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Healthcare Medicine

Top 10 Best Domiciliary Care Software of 2026

Find the top 10 domiciliary care software solutions to boost efficiency. Discover the best fit for your care business—explore now.

Sarah Mitchell

Sarah Mitchell

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Domiciliary care software is critical for agencies to streamline operations, enhance care quality, and ensure compliance. With a diverse range of solutions—from comprehensive cloud platforms to mobile-first tools—selecting the right software is essential, as illustrated by the top 10 options in this review.

Quick Overview

  1. 1#1: AlayaCare - Comprehensive cloud-based platform for domiciliary care agencies managing scheduling, EVV, billing, and client records.
  2. 2#2: CareSmartz360 - All-in-one domiciliary care software with CRM, staff scheduling, telehealth, and integrated billing features.
  3. 3#3: AxisCare - User-friendly home care management tool offering mobile apps for caregivers, real-time scheduling, and family portals.
  4. 4#4: HHAeXchange - EVV-focused domiciliary care solution with robust billing, payroll, and compliance tools for home health agencies.
  5. 5#5: ClearCare - Online platform for private duty domiciliary care with scheduling, invoicing, and caregiver management capabilities.
  6. 6#6: Sandata - Enterprise-grade domiciliary care software providing EVV, workforce management, and analytics for large agencies.
  7. 7#7: Birdie - CRM and operational platform for UK domiciliary care with care planning, rostering, and remote monitoring.
  8. 8#8: Aaniie - Mobile-first domiciliary care system for rotas, care notes, and compliance tailored to UK home care providers.
  9. 9#9: Caresys - Integrated domiciliary care software handling assessments, scheduling, and CQC compliance reporting.
  10. 10#10: CareDocs - Cloud-based tool for domiciliary care documentation, rotas, and real-time care plan management.

These tools were evaluated and ranked based on features (including scheduling, EVV, billing, and compliance), user experience, integration capabilities, and overall value to ensure the top 10 meet the varied needs of domiciliary care providers.

Comparison Table

Managing domiciliary care effectively relies on robust software, and our comparison table surveys top tools like AlayaCare, CareSmartz360, AxisCare, HHAeXchange, ClearCare, and more to simplify selection. Readers will gain insights into key features, usability, and practical capabilities to streamline operations, elevate client care, and optimize administrative tasks.

1AlayaCare logo9.7/10

Comprehensive cloud-based platform for domiciliary care agencies managing scheduling, EVV, billing, and client records.

Features
9.8/10
Ease
9.3/10
Value
9.4/10

All-in-one domiciliary care software with CRM, staff scheduling, telehealth, and integrated billing features.

Features
9.5/10
Ease
8.7/10
Value
9.0/10
3AxisCare logo8.8/10

User-friendly home care management tool offering mobile apps for caregivers, real-time scheduling, and family portals.

Features
9.2/10
Ease
8.5/10
Value
8.4/10

EVV-focused domiciliary care solution with robust billing, payroll, and compliance tools for home health agencies.

Features
9.2/10
Ease
8.0/10
Value
8.5/10
5ClearCare logo8.1/10

Online platform for private duty domiciliary care with scheduling, invoicing, and caregiver management capabilities.

Features
8.7/10
Ease
7.4/10
Value
7.6/10
6Sandata logo7.6/10

Enterprise-grade domiciliary care software providing EVV, workforce management, and analytics for large agencies.

Features
8.7/10
Ease
6.8/10
Value
7.2/10
7Birdie logo8.2/10

CRM and operational platform for UK domiciliary care with care planning, rostering, and remote monitoring.

Features
8.7/10
Ease
7.8/10
Value
7.9/10
8Aaniie logo8.1/10

Mobile-first domiciliary care system for rotas, care notes, and compliance tailored to UK home care providers.

Features
8.4/10
Ease
8.8/10
Value
7.6/10
9Caresys logo8.1/10

Integrated domiciliary care software handling assessments, scheduling, and CQC compliance reporting.

Features
8.7/10
Ease
7.9/10
Value
7.8/10
10CareDocs logo8.2/10

Cloud-based tool for domiciliary care documentation, rotas, and real-time care plan management.

Features
8.5/10
Ease
7.8/10
Value
8.0/10
1
AlayaCare logo

AlayaCare

specialized

Comprehensive cloud-based platform for domiciliary care agencies managing scheduling, EVV, billing, and client records.

