How do we arrange a care needs assessment in Horsham?

Contact West Sussex County Council and ask for an adult social care needs assessment. The request can come from the person who needs help, from a relative or friend acting for them, or from a GP or hospital discharge team. It is free and having savings makes no difference to the right to be assessed. The written outcome records what support is required and when, and becomes the basis for any funding decision.

Will West Sussex County Council pay for care at home?

It may, where the needs assessment shows support is required and the financial assessment shows capital below the national upper threshold. The value of the property someone lives in is disregarded when care is delivered in that home, so help is within reach for more people than expect it. Those who qualify can take a direct payment and choose their own agency. Ask for the calculation in writing so it can be checked and queried.

Which home care providers in Horsham appear on this page?

Seventeen agencies providing care at home in Horsham are listed, each with a profile on Care Assura. All are registered with the Care Quality Commission, the regulator for adult social care in England. Each profile carries the published rating where one exists and links to the inspection report behind it. Comparing grades alongside how long an agency has been operating is a practical way to narrow the field.

What is the difference between a care home and a nursing home?

A care home provides accommodation together with personal care such as help with washing, dressing, medication and meals. A nursing home offers the same and also employs registered nurses at all hours so that clinical care can be given on site. Both differ from care at home, where carers visit a person in their own house at agreed times. Families commonly begin with home care and consider a move only when visits can no longer meet the need safely.

How far in advance should home care be arranged?

Earlier than feels necessary, because agencies have limited capacity at the busiest times of day and a crisis narrows the options quickly. Beginning early also allows a small package of visits to be tested and adjusted rather than imposed all at once. A steady sequence is to request the assessment, speak to two or three agencies and agree a trial period. Where a hospital discharge sets the timetable, visits can be increased once the first weeks show what is genuinely needed.

What should we ask an agency before visits begin?

Ask how many different carers would come in a fortnight and whether changes are notified in advance. Ask about minimum visit lengths, whether travel time is charged and how evenings and weekends are priced. Ask to see how the care plan is written and how often it is reviewed with the family. Then ask how complaints are handled and what notice either side must give to stop.

Home Care in Horsham

Horsham has 17 CQC registered home care agencies. 12 are rated Good, 1 Outstanding, and 4 have not yet been rated. 10 of the 17 were last inspected more than three years ago.

Source: Care Quality Commission register, kept up to date as ratings change.

Horsham at a glance

What the local numbers say about home care in Horsham, to help you judge the options below.

Hourly care visits, South East: £28.00 to £36.96 an hour. Middle half of prices from 24 agencies.
People aged 75 and over: 20,000. Rising to 24,600 by 2035, up 23%
Living with dementia, aged 65 and over (estimate): 2,600. Rising to 3,400 by 2035, up 31%
People aged 85 and over: 5,600. Rising to 8,700 by 2035, up 56%
Dementia diagnosis rate: 59%. The NHS ambition is 67%. West Sussex as a whole is 64%.
Agencies in the borough, last 12 months: 0 opened, 1 closed. 22 registered today.
Choice of agencies: 79 within 10 miles. In a typical neighbourhood. The nearest is under a mile away (1.0 miles).

Powered by Orrery Intelligence. Market model built 22 October 2026 (ONS 2022 based population projections, CQC register), published care home prices, council planning records.

Arranging and funding care at home in Horsham

Help in the house is easier to set up than most families fear, as long as the steps are taken in the right order. What someone needs is established and written down first. Who pays is a separate conversation, held afterwards and under different rules.

Requesting an assessment

Any adult who appears to need care and support can ask for a free assessment, whatever their savings. A practitioner looks at getting up and dressed, moving safely about the house, medication, meals, continence and how isolated someone has become, then records how much support is needed and at what times of day. That written outcome turns a general worry into a schedule of visits. Ask West Sussex County Council adult social care to arrange it, and request a carer's assessment in your own right if you have been the one filling the gaps.

Charges and contributions

A financial assessment compares capital and income with national thresholds. When care is delivered in someone's own home, the value of that home is not counted as capital, so support reaches further than families usually assume. Anyone eligible can ask for a direct payment and use it to buy care from an agency of their own choosing. Ask for the calculation in writing so the figures can be checked.

What an hourly rate buys

Rates differ between agencies and by the time of day, with evenings, weekends and bank holidays often charged at a separate figure. Ask what the minimum visit length is, whether travel time is billed, and what happens when a visit is cancelled at short notice. Ask how the price changes if two carers are needed for safe moving and handling. A low rate attached to very brief calls is rarely the bargain it appears.

Choosing between the agencies listed here

What the published grades show

One agency on this page holds Outstanding, the regulator's highest judgement, and twelve hold Good, so the greater part of the list has satisfied inspectors. Four have no published rating at all, which is common among newer agencies and not a criticism in itself, though it does leave you without an independent account. Ask those agencies for references, ask how long they have been operating, and begin with a short trial.

