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Home Care / Domiciliary Care Agreement

A completed fictional home-care agreement covering a CQC-regulated personal-care service, MAR records, safeguarding, DBS checks, reviews and continuity.

Jurisdiction: England and Wales - completed fictional worked example

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Important: This sample provides general legal information only and is not legal advice. Check the law, prescribed forms and signing requirements that apply to your exact jurisdiction and circumstances before use.

# HOME CARE / DOMICILIARY CARE AGREEMENT

Date: 2 January 2029

Parties: Hearthside Care Ltd, Margaret Anne Smith and Jane Smith

## 1. Parties and purpose

Hearthside Care Ltd (Company No. 09871234), CQC registration 1-9876543210, of 4 Alder Court, Manchester M20 4LT, agrees to provide care to Margaret Anne Smith at 22 Oak Lane, Manchester M1 3EF. Jane Smith, Margaret’s daughter and registered health-and-welfare LPA attorney, signs as responsible person; Margaret remains the service user.

## 2. Scope, price and subject

The attached care plan provides regulated personal care (washing, dressing, continence and mobility support) from Monday to Friday, 08:00–10:00, plus medication prompts and meal preparation. Companionship and shopping are non-regulated support. The charge is £28 per hour on weekdays and £34 on Sundays or bank holidays, invoiced monthly in arrears.

## 3. Operating duties

Only care workers with an enhanced DBS check, identity and right-to-work checks, induction and moving-and-handling training may attend. Hearthside supplies a named care coordinator, a key-safe protocol and a two-worker visit where the risk assessment requires it. Workers must respect Margaret’s dignity, privacy, preferences and communication aids.

## 4. Compliance, records and controls

Hearthside administers medication only where authorised by the care plan and MAR chart, records each dose or refusal, and reports an omitted or incorrect dose immediately to Jane, the prescriber and emergency services where necessary. Controlled drugs remain subject to the provider’s double-check and storage procedure.

## 5. Term, ending and remedies

The parties comply with the Health and Social Care Act 2008, CQC fundamental standards, Care Act 2014 safeguarding duties, Mental Capacity Act 2005 and UK GDPR. Any safeguarding concern, suspected abuse, unexplained injury or capacity concern is escalated to the local authority and CQC routes as appropriate; this agreement never authorises an unlawful deprivation of liberty.

## 6. Liability and reservations

The care plan is reviewed on 2 April 2029 and after any hospital admission, significant change or incident. Either side may give 28 days’ notice; Hearthside must make reasonable arrangements for safe handover and cannot simply abandon a dependent person. Immediate suspension or termination is permitted for violence, unsafe access or non-payment after notice.

## 7. Governing law and signatures

English law governs and courts of England and Wales have jurisdiction, subject to statutory complaints, CQC and local-authority processes. Hearthside’s director Olivia Grant, Margaret and Jane sign on 2 January 2029. This completed example is not a substitute for an individual assessment, regulated provider terms or professional care advice.

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