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Home care and supported living in West Midlands, in numbers

1,379 providers and 1,631 home care and supported living locations in West Midlands, 28% below Good on Well-led, 82 new in 12 months. CQC data, 1 Oct 2026.

Source: CQC open data, 1 October 2026, aggregated by Care Upkeep. Contains public sector information licensed under the Open Government Licence v3.0. Contains information from the Care Quality Commission. No provider is named.

1,379providers with a location in West Midlands1,631 locations; 4 of 9 regions by locations
83%of those providers run one locationEngland: 89%
28%of rated community care locations below Good on Well-ledEngland: 19%
82new locations in the 12 months to 1 Oct 202633 first-time providers

West Midlands has 1,631 registered home care and supported living locations, run by 1,379 providers. That is 11% of England's 14,594.

947 locations are domiciliary care only, 556 are registered for both domiciliary care and supported living, and 128 are supported living only. 684 (42%) have no CQC rating yet. 1,040 providers (75%) have a website recorded by CQC.

Ratings in West Midlands

Ratings below are at location level for CQC's "Community based adult social care services" category, which includes home care, supported living, extra care and Shared Lives, excluding care homes. 1,191 rated locations in West Midlands.

Ratings by key question, West Midlands

CQC latest ratings, 1 October 2026. Unrated locations excluded.SafeSafe, Outstanding: 3 (0.3%)Safe, Good: 949 (79.7%)Safe, Requires improvement: 233 (19.6%)Safe, Inadequate: 5 (0.4%)1,190EffectiveEffective, Outstanding: 16 (1.4%)Effective, Good: 1,028 (88.5%)Effective, Requires improvement: 114 (9.8%)Effective, Inadequate: 3 (0.3%)1,161CaringCaring, Outstanding: 51 (4.4%)Caring, Good: 1,062 (91.7%)Caring, Requires improvement: 43 (3.7%)Caring, Inadequate: 2 (0.2%)1,158ResponsiveResponsive, Outstanding: 27 (2.3%)Responsive, Good: 1,041 (90.2%)Responsive, Requires improvement: 84 (7.3%)Responsive, Inadequate: 2 (0.2%)1,154Well-ledWell-led, Outstanding: 50 (4.2%)Well-led, Good: 808 (68.0%)Well-led, Requires improvement: 320 (26.9%)Well-led, Inadequate: 11 (0.9%)1,189OverallOverall, Outstanding: 40 (3.4%)Overall, Good: 908 (76.2%)Overall, Requires improvement: 238 (20.0%)Overall, Inadequate: 5 (0.4%)1,191
OutstandingGoodRequires improvementInadequate

Well-led: 331 of 1,189 rated locations (28%) are Requires improvement or Inadequate, against 19% across England. Safe: 238 (20%). Well-led is assessed against Regulation 17, good governance; see why Well-led is where ratings drop.

New registrations in West Midlands

New locations by year

Location registration start dates; still-active locations only, so older years are undercounted. 2026 is January to September. Peak year on the current register: 2023 (204).20152015: 989820162016: 10810820172017: 909020182018: 626220192019: 878720202020: 929220212021: 11711720222022: 13313320232023: 20420420242024: 13813820252025: 13713720262026: 5959

82 new locations and 33 first-time providers in the 12 months to 1 October 2026. Each new provider sent CQC a full set of supporting documents with review dates; twelve months on, those review dates fall due. What CQC means by review dates and working links.

Local authorities in West Midlands

Local authority as CQC records it for the location's address. 14 local authorities.

Local authorityLocations
Birmingham328
Staffordshire176
Warwickshire142
Coventry140
Wolverhampton126
Worcestershire121
Sandwell93
Walsall89
Shropshire88
Stoke-on-Trent84
Dudley66
Telford and Wrekin64
Solihull63
Herefordshire, County of51

What CQC expects from a new provider in West Midlands

CQC's requirements are national. A provider in West Midlands sends the same forms and supporting documents, has the same DBS and registered manager rules, and is assessed against the same five key questions as one anywhere else in England. There are no regional CQC rules. Local authority commissioning and rates do differ; those are not CQC matters and are not covered here.
1Which documents does CQC want from my agency?

Five questions, a tick list of every form, check and document with CQC's source for each, a readiness ring, print to PDF.

 2The document checklist

CQC's own list for home care and supported living with the regulation each document answers.

 3How to apply, step by step

One email, the 25 MB limit, what rejection costs, the assessment stages, from CQC's pages.

Who this is not for. Anyone looking for a list of agencies in West Midlands or a rating for a specific service: CQC's own website has both. This page is aggregates only and names no provider. It is not legal advice and is not endorsed by CQC.

Questions

How many home care agencies are there in West Midlands?

1,379 providers run 1,631 registered home care or supported living locations in West Midlands (CQC active locations file, 1 October 2026). 83% of those providers run a single location nationally.

How are home care services in West Midlands rated by CQC?

Of 1,191 rated community adult social care locations in West Midlands, 908 are Good, 40 Outstanding, 238 Requires improvement and 5 Inadequate. On the Well-led key question, 28% are below Good (England: 19%).

Does CQC have different requirements in West Midlands?

No. CQC's registration requirements, supporting documents and assessment framework are the same across England. The numbers on this page describe the local market, not local rules.

How the numbers were made. Active, non-dormant locations in the CQC active locations file (1 October 2026) with a Domiciliary care or Supported living service type and a location region of "West Midlands". A provider is counted in a region if it has at least one such location there, so providers operating in several regions appear in each; summing providers across regions gives more than the England total of 11,058. Location counts sum exactly to the England total. Single-location share uses the provider's locations nationally. Key question ratings come from the latest ratings file (1 October 2026), Locations sheet, community adult social care category, location-level reports, care homes excluded.
Sources
  1. CQC: HSCA active locations file, 1 October 2026 (page updated 2 October 2026)
  2. CQC: latest ratings file, 1 October 2026 (page updated 2 October 2026)

Other regions: South East · London · East of England · North West · East Midlands · South West · Yorkshire and the Humber · North East. All nine: by region. Downloads: CSV and JSON with a data dictionary.

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