"Care at home" is the Care Inspectorate’s name for one kind of support service. In the Act, "A “support service” is a service provided, by reason of a person's vulnerability or need (other than vulnerability or need arising by reason only of that person being of a young age)" (2010 Act, Sch. 12 para. 1(1)), and a service provided by a private or voluntary provider is caught "if it includes personal care or personal support" (para. 1(1)(d)). The fees legislation is where "care at home" is defined: "“care at home service” means a support service ... which provides personal care or personal support ... to a person (“the recipient”) within the recipient’s home" (Fees Order 2011, art. 1(2)).
- Personal care. Care which "relates to the day to day physical tasks and needs of the person cared for (as for example, but without prejudice to that generality, to eating and washing) and to mental processes related to those tasks and needs (as for example, but without prejudice to that generality, to remembering to eat and wash)" (Sch. 12 para. 20)
- Personal support. "counselling, or other help, provided as part of a planned programme of care." (Sch. 12 para. 20)
Housing support is a separate service type
"A “housing support service” is a service which provides support, assistance, advice or counselling to a person who has particular needs, with a view to enabling that person to occupy residential accommodation as a sole or main residence" (Sch. 12 para. 19). It has its own registration, with the same Care Inspectorate fee bands as care at home (Registration fees).
Combined services: two applications
Many providers run both. In our count of the Care Inspectorate’s datastore, 762 of the 1,301 registered care at home services it lists are flagged as part of a combined service (datastore, 31 August 2026). The Care Inspectorate says: "If you intend to provide a ‘housing support service’ and a ‘support service – care at home’ these require individual applications even where these are to be operated as a ‘combined service’" (Guidance for applicants, p.6). For a combined application it invoices you, and "in these specific applications you should record the full staff WTE in the housing support application and 0.1 WTE in the support service application" (p.7). Once registered, a combined service may get a discount on the smaller continuation fee (fees).
Self-employed carers working alone: our reading
The private-provider part of the definition has an exception: "paragraph (d) does not apply if the provider is an individual who personally and solely gives the care or support in question." (Sch. 12 para. 1(2)(c)). Our reading: a self-employed carer who gives all the care personally, with no one else helping, is outside the private-provider limb. Once you employ staff or arrange other carers, the exception no longer fits. The Care Inspectorate has not confirmed this reading to us, and it does not settle where the line falls for subcontractors or introductory agencies, so ask the Care Inspectorate before you rely on it (questions to ask first).
The exception covers only the private-provider limb. A service provided under arrangements made by a local authority is a support service under para. 1(1)(b) (Sch. 12 para. 1(1)(b)) whoever provides it, so if a council arranges your work, the exception does not help.
Services outside the definition
- Excepted services. "There is excepted from the definition of “support service” in paragraph 1 of schedule 12 to the Act any service which consists wholly of one or more of the following": field social work, counselling outside residential care, and help to prepare for, obtain or engage in work (SSI 2012/44, reg. 2).
- NHS bodies. The private-provider limb does not apply to a health body acting under the National Health Service (Scotland) Act 1978 (Sch. 12 para. 1(2)(b)). Council-run care at home is a support service too: our datastore count includes 156 council services (datastore).