Since a relation $R$ from $X$ to $Y$ defined as a subset of $X \times Y$, the category of sets and relations is just that: the objects are sets and the arrows are the relations.
Is there a generally accepted definition of a category where (at least binary, 2-valued) relations are objects? If so, what are the morphisms between them?
Okay, here's one choice. $\text{Rel}$ can actually be made into a 2-category in the following way: if $R, S$ are two relations $X \to Y$, then there is a unique $2$-morphism $R \to S$ if and only if $R \subseteq S$ as subsets of $X \times Y$. If you think of relations as logical conditions, then this notion of morphism corresponds to entailment. This exhibits $\text{Rel}$ as a category enriched over posets. (Actually it is slightly better, namely it is enriched over suplattices and in particular also enriched over commutative monoids. This is closely related to the fact that $\text{Rel}$ has finite biproducts; see this blog post for details.)
Here's another choice. If $C$ is any category and you want to turn its arrows into objects of a category, you can take its arrow category $\text{Arr}(C)$. This is the category whose objects are the arrows of $C$ and whose morphisms are commutative squares. So you can also take $\text{Arr}(\text{Rel})$.
Again, the morphisms you end up using should be guided by what you want to do with them.