Overall Rating9.7/10
Features
9.8/10
Ease of Use
9.3/10
Value
9.4/10
Standout Feature

AI-driven scheduling engine that automatically optimizes rotas, predicts carer availability, and minimizes travel time for maximum efficiency

AlayaCare is a leading cloud-based software platform tailored for domiciliary and home care agencies, providing end-to-end solutions for scheduling, rostering, caregiver management, billing, and compliance. It includes a robust mobile app for carers to handle electronic visit verification (EVV), real-time clock-ins, task management, and care notes on the go. The platform leverages AI-driven scheduling optimization and integrates with telehealth, payroll, and accounting systems to streamline operations and improve care delivery efficiency.

Pros

  • Comprehensive all-in-one platform covering scheduling, EVV, billing, and reporting
  • AI-powered intelligent rostering that reduces scheduling conflicts and optimizes carer utilization
  • Strong mobile app with offline capabilities and real-time data syncing for field staff

Cons

  • Pricing is custom and can be expensive for very small agencies
  • Initial setup and training may require significant time and support
  • Limited public transparency on advanced customization options without a demo

Best For

Mid-sized to large domiciliary care providers seeking a scalable, feature-rich platform to manage complex operations and ensure regulatory compliance.

Pricing

Custom pricing based on agency size and modules; typically starts at $5-10 per visit or user/month, with enterprise plans requiring quotes after demo.

Visit AlayaCarealayacare.com
2
CareSmartz360 logo

CareSmartz360

specialized

All-in-one domiciliary care software with CRM, staff scheduling, telehealth, and integrated billing features.

Overall Rating9.2/10
Features
9.5/10
Ease of Use
8.7/10
Value
9.0/10
Standout Feature

AI-driven scheduling engine that auto-assigns caregivers based on skills, location, and preferences for maximum efficiency

CareSmartz360 is a comprehensive cloud-based platform tailored for domiciliary care agencies, providing tools for scheduling, billing, caregiver management, and compliance. It features electronic visit verification (EVV), telephony for clock-ins, real-time GPS tracking, and integrated telehealth to optimize home care operations. The software supports HIPAA compliance, robust reporting, and a mobile app for caregivers, enabling efficient coordination of in-home services across multiple locations.

Pros

  • Comprehensive EVV and scheduling with AI optimization
  • Seamless integrations with payers like HHAeXchange
  • Strong mobile app and real-time reporting for field staff

Cons

  • Steep learning curve for advanced features
  • Custom pricing can be opaque for small agencies
  • Limited customization in some reporting templates

Best For

Medium to large domiciliary care providers seeking scalable, compliance-focused automation.

Pricing

Custom quote-based pricing, typically $2-5 per visit or $500+ monthly base for small agencies, scaling with users/visits.

Visit CareSmartz360caresmartz360.com
3
AxisCare logo

AxisCare

specialized

User-friendly home care management tool offering mobile apps for caregivers, real-time scheduling, and family portals.

Overall Rating8.8/10
Features
9.2/10
Ease of Use
8.5/10
Value
8.4/10
Standout Feature

Integrated telephony system for direct caregiver-client calls and automated scheduling confirmations

AxisCare is a comprehensive all-in-one software platform tailored for home care agencies, providing robust tools for scheduling, electronic visit verification (EVV), billing, payroll, and caregiver management. It supports compliance with U.S. regulations like Medicare and Medicaid, while offering mobile apps for caregivers and a family portal for clients. The platform streamlines domiciliary care operations from intake to reporting, with additional features like telehealth and integrated telephony.

Pros

  • Advanced scheduling with auto rostering and real-time updates
  • Seamless EVV integration for compliance and visit verification
  • Comprehensive reporting and analytics for better decision-making

Cons

  • Pricing can be steep for very small agencies
  • Steeper learning curve for advanced customizations
  • Primarily optimized for U.S. market with limited global adaptability

Best For

Medium to large domiciliary care agencies in the U.S. needing a scalable, compliance-focused solution with strong scheduling and EVV capabilities.

Pricing

Custom pricing based on agency size and visits; typically starts at $1-3 per visit or $500+ monthly for base plans, with Enterprise options available.

Visit AxisCareaxiscare.com
4
HHAeXchange logo

HHAeXchange

specialized

EVV-focused domiciliary care solution with robust billing, payroll, and compliance tools for home health agencies.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
8.0/10
Value
8.5/10
Standout Feature

Direct integration with over 300 payers for automated claims submission and faster reimbursements

HHAeXchange is a comprehensive cloud-based platform tailored for homecare and domiciliary care agencies, offering tools for scheduling, electronic visit verification (EVV), billing, payroll, and compliance management. It streamlines caregiver assignments, tracks visits in real-time, and automates invoicing with direct payer integrations for Medicare, Medicaid, and private insurers. The software also includes robust reporting, client portals, and a mobile app for caregivers to enhance operational efficiency in home-based care delivery.

