Adult-support role chooser

Carer, companion or housekeeper: which role do you need?

Start with the task: regulated personal care points towards an appropriate care provider, company and practical support may fit a companion, while cleaning and household management point towards a housekeeper.

Companion and older person spending time together
“Carer” is an ambiguous everyday term. Filipino Domestic Services uses companion support for non-clinical company and practical help and does not provide regulated personal care or nursing.

What is the quickest way to choose the right role?

Taskfirst. The label follows the work rather than the other way round.

If the person needs physical help with washing, dressing, toileting or another regulated personal-care task, use an appropriate regulated care provider. If the main need is social contact, accompanied outings, shopping, simple meals and manageable practical support, a non-clinical companion may fit. If the main need is cleaning, laundry, household organisation or broader domestic management, a housekeeper is usually the clearer role.

A household can need more than one service. A housekeeper should not quietly acquire personal-care duties because they happen to work in the home, and a companion should not become a full housekeeper or regulated carer by accumulation. When needs cross those boundaries, split the work or choose a provider whose scope actually covers the required task.

Role chooser: match the recurring need to the appropriate support.

Use the dominant recurring task. Occasional overlap does not erase the primary purpose of the role.

Main needLikely starting pointImportant boundary
Washing, dressing, toileting or physical personal careAppropriate regulated personal-care providerThese tasks can fall within CQC-regulated personal care. FDS companion introductions do not provide this regulated service.
Nursing, treatment or clinical monitoringAppropriate healthcare or nursing serviceClinical care is outside both companion and housekeeper roles.
Company, conversation and shared activitiesCompanionKeep the role non-clinical and define the schedule, activities and practical duties.
Shopping, simple meals and accompanied outingsCompanion may fitThese can sit within practical non-clinical support where no regulated personal-care task is being added.
Cleaning, laundry and household organisationHousekeeperThe job is household management rather than care. Do not use “companion” merely to make a domestic role sound more supportive.
Both company and substantial household workDefine which need is primary, then test workloadA combined brief can be possible, but the hours must realistically contain both sets of duties.
Needs vary across the weekConsider separate roles or servicesFor example, regulated personal care may sit alongside a separately employed housekeeper or non-clinical companion.

Why the word “carer” needs clarification.

Families use it to describe everything from company to complex personal care. Those are not interchangeable services.

Regulated personal careCQC guidance covers physical assistance with personal-care activities in relevant settings. Where those tasks are needed, use an appropriately registered provider rather than assuming a household staffing introduction covers them.
Non-clinical companion supportCompany, routine, outings, shopping, simple meals and light practical help can sit outside regulated personal care when no personal-care task is provided.
Household domestic workCleaning, laundry, changing beds, household organisation and related work belong to the housekeeper or cleaner side of the decision rather than the care side.
Medical or nursing workNursing, treatment, diagnosis and clinical monitoring require the appropriate health professional or service and should not be written into a companion or housekeeper job description.
Companion supporting an older person at home
A companion role is built around social contact and agreed practical help. Suitability is assessed individually; nationality is not evidence of warmth, patience or caring ability.

Choose a companion when the primary gap is company and day-to-day practical support.

A companion can help preserve routine without pretending to be a regulated care service.

Company and social contactConversation, reading, shared interests, local outings and ordinary social activities can form the core of the role.
Practical supportShopping, simple meals, errands and manageable light household tasks can be included when the workload is clear.
Live-in or live-outChoose the arrangement by the schedule. Live-in support still requires private accommodation, defined working hours and genuine off-duty time.
Review if needs increaseIf physical personal care, nursing or clinical support becomes necessary, the household should reassess the service rather than expanding the companion role informally.

understand introductory companion care for a detailed scope-in and scope-out explanation.

Choose a housekeeper when the home, not the person's care, is the main workload.

A housekeeper supports the operation of the household. That can improve daily life without making the position a care role.

Cleaning
Regular household upkeep.

Cleaning rooms, bathrooms and kitchens, maintaining standards and managing recurring household routines.

Laundry
Washing, ironing and wardrobe routines.

These are domestic responsibilities and can form a substantial part of a housekeeper job.

Organisation
Household supplies and practical order.

Restocking, coordinating routine household tasks and keeping agreed areas organised can belong in a housekeeper brief.

Boundary
Do not add personal care by stealth.

Helping keep a home organised is different from physically assisting the resident to wash, dress or use the toilet.

From our work

We ask what the household wants done before deciding what to call the person doing it.

Filipino Domestic Services' current staffing process asks households to describe the role, recurring duties, postcode, live-in or live-out arrangement, normal days and hours and preferred start date. For adult support, that task list is essential because “carer” can mean very different things to different families.

If the brief is company, outings, shopping, simple meals and manageable practical help, we can test whether a non-clinical companion introduction fits. If the brief is primarily cleaning, laundry and household management, it belongs on the housekeeper side. If the family is asking for washing, dressing, toileting, nursing, treatment or another regulated or clinical task, we do not relabel that need to fit an FDS companion service.

This also prevents nationality from becoming a proxy for role fit. We do not treat being Filipino as evidence of personality, domestic ability or suitability for supporting an older person. The candidate is assessed as an individual against the work the household has defined. Filipino Domestic Services introduces candidates; the household makes the employment decision and remains responsible for the resulting employment arrangement.

Personal-care needs change the service decision.If the person needs regulated personal care, use an appropriate registered provider. A non-clinical companion or housekeeper can potentially sit alongside regulated care for separate tasks, but should not be used to replace it.

Questions about choosing a carer, companion or housekeeper.

What is the difference between a carer and a companion?

“Carer” is a broad everyday term and can include regulated personal-care work. A companion, as FDS uses the term, provides non-clinical company and practical support such as outings, shopping and simple meals. Regulated personal-care tasks should be provided through an appropriate registered service.

What is the difference between a companion and a housekeeper?

A companion's primary purpose is social contact, routine and practical support for a person. A housekeeper's primary purpose is maintaining and organising the home through cleaning, laundry and other household duties. Some practical tasks can overlap, but the dominant workload should remain clear.

Can a housekeeper also help an elderly person?

A housekeeper can make daily life easier through household tasks and ordinary practical help, but the role should not acquire regulated personal-care or clinical duties. If those needs exist, the household should arrange the appropriate care service separately.

Can a companion be live-in?

Yes. A non-clinical companion can be live-in where the household can provide suitable private accommodation and clearly define working hours, breaks, duties and genuine off-duty time.

What if my parent needs both personal care and household help?

You may need more than one service. An appropriate regulated provider can cover personal care, while a separate housekeeper or non-clinical companion handles household or social-support tasks. Define the boundaries so neither role is expected to perform work outside its scope.

Does Filipino Domestic Services provide regulated carers?

Filipino Domestic Services provides household staffing introductions for non-clinical companion support. It is not a regulated care provider and does not provide nursing, medical treatment or regulated personal care.

Source and care-scope boundary.

The regulated-care distinction on this page follows current CQC guidance. The role examples describe FDS household staffing, not an assessment of an individual's care needs.

Write the task list, then choose the route.

Once the dominant responsibilities are clear, compare candidates or regulated providers that actually match the work.