From CQC registration to the first rota: a complete home care build — care planning, staffing, quality assurance and the commissioner relationships that fill your capacity.
Domiciliary care is a regulated activity — personal care delivered to people in their own homes requires CQC registration in England before a single visit is provided. But registration is only the entry ticket: the businesses that thrive are those with disciplined care planning, realistic rostering, robust medication and moving-and-handling practice, and a deliberate route to referrals.
Our package builds the full operating system: assessment and care planning documentation that evidences person-centred, risk-assessed care; staffing, travel-time and rota logic that actually works financially; supervision, spot-check and competency frameworks; and the quality assurance that inspection will test.
For existing agencies, the same expertise applies to improvement: restructuring documentation, repairing quality assurance, preparing for inspection or building tender readiness to move beyond private-pay work.
Home care margins live and die on details: travel time and mileage between calls, call clustering, minimum visit lengths, and the true hourly cost once training, supervision and on-call are loaded. Local authority framework rates frequently sit uncomfortably against those costs — which is why we build your cost model first, so you know which work is viable, what your private-pay pricing must be, and how to evidence your costs when negotiating or bidding.
We define your service, client groups and geography, and prepare the CQC registration pathway including statement of purpose and leadership readiness.
Assessment, care planning, risk assessment, medication and daily-record documentation is built to evidence safe, person-centred practice.
Recruitment, induction aligned to the Care Certificate, supervision, spot-checks and rostering logic — including travel time — are designed for your geography.
Audit calendars, governance reporting and complaint handling are established, alongside your referral, private-pay and tender strategy.
Realistic planning: company setup and DBS checks (typically two to four weeks), preparation of a complete application, then CQC processing which can take a few months. Providers who begin recruitment and commissioner groundwork during the registration window launch far faster once approved — our plan sequences this deliberately.
Most agencies benefit from a blend. Private-pay work typically offers better rates and cash terms; framework work offers volume. The right answer depends on your local market and cost base — which the package’s market and pricing work establishes before you commit.
Yes. We diagnose against the inspection findings, rebuild the specific systems that failed — usually governance, care planning or medication practice — and prepare leadership for re-inspection with evidence of embedded change.
Providers launching a home care agency, or existing agencies strengthening operations, quality or commissioner relationships.
Discuss your model, market and pathway with consultants who understand the economics as well as the regulation.