Excellence Home Care · Excellence Home Care Ltd · Durham
A Good from September 2022, earned on a service of one person and read today as the whole agency
This is Excellence Home Care’s published position, read from the CQC register on 22 August 2026 — and the pattern across the 599 homecare and supported-living services that have been rated under the framework which replaced the one your rating was earned under.
The 30-second read
Position
Rated Good overall and on all five key questions, published 7 September 2022 — 3.96 years ago. No report under the current framework has been published for Excellence Home Care, so no statement scores exist.
What’s changing
The six shifts in the guide you downloaded are the rules the next assessment is written against. The sector-specific frameworks are in pilot until October and due to take effect at the end of 2026.
The pattern
Of 282 homecare and supported-living services that held a Good under the previous framework and have since been re-rated, 63 came out below it. The cohort’s weakest statement is governance — 42.4% of rated peers score it below Good.
The 30 minutes
What the register cannot show is where Excellence Home Care’s evidence sits today, across two registered service types and eight specialisms rather than the personal care of one person the 2022 report describes. You leave with your first three priorities.
Since the report was published on 7 September 2022 — 1,445 days. CQC has named 6+ years in adult social care as a re-assessment priority band, so Excellence Home Care has not yet reached it; the median dated rating on the register is 4.4 years, and 36.6% are already past six.
Goods that did not hold
63 / 282
Homecare and supported-living services that held a Good under the previous framework and came out below Good when re-rated under the current one. 211 held it; 8 rose to Outstanding.
Cohort’s weakest statement
42.4%
Of 599 rated homecare and supported-living services, the share scoring governance, management and sustainability below Good — weakest of the 33 scored statements. Cohort average 2.42 of 4.
The clock on that rating
CQC register · read 22 Aug 2026
22 JULY 2020
Registered with CQC in County Durham under Excellence Home Care Ltd — six years and one month ago.
7 SEPTEMBER 2022
Inspection report published: Good overall and on all five key questions, no breaches and no enforcement action. It describes a domiciliary care agency providing personal care in people’s own homes, with one person using the service at the time and two staff alongside the nominated individual.
6 JULY 2023
CQC reviewed the information it holds and, in the words carried on the register, “We have not found evidence that we need to reassess the rating at this stage.” The rating stood.
FEB 2024 – JUL 2026
599 homecare and supported-living services took on a rating published under the Single Assessment Framework — 34 quality statements, each scored 1 to 4. Earliest of those reports 6 February 2024, latest 31 July 2026. Excellence Home Care was not among them.
22 AUGUST 2026 · TODAY
The rating a commissioner, a local authority or a family reads today is still the September 2022 one — and the register now names two registered managers where that report describes a service the nominated individual managed and delivered herself. The four sector frameworks replacing the SAF are in pilot until October and take effect at the end of 2026.
What’s changing under that rating
Draft ASC framework v9.1
The six shifts in the guide you downloaded are the rules this analysis is read against, so they are not re-taught here. Two of them decide what a 2022 Good is worth: judgements move from a calculated score to written descriptors, and evidence is read continuously from a provider’s own systems rather than assembled for a visit. Excellence Home Care has no scored statements for the first to act on — which is the exposure rather than a reprieve, because it also means there is no current-framework evidence base on file to carry forward.
01 Outcomes over process02 Continuous, intelligence-led monitoring03 Inequalities & resource efficiency in scope04 Workforce inside well-led05 Descriptor-led, not score-led06 34 statements → sector-specific KLOEs
Draft Adult Social Care Assessment Framework v9.1, March 2026 · consultation closed 12 June 2026 · pilots June–October 2026 · effect from end 2026 · the descriptors are still in draft
Your five key questions, as published
Report published 7 Sep 2022
Key question
What the published report records
Rating
Safe
Risk assessments recording the actions staff could take to reduce potential harm; recruitment checks completed before staff were employed; medicines procedures in place, which the report notes were not a current need.
Good
Effective
Needs assessed and a detailed person-centred care plan in place; a robust induction, with procedures for supervision, training and development.
