agencies providing visiting care services including medication administration and meal preparation

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Supported Living Services

Providers supporting individuals with learning disabilities or mental health needs in independent accommodation

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Care Homes

Residential care facilities providing 24/7 support for elderly or disabled residents

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Nursing Agencies

Healthcare staffing agencies providing qualified nurses and healthcare assistants to care settings

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New Care Agency Startups

Entrepreneurs launching new care businesses who need financial planning and CQC registration support

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Growing Multi-Site Agencies

Established care providers expanding into new London boroughs or launching additional service lines

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Agencies Switching Accountants

Care providers frustrated with accountants who don't understand care sector complexities

Common Financial Challenges for Care Agencies

Care agencies face unique financial pressures that generic accountants often misunderstand or overlook. Here's how we help you navigate the specific challenges of the care sector.

Managing Delayed Council Payments

Local authorities typically pay 30-60 days after invoicing, but your carers expect weekly payment. This creates severe cash flow pressure, especially for new agencies without reserves.

LOYALS Solution: We create detailed cash flow forecasts accounting for payment delays, calculate exactly how much working capital you need, implement invoice tracking systems, and advise when to escalate overdue payments while maintaining good council relationships.

Calculating True Cost Per Care Hour

Many agencies underestimate their true costs and price contracts unprofitably. You must factor in carer wages, employer NICs (13.8%), pension contributions (3-8%), mileage, training, insurance, office overheads, and unpaid time between visits.

LOYALS Solution: We calculate your exact cost per hour including all hidden expenses, help you determine minimum viable hourly rates for profitability, and advise which contracts to pursue or renegotiate based on true margins.

Complex Variable-Hours Payroll

Care workers rarely work consistent hours. You're tracking time across multiple clients, calculating travel between visits, processing mileage claims at HMRC rates, managing sleep-in payments, and ensuring National Living Wage compliance for every hour worked.

LOYALS Solution: Our care sector payroll service handles all complexities - variable hours tracking, automatic mileage calculations, sleep-in payment processing, ensuring every carer is paid accurately on time monthly while maintaining full compliance with employment law.

High Staff Turnover Costs

Care sector turnover averages 28-34% annually, meaning constant recruitment, DBS checks, training, and onboarding costs. These expenses destroy profitability if not properly managed and budgeted.

LOYALS Solution: We track recruitment and training costs per carer, calculate the financial impact of turnover, help you budget for realistic recruitment needs, and identify when turnover costs indicate you should increase carer pay to improve retention.

National Living Wage Increases

National Living Wage rises (currently ยฃ11.44/hour, rising to ยฃ12.21 from April 2025) significantly impact care agencies. You need to ensure payroll compliance while renegotiating rates with local authorities who are slow to increase contract prices.

LOYALS Solution: We monitor upcoming NLW changes, calculate the exact impact on your payroll costs, model how it affects contract profitability, prepare financial justifications for rate increases, and advise when contracts become financially unviable.

Insurance and Compliance Costs

Care agencies face substantial insurance premiums - employer's liability, professional indemnity, public liability typically cost ยฃ3,000-ยฃ8,000+ annually. These fixed costs can make small agencies unprofitable unless properly budgeted.

LOYALS Solution: We ensure insurance costs are factored into your pricing structure, maximize tax deductions for insurance expenses, help you compare provider quotes, and advise on adequate coverage levels without over-insuring unnecessarily.

Starting a Care Agency? Here's What You Need to Know

Launching a care agency is rewarding but requires significant financial planning and preparation. We've helped numerous care agencies navigate the startup phase successfully. Here's what you need to consider.

Startup Costs: ยฃ15,000-ยฃ30,000

CQC registration: ยฃ3,289 initial fee. Insurance: ยฃ3,000-ยฃ8,000 annually. Office setup: ยฃ2,000-ยฃ5,000. Legal/accounting: ยฃ2,000-ยฃ4,000. Initial marketing: ยฃ1,000-ยฃ3,000. Operating reserves: 3-6 months payroll coverage before positive cash flow.

CQC Registration Timeline

Month 1-2: Business planning and financial preparation. Month 3-4: CQC application submission with financial viability statement. Month 5-6: CQC assessment and inspection. Month 6-7: Registration approval and can begin trading. Total timeline: 6-9 months from start to operating.

When to Hire Your First Carers

NEVER hire before contracts are confirmed. Wait until you have signed local authority or private contracts generating sufficient hours to cover carers' minimum guaranteed hours plus employment costs. Many new agencies fail by hiring staff optimistically before revenue is secured.

Funding Your Care Agency

Personal savings: Most common for small startups. Start Up Loans: Government scheme offering ยฃ500-ยฃ25,000 at 6% interest. Bank loans: Typically require 25-30% personal investment. Investors: Angel investors or partners sharing equity. LOYALS prepares professional financial projections for all funding applications.

