Ask the Care Specialists

Welcome to our 'Ask the Care Specialists', your one-stop portal for social care-related questions. Our team of specialists will try to answer as many of your Social Care questions as possible.

Is it necessary to register with the CQC as an agency that provides workers to health and social care service providers?

Is it necessary to register with the CQC as an agency that provides workers to health and social care service providers?

Thank you for your question. That all depends on what sort of agency you are.

The CQC scope of registration document here under personal care says;

‘You should not register if you provide carers (in the role of an employment or introductory agency):

  • To another organisation who will then be responsible for direct provision of the care, or
  • To an individual who will then wholly take responsibility for the provision of their own care under a personal budget or private arrangement

However, registration for care at home (domiciliary) agencies may be needed if they are involved in the management of the regulated activity.

CQC say if an agency does any of the following they may need to register;

  • Monitoring the service provided to clients by the care workers they have introduced. This includes gathering feedback about the service from care workers and using feedback to advise or direct changes to how personal care is carried out. For example, the frequency of visits, type of care provided, and the way in which the care worker gives personal care.
  • Arranging rotas of care workers on behalf of clients.
  • Being responsible for managing the replacement of a care worker. For example, by taking the initiative for providing absence cover in a way that goes beyond simply introducing another care worker, and in a way that does not need the client to make a decision.
  • Continuing to charge for the service being provided by a care worker after paying a one-off introduction fee. This does not include one-off fees paid in instalments and fees for payroll services.
  • Continuously reviewing and updating clients’ care needs when a client hasn’t asked for this.
  • Making changes to active care plans, whether consulting with the client or not.
  • Requiring care workers to:
  1. attend professional supervision, coaching and mentoring that the agency provider supplies in relation to the personal care being provided to clients
  2. wear a specific uniform, identity badge or logo
  3. use specific paperwork, tools, equipment or services.

Abi Spence

Registration and Inspection Specialist

Abi has worked for and with Government agencies relevant to social care for the past 12+ years. Primarily with the Department of Health, Social Services Inspectorate, Commission for Social Care Inspection (CSCI) and since its inception the Care Quality Commission (CQC). As part of this long involvement Abi has developed a wide and detailed understanding of relevant issues and has worked closely with stakeholders such as people that use services, carers, providers, local government, the Department of Health, Ofsted and the Audit Commission. Read more

What would you like to ask our Specialists?

Have you got a social care question that you just can't find the answer to? Our team of sector specialists are here to provide you with easy-to-understand top tips on a wide range of topics, from dementia, mental health to employment law or every day operational queries to help you deliver outstanding care.

Our specialists will try to answer as many of your questions as possible, giving priority to frequently asked questions and questions regarding current events and trends. To learn more about the team visit:

Please note that our specialists cannot offer answers to matters requiring legal advice. If your matter concerns a specific service provider, please contact the CQC. If your query relates to someone who is at risk of harm or in danger you must follow your local safeguarding procedures.

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