Accounting Services for Domiciliary Care
Domiciliary care is busy, demanding, and very people-focused. But behind every good care service, there also needs to be strong financial management.
At CruseBurke, we have specialist accountants for domiciliary care, helping you manage the financial side of your business so you can focus on delivering care.
4.9/5.0
Google Reviews
See what doctors, dentists, and care providers say about working with us.
Our expert accountants for domiciliary care work with businesses at different stages, from sole traders and independent carers starting out to established agencies with larger teams.
If you provide care independently, we can support you with bookkeeping, client invoicing and Self Assessment tax returns.
If you are managing a handful of staff, we take payroll and compliance off your hands.
Managing staff accommodation expenses and unique tax reliefs requires specialist knowledge. We help you identify relevant allowable expenses and reliefs.
As expert accountants for domiciliary care, we provide accounting services that are designed specifically for the home care industry. Here are the core services we provide that keep your business running smoothly and profitably.
We handle your daily transactions using modern cloud software, so your records stay up-to-date. You always know your exact financial position.
Paying care staff accurately and on time is essential for staff retention. We handle complex hourly rates, mileage claims, holiday pay, and workplace pensions smoothly.
VAT treatment for care services can depend on the nature of the services provided, the recipient and whether the provider meets the relevant exemption conditions. We review your circumstances and help ensure the correct VAT treatment is applied.
We prepare and file your annual statutory accounts well ahead of deadlines. You get clear reports that reflect your true business health.
We take care of personal tax returns for care agency directors and independent operators. As expert accountants for domiciliary care, we handle the whole process from expenses to deadlines for you.
Domiciliary care is a tough sector to run finances for. This is mainly because income can be irregular. Also, staff costs shift week to week, and every local authority contract seems to have its own paperwork rules. On top of that, most providers try to organise all this while actually caring for clients, not sitting behind a desk. It’s exactly why so many domiciliary care businesses end up either overpaying tax or underclaiming what they’re entitled to.
Working with our dedicated accountants for domiciliary care businesses helps you overcome these exact hurdles before they harm your business.
Irregular income from private clients and council contracts
Managing payroll for carers on variable shifts
Confusion around VAT exemptions for care services
Tracking mileage and travel expenses accurately
Late or inconsistent invoicing from local authorities
Understanding and meeting relevant CQC regulatory and record-keeping requirements
Understanding what expenses are actually tax deductible
At CruseBurke, every recommendation we make is built around how domiciliary care businesses actually operate. Here’s what sets us apart.
Experience with care agency operations, relevant CQC requirements and the tax considerations affecting healthcare and social care businesses.
Our expert accountants for domiciliary care help identify allowable expenses to keep your hard-earned money in your pocket.
From bookkeeping to payroll, we provide comprehensive financial support.
We provide reliable, proactive accounting support tailored to the needs of care professionals and domiciliary care businesses.
Clear, upfront pricing. So, you get full expert service without any hidden costs.
Every client’s situation is different, and we take time to build a personal plan that fits your goals and circumstances.
As expert accountants for domiciliary care, we know that managing the financial side of your work isn’t why you got into the care profession. That’s why we’ve kept our process simple and flexible. The idea is to make things clear from the start and then stay by your side with ongoing support.
Our 3-step process is designed to free up your valuable time, allowing you to focus completely on what you do best: providing outstanding care to your clients.
We begin by getting to know your working patterns and understanding your unique needs. This step ensures we have a clear picture of your freelance schedule and your goals.
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. We keep your financial records organised and provide clear information to help you understand your business finances.
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Is managing your finances becoming a distraction? Let our expert accountants for domiciliary care help you build smart, long-term strategies. We’ll provide an annual financial review that keeps your finances in check and helps your business stay on track.
We use Xero, Quickbooks, Sage & many other online software.
Our team offers dedicated accounting services tailored to your specific healthcare business. This ensures financial stability and growth for you.
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Our team have over 100 years of combined experienced.
Never Miss any deadline with our automated email reminders.
We’re an ICAEW, ACCA & AAT accredited Firm.
Focus on your community care and let our expert accountants for domiciliary care handle everything. Here’s how easy it is to get started with us:
Reach out to us (It’s free). We’ll discuss your needs and how we can help your agency thrive.
We’ll send over a simple letter to formalise our partnership and get everything in motion.
If you're switching accountants, we can liaise with your previous accountant and help make the transition as straightforward as possible.
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, supporting your financial responsibilities so you can focus on your care business.
Though it is not legally required to hire an accountant to run a domiciliary care agency, it is highly recommended. This is because generalist accountants often struggle with the industry’s complex financial dynamics. Working with dedicated accountants for domiciliary care leads to better advice than using a general accountant. It also ensures compliance with Care Quality Commission (CQC) and HMRC requirements.
In the UK, qualifying welfare services supplied by a state-regulated domiciliary care agency can be exempt from VAT. However, not every service or income stream provided by a care business will necessarily qualify for exemption. If you provide both exempt and taxable services, you need to assess the VAT treatment of each income stream separately.
We look closely at every single expense in your care business. Some care business owners may overlook allowable expenses, such as qualifying staff uniforms, training or other business costs. Our expert accountants for domiciliary care make sure that you are claiming every tax relief that is available in the care sector. This keeps your cash flow healthy and keeps your hard-earned money in your business.
Absolutely. We support new care businesses from the beginning. We help you with bookkeeping, tax registrations, and ongoing accounting support as your business grows. We use modern cloud tools to make your life much easier.
Yes, your business can claim tax deductions for travel expenses and approved mileage allowances paid to carers who use their own vehicles to travel between client visits. For 2026/27, the approved mileage rate for cars and vans is 55p per mile for the first 10,000 business miles and 25p per mile thereafter. As expert accountants for domiciliary care, we help you track it properly.
To get started with CruseBurke, you can call us directly at 020 8686 8876 or send your enquiry to [email protected]. We will discuss your requirements and recommend the most suitable support for your needs. It’s that easy!