First Year Financial Reality

Expect minimal profitability Year 1 as you build client base. Most new agencies break even by Month 9-12. Year 2 typically sees 30-50% growth. Year 3 onwards achieves healthy margins if properly managed. Patient realistic expectations and adequate reserves are critical.

Legal Structure: Ltd Company Recommended

Care agencies should incorporate as limited companies (not sole traders) for liability protection and credibility with councils. LOYALS handles company formation, shareholder structure, and ensures you're set up correctly from day one.

"We tried two other accountants who didn't understand care agencies. They couldn't help with our CQC financial statement, didn't know how to handle our payroll complexities, and gave us generic advice. LOYALS changed everything. Kris immediately understood our challenges - delayed council payments, variable carer hours, calculating our true cost per hour. Within three months, we had proper cash flow forecasts, our payroll was running smoothly, and we'd identified three unprofitable contracts we needed to renegotiate. We're now planning our second location with confidence because we finally have accountants who genuinely understand the care sector."
ยฃ18K
Saved by identifying unprofitable contracts
15+ Hours
Monthly admin time saved
CQC Approved
Second location financial statement
M
Maria Thompson
Director, Compassionate Care Services โ€ข Islington

Accounting Packages for Care Agencies

Care agency accounting is more complex than standard business accounting. Our specialist packages are priced by agency size and transaction volume, ensuring you get dedicated support tailored to your operational needs. All packages include care sector expertise, extended 7-day support (Mon-Fri 9am-6pm, Sat-Sun 10am-5pm), and dedicated chartered accountant service.

Starter Care Agency

ยฃ250
per month
Up to 10 care workers | New & small agencies

Capacity: Up to 10 care staff, 100 monthly transactions, single location

  • Complete care worker payroll (up to 10 staff)
  • Variable hours tracking and mileage claims
  • Sleep-in and on-call payments processing
  • National Living Wage compliance monitoring
  • Annual accounts & Corporation Tax
  • Director's personal tax returns (1 director)
  • VAT returns (quarterly or monthly)
  • Local authority invoice management
  • Basic cash flow tracking for delayed payments
  • Pension auto-enrolment compliance
  • Companies House annual filings
  • CQC financial documentation support
  • Monthly management accounts
  • Dedicated chartered accountant
  • Unlimited email & phone support 7 days/week
Get Started

Multi-Site Care Agency

ยฃ600
per month
25+ care workers | Multiple locations

Capacity: 25+ care staff, 400+ monthly transactions, multiple London locations

  • Everything in Growing Package PLUS:
  • Unlimited care worker payroll (25+ staff)
  • Multi-site financial management & reporting
  • Location-specific profitability analysis
  • Consolidated group accounts across all sites
  • Multiple director tax returns (up to 4)
  • Complex shareholding structures support
  • 12-month rolling cash flow forecasts
  • Budget vs actual analysis by location
  • CQC financial statements for new locations
  • Local authority tender bid support
  • Growth strategy and expansion planning
  • On-demand legal advice for contracts/employment
  • Monthly board-level financial reporting
  • Dedicated account manager + specialist team
  • Same-day priority support 7 days/week
Scale Your Agency

Need Higher Capacity?

For care agencies with 50+ care workers, multiple service lines (domiciliary + supported living + nursing), or complex group structures across London, we create bespoke packages. Our largest care agency clients operate 100+ staff across 5+ locations with customized financial management systems.

What's Included in All Packages: Dedicated chartered accountant who knows your business, care sector specialist expertise, extended 7-day support (Mon-Fri 9am-6pm, Sat-Sun 10am-5pm), unlimited phone/email/WhatsApp contact, CQC compliance support, cloud accounting software setup, secure document portal, and all statutory filings. No hourly fees, no hidden charges, no surprises.

Frequently Asked Questions

Common questions we receive from care agency directors, homecare providers, and care entrepreneurs across London.

What financial documents does CQC need for care agency registration? +

CQC requires a comprehensive financial viability statement including 12-month cash flow forecasts, projected profit and loss statements, details of startup capital and funding sources, insurance documentation, and evidence of financial sustainability. LOYALS prepares professional financial viability statements tailored to CQC requirements, demonstrating your agency can operate safely and sustainably. Our statements have supported successful CQC registrations across all London boroughs.

How do I manage payroll for zero-hours care workers? +

Care worker payroll involves tracking variable hours across multiple clients, calculating travel time between visits, processing mileage claims at HMRC approved rates, managing sleep-in payments, and ensuring National Living Wage compliance for every hour worked. LOYALS specializes in care sector payroll, handling all these complexities monthly. We ensure your carers are paid accurately and on time while maintaining full employment law compliance and reducing your administrative burden to zero.

