If you are planning to provide care or support in Wales, one of the first questions you should ask is:
Do I need to register with Care Inspectorate Wales, also known as CIW?
The answer depends on exactly what your service does.
That is important.
Do not assume that every care-related business is registered in the same way. The type of care, where it is provided, who receives it and how the service operates can all matter.
This guide gives you a simple starting point.
Important: This article is a general guide, not legal advice. Registration requirements can change, so always check the latest CIW guidance for your exact service.
What Is CIW?
Care Inspectorate Wales is the independent regulator for a range of care and childcare services in Wales.
Its role includes deciding who can provide regulated services, registering services and inspecting registered services.
If you want to provide a regulated service, you need to go through the registration process before you begin operating that regulated service.
What Types of Services May Need to Register?
CIW's current registration guidance covers regulated services including:
- Care home services
- Domiciliary support services
- Secure accommodation services
- Residential family centre services
- Adoption services
- Fostering services
- Adult placement services
- Advocacy services
- Special school residential services
Different rules and requirements can apply to different services.
So the real question is not:
"Is this a care business?"
The better question is:
"Does what I plan to provide fall within the definition of a regulated service?"
What About Domiciliary Support?
Domiciliary support can be one of the areas where people need to look carefully at how the service actually works.
CIW's current registration guidance includes a decision process that asks questions such as:
- Is care and support being provided?
- Is it provided because of the person's vulnerability or need?
- Is it provided where the person lives?
- Does the provider have ongoing direction or control of the care and support?
- How many named individuals are being supported?
The answers help determine whether the service falls within the definition of a domiciliary support service.
This means two businesses that both describe themselves as "support services" may not necessarily have the same registration requirements.
The details matter.
A Simple Way to Think About It
Ask yourself these questions:
1. What exactly am I providing?
Write it in plain English.
For example:
"We provide personal care and daily support to adults in their own homes."
That is much clearer than:
"We provide lifestyle assistance."
Be specific.
2. Who is receiving the care or support?
Think about:
- Their needs
- Why they need support
- Their age group
- Whether your service is responding to vulnerability or a care need
3. Where will the care or support happen?
Will it happen:
- In the person's own home?
- In a care home?
- In another setting?
4. How much control will your organisation have?
This can be important for understanding how a domiciliary support service is defined.
Think about who:
- Directs the care
- Manages the staff
- Sets expectations
- Oversees the support
5. Does CIW's current guidance say your service is regulated?
Read the latest CIW registration guidance and use the decision tools provided where relevant.
If you are still unsure, get advice before you start operating.
What Happens If You Need to Register?
If your planned service needs registration, the next step is to prepare for the application.
CIW's current guidance says applicants should familiarise themselves with the relevant legislation and guidance, prepare their Statement of Purpose and make sure they have relevant policies, procedures and qualifications.
Depending on the type of application, other documents and information may also be needed.
You can read our full guide here:
How to Start a Care Service in Wales
Do Not Wait Until You Are Ready to Open
One common mistake is treating registration as the final small task before launch.
It is better to think about registration at the beginning.
Why?
Because your registration requirements can affect:
- Your business plan
- Your leadership structure
- Your Statement of Purpose
- Your policies
- Your staffing plans
- Your timeline
If you build all of these things first and discover later that they do not match the requirements for your service, you may need to redo a lot of work.
What If I Am Still Not Sure?
That is exactly when you should slow down.
Do not guess.
Write down exactly what your service plans to do. Then compare it with the latest CIW guidance.
If you need help understanding the process and preparing your service, an experienced care consultant can help you work through the practical steps.
Need Help Understanding Your Next Step?
MILD Professional Care Services supports care providers who are starting new services and preparing for registration.
We can help you make sense of the process, identify what needs to be prepared and build a clear plan.
Get support with your care service registration.
Frequently Asked Questions
Does every care business need to register with CIW?
No. Registration depends on the type of service and how it operates. You need to check whether your planned activity falls within the definition of a regulated service.
Can I provide a regulated service before I am registered?
No. CIW states that applicants must not start providing a regulated service before registration has been granted.
How do I apply to register?
CIW uses its online registration system for applications. Before applying, you should prepare the required information and documents for your service type.
What if my service only provides support?
The answer can depend on exactly what support is being provided and how the service operates. CIW's current guidance includes specific information and decision processes for determining whether some services need registration.