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Employing a carer privately

Looking for care? Call us on 020 3728 7577

As we age, we start to face the challenges that later life brings. Deteriorating health, mobility issues and the impact of conditions like dementia will reduce independence. You may have been getting support from a family member. However, your needs may be increasing, and more care and support is required, more frequently. Now may be the time to think about employing a private carer to give you the support you need.

What to consider when employing a carer privately

There are many benefits to employing a carer privately. This means that you do not need to leave your home and move into a care home.

  • One-to-one care, tailored to you
  • Stay in the comfort and familiarity of your own home
  • Complex needs can be supported by trained and competent private carer
  • Continuity and consistency of care from same care team
  • Improved health outcomes – fewer falls, lower rates of infection and hospital admissions
  • Safest type of nursing care during the Covid-19 pandemic
  • Family can be around you 24 hours a day
  • Comparable costs to care in a quality nursing home – very cost effective for couples
  • Live life your way with choice and independence
  • Estate remains with the family

​​​​​​When considering employing a carer you need to understand the different options available. You can either employ a carer privately, hire a carer through an introduction agency or use a fully managed service provider to supply the carer. With a fully managed service the carer may be employed by the provider, or self-employed. Here we explore all the options available to help you make your decision.


What does a private carer do?

When considering care at home, you will have two choices based on the frequency and level of support you need. If you need around-the-clock care, then a live-in carer will best meet your needs. If you just need support at certain times of the day, then having a visiting carer would probably give you the levels of care you need.

Whether you have a live-in carer or a visiting carer, it is important to understand what a carer can do for you. Private carers who provide care in your own home can help with the following day-to-day tasks:

  • Personal care – washing, bathing, dressing
  • Companionship
  • Specialist care of conditions - for example dementia and Parkinson’s
  • Expert nurse-led care
  • Managing and administering medications
  • Safe mobility and movement in and out of the home
  • Planning and cooking meals
  • Organising social arrangements and activities
  • Household domestic tasks – for example laundry and cleaning
  • Pet care

Identifying your private care needs


When you are thinking about employing a carer privately, you need consider what your care and support needs are. This should include your both your care and social needs. Consider what is important to you in how you live your life.

Some questions you may ask yourself might be:

  • Do I need more support at certain times of the day?
  • What days of the week do I need to employ a private carer?
  • Would I benefit from a live-in care arrangement from a private carer?
  • Do I need any specific support to help with complex needs?
  • Do I need a permanent arrangement or a respite service?
  • What support do I really need throughout the day?
  • How do I find a private carer that can help me improve my independence?
  • What activities can a carer support me with?

When you have defined your needs, you may wish to discuss this with your family. They can provide you with support to make the right decision. Answers to the above questions will help you decide the type and level of care you need.

At The Good Care Group, we will conduct in an in-depth assessment of your care needs. This will inform our carers to deliver a care plan that meets these needs, whilst improving quality of life. The assessment will guide our matching process. This ensures we find the right carer for you. We make sure the carer has the skills and experience to meet your individual needs. All our carers receive market leading training. This means you get the highest quality care. If you are employing a private carer directly, you will have to do all this yourself.

When is the right time to hire a private carer?

Many people do not want to accept they need care. They may be reluctant to seek help, even from family members or friends. It is important as a family member that you keep an eye on your loved one so you can spot the signs that they are not coping alone.

There are several situations that may mean extra care and support is needed:

  • They have had a fall and need support to recover
  • Increasing mobility and frailty concerns
  • They have had an illness and been in hospital
  • A specialist condition, like dementia has been diagnosed
  • They have had a stroke
  • They are forgetting to take medications
  • The housework is not being done
  • Poor personal hygiene
  • Unable to look after pets, for example walking their dog

What are the private home care options?