Good
Caring
Respected as an individual and supported with dignity; a consistent staff member, which the person said had let a good relationship build.
Good
Responsive
Independence promoted, friendships and community access supported; no concerns raised, and a known route for raising any.
Good
Well-led
Assurance systems allowing effective monitoring by the nominated individual, with plans to develop them as the service grew; feedback sought and able to influence care.
Good
Ratings and report date as printed on the CQC register, verified live on 22 August 2026 · a pre-framework report, so no 1–4 statement scores and no key-question percentages exist for Excellence Home Care · the report’s summary is not written key question by key question, so the notes above group its own findings against each
What the rating covers, and what the register now lists
Two published sources, four years apart
A rating covers what the inspection looked at, and the 2022 report is explicit about both its scale and its scope: “At the time of our inspection there was one person using the service”, and “CQC only inspects where people receive personal care.”
What the 2022 report describes
A domiciliary care agency providing personal care in people’s own homes, with one person using the service at the time, two staff alongside the nominated individual — who, in the report’s words, “managed and delivered the service” — and assurance systems there were “plans to develop … as the service grew”.
What the register lists today, 22 August 2026
Two registered service types — homecare agency and supported living. One regulated activity, personal care. Eight service specialisms: adults over 65, adults under 65, children (0–18), dementia, learning disabilities, mental health conditions, physical disabilities and sensory impairments. And two registered managers named on the registration, one of them you.
Both are published fact, four years apart. Where the register is wider than the report, there is registered activity the published rating does not describe — and to a commissioner or a family that rating is the summary of the whole agency.
What the current framework did to Goods in this cohort
282 services · re-rated · England
The closest measurable answer to the obvious question. Across England, 282 services registered for both homecare and supported living held a Good under the previous framework and have since had a rating published under the current one. These are their outcomes.
Held their Good (211)
74.8%
Rose to Outstanding (8)
2.8%
Requires improvement (54)
19.1%
Inadequate (9)
3.2%
63 of the 282 — just over one in five — came out below Good. Among the same 282, well-led was rated below Good 75 times and safe 63 times. The median gap between the old rating and the new one was 6.16 years; Excellence Home Care’s is 3.96, and the difference between those two numbers is the window that is still open. Holding a Good is where all 282 of these services started — it was never a position within the outcome.
Across the 599 rated homecare and supported-living services, these six statements are scored below Good most often. Nationally, among services rated below Good, 98% are also below Good on well-led and 95% on safe — a rating rarely falls on the care itself. On the wider homecare basis, 14 of the 86 North East agencies with a current-framework rating (16.3%) sit below Good, against 20.5% nationally.
Governance, management and sustainability2.42 · 42.4% below
Medicines optimisation2.61 · 32.7% below
Involving people to manage risks2.62 · 31.0% below
Safe and effective staffing2.64 · 29.8% below
Learning, improvement and innovation2.72 · 25.6% below
Consent to care and treatment2.74 · 22.0% below
Show what inspectors typically find behind each
Governance, management and sustainability (well-led · 2.42 avg · 42.4% below Good) — typically audit follow-through that stops at the finding, and evidence spread across systems that do not speak to each other.
Medicines optimisation (safe · 2.61 · 32.7% below Good) — typically gaps in medicines records kept in people’s homes, missing as-required protocols, and time-critical medicines not flagged as such.
Involving people to manage risks (safe · 2.62 · 31.0% below Good) — typically risk assessments left on a template, and the person’s own voice missing from the plan that manages their risk.
Safe and effective staffing (safe · 2.64 · 29.8% below Good) — typically supervision behind the provider’s own standard, and recruitment checks done but not consistently evidenced.
Learning, improvement and innovation (well-led · 2.72 · 25.6% below Good) — typically no visible loop from incident to learning to a change in practice.
Consent to care and treatment (effective · 2.74 · 22.0% below Good) — typically capacity assessments recorded as one event rather than per decision, and best-interest decisions with no record of who was consulted.
