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The guide

Does an inspection rating affect care home enquiries?

Yes, but mostly as a filter rather than the deciding factor. A CQC rating of Good or better, or a Care Inspectorate grade of 4 Good and above, tends to keep a home on a family's shortlist; what usually wins the enquiry is reputation, reviews and how clearly the family can picture daily life in the home.

Updated November 2026

The short version

What to know, in brief:

  • A rating does most of its work at the shortlist stage, keeping a home in or out of the comparison.
  • In Care England and Log my Care's 2026 survey, 19 per cent used inspection reports in research and 11 per cent called them a key factor in the final decision.
  • The CQC uses four words; the Care Inspectorate in Scotland grades from 1 Unsatisfactory to 6 Excellent.
  • About 40 per cent of England's registered care homes had no full CQC inspection between February 2021 and March 2026, so many ratings describe a home that has since changed.
  • Display the rating honestly, with its date, then give families recent evidence beside it: reviews, film and a plain account of what has changed.
  • In England, Regulation 20A requires the rating, its date and a report link on the home's website.

Where it counts

Does an inspection rating decide where a family enquires?

Rarely on its own. Care England and Log my Care's 2026 survey of 1,000 people arranging care found 19 per cent used inspection reports such as CQC ratings during their research, and 11 per cent named them a key factor in the final decision. Reputation came top at 30 per cent, followed by safety and safeguarding at 29 per cent.

At the shortlist

The rating does real work here

A family comparing six homes on a directory will often see the rating before anything else, and a weaker or very old one can take a home off the list before anyone reads further. That is not a reason to treat it lightly.

At the decision

Other questions take over

Once a home is on the shortlist, the questions change: what is it like to live there, who are the staff, and how do other families describe it. A single word or number cannot answer those.

England and Scotland

How do CQC ratings and Care Inspectorate grades differ?

They measure similar things in different ways, so families see different labels. The CQC gives one of four words; the Care Inspectorate grades services on a six-point scale, from 1 Unsatisfactory to 6 Excellent. We work with homes in both countries, and the marketing advice is the same in each.

CQC (England)Care Inspectorate (Scotland)
What families seeOne of four words: Outstanding, Good, Requires improvement, InadequateA number from 1 to 6, from Unsatisfactory to Excellent, for each area inspected
The shortlist lineGood or better4 Good or better; 5 Very good and 6 Excellent stand out
Where it showsThe home's own website and premises, directories, the CQC siteThe Care Inspectorate site, directories, often the home's own website
Display rulesRegulation 20A: rating, date and report link on the website and at the homeReports are public; homes choose how they present grades

Wales and Northern Ireland have their own regulators and labels; the same principle applies there.

The numbers

What happens when a rating is old or not yet given?

The rating describes the day of the inspection, which may be years ago, so families need recent evidence alongside it. For many homes, a family is reading about a team, a manager and a building that have since changed.

40%of England's 13,475 registered care homes had no full CQC inspection between February 2021 and March 2026 (Care Inspections UK, 2026)
19%of people arranging care used inspection reports during research (Care England and Log my Care, 2026)
76%of people looking for care said reviews were extremely or very important to their choice (carehome.co.uk, 2026)

In practice

What should a home do in each rating situation?

Display the rating honestly, then match what you show families to the question the rating leaves open.

1

Outstanding or Good, and recent

The rating has done its job of keeping the home on the shortlist. Use it plainly and let reviews and film do the persuading.

2

Good, but several years old

Families may wonder what has changed. Lead with recent evidence: this year's reviews, a current manager introduction, today's photographs.

3

Requires improvement, or a grade below 4

A family will want to know what was found and what happened next. Say it on the website in plain words, with what has been done since.

Worth knowing: silence reads worse than an honest account.

4

New, or not yet rated

There is no rating to lean on, so everything else matters more: reviews as they arrive, a clear introduction to the manager and team, and an open invitation to visit.

A care home manager sharing a smile with a resident.

In your marketing

Where should the rating sit in a home's marketing?

On the website and the directory profile, clearly and with its date, but not as the headline of every advert. In England the website display is a legal requirement under Regulation 20A. Our guide to what a care home website should include covers where it belongs on the page.

The rating answers one question, whether the regulator was satisfied on the day. A family usually arrives with several: will their relative be comfortable, who will they speak to, how do people settle in. A family testimonial or a manager film answers those in a way a single word or number cannot, which is why we build campaigns around them rather than around the rating.

Timing and fit

How long does it take, and who should pay closest attention?

How long does it take to change what a rating says to families?

The rating itself only changes at the next inspection, which the home does not schedule, but what surrounds it can change this month. Reviews, film, photographs and a clear website are all within the home's control and can be in place within weeks. The work involved is time and production rather than anything technical; what it costs depends on who does it, and we walk through our own model on a call.

Who should pay closest attention to this?

Homes whose rating is old, below Good, or not yet given, and any home that relies heavily on directory enquiries. On a directory, the rating sits right beside the home's name, so it carries more weight at the comparison stage than it does once a family has visited. For the wider picture, see why families may not be finding your care home online, and on reviews specifically, which online reviews actually count.

A resident and a visitor enjoying a garden party at a care home.

Common questions

Inspection ratings and enquiries, answered.

Yes, but mostly as a filter rather than the deciding factor. In Care England and Log my Care's 2026 survey of 1,000 people arranging care, 19 per cent used inspection reports during research and 11 per cent named them a key factor in the final decision, while reputation came top at 30 per cent.

Broadly, yes. The Care Inspectorate grades services on a six-point scale from 1 Unsatisfactory to 6 Excellent, so families in Scotland see numbers rather than words. A grade of 4 Good or above tends to keep a home on the shortlist, and the same advice applies: show what the grade cannot.

Yes, in England. Regulation 20A requires providers to display their most recent CQC rating on their website, with the date it was given and a link to the report, as well as on a sign at the home itself.

It is a common position. An analysis by Care Inspections UK found 5,429 of England's 13,475 registered care homes had not had a full CQC inspection since February 2021. Display the rating as required, then give families recent evidence alongside it: reviews, a family testimonial film, and an honest account of what has changed.

Marketing cannot change a rating, and it should never try to hide one. What it can do is help a home explain, plainly, what the inspection found and what has been done since, so a family weighing the home has the full picture rather than a single word.

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