National review of domiciliary care in Wales

Woman in the kitchen with her carer preparing food

We reviewed domiciliary sometimes known as ‘home’ care services to consider where home care works well and where improvements need to be made.

What the review looked at

The review mainly looked at the care provided by independent home care providers. It considered:

  • How home care services are 'commissioned' and purchased by local councils and health boards
  • How agencies organise the care provided
  • The quality of care people receive
  • The impact on the workforce; their pay and conditions and the challenges they face as home care workers
  • The quality assurance systems in place

We wanted to understand what is working well and where arrangements should be improved.

What we will do

As part of the review we:

  • Carried out national surveys of people receiving home care services, working in services, providing services and commissioning services
  • Held a series of workshops to discuss the findings
  • Carried out inspections of a sample of care agencies
  • Reviewed the arrangements in a small number of councils / health boards where there are different approaches being used
  • Considered previous research and studies in Wales and across the UK

What we will do with the findings

We will provide advice to those commissioning or providing services based on our findings. We will also provide recommendations to the Welsh Government on the future regulation of domiciliary care.

We’ve published a national overview report and six inspection reports for Carmarthenshire, Wrexham, Cardiff, Denbighshire, Monmouthshire and Swansea local authorities.

Reference to ‘Care and Social Services Inspectorate Wales’ (CSSIW) in the documents on this page should be read as ‘Care Inspectorate Wales'.

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