Who actually comes through the door

Continuity is what separates a good arrangement from a wearing one. Ask how many different carers would visit in a fortnight, how the rota is built, and whether you are told in advance when the usual carer is away. Ask who telephones if somebody is running late. An agency that answers these clearly tends to manage them well in practice too.

Plans, training and getting out again

Ask how the care plan is written, who agrees it and how often it is reviewed with the family. Ask what training carers have in medication, in moving and handling, and in any condition that matters in your household. Ask how complaints are dealt with, and what notice each side must give to end the arrangement. Straightforward exit terms are a sign of confidence.

17 home care in Horsham

Caring Hands · 12 New House Business Centre, Horsham, West Sussex, RH12 4RU
Home care · CQC Good · Run by Mrs Valerie Randall
Caring Hands supports people in their own homes in Horsham and the surrounding part of West Sussex. We work with older people and with younger adults, and our experience covers dementia, learning disabilities and autism, mental health...
Specialisms: Older Person Care, Dementia Care, Learning Disability / Autism, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults, Eating Disorders
Bertie & Bells · Unit 3a, Horsham, West Sussex, RH13 5BB
Home care · CQC Good · Run by Bertie & Bells Ltd
We at Bertie & Bells are proud to provide compassionate home care across Horsham and the surrounding communities of West Sussex, supporting people to live well and safely in the place they know best: their own home. Operating throughout...
Specialisms: Older Person Care, Dementia Care, Learning Disability / Autism, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults
Alina Homecare · Office 3, Horsham, West Sussex, RH12 1AF
Home care · CQC Good · Run by Alina Homecare Ltd
Alina Homecare Horsham provides care and support to people in their own homes in Horsham and the surrounding part of West Sussex. The people we work with include older people, younger adults, people living with dementia, adults with...
Specialisms: Older Person Care, Dementia Care, Learning Disability / Autism, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults, Eating Disorders, Alcohol / Drug Misuse
Ascot Care · 6 Kings Court, Horsham, West Sussex, RH13 5UR
Home care · CQC Good · Run by Ascot Care Ltd
Ascot Care supports people to stay in their own homes in Horsham and the surrounding parts of West Sussex. Home is where most people would rather be, and our job is to make that possible for as long as it sensibly can be, with visits...
Specialisms: Older Person Care, Dementia Care, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults, Eating Disorders, Alcohol / Drug Misuse
PTsmart Care · Regus Horsham, Horsham, West Sussex, RH12 1TL
Home care · Run by PTsmart Care
PTsmart Care is a home care agency in Horsham, supporting adults in their own homes across the area. We visit older people and younger adults, people living with dementia, people with a physical disability or a sensory impairment and...
Specialisms: Older Person Care, Dementia Care, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults
Leah Care · The Hub, Horsham, West Sussex, RH12 4TB
Home care · CQC Good · Run by Leah Care Services Ltd
At Leah Care, we provide home care to people across Horsham and the surrounding areas of West Sussex. Our aim is simple: to support people in living well in their own homes, with the right care in place at the right time. We work with a...
Specialisms: Older Person Care, Dementia Care, Learning Disability / Autism, Mental Health, Visual / Hearing Impairment, Younger Adults, Alcohol / Drug Misuse
Dainty Care Solutions - Main Office · Afon House, Horsham, West Sussex, RH12 1TL
Home care · Run by Dainty Care Solutions Ltd
We at Dainty Care Solutions are proud to offer compassionate home care across Horsham and the wider West Sussex community, supporting individuals who wish to remain in the comfort and familiarity of their own homes. Based in the RH...
Specialisms: Older Person Care, Dementia Care, Physical Disability, Younger Adults
Registered Area Office Home Care · Ground Floor, Horsham, West Sussex, RH13 0TP
Home care · CQC Good · Run by The Disabilities Trust
We provide care at home across Horsham and the surrounding parts of West Sussex, supporting older adults and younger adults, including people with a learning disability and autistic adults. Covering a town and the villages around it means...
Specialisms: Older Person Care, Learning Disability / Autism, Younger Adults
JHR Care Services · Unit 2, Horsham, West Sussex, RH13 5BB
Home care · Run by JHR Care Services Limited
JHR Care provides support in people's own homes in Horsham and across West Sussex. We visit older people, people living with dementia and younger adults. Home care rests on small dependable things rather than grand statements. Arriving at...
Specialisms: Older Person Care, Dementia Care, Younger Adults
Prime Care Domiciliary · 3 Queen Street, Horsham, West Sussex, RH13 5AA
Home care · CQC Good · Run by Prime Care Domiciliary Limited
Prime Care Domiciliary provides care and support in people's own homes across Horsham and the surrounding part of West Sussex. We work with older adults, younger adults, people living with dementia, adults with learning disabilities,...
Specialisms: Older Person Care, Dementia Care, Learning Disability / Autism, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults, Eating Disorders, Alcohol / Drug Misuse
Bright Care · 2 Grove House, Horsham, West Sussex, RH13 5PL
Home care · CQC Outstanding · Run by Bright Care at Home Ltd
We are Bright Care Horsham, and we provide care and companionship to older people in their own homes in Horsham and the surrounding West Sussex villages. Our visits tend to be longer than the usual quarter hour dash, because we think good...
Specialisms: Older Person Care, Dementia Care
Oaktree Farm Care · Oak Tree Farm, Horsham, West Sussex, RH13 6QT
Home care · Run by Oaktree Farm Care Limited
We at Oaktree Farm Care are proud to offer dedicated home care across Horsham and the wider West Sussex community, supporting individuals to live well and confidently in the place they know best, their own home. Based in the RH postcode...
Specialisms: Learning Disability / Autism, Younger Adults
GoodOaks Homecare - and Crawley · 3a Kings Court, Horsham, West Sussex, RH13 5UR
Home care · CQC Good · Run by A & T Healthcare Agency Limited
GoodOaks Homecare supports people in their own homes across Horsham, Crawley and the surrounding parts of West Sussex. We arrange our visits around the person rather than around a standard pattern, and we would rather provide fewer, longer...
Specialisms: Older Person Care, Dementia Care, Mental Health, Physical Disability, Visual / Hearing Impairment, Younger Adults
My Homecare · Unit 12, Horsham, West Sussex, RH12 4SE
Home care · CQC Good · Run by Kindred Hearts Ltd
We at My Homecare West Sussex are proud to offer dedicated home care across Horsham and the surrounding communities of West Sussex, supporting people to live well and independently in the place they know best: their own home. Based in the...
Home Instead, Haywards Heath & Burgess Hill · Unit 15-16 Graylands Estate, Horsham, West Sussex, RH12 4QD
Home care · CQC Good · Run by REHB Limited
We are Home Instead Horsham, Haywards Heath and Burgess Hill, supporting older people in their own homes across this part of West Sussex. We have kept our focus deliberately clear. Home care for older people is what we do, and we would...
Specialisms: Older Person Care
AAA Care Solutions · 76 Longfield Road, Horsham, West Sussex, RH12 1LE
Home care · CQC Good · Run by AAA Care Solutions Ltd
We provide care at home in Horsham and the surrounding parts of West Sussex, supporting older adults, people living with dementia, and younger adults. Our help covers personal care, medication, meals, shopping and keeping a household...
Specialisms: Older Person Care, Dementia Care, Younger Adults
Mencap - Surrey and Sussex Supported Living · 10 New House Business Centre, Horsham, West Sussex, RH12 4RU
Home care · CQC Good · Run by Royal Mencap Society
We provide supported living across Surrey and Sussex for adults with learning disabilities and autistic people, working with younger adults and with older people who need support at home. Supported living means the house or flat belongs to...
Specialisms: Older Person Care, Learning Disability / Autism, Younger Adults