When planning long-term private care at home, there are two options you can consider:


Live-in care

It is important to understand what live-in care is and how live-in care works. Live-in care is when a carer comes to live with you in your own home to provide all the support you need 24-hours a day. A team of two carefully matched carers will ensure all your needs are met. This means you do not need to move into a care home to get around-the-clock care.

They will help you with all the tasks of daily living, including personal care, cooking meals for you, helping around the home. As a carer is living with you, they really get to understand you as a person. This means they can support you with socialisation, activities and keeping you connected with your community.

Domiciliary care

Domiciliary care includes hourly care, care at home and visiting care, but all refer to the same service A carer visits you at home at times during the day to provide care and support.  Domiciliary care agencies arrange for a carer to visit you once, twice or more times a day.  They can come to car for you from one visit to several visits a week. Visits are generally from 15 minutes to an hour depending on your care and support needs.

As with a live-in carer they provide support with day-to-day tasks. However, given that they are only visiting they cannot provide high levels of specialist support in the same way. If you have complex needs, you will need many visits to get the care you need. This may not be cost effective and live-in care may be more suitable.

Choosing a private carer

When you are looking at employing a private carer, there are essentially three options:


Option 1) Employing a private carer directly

The first option is to find and employ your own private carer or ask your family to do this for you. Whilst this option enables you to choose the most suitable carer from a potentially large pool of candidates, it comes with responsibility. You will be an employer and the carer, will be your employee. They are entitled to protection under Employers Liability Insurance and Public Liability Insurance, a written employment contract, statutory sick pay and holiday pay. This includes paying the carer (and their tax/national insurance). You will also be responsible for the care arrangement. When a carer goes on holiday or is sick you will need to organise cover. You will also need to conduct your own background checks on the carer through the Disclosure and Barring Service (DBS). All this responsibility can become time consuming for you or your family.

Option 2) Employing a private carer through an introduction service

There are agencies who provide private carers through an introduction service. They introduce you to a suitable private carer for a one-off introduction fee. You are then responsible for the carer as you would be if you had hired them independently. Again, this can be a burden on your time.

The benefit of using an introduction agency instead of doing it directly is that the carers are vetted and deemed suitable by the agency. They are also registered as self-employed and take care of their own tax and national insurance. Most introduction agencies are not registered with the regulator – Care Quality Commission (CQC) in England and the Care Inspectorate (CI) in Scotland. This means the quality of their care is not inspected.

Option 3) Engaging a fully managed service provider

The most flexible and safest option is to engage a fully managed care service provider. These are reputable companies who employ their carers directly. They will also train them before they come to care for you. With this arrangement you pay a weekly fee for your care. The company then pay, manage and supervise the carer to ensure high levels of care.  A fully managed service provider offers families peace of mind and reassurance. This arrangement significantly reduces the burden of managing the care arrangement yourself. A fully managed service provider is likely to be registered with the health and social care regulator – the Care Quality Commission in England and the Scottish Care Inspectorate in Scotland. They regularly inspect their service to ensure they are meeting the high standards of care you should expect.

Benefits of a fully managed service provider


Employed professional carers

There are many reassuring benefits to using a fully managed service. As a fully managed service, The Good Care Group directly employs its professional carers. We never use home care agency staff. All carers go through an in-depth recruitment process. They are trained to the highest level before they are placed with a client. You will be supported by a dedicated regional manager and a care manager, with support from a central service centre. Our managers only look after a small portfolio of clients. This means you and our care teams much-needed support.

A regulated and inspected service drives quality

The Good Care Group is a regulated service, which means the quality of its care is inspected. The Care Quality Commission (CQC) inspect our service in England and the Care Inspectorate in Scotland. Introduction home care agencies are not regulated or inspected. This means if you use a home care agency you cannot be assured of the quality of the service.

