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Published: 3 Feb, 2026
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Sometimes, but the trigger is personal care, not supported living itself. The Care Quality Commission (CQC) does not regulate supported living as a service model. CQC only regulates what you do inside that model.
If your staff deliver personal care, you must register with CQC before you start operating. If you do not provide personal care, CQC registration is not required.
What counts as personal care?
CQC defines personal care as hands-on support with daily living tasks, including:
If your staff help with any of these activities, even occasionally, you are delivering the regulated activity of personal care. You need CQC registration before providing these services.
What does not trigger CQC registration?
You do not need CQC registration if your service only provides housing-related or social support, such as:
Many supported living providers fall into this category at first. Problems arise when services quietly drift into personal care without recognising the regulatory consequences.
CQC treats unregistered personal care as a serious offence. Operating without registration can lead to enforcement action, prosecution, and long-term reputational damage.
Just as importantly, CQC does not accept “grey areas.” If inspectors see evidence of personal care, they will assess your service against the standards for regulated activity, regardless of how you describe your model.
Supported living does not require CQC registration by default. Personal care does. If your service crosses that line, registration is mandatory, and getting it wrong can cost you months of delays or force a complete reapplication.
Many providers lose registrations or face reclassification because they misunderstand this distinction. CQC does not judge your service by its name. It looks at how you combine housing and care in practice.
The question CQC asks is simple: Does the person genuinely live in their own home, or does the service package accommodation and care together?
In supported living, housing and care stay separate.
CQC focuses on choice, control, and housing rights. When those elements exist, the model fits supported living or supported accommodation.
In contrast, care homes operate differently:
This difference explains why someone searching for care homes near me looks for a regulated residential setting, while supported living operates under a completely different legal framework.
Problems arise when providers blur the line.
CQC may decide your service functions as an assisted care facility or care home if it sees evidence that:
When this happens, CQC may conclude that you are providing accommodation together with personal care. That triggers a different regulated activity, with higher expectations, different registration requirements, and stricter inspection standards.
CQC makes this judgement based on evidence, not intent. Even well-meaning providers fail here because their documents, contracts, or daily practice contradict the supported living model they describe.
If CQC determines that your service operates like a care home:
In extreme cases, CQC can refuse registration altogether if it believes the model does not protect people’s rights or independence.
Supported living succeeds only when housing and care remain genuinely separate. If accommodation and care merge into a single package, CQC will treat the service as something else entirely, regardless of what you call it.
This is where most CQC Supported Living applications succeed or fail. CQC does not rely on labels like supported living or supported accommodation. It looks for evidence that people genuinely live in their own homes.
To make that judgement, the Care Quality Commission refers to the Real Tenancy Test, a framework developed by the National Development Team for Inclusion (NDTi) and embedded in CQC’s Housing with Care guidance.
CQC uses this test to answer one question: Does the person have real housing rights and real control over their home?
CQC expects supported living providers to show that housing and care operate as two genuinely separate arrangements, not a bundled service.
Key indicators of a genuine supported living model include:
CQC looks for consistency across documents, contracts, and daily practice. If any part of your model contradicts these principles, assessors will question whether your service truly qualifies as supported living.
Many applications fail not because providers misunderstand the law, but because their evidence tells a different story.
CQC often raises concerns when it sees:
Each of these signals suggests that accommodation and care operate as one service. When that happens, CQC may decide the model no longer fits supported living.
If your service fails the Real Tenancy Test, CQC may conclude that you provide accommodation together with personal care. That triggers a different regulated activity and a completely different registration route.
This decision can lead to:
CQC makes this decision early in the process. Once assessors form the view that housing and care are not genuinely separate, reversing that conclusion becomes difficult.
Passing the Real Tenancy Test is not about wording. It depends on how your service works in reality. If tenants hold real housing rights and real control, CQC will treat your model as supported living. If not, CQC will regulate it as something else.
