
Thu Jan 22 2026
Choosing care for someone you love is one of the most important decisions a family can make. It is emotional, practical, and sometimes urgent. A single conversation can make the difference between care that protects dignity and care that creates new problems.
This guide helps you ask the right questions when searching for home care in London. It explains what to verify, which answers matter most, and which warning signs should make you pause. Read on and you will leave with a clear checklist, practical examples of questions to use, and the confidence to compare providers side by side.
Start by identifying the kind of support required. Services vary from light companionship to 24 hour live-in care. Knowing the precise needs narrows your search and helps you compare like for like.
A care plan that is tailored to personal routines, cultural preferences and hobbies improves quality of life. When an agency explains how they personalise care, it shows they listen and plan, not only deliver tasks.
Care quality depends on the people providing it. Hiring standards, training and supervision determine how safely and respectfully needs are met.
Recruitment & background checks: Confirm DBS checks, identity verification and reference checks. Ask whether documents can be shown during a meeting.
Training & ongoing competency: Find out about mandatory and specialist courses such as safe moving and handling, medication administration and dementia awareness.
Consistent, well trained staff offer stability and reduce the risk of accidents. An agency that is transparent about staffing and training is more likely to be reliable in daily practice.
Regulation and reliable references provide objective evidence about performance. Use them alongside your own judgment.
Checking the Care Quality Commission (CQC): Ask for the agency’s CQC registration number and read the most recent inspection report for ratings and any actions required.
Reviews, references and evidence: Request client references and read independent reviews, then follow up with specific questions.
A CQC report highlights risks and strengths at an organisational level. References show how services work in daily life. Together they help you judge whether a provider lives up to its promises.
Clear pricing and fair contracts prevent disputes. Ask for written estimates and sample paperwork to compare options accurately.
Understand the pricing structure: Request a full breakdown of hourly rates, travel fees, bank holiday premiums and any minimum charge windows.
Funding help & contract terms: Ask whether the agency can assist with local authority assessments, direct payments and CHC applications.
Transparent pricing allows you to budget and prevents unwelcome surprises. Agencies that explain funding options add real value for families navigating assessments.
Practical arrangements make or break a care plan. Get clarity on keys, visit windows, communication and emergency response.
Access, scheduling & technology: Confirm how carers will access the home, how visit times are scheduled and whether digital care notes are provided.
Emergencies & escalation: Learn response times and out-of-hours procedures for medical emergencies.
Clear logistics and timely communication reduce stress. Knowing emergency procedures in advance removes uncertainty when every minute counts.
Not all answers are equal. Some responses should trigger deeper investigation or an immediate pause.
Common red flags to watch for: Unclear pricing, refusal to provide DBS or CQC evidence, consistently high staff turnover, and lack of client references.
Practical next steps & decision checklist: Use a trial period to check fit. Set measurable outcomes and review them regularly.
Choosing home care in London is a careful process. Ask clear, targeted questions about services, staffing, quality, costs and logistics. Check CQC reports and client references. Run a short trial and put agreed duties into writing.
If you would like assistance, HTR Care is CQC registered and offers personalised care across London. Contact us for a sample contract and a free consultation to help you compare options with confidence.
1. How do I check an agency’s CQC rating?
Search the CQC website for the agency name or request the registration number and latest inspection report from the provider.
2. What minimum visit length is reasonable?
Many agencies offer 30 or 60 minute visits; 15 minute calls are sometimes available but may not allow meaningful care. Choose a length that matches the tasks required.
3. Can carers administer medication at home?
Yes. Ask for proof of medication administration training and how MAR charts are completed and audited.
4. What should I do if a carer misses a visit?
Contact the agency immediately. Ask for a written explanation and request a corrective plan if missed visits repeat.
5. Will the agency help with funding or local authority assessments?
Many agencies provide guidance and assist with paperwork for direct payments, local authority funding and CHC applications. Ask about this support during your initial meeting.