Care Home Accountants | Rothstone Accountants
Specialist accountants for care homes & care providers

Care home finances are complex. We make them clearer, calmer and more profitable.

Rothstone helps care homes, home care providers and supported living businesses take control of payroll, VAT, bookkeeping, tax, cash flow and monthly reporting — so you can protect margins, avoid compliance issues and make confident decisions.

Book a free finance health check Call 0208 264 0016
PayrollStaff pay, RTI & pensions
MarginsWages, fees & overheads
ComplianceHMRC, VAT & Companies House

Free care provider finance health check

We review the key areas that usually cause pressure for care businesses — payroll, cash flow, margins, VAT, reporting and deadlines.

Staff cost control Payroll + pensions
Cash visibility Fees + supplier spend
Compliance review HMRC + Companies House
Monthly reporting Margins + profitability

Rothstone Accountants — premium cloud accounting, proactive tax advice and practical finance support for care businesses that cannot afford messy numbers.

Why care homes choose specialist support

In care, poor financial control quickly becomes an operational problem.

Payroll errors damage staff trust. Weak reporting hides rising wage costs. Late bookkeeping creates VAT and tax stress. Unclear cash flow makes it harder to plan safely. Rothstone gives care providers a structured finance function that supports the business all year round — not just at year end.

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Care home accounting

Accounts, bookkeeping, supplier payments, payroll, monthly reports and tax compliance for residential, nursing and specialist care providers.

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Home care providers

Support for care businesses managing carers, rota-led pay, mileage, variable hours, pensions, local authority income and recurring operating costs.

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Profit & cash flow visibility

Clear monthly reporting on wages, overheads, fees, debtor balances, cash pressure and profitability — giving owners better visibility before issues escalate.

Not sure if your current accountant understands care?

Many care providers outgrow basic year-end accounting. If you need clearer reporting, better payroll support, stronger tax planning or faster responses, it may be time to review your finance setup.

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Payroll that protects staff trust
Reliable payslips, RTI submissions, pensions and payroll reporting.
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Reports that show the real picture
Track wages, occupancy, supplier costs, funding, margins and cash flow.
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Support that feels proactive
Deadlines, tax planning and compliance managed before they become stressful.
What you get with Rothstone

A finance partner for care providers — not just a year-end accountant.

We help you build a proper finance function around your care operation: clean books, reliable payroll, useful reports, tax planning, deadline control and practical advice when decisions need to be made.

Payroll & pensions

Payslips, RTI submissions, workplace pensions, payroll journals and visibility over your biggest cost: people.

Bookkeeping & cloud systems

Clean records, bank reconciliation, supplier tracking and Xero-style reporting that owners can actually use.

VAT, tax & compliance

VAT returns, MTD compliance, statutory accounts, corporation tax and Companies House deadlines kept under control.

Monthly management accounts

Reports showing wages, margins, cash flow, debtor balances, profitability and areas needing attention.

Simple switching process

Changing accountants should not feel stressful.

We make the move simple. We review your position, contact your previous accountant where needed, organise your deadlines and give you a clear plan from day one.

Free finance health check

We understand your care model, staff structure, current accountant, software and main financial pressure points.

Deadline & compliance review

We check payroll, bookkeeping, VAT, accounts, corporation tax and Companies House deadlines.

Smooth handover

We help organise records, cloud systems, payroll cycles, reporting routines and previous accountant handover.

Monthly support

You receive clear reporting, proactive reminders and practical advice so important issues are not left too late.

Who we help

Built for care providers who want better control, not more admin.

Our support is suitable for care businesses that want cleaner numbers, stronger compliance, better payroll support and management information that helps them run the business properly.

Residential & nursing care homes

For owners and managers who need stronger control over staff costs, occupancy, supplier spend, cash flow and compliance deadlines.

Supported living & home care

For providers managing multiple packages, local authority income, carers, rota-led pay, mileage and regular reporting needs.

Growing care groups

For providers expanding sites, services or staff numbers who need proper systems before finance becomes messy.

Book your free care provider finance health check.

We’ll review where your current accounting setup may be costing you time, visibility or money — and show you how Rothstone can support your payroll, bookkeeping, VAT, tax and monthly reporting with more structure.

Book a free consultation Call 0208 264 0016
FAQs

Care home accounting FAQs

Do you specialise in care home accounting?

Yes. We support care homes, home care providers, supported living businesses and healthcare-related companies with accounts, payroll, VAT, bookkeeping, management reporting and tax planning.

Can you help with payroll for carers and support workers?

Yes. We can support weekly, fortnightly or monthly payroll, payslips, RTI submissions, pension administration and payroll reports for management review.

Can you show us whether our care business is actually profitable?

Yes. We can produce regular management reports showing wages, overheads, income, margins, cash flow, debtor balances and areas where costs may need closer review.

Can you help us switch from our current accountant?

Yes. We can help make the switch smooth by reviewing your deadlines, contacting your previous accountant where needed, organising your records and setting up a clearer ongoing finance process.