READ ALSO: CQC Registration for Domiciliary Care Providers: Complete 2026 Guide

CQC registration rules for supported living have not stood still. Several changes between 2025 and 2026 have altered how CQC assesses applications, what documents it expects, and how quickly it rejects incomplete submissions.
Understanding these changes helps you avoid costly mistakes.
In July 2025, the Care Quality Commission introduced a revised registration process aimed mainly at domiciliary care (homecare) providers. Many people assumed those changes applied to supported living. That assumption causes problems.
Here is the reality:
What did not change:
Supported living registration did not receive the same simplifications.
CQC continues to treat supported living as a higher-risk, more complex service model because it sits at the intersection of housing, care, and human rights. As a result, supported living applications still require a broader evidence pack than standard domiciliary care.
In early 2026, CQC expanded the list of supporting documents required for care homes and supported living services.
This update reinforced three key expectations:
CQC now rejects applications more quickly if documents are missing, outdated, contradictory, or clearly copied from generic templates.
This change affects supported living providers more than homecare providers because supported living relies heavily on model clarity. Any inconsistency around housing, care separation, or tenant rights raises immediate concerns.
Some providers believe they can submit a “basic” application first and fill in gaps later.
That approach no longer works.
CQC now applies strict initial checks. If your application fails at that stage, CQC rejects it outright. You must correct the issues and resubmit as a new application, losing your place in the queue and adding weeks or months to your timeline.
This is why preparation matters more than speed.
If you are registering a supported living service now:
The registration process has become stricter, not simpler, for supported living. Providers who understand the post-2025 and 2026 changes submit stronger applications, avoid rejection, and move through the process faster.
CQC does not approve supported living services by accident. It follows a structured assessment process designed to test whether your organisation can deliver safe, lawful personal care within a genuine supported living model.
Understanding how this process works helps you prepare properly and avoid rejection.
At this stage, the Care Quality Commission checks whether your application is complete and coherent. CQC does not assess quality here. It checks whether your submission meets the minimum standard to move forward.
CQC will reject your application at this stage if:
A rejection at this point means you must resubmit as a new application. You lose your place in the queue and add weeks or months to your timeline.
This is why supported living providers must treat submission as a final version, not a draft.
If your application passes initial checks, CQC moves to full assessment. This is where CQC tests whether you can actually deliver the regulated activity of personal care safely and lawfully.
CQC will assess:
For supported living services, CQC may also arrange a site visit. Inspectors use this to assess premises readiness, privacy, staff access arrangements, and whether the environment supports independence.
During full assessment, CQC interviews your Registered Manager and Nominated Individual. This interview tests whether the people leading the service meet legal “fit person” requirements.
Expect questions linked to CQC’s five key areas:
For CQC Supported Living, assessors also focus heavily on:
Weak answers here often lead to delays or refusal.
CQC aims to process applications within 10 weeks, but supported living registrations often take 10–16 weeks or longer, even for complete applications.
Incomplete or inconsistent submissions extend this timeline significantly. Rejected applications reset the clock entirely.
Once CQC grants registration:
Registration is not the end of scrutiny. It is the starting point.
CQC registration follows a strict two-stage process. Supported living providers succeed when they submit a complete, consistent application and prepare their leadership team to demonstrate real understanding of supported living, not just paperwork compliance.
MORE: Latest CQC Reports, Regulated Activities (2026)
CQC expects a complete, consistent evidence pack for supported living registration. Every document must align with your service model and clearly show how you deliver personal care while keeping housing and care separate.
If your documents contradict each other, CQC will reject the application at initial checks.
You must submit both provider and manager applications at the same time. CQC will not assess one without the other.
Download the current versions directly from the Care Quality Commission website before completing them. CQC updates forms regularly, and using outdated versions delays assessment.
Your Statement of Purpose carries legal weight. CQC uses it as the anchor document for the entire application.
For CQC Supported Living, it must clearly state:
CQC frequently rejects applications where the Statement of Purpose sounds like a care home description or fails to explain separation properly.
