Best Live-in Care in the West Midlands Compared

Choosing a live-in care provider is one of the biggest decisions a family can make. If you're exploring live-in care in the West Midlands, it is natural to ask which providers operate locally, who will oversee the care and how the different services compare.

The West Midlands has a mixture of locally based care companies and national providers supporting families across Birmingham, Solihull, Coventry, Wolverhampton, Dudley, Walsall and surrounding areas. Although many providers use similar language, the way care is regulated, managed and supported can be quite different.

This guide is produced by Unique Senior Care, an independently owned, fully managed live-in care provider with its registered live-in care service based in Solihull. Our live-in care service is rated Outstanding by the Care Quality Commission.

We've included our own service alongside other established fully managed and introductory live-in care providers available across the West Midlands. Each provider is compared using the same criteria, including regulation, oversight, reviews, pricing and the way care is managed.

The information has been gathered from publicly available sources, including CQC reports, homecare.co.uk, Trustpilot and information published by the providers themselves. Ratings, review scores, prices and services can change, so it is always worth checking the latest information directly before making a decision.

You can also explore our UK Elderly Care Statistics 2025–26 for more information about wider changes in care demand.

How We've Compared Live-in Care Providers in the West Midlands

We've included established providers that families are likely to come across when researching live-in care in the West Midlands. Some have a strong local presence, while others provide care across the region through wider national teams.

Criteria used:

• Regulation and CQC ratings: Whether the service is CQC regulated and the rating of the relevant registered location.
• Care model and oversight: Whether care is fully managed or provided through an introductory or self-managed arrangement.
• West Midlands coverage: Where the provider offers care and whether it has a local or regional presence.
• Specialist support: The types of care and conditions the provider says it can support.
• Independent reviews: Current scores and review volumes on platforms such as homecare.co.uk and Trustpilot.
• Pricing: Published starting prices where these are available.

Provider information, review scores and review totals last checked: August 2026.

Best Fully Managed Live-in Care Providers in the West Midlands

With fully managed live-in care, the provider takes ongoing responsibility for managing and overseeing the care rather than simply introducing a family to a Caregiver. This normally includes assessing needs, creating and reviewing the care plan, supporting Caregivers and arranging suitable cover when circumstances change.

Unique Senior Care is one of the fully managed live-in care providers supporting families across the West Midlands, alongside Trinity Homecare, The Good Care Group and A Star Care Services.

There are some important differences between them. Unique Senior Care's registered live-in care service is based in Solihull, while A Star Care Services is a locally managed provider based in Shirley. Trinity Homecare and The Good Care Group provide care across the region through wider national services registered elsewhere.

Fully Managed Live-in Care Providers in the West Midlands Compared

The table below gives a quick comparison of the providers covered in this section. CQC ratings apply to individual registered services rather than automatically to an entire national brand, so we have identified the relevant registration where this matters.

*The Good rating visible on A Star Care Services' CQC profile relates to an inspection carried out when the service was operated by a different registered provider. A Star Care Services Limited became the registered provider in April 2025 and has not yet received a new inspection under that registration.

Information checked in August 2026. Review scores, prices and service availability can change. Some ratings and review scores relate to a particular registered service rather than the provider as a whole.

Unique Senior Care

As this guide is published by Unique Senior Care, we've included our own service first so you can compare it with other providers using the same criteria.

We are an independently owned, fully managed live-in care provider with our registered live-in care service based in Solihull. The service is rated Outstanding by the CQC and supports families across the West Midlands and wider England.

Families are supported by Care Managers who remain involved in care planning, reviews and ongoing Caregiver support. Each Care Manager supports no more than 18 live-in care clients, and clients and Caregivers have access to 24/7 support.

