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Alternatives to Helping Hands for live-in and home care

Helping Hands is a managed home care agency: it employs its carers and is registered with the CQC. Families looking for an alternative usually want either another managed agency, or a lower price through an introductory service where they choose a self-employed carer. Both kinds are listed below.

By PrimeCarers, the service that wrote this comparison  ·  Updated October 2026  ·  6 min read

What it is

What Helping Hands is, in its own words

Helping Hands says its story began in the Midlands in the late 1980s, that it directly employs and trains all its carers and never uses agency staff, and that it is registered with the CQC and Care Inspectorate Wales. It says 97% of its branches are rated Good or Outstanding. It offers visiting care and live-in care.

Its cost page says live-in care starts from £1,675 a week for one person and £2,125 for a couple (page reviewed 17 April 2026).

The alternatives

8 alternatives to Helping Hands

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, 4 November 2026 and 5 November 2026.

  • The Good Care Group

    Alternatives to The Good Care GroupCQC-registered managed agency

    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

  • Home Instead

    Alternatives to Home InsteadCQC-registered managed agency

    A network of over 255 locally owned offices in the UK since 2005, regulated by the CQC and the regulators in Scotland, Wales and Northern Ireland. Every visit lasts at least an hour, and it offers live-in care too.

    Source: homeinstead.co.uk, checked 19 October 2026

  • Agincare

    Alternatives to AgincareCQC-registered managed agency

    Family-owned since 1986, with 100+ locations. It says it employs and pays all its care workers, including live-in carers, that all its care services are regulated by the CQC, and that its Smart Start lets you try live-in care for 2 to 4 weeks.

    Published price: Live-in from £1,200 a week, couples from £1,400, and flexible live-in on set days from £695 (its live-in costs page).

    Source: agincare.com, Agincare live-in costs, checked 4 November 2026

  • Trinity Homecare

    Alternatives to Trinity HomecareCQC-registered managed agency

    Live-in care across mainland England and visiting care in Surrey. It says its live-in carers are employed and paid directly by it, and the CQC register shows its Worcester Park service rated Outstanding. Country Cousins, an introductory service, is its sister company.

    Published price: Live-in from £1,694 a week for people with lower support needs, with a quote after a free assessment.

    Source: Trinity Homecare live-in care, Trinity carer FAQs, CQC register, checked 4 November 2026

  • Consultus Care & Nursing

    Alternatives to Consultus Care & NursingBoth

    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

  • 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

  • Elder

    Alternatives to ElderIntroductory

    Describes itself as an introductory agency connecting families across Great Britain with vetted, self-employed carers, and says it does not provide regulated care. It offers live-in care, respite stays and, in some cities, visiting care.

    Published price: Live-in from £1,195 a week and respite from £1,595 a week, with its booking fee inside the price.

    Source: Elder, introductory agency, Elder pricing, checked 5 November 2026

  • PrimeCarers

    Alternatives to PrimeCarersIntroductory

    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

Which kind suits you

Introductory or managed: which kind suits you

Staying with a managed agency keeps the arrangement you know. An introductory service changes it: you choose the carer and direct the care, and the price is lower because it does not cover employment.

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 Helping Hands

Other managed, CQC-registered agencies such as The Good Care Group, Home Instead, Agincare and Trinity Homecare; services that offer both models, such as Consultus and Hometouch; and introductory services such as Elder and PrimeCarers, where you hire a self-employed carer directly.

An introductory service usually costs less, because the price does not include an employer's costs. On PrimeCarers live-in typically costs £1,120 a week with our fee included, against Helping Hands' published starting price of £1,675. The trade-off is that you choose and direct the carer yourself, and arranging cover is not an agency's job.

Search the agency by name on the CQC website. Each registered branch or office has its own rating and inspection report, so check the one that would provide your care.

Sources

Sources checked on 19 October 2026, 4 November 2026 and 5 November 2026

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