CQC expects policies that reflect how your service actually works, not generic templates.
At a minimum, include:
Each policy must match your client group, staffing model, and supported living approach.
Unlike simplified homecare registration, supported living providers must still submit a financial viability statement.
Use the CQC template and include:
CQC checks whether your financial plan supports safe, continuous care delivery.
Your business plan should demonstrate real understanding, not ambition.
CQC looks for:
Plans that read like funding pitches often fail this test.
You must show evidence of appropriate insurance cover:
Certificates must show the correct business name and address and remain valid at the time of submission.
Even where CQC does not request the certificate at application stage, ICO registration remains mandatory before you process personal data.
CQC may still ask for evidence later in assessment or inspection.
Prepare these in advance to avoid delays:
CQC does not reward long document lists. It looks for alignment.
If your policies describe a service that looks different from your Statement of Purpose, business plan, or contracts, assessors will question whether you understand your own model.
A strong supported living application uses fewer documents, written clearly, that all tell the same story. Consistency across documents is what moves applications forward.
SEE ALSO: New Rules for Care Home Payments in 2026
This section causes the most confusion and the most enforcement risk. CQC focuses on what staff actually do, not how providers describe their service.
Personal care remains the legal trigger. If staff provide hands-on assistance with daily living, registration applies.
That includes:
If your team delivers any of these activities, these services fall within the regulated activity of personal care. You must register before you operate.
Medication support creates confusion because not all medicines activity looks the same.
CQC draws a practical line:
When medicines support forms part of a wider personal care role, CQC treats it as ancillary to personal care. In supported living, that often means registration applies even if medicines are not the primary service.
Providers get into trouble when they describe medicines support as “minor” while policies and care plans show otherwise.
Supported living providers must show strong, working knowledge of the Mental Capacity Act 2005. CQC looks for evidence that staff:
In supported living, deprivation of liberty works differently from care homes. If a person experiences continuous supervision and control and is not free to leave, providers must seek Court of Protection authorisation. DoLS does not apply.
CQC tests whether managers understand this distinction and apply it correctly in practice.
Supported living succeeds when people control their lives. CQC expects providers to show how they:
Policies alone do not convince assessors. CQC looks for real examples of how staff support people to make choices, even when those choices involve managed risk.
CQC raises concerns when it sees:
When those services drift into risk-averse or institutional practice, CQC questions whether the model still supports independence.
In supported living, personal care, medicines, and mental capacity link together. Providers who understand these links and apply them consistently pass assessment. Those who treat them as paperwork exercises struggle.
LEARN MORE: What does CQC stand for? Complete 2026 Guide

If your CQC Supported Living service supports autistic people or people with a learning disability, CQC applies additional scrutiny. This is not optional. It is a core part of how the Care Quality Commission decides whether to grant registration.
CQC expects providers to design services around the statutory guidance Right Support, Right Care, Right Culture.
CQC applies this framework when your service:
If your Statement of Purpose includes these groups, CQC will assess your application against this guidance from day one.
Right Support focuses on how the service model promotes independence.
CQC expects you to show that:
Large, clustered, or highly controlled settings raise red flags unless you provide strong justification.
Right Care focuses on how care is delivered.
CQC looks for evidence that care:
Generic care plans or one-size-fits-all approaches undermine confidence in your model.
Right Culture focuses on leadership and staff behaviour.
CQC expects leaders to create a culture where:
Culture shows through staff decisions, not policy wording.
CQC strongly encourages providers planning learning disability or autism services to engage before submitting a full application.
This usually involves:
Early engagement helps providers avoid rejection after investing time and money in a full application.
CQC often refers to best-practice guidance that supports small, community-based services. There is no absolute size limit, but providers must show that:
CQC has refused registrations where providers failed to show how service design supports person-centred care. It has also approved larger services where providers demonstrated strong evidence of individualised support.
CQC expects providers to train staff appropriately for the people they support.
