Home Care in Chesham
Chesham has 6 CQC registered home care agencies. 4 are rated Good, and 2 have not yet been rated. 4 of the 6 were last inspected more than three years ago.
Source: Care Quality Commission register, kept up to date as ratings change.
Chesham at a glance
What the local numbers say about home care in Chesham, 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: 58,900. Rising to 69,100 by 2035, up 17%
- Living with dementia, aged 65 and over (estimate): 7,800. Rising to 9,800 by 2035, up 26%
- People aged 85 and over: 17,000. Rising to 24,800 by 2035, up 46%
- Dementia diagnosis rate: 59%. The NHS ambition is 67%.
- Agencies in the borough, last 12 months: 4 opened, 8 closed. 124 registered today.
- Choice of agencies: 111 within 10 miles. In a typical neighbourhood. The nearest is under a mile away (0.5 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.
What home care in Chesham involves and what to look for
Support at home works or fails on one thing above all others: whether the same small group of carers turns up when they said they would. The tasks themselves are rarely in dispute, covering help with washing and dressing, prompting medication, preparing meals, shopping and companionship. Visits are arranged in agreed slots of an agreed length, and the number of hours is normally settled through an assessment before any provider is approached.
What the ratings show
Four of the providers serving Chesham are rated Good, among them Chesham Supported Living and PAI Healthcare Ltd, and two have not yet been rated. Where a report exists, open it and read the sections on staffing and on leadership, because those bear most directly on whether visits happen as promised and whether problems are dealt with. Where no rating has been published, as with This is Homecare, ask instead how long the registered manager has been in post, how long the carers have been with the agency, and whether the provider can put you in touch with an existing client.
Questions worth asking before you commit
Ask how many different carers would normally attend and what happens when the regular one is off sick or on holiday. Ask about the minimum visit length, whether travel time is charged, and how much notice is needed to change or cancel a visit. Check who takes responsibility for medication, how care notes are recorded and shared with the family, and who you would ring late in the evening if something went wrong.
Getting an assessment and arranging the funding
Hours and money are decided before a provider is picked, which makes the assessment the genuine starting point.
Requesting a care needs assessment
You can ask for an assessment on your own behalf or for a relative who consents, and the right to one does not depend on income or savings. The assessor looks at washing, dressing, eating, medication, mobility, continence and how safe the home is, then sets out in writing how much support is needed and at what times. Ask for a copy of the plan, because a provider will want to see it. If a hospital discharge is setting the pace, say so, as assessments can be brought forward.
Who pays, and how much
Assessments and funded support in Chesham are handled by Buckinghamshire Council Adult Social Care, which carries out a financial assessment alongside the needs assessment to establish the household contribution. Income and savings are taken into account, but for care delivered at home the value of the property is not, which is a significant difference from a residential placement. Where support is funded, it may be commissioned directly or paid as a direct payment so the household chooses its own provider. Hourly rates vary between agencies, so ask each for its rate in writing and whether evenings, weekends and bank holidays are charged at a different level.
6 home care in Chesham
- Supported Living · Chesham, Buckinghamshire · CQC Good
- Chesham · Chesham, Buckinghamshire
- Caremark (Chiltern & Three Rivers) · Chesham, Buckinghamshire · CQC Good
- PAI Healthcare · Chesham, Buckinghamshire · CQC Good
- Visiting Angels South Bucks · Chesham, Buckinghamshire · CQC Good
- This is Homecare · Chesham, Buckinghamshire
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 Buckinghamshire agencies publish a rate. | £28.00 to £36.96 an hour |
| What Buckinghamshire pays Average hourly rate, October 2026. | £28.50 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
- SYM Care Ltd T/A Visiting Angels South Bucks, 17 January 2023, Good
- PAI Healthcare Ltd, 4 February 2022, Good
- Chesham Supported Living, 12 December 2019, Good
Longest since a report
- Caremark (Chiltern & Three Rivers), 17 January 2019, Good
- Chesham Supported Living, 12 December 2019, Good
- PAI Healthcare Ltd, 4 February 2022, Good
Frequently asked questions about home care in Chesham
How many home care agencies are there in Chesham?
Chesham has 6 CQC registered home care agencies: 4 Good, 2 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 Chesham?
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 Buckinghamshire 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 Chesham were inspected most recently?
SYM Care Ltd T/A Visiting Angels South Bucks (17 January 2023), PAI Healthcare Ltd (4 February 2022) and Chesham Supported Living (12 December 2019) have the most recent CQC reports.