Posted by UK Live In Care Association on 05/17/2016

Introductory Live In Care vs Fully Managed Care

Introductory Live In Care vs Fully Managed Care

Your live in care provider or introductory live in care company is responsible for finding a suitable live-in carer for your needs. How this is provided can vary a lot depending on which provider you choose.

Your arrangement with your live in care provider will very much depend on the company’s business model. These are either in the form of ‘Full Management’ or an ‘Introductory Care Service’.  

There are some key differences between Full Management and an Introductory Care Service, and there can be even further differences depending on which company you choose. Below are the typical differences of these two models.

Full management – Live- In Care

The live-in care company acts as a “provider of care” and is directly responsible for managing the live-in care service, as well as being accountable for the training, supervising and development of your live in carers. Companies that are “providers of care” are regulated by the *Care Quality Commission.  

With the full management model you are paying for an all-inclusive service and this can be ideal for families who would prefer to outsource the day to day management of their live-in care service.

Full management companies would, for example, cover the scope of paying salary and holiday pay as well as the national insurance of the live in carers. The key benefit of the full management model is that the client is not employing the carer directly and that the responsibilities associated with managing the carers are managed by the live-in care provider, not the client.

Introductory Care Service - Live In Care

The role of an introductory care service provider is similar to that of an advisory service. Rather than acting as the provider of care, a live-in care introductory company will guide you through the process of setting up your live-in care service and offer the required support to help you manage your live in care service. As well as helping you find a suitable carer, Introductory companies will help with running background checks, checking your chosen carer has the right to work in the UK and verifying your carers training is up to date.  It will remain the responsibility of your live in carer that they pay their national insurance and tax as they will be working on a self employed basis under this model.

Introductory care services are typically cheaper than that of a fully managed service. It is important to note that with this model the family or individual receiving care is legally in a direct contract with the live in carer.  With this approach, a family is far more involved in the administration of the live in care services and is directly responsible for paying for their care service.

Depending on which live in care introductory company you choose, this type of care service can be more suited to families which are keen to be more closely involved and active in the management of the day to day arrangements.

Introductory agencies are not under the remit of the CQC as they are not acting as a provider of care.

That said, where an introductory company offers Live-In Nursing, this falls under a regulated activity under the remit of CQC.

Key differences between Introductory and Managed Live-In Care

Introductory ServiceManaged Live In Care
Client is contracting the Carer
Live In Care Provider employs the  Carer
Not CQC Regulated
CQC Regulated
Advisory And Support Service
Fully Managed Service Provision
Pay for the services you use
All Inclusive Pricing

*These differences are not typical and do not represent all Live-In Care Providers

Whichever model your provider uses, you may not notice the difference at all between a provider that acts as Introductory company and one that offers a the managed model in terms of the quality of your live-in care arrangement .  Both business models aim to deliver a live-in care plan that works for your individual needs. There are countless positive testimonials from individuals who use a provider from both business model types.

It is important to understand the key differences between these models so you can decide what is best for you. For example you may just want help with finding a carer and wish to handle the day to day management yourself. On the other hand, you may feel a fully managed service is more suitable, as you might wish to completely outsource the day to day management of the care provision that is needed.

Both models seem to be equally popular among people who receive Live-In Care, with some providers offering both models. We hope knowing the key differences will help you make more of an informed choice. Make sure you ask your Live-In Care Provider which category they fall into.




*CARE QUALITY COMMISSION Care providers offering full management are all regulated in England by the Care Quality Commission (CQC), the independent body that inspects and maintains standards within the industry. There are equivalent bodies responsible for service regulation in Wales, Scotland and Northern Ireland. They are: Social Care and Social Work Improvement Scotland (SCSWIS), The Care and Social Services Inspectorate Wales (CSSIW) and for Northern Ireland: The Regulation and Quality Improvement Authority (RQIA). They are all committed to ensuring that care providers are effective and meet stringent criterion in the profession.