For learning disability and autism services, this includes meeting the standards set out in the Oliver McGowan Mandatory Training Code of Practice. CQC checks whether:
Training records must match your staffing model and service aims.
CQC uses Right Support, Right Care, Right Culture as a registration filter, not just an inspection framework. If your service design conflicts with this guidance, CQC may refuse registration even if your paperwork looks complete.
For learning disability and autism services, CQC does not ask whether you can deliver care. It asks whether your service model supports people to live ordinary, empowered lives. Providers who design around this principle move forward. Those who ignore it get stopped early.
ALSO READ: Care Policies and Procedures: How to Implement Them Correctly in 2026
CQC does not register services. It registers people. The fit person interview decides whether your leadership team is capable of running a supported living service safely, lawfully, and in line with regulatory expectations.
This interview often determines the outcome of the application.
The Care Quality Commission interviews:
CQC uses the interview to confirm that these individuals:
Strong paperwork cannot compensate for weak leadership responses.
CQC frames the interview around its five key questions. Assessors expect clear, confident, and practical answers.
You must explain how you:
Expect scenario-based questions, not theory.
CQC tests whether you:
Generic answers raise concerns.
You need to show how you:
CQC looks for values in action, not slogans.
CQC wants to know how you:
Rigid systems signal poor responsiveness.
This is where many providers struggle.
You must explain how you:
Good governance matters more than policy volume.
For CQC Supported Living, assessors focus heavily on:
If leaders cannot explain these clearly, CQC questions whether the model truly supports independence.
CQC often raises concerns when interviewees:
Experience matters here. Leaders familiar with regulatory environments, whether through management roles, inspection experience, or regulatory careers such as CQC careers or care quality commission jobs, tend to perform better because they understand how assessors think.
Strong preparation focuses on real scenarios, not memorised answers.
Before the interview, ensure you can explain:
Practice answering questions out loud. If you cannot explain something simply, CQC will assume the system is not embedded.
CQC uses the fit person interview to test leadership credibility. Providers who demonstrate clarity, confidence, and real understanding of supported living principles move forward. Those who rely on paperwork alone often do not.
Most CQC Supported Living applications do not fail because providers lack good intentions. They fail because documents, decisions, and service design do not line up.
Use this checklist before submission. Treat it as a final gate, not a formality.
CQC cross-checks every document you submit. Inconsistencies trigger immediate rejection.
Confirm that:
If one document describes a care-home-style service, CQC will assume that is your true model.
CQC now rejects incomplete applications at initial checks.
Before sending anything, confirm that:
Sending documents in stages does not help. It delays or resets your application.
This is where many providers fail.
Confirm that you can clearly evidence:
If you cannot demonstrate this, CQC may treat your service as a care home and reject the application.
If your service supports autistic people or people with learning disabilities, check that:
CQC rejects services that appear institutional, restrictive, or poorly designed for independence.
Outdated information causes rejection.
Before submission:
CQC does not correct outdated submissions. It rejects them.
Ask yourself these questions honestly:
If the answer to any question is no, stop and fix the issue before submitting.
CQC rejection usually signals misalignment, not malice. Providers who submit a clear, consistent, supported living model move forward. Those who rush or rely on generic documents get stopped early.
Registering a supported living service involves more than approval paperwork. Providers need to understand costs, realistic timelines, and post-registration expectations to plan properly and avoid disruption.
There is no application fee for CQC registration. However, once registration is granted, providers must pay an annual fee.
For community social care providers, which includes CQC Supported Living, CQC calculates fees using:
The exact amount depends on how many people you support. Fees are invoiced after registration and then annually. Providers must budget for this from day one, as non-payment creates compliance risks.
CQC’s official target remains 10 weeks, but supported living registrations often take 10 to 16 weeks or longer.
Timelines depend on:
Rejected applications restart the clock entirely. This is why preparation saves months.
Once CQC grants registration:
Registration does not mean reduced scrutiny. It signals that CQC expects you to operate exactly as described.