• Ownership and model: We are independently owned and led by Co-Founders Philip Wright-Howarth and Philip Maundrill. Established in 2011, we provide fully managed care rather than operating as a franchise or introductory agency.
• West Midlands presence: Our registered live-in care service is based in Solihull. We also have local teams across Warwickshire and support families throughout Birmingham, Solihull, Coventry and the wider West Midlands.
• Care management: Each live-in care client has a dedicated Care Manager responsible for assessing needs, developing and reviewing the care plan, supporting Caregivers and maintaining communication with the family. Care Managers support no more than 18 live-in clients each.
• Ongoing support: Care management begins from the start of the placement, including a day-one introduction, early follow-up and regular contact during the first month, followed by ongoing reviews as the care arrangement becomes established.
• CQC rating: Our live-in care service is rated Outstanding by the CQC. The latest full inspection report was published on 2021, with Good ratings for Safe, Effective and Caring and Outstanding ratings for Responsive and Well-led.
• Caregiver recruitment: We recruit around one in every 80 Caregiver applicants. Our recruitment process considers experience and suitability as well as the personal qualities needed to support someone in their own home.
• Caregiver matching and continuity: Families are involved in matching Caregivers according to care needs, personality, interests and preferences. We aim to build a small and consistent team around each client so familiar Caregivers can return wherever possible.
• Contingency and 24/7 support: Clients and Caregivers have access to 24/7 support. If a regular Caregiver is unavailable, we take responsibility for arranging suitable cover.
• Services and specialist support: Live-in care, overnight care including sleeping and waking nights, dementia care, respite care, palliative and end-of-life care, rehabilitation support and care for people living with physical disabilities, sensory impairments and more complex needs.
• Training: We have received the Princess Royal Training Award three times in recognition of our approach to learning and development, including our Live-in Caregiver induction.
• Reviews and awards: Our live-in care service has a homecare.co.uk score of 9.8/10 from 257 reviews. We have received homecare.co.uk Top 20 recognition over several years. A full list is available on our awards and recognition page.
• Pricing: Live-in care starts from £1855 per week for one person and £2310 per week for a couple. There are no set-up fees, assessments are free and a £40 weekly food allowance may apply where the Caregiver is not included in the household shop.

Trinity Homecare

Trinity Homecare is a national fully managed live-in care provider supporting families across the West Midlands. Its registered Worcester Park service is based in Surrey rather than the region.

• Ownership and model: Trinity Homecare is part of Trinity Homecare Group and operates a fully managed model rather than an introductory agency model.
• West Midlands coverage: Live-in care is available across Birmingham and the wider West Midlands through Trinity's national and regional structure.
• Care management and oversight: Trinity carries out assessments, develops care plans, matches Caregivers and provides ongoing Care Manager support. The provider also takes responsibility for arranging replacement cover.
• CQC rating: Trinity Homecare's Worcester Park service is rated Outstanding overall. Its latest assessment took place in 2025. The registered service is based outside the West Midlands.
• Services: Live-in care, visiting care, dementia care, palliative care, complex care, companionship and respite.
• Reviews and awards: Trinity Homecare Worcester Park has a homecare.co.uk score of 9.8/10 from 64 reviews. Trinity also received Best for Live-in Care Expertise at the Home Care Awards 2026.
• Pricing: homecare.co.uk lists live-in care at the Worcester Park service from £1,694 per week. The final price depends on care needs and the arrangement required.

The Good Care Group

The Good Care Group is a fully managed national live-in care provider supporting families across the West Midlands through regional Care Managers. Its registered English service is based in London rather than the West Midlands.

• Ownership and model: Fully managed provider operating as part of Elevate Care International. It is not a franchise or introductory agency.
• West Midlands coverage: National live-in care coverage includes Birmingham and the wider West Midlands.
• Care management and oversight: The Good Care Group directly employs and manages its Caregivers. Clients receive Care Manager support alongside assessments, care planning, reviews, clinical expertise and 24-hour support.
• CQC rating: Its registered English service is rated Outstanding overall, with Outstanding ratings across all five inspection areas. Its latest full inspection report was published in April 2019.
• Services: Live-in care, dementia care, Parkinson's care, complex care, palliative and end-of-life care, respite and rehabilitation support.
• Reviews and awards: The Good Care Group has a homecare.co.uk score of 9.6/10 from 20 reviews. It was named Home Care Provider of the Year at the HealthInvestor Awards 2026.
• Pricing: Full-time live-in care is currently advertised from £256 per day. The final cost depends on assessed care needs.