Highest rated service by care regulators in England and Scotland

The Good Care Group is the only dedicated live-in care provider in England to achieve an ‘Outstanding’ rating by the Care Quality Commission (CQC) across all five categories – safe, effective, caring, responsive and well-led. In Scotland our service has been inspected by the Care Inspectorate (CI), receiving the highest rating of a 6 (Excellent) for Quality of Care and Support and 5 (Very Good) for Staffing and Management and Leadership. We know this provides families with peace of mind that their loved one is receiving the best possible care.

Taking the worry away from family members

Once an introduction agency introduces a carer to you that is typically the end of their involvement in the arrangement. Families are then required to supervise, manage and organise all aspects of the care. For most this is time consuming, frustrating and sometimes unmanageable.  Most people who require long-term care will need a team of two carers to provide the support they need.  This means you will be responsible for managing a rota, paying the carer and organising sickness and holiday cove. Carers who are introduced through an agency are self-employed and have not necessarily had any training before being placed with a client.

With a fully managed and regulated service all these worries are simply taken away. You will have all the reassurance you need about the quality of care being provided – making life easier for all the family.

“The arrival of The Good Care Group’s carers in our relative’s life has changed it dramatically for the better. With The Good Care Group’s calm, competent and friendly carers providing live-in care, our relatives’ life has been transformed. There seems to be nothing they will not do for her. We can relax too knowing that someone we care deeply about is safe and happy again.”

– M Saxton


Funding a private carer

It is sensible when thinking about employing a carer that you consider what budget you have available. This will impact type of care you could have and the level of service you can expect.

Many families are faced with having to fund care at home themselves. This is referred to self-funding care. However, you should explore whether you are entitled to any funding. If you have a health need and require care at home you may be able to access healthcare funding.  You may also be entitled to social care funding depending on your financial circumstances, and other local authority support.

Why choose The Good Care Group for private live-in care


Expertly trained carers

All our carers are trained in how to provide care focused on dignity and independence. They adapt to your existing routines, while finding new ways to positively improve your health, well-being, and overall enjoyment. Our leading training programme means carers understand how to support personal care for those living with specialist conditions, like dementia and Parkinson’s or for those who require clinical nurse-led care.

A perfectly matched care team

When receiving care at home, we know how important it is to get the care team right. We will meet with your family to understand you – not just your care needs, but your lifestyle choices and preferences. This understanding allows us to match a live-in care team who has the expertise to meet your care and support needs, but also shares common interests and values adding enjoyment and fulfilment to how you live your life at home. Our carers are focused on enhancing overall quality of life.

Continuity of care

With our live-in care service, you will receive care on a one-to-one basis from a team of the same carers. This gives you the reassurance that the same care team will be there to support you, who have really got to understand your needs and preferences.

Support with specialist conditions

Our carers are highly trained to support those living with specialist and complex conditions. This includes dementia care, Parkinson’s care or care for those who have had a stroke. Carers are supported in delivery of this type of care by leading clinical experts. We have a specialist consultant nurse who guides the care we provide and supports carers and families. Our in-house occupational therapist can provide assessments and guidance to help our clients live well at home.

Highest rated service by care regulators in England and Scotland

The Good Care Group is the only dedicated live-in care provider in England to achieve an ‘Outstanding’ rating by the Care Quality Commission (CQC) across all five categories – safe, effective, caring, responsive and well-led. In Scotland our service has been inspected by the Care Inspectorate (CI), receiving the highest rating of a 6 (Excellent) for Quality of Care and Support and 5 (Very Good) for Staffing and Management and Leadership. We know this provides families with peace of mind that their loved one is receiving the best possible care.

A fully managed and regulated care service

Unlike introduction agencies, who are not regulated by CQC or the CI, all our live-in carers are directly employed and managed by us. We ensure they are supervised by an experienced manager and supported by clinical experts – 24 hours a day, 7 days a week.  By employing our carers they are engaged in our high-quality approach to delivering care at home and decide to stay with us longer than many carers who work for an introduction agency. This means you get continuity of care and support, without constantly changing carers – peace of mind for everyone.

Talk to us about employing a private live-in carer

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