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Care and support at home

Care and support at home is one of three priority areas identified for service improvement. Find out about the strategic plan and what resources have been developed to support it.

What is care and support at home?

We were asked by the Welsh Government to bring people and organisations together to develop a five-year strategic plan to improve care and support at home in Wales. The strategic plan includes domiciliary care and support for adults and children, direct payments and the support provided by communities and unpaid carers.

We got people together, looked at what the research told us and asked people living and working around Wales what needed to be done to improve care and support at home.

We worked with partners to create a five-year strategic plan that describes what needs to happen so people can live in their own homes and access care and support when, where and how they need it.

Direct payments resource

Direct payments: a guide

Direct payments: a guide supports good practice by giving access to essential information, case studies, data, and research about direct payments.

What we’re doing to improve care and support at home in Wales

We've worked with partners to develop some specific resources to support improvement in care and support at home:

Community resilience

We worked with partners to develop a report about community resilience and well-being in Wales. It includes draft principles to help understand how we can support the development of community resilience.

Balancing risks, rights and responsibilities

Balancing risks, rights and responsibilities can be difficult as risk is often seen as something to be avoided and controlled by professionals. In reality, taking some risks is an important part of everyday life that supports people to do what matters to them – which includes living in their own home for as long and possible. We’ve produced a report exploring what the research says and how people are taking an outcomes-focused approach to balancing risk, rights and responsibilities.

Social care procurement

Social care procurement is complex because it needs to abide by both procurement law and principles such as voice, control and co-production in the Social Services and Well-being (Wales) Act. We worked with the National Commissioning Board to develop guidance to help commissioners with this area of work.

Outcomes focused commissioning

The National Commissioning Board has developed a toolkit to help commissioners work in a way that supports people’s personal well-being outcomes.

Outcomes based home care commissioning toolkit


The Social Care Institute for Excellence (SCIE) has written a literature review, summarising research around care and support at home.

Other useful resources

As well as the Care and support at home programme work, we’ve linked with other work supporting the well-being of individuals, carers and communities.

Dewis Cymru is a website with information about local groups, organisations and services throughout Wales that support individual and community well-being.

Working with carers

We have a range of resources aimed at helping practitioners work well with unpaid carers to support them in the hugely significant role they play in providing care and support at home.

Building care and support together

Co-production is at the heart of good care and support at home. We’ve produced a booklet, Building Care and Support Together to help people work in a more co-productive way more often in their roles.

The National Commissioning Board and National Provider Forum are key partners who support improvement in care and support at home, in particular around commissioning.

Understanding the value of social care to the economy is important for people making decisions about public spending to consider. The Economic Value of the Adult Social Care Sector – Wales report looks at the direct value of adult social care to the Welsh economy. It also looks at its wider impact, including on organisations supplying services to the sector and the spending power of people employed directly and indirectly in social care.

Domiciliary care worker registration

The domiciliary care workforce is the latest group to join our register of social care professionals.

The All Wales Induction Framework for Health and Social Care (AWIF) has been developed for the social care workforce. It is an important part of registration and is closely aligned to the qualifications for the domiciliary care workforce.

Qualifications for the care and support at home workforce are currently being developed. These will play an important part in domiciliary care worker registration, but are also suitable for a other roles within care and support at home.

There's a specific area in the care and support at home plans around evidence from academic and practice-based research. This is being taken forward through a separate strategy and programme of work.

Contact us

If you have a question or if you can't find what you are looking for get in touch with us.