Care Home Accountants for UK Care Businesses

Running a care home means balancing care delivery with staffing costs, resident fees and day-to-day cashflow. Clear financial records help you see where your business stands and plan ahead with confidence.

PR Accountants Ltd provides bookkeeping, payroll, accounts and tax support for UK care-home businesses. We can tailor an ongoing accounting package to your records, team and reporting needs, with QuickBooks and Xero support.

Request a tailored quote or call 0330 043 0792.

Accounting support for your care home

Your package can include:

Bookkeeping and fee reconciliation. Keep bank transactions, supplier invoices and resident-fee receipts organised. Reconcile payments from private clients, local authorities and other funders against your billing records, and identify outstanding balances for follow-up.

Payroll and PAYE. Process payroll from approved hours and pay information, including starters, leavers and variable pay. Receive payslips and support with routine PAYE submissions, with responsibilities and deadlines agreed at onboarding.

Management accounts and cashflow planning. Review income, staffing costs, agency spend and overheads. Where reliable operating data is available, reporting can include occupancy, income per occupied bed and staffing costs as a proportion of income. Cashflow forecasts help you plan for payroll, supplier payments and tax.

Annual accounts and Corporation Tax. Prepare year-end accounts and company tax returns, review relevant adjustments and manage agreed filing deadlines. Director Self Assessment and company secretarial support can be included where required.

VAT and cloud accounting. Review your income streams and VAT position, maintain suitable records and support VAT returns where applicable. We work with QuickBooks and Xero and can agree a practical bookkeeping workflow with your team.

Support built around your care business

For owners and directors of residential and nursing care-home businesses who need clearer records, reliable reporting and practical accounting support. We can discuss a single home or reporting across several locations, subject to the systems and information available.

We agree who supplies fee schedules, approved payroll data and invoices, how queries are resolved, and when reports are delivered. This helps your team maintain a consistent monthly routine.

Care home VAT considerations

Qualifying welfare services supplied by eligible providers can be exempt from VAT, but this does not mean every income stream is exempt or that VAT on costs can be recovered. Exempt activities generally restrict recovery of related input VAT. The services supplied, provider status and any mixed activities need to be considered together.

We can review your circumstances and explain the accounting and VAT implications. See HMRC guidance on welfare services and VAT.

Care home accounting FAQs

Can you work with our existing bookkeeper or administrator?
Yes. We can agree a division of responsibilities, review the records your team maintains and provide additional bookkeeping, reporting or year-end support.

Can you help with variable-hours payroll?
Yes. We can process payroll using the approved hours, rates and changes supplied by your team. We will agree cut-off dates, approval arrangements and the information required before the first payroll run.

Can you help if our records are behind?
We can review your records, identify gaps and agree a catch-up plan. Any historic clean-up work is scoped separately so the time, cost and outstanding information are clear.

Do you offer a fixed monthly fee?
Where suitable, we can agree a fixed monthly package. Pricing depends on the number of homes and employees, transaction volumes, record quality and the reporting and tax services required. We provide a tailored quote rather than a one-size-fits-all fee.

Can you support a care home anywhere in the UK?
Our accounting services can be delivered remotely using cloud software, secure document sharing, email, telephone and video meetings. We will confirm suitability and scope after discussing your business.

Does this include care regulation or audit services?
This service covers the accounting and tax work agreed in your engagement. Care regulation, clinical advice, legal advice and statutory audit are outside this service.

Talk to us about your care home

 

Tell us about your care home, accounting software, number of employees and the support you need. We will review your requirements and provide a tailored quote, with the scope, reporting timetable and fees agreed before work starts.

 

 













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