Pros

  • Advanced EVV compliance with state-specific support
  • Seamless payer billing integrations reducing claims denials
  • Intuitive mobile app for caregivers enabling real-time clock-ins and notes

Cons

  • Steep initial learning curve for complex features
  • Custom pricing can be expensive for very small agencies
  • Limited out-of-the-box customization without add-ons

Best For

Mid-sized to large domiciliary care agencies needing robust EVV, billing automation, and payer connectivity.

Pricing

Custom pricing based on agency size, visit volume, and modules; typically starts at $500-$1,500/month for small to mid-sized agencies.

Visit HHAeXchangehhaexchange.com
5
ClearCare logo

ClearCare

specialized

Online platform for private duty domiciliary care with scheduling, invoicing, and caregiver management capabilities.

Overall Rating8.1/10
Features
8.7/10
Ease of Use
7.4/10
Value
7.6/10
Standout Feature

Telephony-based visit verification allowing caregivers to confirm arrivals/departures via phone calls without apps

ClearCare is a cloud-based platform tailored for home care agencies, providing comprehensive tools for scheduling, electronic visit verification (EVV), billing, payroll, and client management. It streamlines domiciliary care operations by enabling efficient caregiver dispatching, compliance tracking, and real-time reporting. The software emphasizes regulatory adherence, particularly with Medicare/Medicaid requirements, making it suitable for non-medical and medical home care providers.

Pros

  • Robust EVV and scheduling tools with telephony integration for caregiver check-ins
  • Strong compliance features including HHAeXchange connectivity
  • Comprehensive reporting and billing automation that integrates with QuickBooks

Cons

  • Interface feels dated and has a steep learning curve for new users
  • Pricing can escalate quickly with per-visit fees for larger agencies
  • Customer support response times vary, with some reports of delays

Best For

Mid-sized domiciliary care agencies needing reliable EVV compliance and scheduling in a single platform.

Pricing

Starts at around $295/month base fee plus $3-5 per visit or per caregiver; custom quotes for enterprises.

Visit ClearCareclearcareonline.com
6
Sandata logo

Sandata

specialized

Enterprise-grade domiciliary care software providing EVV, workforce management, and analytics for large agencies.

Overall Rating7.6/10
Features
8.7/10
Ease of Use
6.8/10
Value
7.2/10
Standout Feature

Advanced EVV platform with multi-mode verification (GPS, landline, app) ensuring 100% compliance with CMS mandates

Sandata is a comprehensive homecare management platform tailored for domiciliary care agencies, focusing on electronic visit verification (EVV), scheduling, billing, and compliance. It enables agencies to manage caregivers, track visits in real-time, automate payroll, and generate reports for regulatory adherence. The solution integrates with state Medicaid systems and offers mobile apps for field staff to capture data accurately.

Pros

  • Industry-leading EVV compliance with federal and state integrations
  • Robust scheduling, billing, and reporting tools
  • Mobile-first approach for caregivers with GPS and telephony verification

Cons

  • Steep learning curve and outdated user interface
  • High implementation costs and customization fees
  • Mixed customer support experiences with slow response times

Best For

Mid-to-large domiciliary care agencies prioritizing EVV compliance and regulatory reporting over user-friendly design.

Pricing

Custom enterprise pricing, typically $5,000+ per month based on agency size, visits, and modules; includes setup fees.

Visit Sandatasandata.com
7
Birdie logo

Birdie

specialized

CRM and operational platform for UK domiciliary care with care planning, rostering, and remote monitoring.

Overall Rating8.2/10
Features
8.7/10
Ease of Use
7.8/10
Value
7.9/10
Standout Feature

Birdie Index for quantifiable care outcomes and predictive insights from integrated device data

Birdie (birdie.care) is a cloud-based domiciliary care platform that digitizes care delivery for home care agencies, focusing on real-time rostering, electronic care plans, and compliance tracking. It integrates with wearable devices for monitoring client wellbeing, such as falls detection and vital signs, while providing data-driven insights into care outcomes. The software supports carers via a mobile app for task management, eMAR, and lone worker safety features.

Pros

  • Robust real-time scheduling and rota optimization
  • Strong compliance tools with audit-ready reporting
  • Advanced outcomes tracking via Birdie Index for evidence-based care

Cons

  • Pricing can be high for smaller agencies
  • Initial setup and training require significant time
  • Limited third-party integrations compared to competitors

Best For

Medium to large UK-based domiciliary care providers prioritizing tech-enabled outcomes and compliance.

