13 Oct 2026

Your registration application can be returned without anyone reading a word about the quality of your care, this is how the process now works for homecare. It is the most expensive avoidable mistake a new provider makes.

What’s changed

CQC piloted a new homecare registration process from February 2025. It found a significant number of applications arrived incomplete and that those applications could not progress. They sat in the queue and added to the backlog.

So, from 1 July 2025, they changed the rules. CQC now routinely returns and rejects applications that are not complete or accurate at the point of assessment, without a full assessment of quality. Homecare went first. Other sectors follow.

Stage

What CQC checks

What happens if it fails

One: initial checks

Your forms are complete. The basic details are correct. You have sent the right supporting documents.

CQC returns the application and emails you to explain why. No assessment of quality takes place.

Two: assessment

Whether your application shows the care you will provide meets the regulations. CQC may interview you and your registered manager.

CQC reviews the evidence, decides, and emails you the outcome.

Why the bill is bigger than it looks

CQC does not invoice you for applying. Your first fee arrives in the month your registration takes effect. A rejection therefore costs you nothing in regulatory fees.

But that is exactly why providers underestimate it.

You can correct it and send it again, but CQC treats a resubmission as a new application. It does not keep its place in the queue, and CQC assesses applications in the order it receives them.

You go to the back of the line. Everything below carries on regardless.

Cost that keeps running

Why it does not stop when your application does

Registered manager salary

You named them on the application. They cannot deliver chargeable care until CQC registers you.

Office, insurance, rostering software

The lease is signed. The liability cover is in force. The subscriptions renew monthly.

Training and DBS checks

Certificates and clearances age while you wait. Some need redoing before you start providing a service.

Income

There is none. You cannot manage a regulated activity until CQC confirms your registration.

Do the margin arithmetic

Staffing is 75% to 90% of the cost of delivering homecare. It is your largest cost and the one you cannot pause.

Set that against what the sector earns. LaingBuisson put average homecare EBITDA margins at 6.3% in October 2025. At that margin, every £1,000 you burn during an avoidable delay takes roughly £16,000 of delivered care to earn back.

A missing signature does not cost you a week. It costs you your place in the queue, and every month that follows.

What this looks like in practice

One homecare provider had their application returned more than once. Every return sent them to the back of the queue, so registration took over 12 months from first submission.

By the time they were registered, more than 100 people waiting for personal care had gone elsewhere as they and their families could not wait any longer.

The premises, the manager and the staff were ready throughout. It’s just that none of it could be used. The referral relationships took longer to rebuild than the registration itself.

What must arrive on day one

Every applicant sends a statement of purpose and policies covering safeguarding, recruitment, complaints, consent, governance and governance, infection prevention and control, medicines management, and equality, diversity and human rights. Add your liability insurance.

Homecare agencies also send a business plan and financial forecast, evidence of legal occupancy, service user guides, a staff training plan, and the additional form for personal care providers.

CQC must receive your provider forms, any manager forms and all supporting documents at the same time. Send them separately and CQC cannot process the application.

Four things that get applications returned

  • Unsigned or undated declarations. Read every form to the end.
  • Employment history gaps. Your registered manager must explain any gap longer than four weeks.
  • A generic statement of purpose. It must describe the service you are applying to run.
  • Sending documents CQC asked you to hold back, such as your duty of candour policy and sample care plan. Keep them ready instead.

CQC is explicit. Only send your application when everything is ready to start providing your service. Preparing properly is slower at the start and far cheaper overall.

 

Tiffany Nelson

Social Care Consultant, Tiffany Nelson Consulting

Tiffany has 15 years in adult social care, from care and support roles through to operational and quality assurance management, and has been on both sides of a CQC inspection. She holds a Level 7 in Health and Social Care Management, a Level 5 In Leadership and Management and a Level 5 CIPD in People Management.

www.tiffanynelsonconsulting.co.uk

 

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References

Care Quality Commission (2022) How to pay your fees. Available at: https://www.cqc.org.uk/guidance-providers/fees/how-pay-your-fees (Accessed: 28 September 2026).

Care Quality Commission (2025a) An update on actions we're taking to improve. 20 May. Available at: https://www.cqc.org.uk/about-us/improving-how-we-work/052025-update (Accessed: 28 September 2026).

Care Quality Commission (2025b) Better registration process for new homecare applications. Updated 8 July. Available at: https://www.cqc.org.uk/about-us/improving-how-we-work/better-registration-process-new-homecare-applications (Accessed: 28 September 2026).

Care Quality Commission (2025c) Personal care registration for homecare agencies: how to apply. Updated 2 July. Available at: https://www.cqc.org.uk/guidance-regulation/providers/registration/personal-care-registration-homecare-agencies/how-apply (Accessed: 28 September 2026).

Care Quality Commission (n.d.) Personal care registration for homecare agencies: after you apply. Available at: https://www.cqc.org.uk/guidance-regulation/providers/registration/personal-care-registration-homecare-agencies/after-you-apply (Accessed: 28 September 2026).

Care Quality Commission (2026a) Home care (domiciliary care) agencies: extra supporting documents. Updated 25 March. Available at: https://www.cqc.org.uk/guidance-regulation/registration/supporting-documents-provider/extra-documents/home-care (Accessed: 28 September 2026).

Care Quality Commission (2026b) Supporting documents: new provider registration applications. Updated 27 April. Available at: https://www.cqc.org.uk/guidance-regulation/registration/supporting-documents-provider (Accessed: 28 September 2026).

Care Quality Commission (2026c) Download forms to apply to register as a new provider. Updated 5 May. Available at: https://www.cqc.org.uk/guidance-regulation/providers/registration/register-provider/provider-application-forms (Accessed: 28 September 2026).

Homecare Association (2025) Homecare Association minimum price exposes England's homecare funding gap as new employment law takes effect. 22 December. Available at: https://www.homecareassociation.org.uk/resource/homecare-association-minimum-price-exposes-england-s-homecare-funding-gap-as-new-employment-law-takes-effect.html (Accessed: 28 September 2026).

 

What this looks like in practice - anonymised client example, Tiffany Nelson Consulting