A Star Care Services

A Star Care Services is an independently operated care provider based in Shirley, Solihull. It provides visiting and live-in care across Solihull, Birmingham and surrounding parts of the West Midlands.

• Ownership and model: Privately owned, locally managed provider offering fully managed care rather than operating as a franchise or introductory agency.
• West Midlands presence: Based on Stanbrook Road in Shirley, Solihull, with care available across Solihull, Birmingham, Shirley, Dorridge and surrounding communities.
• Regulation and oversight: A Star Care Services is CQC registered and provides managed care through its local team, including assessment, personalised care planning and ongoing reviews.
• CQC position: A Star Care Services Limited became the registered provider in April 2025 and has not yet been inspected under that registration. The Good rating currently visible on the service's CQC profile relates to an inspection carried out in August 2022 when the service was operated by a different registered provider.
• Services: Live-in care, visiting care, dementia care, companionship, personal care, respite and other support at home.
• Reviews: A Star Care Services currently has a homecare.co.uk score of 10/10 from 82 reviews.
• Pricing: homecare.co.uk currently lists live-in care from £1,300 per week and visiting care from £27.85 per hour.

Introductory and Self-Managed Live-in Care Options in the West Midlands

Alongside fully managed providers, families in the West Midlands may also come across introductory agencies and self-managed care platforms. Rather than employing and managing the Caregiver on the family's behalf, these services typically connect families with self-employed Caregivers.

This can give families more direct control over who provides their care and can sometimes have a lower headline price. However, more responsibility for managing the ongoing arrangement usually sits with the person receiving care and their family.

An introductory live-in care agency that simply introduces a family to a self-employed Caregiver is not regulated by the CQC as the provider of that care. Some companies, including Curam, offer more than one care model, so families should check exactly which service they are choosing.

Introductory and Self-Managed Live-in Care Options Compared

Information checked in August 2026. Trustpilot scores, prices and care arrangements can change. Introductory, self-managed and fully managed services structure their fees and responsibilities differently, so headline prices should not be compared without checking what is included.

Elder

Elder is a nationwide introductory live-in care platform connecting families with vetted, self-employed Caregivers through a digital service.

• Ownership and model: Digital introductory agency. Caregivers using its standard service are self-employed rather than employed by Elder.
• Coverage: Nationwide, including Birmingham and the wider West Midlands.
• Regulation and responsibility: Elder is not CQC regulated as the provider of its standard introductory care arrangement. Families work directly with a self-employed Caregiver, with Elder providing matching, payment and administrative support.
• Caregiver vetting: Elder says its checks include an enhanced DBS check, identity and address checks, right-to-work verification, professional references and an assessment of skills and suitability. Elder says around 2% of Caregiver applicants are accepted.
• Services: Live-in care, respite care, visiting care, hourly support and care for people living with dementia, reduced mobility and other long-term conditions.
• Reviews: Elder currently has a Trustpilot score of 4.7/5 from 876 reviews.
• Pricing: Live-in care starts from £1,210 per week. Families should check what is included and whether their particular care needs affect the final cost.

Curam

Curam is a digital care platform connecting families directly with self-employed Caregivers. It also offers a separate managed care service for families who want greater care planning, coordination and regulated oversight.

• Ownership and model: Curam operates a hybrid model, with a self-managed marketplace alongside separate managed care services.
• Coverage: UK-wide, including the West Midlands.
• Regulation and responsibility: Under the marketplace model, the family chooses and contracts with a self-employed Caregiver and takes greater responsibility for the ongoing arrangement. Under its managed service, Curam takes greater responsibility for care planning, coordination and oversight within a regulated service.
• Caregiver vetting: Curam says its checks include professional care experience, enhanced DBS checks, right-to-work verification, references, interviews and identity verification.
• Services: Live-in care, hourly care, overnight support, managed care, dementia support, post-operative care and support for more complex needs.
• Reviews: Curam currently has a Trustpilot score of 4.4/5 from 615 reviews.
• Pricing: Live-in care typically ranges from £950 to £1,400 per week under the marketplace model. Caregivers set or agree their own rates, and the total amount depends on the service selected.

