What it is
What Elder is, in its own words
Elder describes itself as an introductory care agency helping families find vetted, self-employed carers for care at home, and says introductory agencies like it do not need to register with the CQC. You engage the carer directly. It says each carer passes identity, right to work and enhanced DBS or PVG checks, that it verifies at least two professional references where possible, and that it runs a situational and character assessment.
Care starts with a two-week trial, then a two-week notice period applies, and Elder introduces cover carers when you need them. We did not find a live-in price on Elder's own pages. On Trustpilot Elder showed 4.8 from 908 reviews on 19 October 2026.
The alternatives
8 alternatives to Elder
Listed in no particular order. Each is labelled by how it works, with one line from its own website and a price only where it publishes one. Checked on 19 October 2026 and 4 November 2026.
Says it has introduced live-in carers since 1959 and calls itself the UK's longest-serving introductory live-in care provider. Its carers are self-employed and contracted by you, and it is not CQC registered. Managed care comes from its sister company, Trinity Homecare.
Published price: Live-in from £1,155 a week (its figure for October 2026), plus a one-off registration fee, an agency fee and the carer's travel.
Source: country-cousins.co.uk, Country Cousins, introductory vs managed, Country Cousins live-in cost, checked 4 November 2026
Describes itself as a home care platform that connects families directly with self-employed carers. It also runs Curam Managed Care, which it says is CQC registered.
Published price: Average hourly rate £20.50 and £1,200 a week for live-in (Curam's figures for August 2025), with a 12% client fee added to invoices.
Source: curamcare.com, Curam Managed Care, Curam client information, checked 19 October 2026
Runs an introductory model, which it says has operated since 2015 and is not regulated by the CQC, and a separate managed care service that is CQC regulated.
Published price: Introductory care from £1,400 a week, regulated care from £1,500 a week.
Source: myhometouch.com, Hometouch pricing, checked 19 October 2026
Founded in 1962 and family-owned. It offers an introductory service, where a self-employed carer works for you and you pay them directly, and a fully managed live-in service that it says is regulated by the CQC in England. It also offers live-in nursing.
Published price: Introductory live-in from £1,092 a week including its weekly agency fee, plus a £250 registration fee; managed live-in from £1,603 a week, subject to assessment.
Source: consultuscare.com, Consultus live-in costs, checked 4 November 2026
The service that wrote this page. Families search self-employed carers near them, see each carer's own rate and choose who to hire. It is not a care agency and is not CQC registered. Every carer has an ID check, a right to work check, an enhanced DBS (or PVG or Access NI) issued within the last 2 years and an online interview. We do not verify references, qualifications or training.
Published price: Hourly visits £18 to £25, live-in £1,050 to £1,400 a week, our fee included.
Source: PrimeCarers pricing, what we check, checked 19 October 2026
Fully managed live-in care, which it describes as CQC-regulated in England, with one carer in the home supported by a care manager and care coordinator. It says every carer has an enhanced DBS check, three references and at least 12 months of professional care experience.
Published price: Live-in from £1,395 a week for one person (up to £1,895 for its advanced tier) and from £1,695 when both partners need care, final price after an assessment.
Source: edyn.care, Edyn pricing, Edyn carers, checked 4 November 2026
Describes itself as a fully managed and regulated home care provider whose live-in carers are employed and trained directly by it. It says it is rated Outstanding by the CQC in all five areas, and the CQC register shows its London location rated Outstanding.
Source: The Good Care Group, arranging care, CQC register, checked 4 November 2026
Says it directly employs and trains all its carers and is regulated by the CQC and Care Inspectorate Wales. It offers visiting care and live-in care, with local care managers and a team of specialist nurses.
Published price: Live-in from £1,675 a week for one person and £2,125 for a couple (page reviewed 17 April 2026).