CQC will usually inspect supported living services within the first year. Inspectors assess whether your service remains:
Inspection outcomes feed into published CQC ratings, which commissioners and families rely on heavily.
Strong early practice helps you avoid adverse CQC reports that can affect referrals and funding.
CQC inspects against real practice, not application promises.
Inspectors will review:
Providers who drift from their registered model often struggle at first inspection.
A strong registration and inspection history helps supported living providers:
Poor inspection outcomes, by contrast, limit growth opportunities.
Registration opens the door, but inspection determines reputation. Providers who plan for compliance beyond registration build stronger, more sustainable supported living services.
CQC registration for supported living does not fail because providers lack good intentions. It fails when the service model, documents, and daily practice tell different stories.
In 2026, CQC expects supported living providers to understand one core principle: housing and care must remain genuinely separate. Personal care triggers regulation. Tenancy rights protect independence. The Real Tenancy Test determines whether your service qualifies as supported living or falls into a different regulatory category altogether.
Providers who succeed do three things well. They design services around real choice and control. They prepare evidence that reflects how the service actually operates. And they lead with clarity, not assumptions, when dealing with regulation.
Registration is not just an approval step. It sets the framework for future inspections, CQC reports, and long-term credibility with commissioners and families. When you get the foundations right, compliance becomes easier, inspections become predictable, and your service earns trust over time.
Supported living works best when it feels like home, not a service setting. Build your model around that truth, and the registration process stops being a barrier and starts becoming confirmation that you are doing it right.
CQC registration for supported living leaves little room for error. One inconsistency can delay your application for months or push your service into the wrong regulated activity.
Care Sync Experts supports supported living providers across England with end-to-end, regulation-led registration support. We focus on clarity, consistency, and evidence—so your application stands up to CQC scrutiny the first time.
We also support registrations with Care Inspectorate Wales (CIW) and RQIA in Northern Ireland for providers operating across the UK.
Book a free consultation to discuss your service model and registration route, before you submit and risk rejection.
This guide reflects CQC requirements as of January 2026. Always check current guidance before submitting your application, as requirements can change.
The Care Quality Commission assesses services against five core standards, often called the five key questions. These standards apply across health and social care, including supported living and care homes.
The five CQC standards are:
Safe – People receive care that protects them from harm and abuse
Effective – Care achieves good outcomes and follows best practice
Caring – Staff treat people with dignity, compassion, and respect
Responsive – Services meet people’s needs and adapt when those needs change
Well-led – Leadership promotes quality, safety, and continuous improvement
CQC uses these standards during inspections, registration assessments, and when deciding enforcement action.
CQC works as an independent regulator of health and social care in England. Its role is to make sure services meet legal and quality standards.
In practice, CQC works by:
– Registering providers before they deliver regulated activities
– Inspecting services to assess quality and safety
– Publishing inspection reports for public transparency
– Rating services where applicable
– Taking enforcement action when standards are not met
CQC gathers evidence through document reviews, site visits, staff interviews, and feedback from people who use services. It then judges services against its regulatory framework and legal requirements.
CQC registration brings both legal protection and strategic benefits.
Key benefits include:
– Legal authority to deliver regulated care
– Increased trust from commissioners, families, and professionals
– Eligibility for local authority and NHS contracts
– Clear quality framework for service improvement
– Published inspection outcomes that support transparency
Well-run services use CQC standards as a management tool, not just a regulatory obligation. Strong compliance often leads to better inspections, stronger referrals, and long-term sustainability.
A good care plan shows how a service delivers safe, person-centred care. While formats vary, strong care plans usually include five core components:
Personal details and background – Who the person is and what matters to them
Assessed needs – Physical, emotional, social, and health needs
Care and support actions – What support is provided, how, and by whom
Risk management – Identified risks and agreed control measures
Review and outcomes – How care is monitored, reviewed, and updated
CQC expects care plans to reflect individual choice, consent, and changing needs, not generic templates.

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