Can I claim tax relief for carer training costs? +

Yes! All mandatory care training is fully tax deductible as a business expense. This includes manual handling, safeguarding, medication administration, health and safety, first aid, dementia awareness, and moving and handling courses. Training costs for new carers, refresher courses, and specialist training all qualify. LOYALS ensures you claim every eligible training expense to reduce your Corporation Tax bill. We've saved care agencies thousands by properly claiming training costs their previous accountants missed.

How do I handle local authority late payments? +

Council payment delays of 30-60 days are unfortunately standard in care contracts. Effective cash flow forecasting is essential - you need sufficient reserves to cover weekly carer payroll while waiting for payment. LOYALS creates detailed cash flow projections specifically accounting for delayed payments, helps you calculate required working capital, implements invoice tracking systems to monitor overdue payments, and advises when to escalate professionally while maintaining good council relationships. We've helped care agencies across Westminster, Camden, Islington, Hackney, Tower Hamlets, and all London boroughs navigate local authority payment challenges.

What startup costs should I budget for a new care agency? +

Expect ยฃ15,000-ยฃ30,000 in realistic startup costs: CQC registration fees (ยฃ3,289), comprehensive insurance (ยฃ3,000-ยฃ8,000 annually for employer's liability, professional indemnity, and public liability), office setup and software (ยฃ2,000-ยฃ5,000), legal and accounting costs (ยฃ2,000-ยฃ4,000), initial marketing and website (ยฃ1,000-ยฃ3,000), and most critically 3-6 months operating reserves to cover carer payroll before contracts generate positive cash flow. LOYALS helps new care agencies create detailed financial projections, identify exact funding requirements, and prepare professional business plans for bank loans or investor funding.

When should I hire my first care workers? +

Only hire carers once you have confirmed contracts generating sufficient hours to cover their guaranteed minimum hours (if any) plus all employment costs including wages, employer NICs, pension contributions, mileage, and training. Many new agencies fail by hiring staff optimistically before securing contracts, creating unsustainable payroll commitments. LOYALS advises on optimal hiring timing based on your contract pipeline and cash flow position. We calculate exactly how many weekly care hours you need before each new hire becomes financially viable, preventing you from overcommitting before revenue is secure.

How much does care agency accounting cost? +

LOYALS offers three packages for care agencies. Premium Accounting at ยฃ150/month includes all compliance, care worker payroll, VAT, and Companies House filings - everything needed for established agencies. Business Mentor at ยฃ250/month adds monthly strategy sessions, contract pricing optimization, and CQC financial statement support for growing agencies. Business Growth Programme at ยฃ2000/month provides complete business support including marketing, legal advice, and tender preparation for agencies expanding to multiple sites. All packages include dedicated chartered accountant support 7 days per week (Mon-Fri 9am-6pm, Sat-Sun 10am-5pm). No hidden fees or hourly charges.

Do you help with multi-site care agencies? +

Yes! We manage accounting for care agencies operating across multiple London boroughs with separate branches. Our systems track finances by location, consolidate multi-site reporting for group accounts, manage separate payrolls if needed, provide location-specific profitability analysis so you understand which branches perform best, and support expansion into new boroughs with CQC financial statements. Whether you're operating in Westminster and planning Camden expansion, or running sites across Hackney, Tower Hamlets, and Islington, we handle the complexity professionally.

Can you help with care agency funding applications? +

Absolutely. We prepare professional financial projections, comprehensive business plans, and supporting documentation for bank loans, Government Start Up Loans (ยฃ500-ยฃ25,000 at 6% interest), and investor funding presentations. Our clients have successfully raised ยฃ50,000-ยฃ200,000 in startup capital using financial documents we've prepared. We demonstrate strong understanding of care sector economics, realistic cash flow projections accounting for delayed council payments, and clear pathways to profitability that give lenders confidence in funding your care agency.

What are the July 2025 CQC registration changes? +

From July 2025, CQC introduces new registration requirements including significantly enhanced financial scrutiny, stronger evidence of long-term sustainability (not just 12-month viability), additional assurance statements from directors about financial capability, stricter governance standards proving financial oversight, and more detailed evidence of contingency planning for financial difficulties. Agencies must demonstrate robust financial planning and management systems beyond basic compliance. LOYALS helps care providers prepare comprehensive documentation meeting these new enhanced standards, ensuring smooth registration approval under the stricter regime.

Partner with Accountants Who Understand Care

Whether you're launching your first care agency, navigating CQC registration, or managing multiple sites across London, LOYALS provides the specialist accounting support the care sector demands. We understand the challenges you face - delayed council payments, complex payroll, financial viability requirements, and the constant pressure of managing finances while delivering compassionate care.

We serve care agencies across all London boroughs including Westminster, Camden, Islington, Hackney, Tower Hamlets, City of London, Southwark, Lambeth, Wandsworth, Hammersmith, Kensington, and surrounding areas from our King's Cross office.

Supporting London's care sector to thrive - because quality care depends on solid financial foundations.