Source: Helping Hands live-in care, Helping Hands live-in cost, checked 19 October 2026
Which kind suits you
Introductory or managed: which kind suits you
If you liked the idea of Elder, the introductory services below will feel familiar. If what you want is for somebody else to run the care, a managed agency is the different choice.
| Introductory service | CQC-registered managed agency | |
|---|---|---|
| Who employs the carer | Nobody. The carer is self-employed and works for you | The agency |
| Who chooses the carer | You, from profiles | The agency, usually with your input |
| Who directs the care day to day | You and the carer | The agency, through a care plan |
| If the carer cannot come | You find cover, with whatever help the service offers | The agency arranges cover |
| Registered with the CQC in England | No, because it does not provide the care | Yes, and its inspection reports are public |
| Price | Usually lower. On PrimeCarers, live-in is typically £1,120 a week | Usually higher. A typical managed live-in week is £1,120 to £1,750 |
Who employs the carer
- Introductory service
- Nobody. The carer is self-employed and works for you
- CQC-registered managed agency
- The agency
Who chooses the carer
- Introductory service
- You, from profiles
- CQC-registered managed agency
- The agency, usually with your input
Who directs the care day to day
- Introductory service
- You and the carer
- CQC-registered managed agency
- The agency, through a care plan
If the carer cannot come
- Introductory service
- You find cover, with whatever help the service offers
- CQC-registered managed agency
- The agency arranges cover
Registered with the CQC in England
- Introductory service
- No, because it does not provide the care
- CQC-registered managed agency
- Yes, and its inspection reports are public
Price
- Introductory service
- Usually lower. On PrimeCarers, live-in is typically £1,120 a week
- CQC-registered managed agency
- Usually higher. A typical managed live-in week is £1,120 to £1,750
Some providers run both models, so ask which one you are being offered. The managed range is a typical figure, not any named agency's price.
An introductory service tends to suit a family that wants to choose the carer, can be the person the carer answers to, and wants more of the price to reach the carer. A managed agency tends to suit care that is complex or clinical, a family that cannot be on hand to direct it, or anyone who wants the provider to be responsible for cover. Either way, ask which checks were done on the carer you would get, not on the company in general.
Questions
Questions about alternatives to Elder
Elder describes itself as an introductory care agency. It introduces families to self-employed carers, who you then engage directly, and it says it is not required to register with the CQC. A managed agency, by contrast, employs its carers and is registered.
Country Cousins, Curam and PrimeCarers all introduce self-employed carers, and Hometouch and Consultus run an introductory service alongside a managed one. Each publishes different checks and fees, so ask what was checked on the carer you are introduced to.
Of the providers on this page, Edyn, The Good Care Group and Helping Hands are managed agencies regulated by the CQC, and Hometouch, Consultus and Curam each run a managed service they say is regulated. You can look up any registered service's inspection reports on the CQC website.
Usually, because the price also covers the carer's employment and the agency's management. Of the providers here that publish a price, Edyn's live-in starts from £1,395 a week and Helping Hands' from £1,675. On PrimeCarers, an introductory service, live-in is typically £1,120 a week with our fee included.
Sources
Sources checked on 19 October 2026 and 4 November 2026
- Elder, introductory agencywww.elder.org/introductory-agency/
- Elder on Trustpilotuk.trustpilot.com/review/elder.org
- country-cousins.co.ukwww.country-cousins.co.uk/
- Country Cousins, introductory vs managedwww.country-cousins.co.uk/live-in-care/introductory-vs-fully-managed-live-in-care-which-is-right-for-you/
- Country Cousins live-in costwww.country-cousins.co.uk/live-in-care/cost-of-live-in-care/
- curamcare.comwww.curamcare.com/
- Curam Managed Carewww.curamcare.com/home-care-services/managed-care
- Curam client informationwww.curamcare.com/client-information
- myhometouch.commyhometouch.com/
- Hometouch pricingmyhometouch.com/pricing
- consultuscare.comwww.consultuscare.com/
- Consultus live-in costswww.consultuscare.com/live-in-care/costs-of-live-in-care
- PrimeCarers pricing/pricing
- what we check/best-carers
- edyn.carewww.edyn.care/
- Edyn pricingwww.edyn.care/pricing/
- Edyn carerswww.edyn.care/our-carers/
- The Good Care Group, arranging careget.thegoodcaregroup.com/arrange-care/
- CQC registerwww.cqc.org.uk/location/1-1489174477
- Helping Hands live-in carewww.helpinghandshomecare.co.uk/live-in-care/
- Helping Hands live-in costwww.helpinghandshomecare.co.uk/costs-funding/cost-of-live-in-care/
