What does a live-in carer do?

Written by Ranger Home Care
9 October 2023


When it comes to ensuring the well-being and safety of someone who needs care, knowledge is your greatest ally. For individuals and families who are new to the world of live-in care in the UK, understanding the role of the Care Quality Commission (CQC) and the significance of their ratings can be instrumental in making informed decisions about the care for yourself or your loved one.

In this blog post, we’ll delve into who the CQC are, why their ratings and inspections matter, and explain how you can use this information to find the best live-in care provider your yourself or your loved one. And most importantly, how you can check the providers that are registered.

Who are the CQC?

The Care Quality Commission (CQC) is an independent regulator of health and social care services in England.

Their primary role is to monitor, inspect, and regulate care providers to ensure that they meet the fundamental standards of quality and safety. The CQC covers a wide range of healthcare and social care services, including hospitals, nursing homes, home care agencies, dental practices, and more. They inspect companies either through planned or ad hoc inspections. They respond to concerns with companies and are there to make sure that 12 fundamental standards are adhered to by all registered providers.

Why are CQC Ratings Important?

1. Ensuring Quality and Safety: The primary goal of the CQC is to ensure that care services are safe, effective, caring, responsive, and well-led. The CQC ratings serve as an indicator of how well a care provider meets these standards. This is especially crucial for live-in care services, as they directly impact the well-being of you or your loved one.

2. Peace of Mind: Knowing that the care provider you choose has received a minimum of ‘GOOD’ rating from the CQC provides peace of mind. It assures you that the provider has achieved and proven they provide a standard of care with fully trained and DBS-checked individuals. Following robust frameworks and protocols that adhere to all the rules set out by CQC.

3. Informed Decision-Making: CQC ratings are accessible to the public, allowing you to research and compare different care providers. This information empowers you to make an informed decision when selecting a live-in care service, for example, if your provider has achieved a ‘Good’ they have passed all areas, a ‘Requires Improvement’ demonstrates that they have not met all the criteria.

4. Accountability: The CQC holds care providers accountable for their performance. If a care provider consistently fails to meet the required standards, the CQC can take enforcement actions, including issuing warnings, fines, or even suspending or cancelling their registration.

Understanding CQC Ratings

The CQC uses a rating system to assess and communicate the quality of care provided by different organizations. The ratings are based on five key questions:

1. Is the service safe?

2. Is the service effective?

3. Is the service caring?

4. Is the service responsive to people’s needs?

5. Is the service well-led?

Each question is rated on a scale from “Outstanding” to “Inadequate,” and the overall rating reflects the combination of these assessments.

In order to achieve a creditation a care provider must achieve two of the same ratings.

For example, Ranger Home Care achieved Outstanding for Care and Good in all other areas. So our overall standing is GOOD. To get an overall ‘Outstanding’ we need to be marked Outstanding in two or more areas.

What does each rating mean:

Outstanding: The care provider excels in all areas, consistently going above and beyond to provide exceptional care.

Good: The care provider meets the required standards and provides high-quality care.

Requires Improvement: The care provider has areas that need improvement to meet the required standards.

Inadequate: The care provider falls significantly short of the required standards and poses risks to the people they care for.

Using CQC Ratings to Choose a Live-In Care Service

1. Research: Start by searching for live-in care services in your area. Visit the CQC website and look up the ratings and inspection reports of these providers.

2. Consider the needs of the person who requires care.  Specific care needs and preferences. Ensure that the care provider’s services align with these requirements.

3. Read Inspection Reports: Don’t just rely on the overall rating; read the detailed inspection reports to understand the strengths and weaknesses of each provider.

4. Ask Questions: Contact potential care providers and ask questions about their services, staff, and how they address specific care needs.

5. Seek Recommendations: Reach out to friends, family, or support groups for recommendations and personal experiences with care providers.


Choosing a live-in care service is a significant decision. Understanding the role of the CQC and the importance of their ratings can guide you toward making the best choice for your loved one’s well-being. By conducting thorough research, evaluating the needs correctly, and using CQC ratings as a valuable resource, you can ensure that the highest quality of care is commissioned.

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