Pricing

Custom quotes based on care hours delivered; typically £1.50-£3 per care hour with tiered plans.

Visit Birdiebirdie.care
8
Aaniie logo

Aaniie

specialized

Mobile-first domiciliary care system for rotas, care notes, and compliance tailored to UK home care providers.

Overall Rating8.1/10
Features
8.4/10
Ease of Use
8.8/10
Value
7.6/10
Standout Feature

Dynamic smart rostering that automatically matches carers to visits based on skills, location, and availability

Aaniie is a cloud-based domiciliary care software platform tailored for home care agencies, focusing on efficient rostering, care planning, and compliance management. It provides a mobile-first app for carers to handle real-time scheduling, eMAR for medication administration, and digital care notes. The system supports CQC compliance with audit-ready reporting and integrates client and staff management to streamline daily operations.

Pros

  • Intuitive mobile app for carers with offline access
  • Strong compliance tools for CQC inspections
  • Real-time rostering and dynamic scheduling

Cons

  • Limited third-party integrations
  • Pricing lacks transparency without a demo
  • Advanced analytics could be more robust

Best For

Small to medium-sized domiciliary care providers prioritizing ease of scheduling and mobile carer support over enterprise-scale features.

Pricing

Custom subscription pricing starting at around £1-£2 per visit or £50+ per month for small teams; enterprise plans quoted individually.

Visit Aaniieaaniie.com
9
Caresys logo

Caresys

specialized

Integrated domiciliary care software handling assessments, scheduling, and CQC compliance reporting.

Overall Rating8.1/10
Features
8.7/10
Ease of Use
7.9/10
Value
7.8/10
Standout Feature

Electronic Clocking and Monitoring (ECM+) with live GPS tracking and automated visit verification

Caresys is a UK-focused domiciliary care software platform designed to manage homecare operations for agencies of various sizes. It offers intelligent rostering, real-time electronic call monitoring (ECM) with GPS tracking, digital care planning, and task management via a carer mobile app. The system ensures CQC compliance through automated reporting, invoicing, and audit-ready records, helping providers deliver efficient, accountable care at home.

Pros

  • Advanced ECM with real-time GPS tracking for carer visits
  • Strong CQC compliance and reporting tools
  • Intuitive mobile app for carers and robust web dashboard

Cons

  • Pricing can be steep for very small agencies
  • Initial setup and training require time investment
  • Limited native integrations with some accounting software

Best For

Mid-sized UK domiciliary care providers prioritizing real-time monitoring and regulatory compliance.

Pricing

Quote-based pricing, typically £1-£2 per visit or from £400/month for smaller agencies, scaling with users/clients.

Visit Caresyscaresys.co.uk
10
CareDocs logo

CareDocs

specialized

Cloud-based tool for domiciliary care documentation, rotas, and real-time care plan management.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
7.8/10
Value
8.0/10
Standout Feature

Fully evidential platform with tamper-proof audit trails for instant CQC inspection readiness

CareDocs is a UK-focused domiciliary care management software that provides tools for rostering, real-time tracking, and compliant care documentation. It features a mobile app for carers to record visits electronically, with GPS tracking, electronic signatures, and automated CQC-compliant reporting. The platform emphasizes evidential auditing to ensure full traceability during inspections.

Pros

  • Strong CQC compliance and evidential audit trails
  • Real-time GPS tracking and electronic call monitoring
  • Intuitive mobile app for carers with offline functionality

Cons

  • Pricing can be steep for very small agencies
  • Initial setup and customization require time
  • Limited third-party integrations compared to competitors

Best For

Medium-sized UK domiciliary care providers prioritizing regulatory compliance and evidential record-keeping.

Pricing

Custom quote-based pricing, typically £1.50-£3 per carer per week with minimum fees starting around £500/month for small teams.

Visit CareDocscaredocs.co.uk

Conclusion

The reviewed tools deliver powerful support for domiciliary care agencies, each excelling in areas like scheduling, documentation, and compliance. AlayaCare stands out as the top choice, boasting a comprehensive platform that integrates scheduling, EVV, billing, and client records seamlessly. CareSmartz360 and AxisCare follow closely, with CareSmartz360 offering strong CRM and telehealth capabilities, and AxisCare impressing with user-friendly mobile tools and family portals. All three are exceptional, but AlayaCare leads as the optimal solution for many agencies.

AlayaCare logo
Our Top Pick
AlayaCare

Take the first step to enhance your operations—explore AlayaCare today to experience a streamlined, all-in-one system, or consider its alternatives to find the best fit for your agency’s specific needs.