
Legal Checklist for Arranging Elder Care (UK)
Introduction When an elderly loved one needs extra help, families often face a critical choice: should we opt for live-in
Home care refers to support provided to an elderly or disabled person in their own home, helping them with daily activities so they can continue living independently. Instead of moving into residential facilities, many families opt for home care services because it allows loved ones to stay in familiar surroundings. In the UK, home care (also known as domiciliary care) ranges from short visiting care calls to full-time live-in care, depending on the level of help needed. It can include assistance with personal care (washing, dressing), medication reminders, meal preparation, housekeeping, and companionship. The goal is to maintain the person’s quality of life and routines at home while ensuring their safety and well-being.
There are several benefits to choosing home care for your elderly family member:
By choosing home care, families can avoid the stress of a disruptive move into a care home and instead bring assistance into the person’s own environment. For many seniors, this leads to greater happiness and stability.
Home care is not one-size-fits-all. It encompasses a spectrum of services, from occasional help to round-the-clock care:
Home care agencies (or introductory services, discussed later) can tailor a plan combining these services. For example, you might start with a few hourly visits and later switch to a live-in carer as your parent’s needs increase. The flexibility of home care is a major advantage in elder care planning.
Getting started with home care can feel daunting, but there are clear steps you can follow. Here’s a simple roadmap:
1. Identify Needs: First, assess what help your loved one actually needs and when. Does your mum struggle with morning routines? Is meal preparation becoming difficult? Does your dad forget his medication without reminders? Write down the tasks and times of day where support is required. Also consider social needs (would they benefit from companionship or outings?).
2. Learn About Options: Next, research the types of home care available in your area. You can approach home care agencies which provide managed carers, or introductory agencies that help you find a self-employed carer (more on these models in Article 3: How to Choose a Home Care Agency or Introductory Service). Some families even hire privately on their own, but this requires handling recruitment and vetting yourself. It’s wise to compare options to see which suits your preferences for oversight and budget.
3. Contact Your Local Authority: In the UK, local councils are responsible for adult social care needs. Thanks to the Care Act 2014, anyone who appears to need care has the right to request a care needs assessment from their council . This assessment is free and available to all, regardless of income or savings. During a needs assessment, a social worker reviews what support a person requires with daily living. Even if you plan to arrange care privately, it’s beneficial to have this assessment. The council can then tell you if your loved one
qualifies for any funded home care or equipment. If they don’t qualify (for example, due to having significant savings), the council will still provide advice and information on arranging care independently. You can request an assessment by contacting the adult social services department of your council (by phone or online request).
4. Set a Budget and Explore Funding: Home care costs vary depending on hours and level of care. Determine what the family can afford monthly. If the council is contributing, they will outline a personal budget for care. If not, you’ll be self-funding – but note there are financial supports like Attendance Allowance (a benefit for over-65s with care needs) and possibly NHS funding in specific cases (e.g. NHS Continuing Healthcare for certain medical needs – see Article 5: NHS Funding and Continuing Healthcare Explained). In our Guide 3: Funding Care in the UK, we cover all the funding options to help you plan.
5. Choose a Care Provider or Carer: With needs clear and budget in mind, you can now find a care provider. This might mean selecting a reputable home care agency (check their Care Quality Commission rating for quality – more on CQC in a moment), or using an introductory service like Prime Eldercare to find an independent caregiver who matches your needs. When evaluating providers, consider their experience, what training their carers have, how they vet staff (DBS criminal record checks, references), and how flexible they are if your needs change. Ask about backup carers if your regular carer is ill or on holiday.
6. Involve Your Loved One: Throughout this process, try to involve the person who will receive care as much as possible. Discuss their preferences – for example, would they prefer a male or female carer? Are there certain routines or hobbies important to them that a carer should know about? Getting their buy-in will make the start of care much smoother. It’s normal for seniors to be hesitant about accepting help, but reassure them that they remain in control and the carer is there to support their independence, not take it away.
7. Start Small (if suitable): One strategy is to introduce care gradually. For instance, begin with a short visit a couple of times a week to help with housework or meals. As trust builds and needs increase, add more visits or longer hours. This incremental approach can help an older person adjust to having someone assist them.
8. Monitor and Communicate: Once home care begins, keep the communication open. Check in with your loved one about how they feel it’s going. Also, maintain dialogue with the caregiver – share feedback, both positive and any concerns, so that care can be adjusted. Good agencies will have supervisors checking quality, and if you hired independently, you’ll want to take a more active role in oversight. In either case, regular review meetings are useful to ensure the care plan still fits the person’s needs.
Many families find that after an initial adjustment period, home care makes life noticeably easier and less stressful for everyone. Instead of struggling alone, you have a knowledgeable helper ensuring daily tasks are handled. This frees family members to spend more quality time with their loved one rather than constantly acting as caregivers.
When inviting a carer into your home, trust and safety are paramount. In the UK, regulated home care agencies must adhere to standards set by the Care Quality Commission (CQC). The CQC is the independent regulator for health and social care in England, ensuring services provide safe, effective, high-quality care . Agencies are inspected and given ratings (Outstanding, Good, Requires Improvement, or Inadequate) based on factors like safety, staff training, care quality, and responsiveness. It’s a good idea to check any agency’s latest CQC report – you can find these on the CQC’s website or often linked from the agency’s site.
Introductory agencies operate a bit differently. They are not regulated by CQC because they do not manage ongoing care themselves . Instead, they match families with self-employed carers. Even though they aren’t CQC-inspected, reputable introductory services (like Prime Eldercare) still follow stringent vetting procedures to ensure carers are qualified and trustworthy. We conduct enhanced DBS checks, verify experience and training certificates, and often facilitate interviews so you can choose a carer you’re comfortable with. We also stay updated on best practices and CQC guidelines for quality, using those standards to inform how we select and recommend carers. In essence, Prime Eldercare combines the personalization of a private hire with the peace of mind of agency-vetted professionals.
No matter which route you choose, make sure you feel confident in the carers’ abilities and character. Don’t hesitate to ask providers about how they recruit and monitor carers. Quality home care should always center on compassion, respect, and safeguarding the client’s dignity
As you explore home care, you’ll encounter various companies and services. Prime Eldercare is an introductory agency specializing in connecting families with top-quality home carers and live-in carers across the UK. We’re not a traditional care agency – instead, we act as matchmakers, introducing you to experienced self-employed caregivers who have been rigorously vetted and interviewed. There are some clear advantages to this model:
Home care can truly be a lifeline for families – providing the necessary support to keep loved ones safe and cared for, without uprooting them from home. If you’re considering home care for your family member, Prime Eldercare is here to help you take the next step. We offer free initial consultations to discuss your situation, answer any questions, and outline how our service works.
Contact us today to talk with one of our friendly care advisors. We can guide you through everything from understanding care options to finding the perfect carer for your needs. Whether you’re just starting to explore home care or need to arrange help urgently, Prime Eldercare’s expertise and network of compassionate carers are just a phone call away.
Taking that first step can feel difficult, but you don’t have to navigate the care journey alone. With the right information and the right support, you can ensure your loved one gets the help they need while continuing to enjoy the comfort of home.
(For further reading, you might check our Guide 1: Step-by-Step Guide to Arranging Home
Care, which expands on planning and organizing care services.)

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