Cohort average and share below Good per statement, across the 599 services registered for both homecare and supported living with a rating published under the Single Assessment Framework (n per statement 592–597; 33 of the 34 statements carry a score). These are the cohort’s recurring patterns, not observations about Excellence Home Care.
From the published record
3 strengths · 3 to watch
The strengths below are what the inspector recorded in 2022, in their words. That report records no breaches and no areas requiring improvement — so the watch items are about what the record covers and how old it is, not the care it describes.
Strength
A plan built around the person
Inspectors recorded that the person’s needs were assessed and “a detailed person-centred care plan was in place”, delivered by a staff member who “knew the person very well”.
Strength
Continuity, and what it produced
The report notes that “having a consistent staff member meant they had built a good relationship”, with independence promoted and friendships and community access supported.
Strength
Choice held with the person
Inspectors recorded support for “maximum choice and control of their life” in the least restrictive way possible, and that the person had been asked for feedback and felt they could influence their care.
Watch
The report states its own limits
“CQC only inspects where people receive personal care” — help with personal hygiene and eating, plus any wider social care provided alongside it. The rating covers that scope, and the register now also lists supported living.
Watch
The evidence base is a one-person snapshot
The report describes one person using the service and two staff alongside the nominated individual, with assurance systems there were “plans to develop … as the service grew”. The position on the register was formed on that.
Watch
Medicines: trained for, not exercised
Staff were trained in medicines administration with policies in place, “however this was not a current need in the service”. Medicines optimisation is this cohort’s second-weakest statement — 32.7% of rated peers score it below Good.
What this analysis cannot see
The reason for the conversation
Everything above is read from outside: your published report, your registration record, and the pattern across 599 rated peers. What none of it can show is where Excellence Home Care’s evidence sits today against the questions the next assessment will ask — care plans, medicines records, supervision, oversight and the systems they live in, as they stand this month rather than in September 2022, and across both registered service types. That is the work of the thirty minutes: we map your real evidence against the incoming questions with you, and you leave knowing your first three priorities instead of guessing at them.
What we’d work through together
6 items · the agenda for the call
Not a list to work through alone — the agenda for the call, drawn from your published record and the incoming framework. The first three are time-sensitive while the frameworks are in draft; the rest compound.
01
The two service types on your registration, and which of them the current evidence can show
NowQ3 2026
02
Where CQC-relevant evidence actually lives across your systems, and who owns each one
NowQ3 2026
03
Well-led on Excellence Home Care’s terms — governance, and what a report written around one person cannot evidence
HighQ3 2026
04
Medicines — the statement this cohort scores second lowest, and what a live protocol would have to show
HighQ3–Q4 2026
05
Two registered managers on one registration, and how oversight between you reads in writing
MediumQ4 2026
06
The two evidence areas you would put first if the next assessment were this quarter
MediumQ4 2026
Show what each item turns on
Turns on how much of the service now sits under supported living rather than the personal care the 2022 report describes, and what outcomes are documented behind each.
Turns on the systems you run — rostering, care planning, medicines, incidents, HR — and how long it takes to get one person’s full record out of them.
Turns on what your governance cycle produces in writing each month, and whether a finding can be traced to the change it caused.
Turns on whether medicines are a live part of the service now, and what your records would show for the people who receive them.
Turns on how the two registered-manager roles divide in practice, and where that division is written down rather than understood.
Turns on your own read of where the evidence is thinnest — the one input no external analysis can supply.
We’d cover each of these against your live evidence on the call, not hand them over as homework
Be inspection-ready before the inspector
GreenM are healthcare data and AI specialists. We connect the evidence a service already generates — care plans, medicines records, supervision, incidents, people’s feedback — so it reads cleanly against the questions the new framework asks, rather than being assembled the week before a visit. The frameworks replacing the SAF are in pilot now and take effect at the end of 2026, and re-mapping evidence is cheaper before that than after. In thirty minutes you’ll leave with the six items above narrowed to the three that matter first for Excellence Home Care, and the first move on each.