Country Cousins

Founded in 1959, Country Cousins is a long-established introductory live-in care agency and forms part of Trinity Homecare Group. It matches families with self-employed Caregivers through a central team.

• Ownership and model: Introductory agency and part of Trinity Homecare Group. Caregivers are self-employed rather than employed by Country Cousins.
• Coverage: Nationwide live-in care coverage, including the West Midlands.
• Regulation and responsibility: Country Cousins is not CQC regulated as the provider of its standard introductory care arrangement. Families retain greater responsibility for directing and overseeing the placement.
• Caregiver recruitment and matching: Country Cousins says its checks include interviews, DBS or PVG checks, right-to-work verification, professional references and previous care experience.
• Services: Live-in care, dementia support, respite, night support, companionship, disability care and help with everyday activities.
• Reviews: Country Cousins currently has a Trustpilot score of 4.6/5 from 129 reviews.
• Pricing: Long-term standard live-in care currently starts from £1,155 per week. Higher-support and short-term arrangements cost more, and additional charges may apply.

How to Choose Between Live-in Care Providers in the West Midlands

Price, CQC ratings and review scores are useful comparison points, but they do not tell you everything about how the care will work day to day. One of the most important questions is who remains responsible for managing the care once it begins.

With a fully managed provider such as Unique Senior Care, the provider remains responsible for overseeing the care arrangement. Our service includes Care Manager oversight, care planning and reviews, Caregiver support, 24/7 assistance and responsibility for arranging suitable cover if a regular Caregiver is unavailable.

The West Midlands also gives families the option of choosing providers with a strong local presence. Unique Senior Care's registered live-in care service is based in Solihull, while A Star Care Services operates from Shirley. Other national providers support families in the region through management teams based elsewhere.

With an introductory or self-managed service, families can have more direct control over choosing and working with a self-employed Caregiver, and the headline cost may sometimes be lower. However, the family will usually take on more responsibility for managing the ongoing arrangement.

When comparing live-in care providers in the West Midlands, consider asking:

• Which legal company and CQC-registered service will be responsible for the care?
• Is that registered service based in the West Midlands or does it support the region from elsewhere?
• Who will oversee the care and how often will they visit or stay in touch?
• Who employs or contracts with the Caregiver?
• Who creates and reviews the care plan?
• How many clients does each Care Manager oversee?
• How are Caregivers recruited, checked, trained and matched?
• What happens if the regular Caregiver is unavailable or the match does not work?
• Who arranges replacement cover?
• What support is available outside normal office hours?
• What is included in the weekly price?
• Are travel, food, platform fees, bank holidays, night-time support or assessments charged separately?

Frequently Asked Questions About Live-in Care in the West Midlands

Which live-in care providers cover the West Midlands?

Fully managed providers offering live-in care across the West Midlands include Unique Senior Care, Trinity Homecare, The Good Care Group and A Star Care Services. Introductory and self-managed options include Elder, Curam and Country Cousins.

Coverage varies by provider and postcode, so families should confirm that a company can support their particular location and care needs.

Is Unique Senior Care's live-in care in the West Midlands regulated by the CQC?

Yes. Unique Senior Care provides fully managed, CQC-regulated live-in care across the West Midlands. Our registered live-in care service is based in Solihull and is rated Outstanding by the CQC.

Clients have Care Manager oversight, ongoing care reviews, Caregiver support and access to 24/7 assistance.

Which live-in care providers in the West Midlands are rated Outstanding by the CQC?

Unique Senior Care's registered Solihull live-in care service is rated Outstanding. Trinity Homecare's Worcester Park service and The Good Care Group's registered English service are also rated Outstanding overall and provide live-in care to families in the West Midlands.

A Star Care Services Limited has not yet been inspected under its current registration. The Good rating visible on its CQC profile relates to the previous registered provider.

CQC ratings apply to individual registered services, so families should always check which service would actually be responsible for their care.

