Notation: Let $(X,d)$ be a metric space. A similitude will be (by convention) a surjective (hence bijective) map $f: X \to X$ such that for all $x_1, x_2 \in X$, $d(f(x_1),f(x_2)) = r d(x_1, x_2)$ for some $r>0$. An isometry is a similitude for which $r = 1$. For each point $x \in X$, define $Sim(X,x)$ to be the group of all similitudes which fix $x$, i.e. $f(x) = x$, and define $Iso(X,x)$ to be the group of all isometries which fix $x$, then obviously $Iso(X,x) \subseteq Sim(X,x)$.
Question: (a) When, for a given $x \in X$, is $Iso(X,x)$ a normal subgroup of $Sim(X,x)$, so that the quotient $Sim(X,x)/Iso(X,x)$ is defined?
(b) When is the quotient $Sim(X,x)/Iso(X,x)$ isomorphic to a subgroup of $Sim(X,x)$, denoted by $Dil(X,x)$ (group of dilations centered at $x$) such that either of the following holds? $$Dil(X,x) \ltimes Iso(X,x) \cong Sim(X,x) \quad or \quad Dil(X,x) \rtimes Iso(X,x) \cong Sim(X,x)$$
I imagine that this question is probably too difficult to answer directly, so interesting examples and counterexamples will also suffice for answers.
Motivation: In a previous question I hypothesized that the existence of such a group might be equivalent to the existence of a notion of direction at that point $x$; see here. This question is also very analogous to another previous question of mine, the answer to which establishes that transitivity of the group action (in that case $Iso(X)$, in this case $Sim(X,x)$) is not sufficient.
Also the most obvious example is Euclidean space, as well as the motivating example -- in this case $Iso(X,x) \cong O(n)$, $Sim(X,x) \cong ConformalGroup(n)$, and $Dil(X,x) \cong \mathbb{R}$. I would expect, but have not (yet?) proven, that $Dil(X,x) \cong \mathbb{R}$ for any metric vector space over the reals.