Frequently Asked Questions
FAQ
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Do I need to register with the CQC before I can start trading?
Operating without CQC registration is a criminal offence in England, so this is the most-searched fear and the most important one to answer first.
How long does CQC registration take?
A practical timeline question — the Home Office alone can take up to 16 weeks for a compliance visit in some cases, so people need to know registration isn’t instant.
What policies do I need to submit with my CQC application?
Following the updated registration process that came into effect in July 2025, the CQC requires five specific policies to be uploaded with your application: governance, quality assurance, safeguarding, medication, and infection control.
Does CQC registration apply in Scotland, Wales, and Northern Ireland too?
In Scotland you register with the Care Inspectorate, in Wales the Care Inspectorate Wales, and in Northern Ireland the Regulation and Quality Improvement Authority (RQIA).
Does CQC registration apply in Scotland, Wales, and Northern Ireland too?
In Scotland you register with the Care Inspectorate, in Wales the Care Inspectorate Wales, and in Northern Ireland the Regulation and Quality Improvement Authority (RQIA).
Do I need to be a nurse or carer to open a care business?
While you don’t need to be a nurse, experience in healthcare management helps — and you must appoint a registered manager with relevant qualifications.
Do I need to be a nurse or carer to open a care business?
While you don’t need to be a nurse, experience in healthcare management helps — and you must appoint a registered manager with relevant qualifications.
Do my staff need the Care Certificate before they start working with clients?
A thorough induction and completion of the Care Certificate, along with practical training in dementia awareness, manual handling, and first aid, lay the foundations for safe care delivery.
What DBS checks are required when setting up a care agency?
Staff must undergo DBS checks (criminal record checks) — and for the Registered Manager role, a GP reference may also be required.
How much does it cost to start a care agency in the UK?
Startup costs can range from £10,000 to £40,000, depending on size, services, and location.
Should I set up as a sole trader or limited company?
A sole trader model is simple to set up but offers less protection, while a limited company can appear more professional and may provide better tax efficiency.
What insurance do I legally need to run a care agency?
- Employers’ liability insurance is a legal requirement for businesses that employ staff, and you’ll also need public liability and professional indemnity cover.
Is a care business profitable?
The UK’s home care industry is worth an estimated £11.5 billion and growing fast. Answering this honestly — with realistic timelines to profitability — builds trust.
How does a care agency get its first clients?
Through referrals, local council contracts, advertising, and partnerships with healthcare providers.
How do I get onto a local authority approved provider framework?
To access local authority referrals, you typically need to apply to join your local authority’s approved provider framework — a procurement process with specific quality, compliance, and financial criteria.
Can I run a care agency from home?
- Yes, many agencies operate from home offices initially, though compliance with regulations is still essential.
What's the difference between a domiciliary care agency, a nursing agency, and a care home?
Options include domiciliary (home) care with personal care and companionship, live-in care where a carer resides in the client’s home, nursing agencies supplying qualified staff to hospitals and care homes, and specialist care for dementia, mental health, or complex needs.