What home care costs

Type of care	What it costs
Hourly care visits, South East Middle half of prices from 24 agencies. Median £32.92. Shown for South East because too few West Sussex agencies publish a rate.	£28.00 to £36.96 an hour
What West Sussex pays Average hourly rate, October 2026.	£28.92 an hour
Homecare Association minimum price 2026 to 2027. The Association's estimate of the lowest price that covers the cost of delivering care. It is not a legal minimum.	£34.42 an hour
Live in care, England Middle half of prices from 62 agencies. Median £1,455.	£1,250 to £1,668 a week

Published prices come from agencies that publish rates, so treat them as a guide. Ask the agency for its own price. Powered by Orrery Intelligence.

Inspected most recently

GoodOaks Homecare - Horsham and Crawley, 6 February 2026, Good
Alina Homecare Horsham, 9 May 2025, Good
Bright Care Horsham, 26 March 2025, Outstanding

Longest since a report

Bertie & Bells Ltd, 21 November 2018, Good
Home Instead Horsham, Haywards Heath & Burgess Hill, 28 February 2019, Good
Mencap - Surrey and Sussex Supported Living, 13 November 2019, Good

Frequently asked questions about home care in Horsham

How many home care agencies are there in Horsham?

Horsham has 17 CQC registered home care agencies: 1 Outstanding, 12 Good, 4 not yet rated. Counts come from the CQC register and are kept up to date as ratings change.

How much does home care cost in Horsham?

Hourly care visits, South East: £28.00 to £36.96 an hour. Middle half of prices from 24 agencies. Median £32.92. Shown for South East because too few West Sussex agencies publish a rate. Published prices come from agencies that publish rates, so treat them as a guide. Ask the agency for its own price.

Which home care agencies in Horsham were inspected most recently?

GoodOaks Homecare - Horsham and Crawley (6 February 2026), Alina Homecare Horsham (9 May 2025) and Bright Care Horsham (26 March 2025) have the most recent CQC reports.