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I run a care home, home care agency or other care service

Ways to pay for premises, vehicles and equipment, the wait to be paid and buying a care business, cheapest first.

Last checked: 21 October 2026

A care service must be registered before it starts. In England it is an offence to carry on a regulated health or adult social care activity without registering with the Care Quality Commission (CQC). In Scotland care services register with the Care Inspectorate, in Wales with Care Inspectorate Wales, and in Northern Ireland with the Regulation and Quality Improvement Authority (RQIA).

Registration affects money too. CQC says its assessment of a new application can take several months, often with a visit to the premises, so a new service needs enough cash to get through the wait. If you buy a registered care business, you apply to register for its services yourself, and CQC completes the registration only once both sides' lawyers confirm the sale is done.

24 routes to look at, cheapest first

Compare the first 4 side by side
  1. L0

    Free or nearly free

    Little or no cash cost, though most take time and admin. Some bring money in, and a few have small fees.
  2. L1

    Very cheap or subsidised

    Borrowing on better terms than the market, usually because a public body, community lender or large buyer is involved.
  3. L2

    Mainstream secured debt

    Standard borrowing from banks and mainstream lenders, often secured on assets or backed by a personal guarantee.
  4. L3

    Specialist secured debt

    Borrowing secured on specific assets such as invoices or stock, with more fees and conditions than mainstream debt.
  5. L4

    Expensive or fast

    Quick to arrange, often unsecured, and usually the most expensive way to borrow.

Worth knowing

Sources

  1. CQC: Scope of registration (updated 26 August 2026) · checked 21 October 2026
  2. CQC: Assessing your application (updated 23 July 2026) · checked 21 October 2026
  3. CQC: Buy, sell or transfer a registered business (updated 30 September 2026) · checked 21 October 2026
  4. Care Inspectorate: Register a care service (updated 24 September 2026) · checked 21 October 2026
  5. Care Inspectorate Wales: Register to provide a service · checked 21 October 2026
  6. RQIA: Registration guidance · checked 21 October 2026

Facts about each route are sourced on its own page.