Specialist care-sector accountancy
Specialist accounting for the business of care.
Financial clarity, compliance and commercial advice for care sector owners, operators and investors. Built around occupancy, payroll and funding, not generic year-end accounting.
Working with care providers across England, Wales and Scotland
Fixed monthly fees
A named accountant
Proactive advice
Why specialism matters
General accountancy wasn't built for the economics of care.
Care businesses carry pressures a standard practice rarely sees close-up: occupancy that moves week to week, agency staffing that erodes margin overnight, and funding bodies with their own timetables and rules.
We built our practice around one sector, so every report, forecast and conversation starts from what actually drives a care business's numbers. Bed by bed, shift by shift, site by site.
Who we work with
Independent care-home owners
Residential & nursing homes
Supported-living providers
Domiciliary care businesses
Children's care homes
Multi-site care groups
New operators
Investors buying or selling
Know what every bed, shift and site is costing you.
See how we report on this
Occupancy
[XX]%
Illustrative figure: occupancy swing that typically separates a profitable site from a loss-making one
Cash flow
Funding-body payment cycles rarely match your payroll calendar. We build forecasts around the gap.
Fee rates & reconciliation
Local authority, NHS and self-funded rates each move differently, and remittances rarely match what was invoiced. Blended fee modelling and reconciliation catch underpayments before they're written off.
Site profitability
Group-level numbers can hide a struggling site. We report site by site, not just consolidated.
Compliance
CQC, HMRC and lender covenants each carry their own reporting demands. Handled without last-minute scrambles.
Figures marked [XX]% are illustrative only and do not represent actual client outcomes.
What we do
More than year-end compliance.
Statutory accounts filed early, not chased.
Annual accounts, corporation tax, VAT and CQC-aware bookkeeping, run on cloud systems built for multi-site care groups, plus start-up support if you're registering a new care business.
- Year-end accounts & corporation tax
- Bookkeeping, VAT and payroll compliance
- Care-business start-up support
Numbers your management team can actually act on.
Monthly management accounts built around your sites, not a generic chart of accounts. With commentary, not just figures.
- Site-by-site management accounts
- Budget vs actual, with commentary
- Board-ready packs
See agency spend before it becomes a crisis.
Payroll-percentage tracking and agency cost analysis, benchmarked against occupancy and fee income by site.
- Payroll % of income, by site
- Agency cost trend analysis
- Shift-pattern cost modelling
Know your position before the funding gap arrives.
Rolling cash-flow forecasts that account for local authority and NHS payment cycles, not just a generic 13-week model.
- Rolling 13/26-week forecasts
- Funding-cycle-aware modelling
- Covenant and headroom tracking
Find out which sites are carrying the group.
Occupancy trend reporting connected directly to site-level profitability, with fee reconciliation to catch underpayments before they're written off.
- Occupancy trend by site and room type
- Contribution margin per bed
- Fee-rate calculations and reconciliation
Board-level financial thinking, without a full-time hire.
A dedicated finance director on a flexible basis. In board meetings, lender calls and strategic planning sessions.
- Monthly board and investor reporting
- Strategic and scenario planning
- Direct access, not a rotating account team
Know exactly what you're buying, before you sign.
Financial due diligence built for care-home transactions. Occupancy quality, staffing sustainability and true earnings.
- Quality-of-earnings review
- Staffing and occupancy sustainability checks
- Completion accounts support
Lender packs that build confidence, not questions.
Covenant reporting and funding applications prepared in the format your lender actually wants to see.
- Covenant compliance reporting
- Funding and refinancing applications
- Bank and investor relationship support
Build the business you'll eventually want to sell.
From first acquisition to final exit, structuring the business, and the tax planning behind it, for the outcome you want.
- Exit readiness and valuation modelling
- Tax planning and efficient structuring
- Sale-process financial support
The road we support you on
From first site to final exit, a different kind of support at every stage.
Starting
Structuring the business, registering with CQC-aware bookkeeping, and setting up systems that scale beyond one home.
Operating
Monthly reporting that tracks occupancy, payroll and margin as they actually move, week to week.
Growing
Cash-flow modelling and funding support as you add sites, beds or services, without losing visibility.
Acquiring
Due diligence that tests occupancy quality and staffing sustainability, not just historic P&L.
Restructuring
Turnaround support for underperforming sites, identifying the real driver before it becomes existential.
Selling
Exit-ready numbers, valuation support and a sale process that doesn't stall on financial due diligence.
Scroll to move through each stage
Financial visibility
Clarity your management team can act on, not just file.
A single view across occupancy, payroll and cash. Built site by site, refreshed monthly, and explained in plain terms in every review call.
- Occupancy trend against budget, by site
- Payroll as a percentage of income, tracked weekly
- Cash runway modelled against known funding cycles
Site overview (demo data)
Illustrative reporting interface
Occupancy
[XX]%+[X]%
Payroll % of income
[XX]%−[X]%
Cash runway (illustrative)
Site-by-site clarity
Plain-English reports
No surprises
Why Care Home Accountants
Advice that understands occupancy, payroll and funding.
01
Specialist sector understanding
We work exclusively with care businesses, so we start from your reality, not a generic template.
02
Proactive advice
We flag pressure points before they show up in your bank balance, not after your year-end.
03
Clear reporting
Reports written for owners and operators, not just for filing. Plain language, real commentary.
04
Dedicated support
A named team who know your sites, not a rotating queue of unfamiliar contacts.
05
Commercial decision-making
We help you decide, not just record. On staffing, funding, acquisitions and exit.
06
Modern cloud systems
Live financial data across every site, accessible whenever you need to check it.
Insights
Thinking on the financial side of running care.
Understanding care-home payroll costs
Demo article, content to be supplied. A breakdown of where payroll spend actually goes across a typical site.
[X] min readHow occupancy affects profitability
Demo article, content to be supplied. Why a few empty beds move the needle more than owners expect.
[X] min readFinancial due diligence when buying a care home
Demo article, content to be supplied. The checks that matter beyond the headline P&L.
[X] min readGet in touch