Which live-in care providers are based in the West Midlands?

Unique Senior Care's registered live-in care service is based in Solihull, while A Star Care Services is based in Shirley, Solihull.

Other providers in this comparison, including Trinity Homecare and The Good Care Group, offer live-in care across the West Midlands through registered services and wider management structures based elsewhere.

Does a live-in care provider need an office in the West Midlands?

No. A provider can deliver regulated live-in care in the West Midlands through a CQC-registered service based elsewhere, provided the care is delivered under the appropriate regulated service.

However, families may still want to ask where their Care Manager is based, how often they can visit and how quickly support can respond if circumstances change.

Are introductory live-in care agencies regulated by the CQC?

No. An introductory live-in care agency that introduces families to self-employed Caregivers, rather than providing and managing the regulated care itself, is not regulated by the CQC for that service.

Some companies offer more than one model. Curam, for example, operates a self-managed marketplace alongside separate managed and regulated care services. Families should therefore check exactly which service they are considering.

How much does live-in care cost in the West Midlands?

Live-in care costs vary according to the provider, care model and level of support required. Current published prices in this comparison range from introductory or self-managed arrangements to fully managed services costing £1,300 or more per week.

Unique Senior Care's fully managed live-in care starts from £1855 per week for one person and £2310 per week for a couple.

When comparing prices, check exactly what is included. A Caregiver marketplace rate is not directly equivalent to the weekly fee charged by a fully managed provider, because responsibilities for care management, training, reviews, replacement cover and ongoing support differ.

What should I compare when choosing a live-in care provider in the West Midlands?

Look beyond the headline price and review score. Useful factors include the relevant CQC rating, who manages the care, Care Manager involvement, Caregiver recruitment and training, matching and continuity, support outside office hours and what happens if the regular Caregiver is unavailable.

It is also worth checking the age and scope of a CQC rating. In some cases, a rating visible on a CQC page may relate to a previous registered provider rather than the company currently operating the service.

How does Unique Senior Care compare with other live-in care providers in the West Midlands?

Unique Senior Care provides fully managed live-in care across the West Midlands through its registered Solihull service.

Our model includes no more than 18 live-in clients per Care Manager, 24/7 support, selective Caregiver recruitment, family involvement in matching and a small-team approach designed to support continuity. We are independently owned and publish our starting live-in care prices.

Our Solihull base also means the registered service responsible for our live-in care is located within the West Midlands itself. Other providers have different strengths and structures, including locally based independent companies and national providers registered elsewhere, so families should compare the full service rather than relying on one measure alone.

Not Sure Whether It's Time to Consider Care?

If you're researching live-in care because you've started to notice changes in someone you care about, it can be difficult to know whether they now need more support or whether there are smaller steps you could consider first.

Our Is It Time for Care? assessment asks 14 straightforward questions about everyday life and safety to help you think through what has changed.

• 14 straightforward questions about daily life and safety.
• Instant results with a personalised care needs score.
• A Care Radar showing the areas where additional support may be worth considering.

The result is intended as a practical starting point rather than a clinical assessment. It can help you organise your thoughts and decide what questions to ask next.

Start the Care Assessment

About This West Midlands Live-in Care Comparison

This comparison was researched and published by Unique Senior Care, an independently owned, fully managed live-in care provider established in 2011.

We created this guide to help families compare different approaches to live-in care in the West Midlands using consistent criteria, including regulation, oversight, reviews, pricing and the way care is managed. Unique Senior Care has been assessed using the same criteria as the other providers included in the comparison.

Provider information was last checked in August 2026 using publicly available information from the CQC, provider websites and independent review platforms. Ratings, review scores, prices and services can change, so families should check the latest information directly before making a decision.

More Help With Live-in Care in the West Midlands

If you're still comparing your options, you can find out more about our live-in care services in the West Midlands, explore our live-in care in Birmingham or visit our Care Advice Hub for practical information about arranging care.

The right choice will depend on the needs of the person receiving care, the level of management your family wants and the type of service you feel comfortable with. Asking each provider the same practical questions can make those differences much easier to understand.