Fulcrum Care Limited

What Fulcrum Care Limited does

Fulcrum Care Limited is a UK-based care home consultancy founded in 2015 and headquartered in Harrow, London. The firm provides regulatory compliance, turnaround, and managed services to operators of residential care homes, nursing homes, domiciliary care providers, and specialist complex-care services across England and Scotland. Core deliverables include mock CQC and Care Inspectorate inspections, CQC consultancy and appeals, crisis management, turnaround programs, governance and compliance support, mentoring and interim management, dementia and complex-care advisory, and a Managed Asset Support offering delivered through a wholly-owned operating subsidiary, Fulcrum Care Management Ltd.

Revenue is generated through three principal streams: (1) tiered monthly subscription Care Packages (Essential £299/month, Enhanced £599/month, Premium £899/month, ex-VAT, minimum 12-month term); (2) a tiered Managed Services Programme (Core £995/month, Enhanced £1,250/month, Comprehensive £1,695/month introductory, ex-VAT) for structured governance oversight; and (3) bespoke project-based engagements including mock inspections, CQC challenges, crisis and turnaround work, and high-value Managed Asset Support contracts negotiated directly with care home owners and investors. Distribution combines consultative direct sales (UK Sales Manager, Business Development Executive, Commercial Director) with self-serve e-commerce checkout via GoCardless and PayPal.

There is no proprietary technology platform; the firm's competitive position rests on senior regulatory talent (including a former CQC Director, a long-tenured CQC Specialist Advisor, and a former Operations Director of HC One), a public library of CQC data dashboards and thought-leadership content, and a referral ecosystem with partners such as Howden, RWK Goodman, and Care England. The company is privately held with no disclosed institutional investors or funding rounds.

Name

Fulcrum Care Limited

Legal name

Fulcrum Care Limited

Website

https://fulcrumcareconsulting.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

1–10 employees

Short description

Fulcrum Care Limited is a UK care home consultancy serving residential, nursing, domiciliary, and specialist complex-care operators in England and Scotland with CQC compliance, mock inspections, crisis management, turnaround, and managed services delivered via subscriptions and bespoke engagements.

Ownership category

akta.pro rank

Product category

Care Home Consultancy and Compliance Services

NAICS

Other Management Consulting Services (541618), Services for the Elderly and Persons with Disabilities (624120), Other Individual and Family Services (624190)

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Management Services (8741)

akta.pro primary industry

Family Caregiver Support, Training & Coaching (HLADAGAK)

Keywords

• Care home consultancy
• CQC compliance support
• Regulatory turnaround services
• Managed care services
• Care home governance

Headquarters

HQ city

London

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Care Packages (Subscription): Three tiered monthly subscription packages (Essential at £299/month, Enhanced at £599/month, Premium at £899/month, plus VAT) providing ongoing consultancy support, mock inspections, compliance monitoring, and named consultant access. Subject to a minimum 12-month agreement with automatic renewal. Payment processed via GoCardless direct debit or credit/debit card. This represents recurring subscription revenue from care home operators seeking continuous compliance support.
2. Managed Services Programme (MSP): Three-tiered monthly governance and quality assurance subscription: Core MSP from £995/month (introductory), Enhanced MSP from £1,250/month (introductory), and Comprehensive MSP from £1,695/month (introductory). Provides structured monthly quality reviews, governance oversight, risk management, and regulatory assurance. Billed monthly via standard invoicing. Represents recurring revenue from providers seeking ongoing quality and governance partnership.
3. Project-Based Consultancy Engagements: One-time or short-term consultancy engagements including in-person mock inspections, remote mini mock inspections, CQC challenges, crisis management, turnaround services, and interim management. These are discrete, fee-for-service engagements that may be purchased individually or as part of a broader programme. Revenue is event-driven and project-based rather than recurring.
4. Managed Asset Support: Full operational leadership and governance oversight provided to care home owners/investors while ownership remains with the provider. This is a higher-value, longer-term engagement model where Fulcrum provides experienced operational management, strategic oversight, and compliance management. Typically involves bespoke commercial terms negotiated per engagement.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

Fulcrum Care Limited is a UK care home consultancy that sells regulatory compliance, inspection-readiness, governance, crisis management and turnaround services to adult social care providers. Its core offerings include CQC mock inspections, CQC challenges and registration support, crisis and turnaround programmes, interim management, mentoring and coaching, governance and compliance support, plus tiered monthly subscription Care Packages and a three-tier Managed Services Programme for ongoing quality assurance. The company also provides bespoke Managed Asset Support, delivering full operational leadership and governance oversight to care home owners while they retain ownership.

Product overview

Fulcrum Care Limited offers a comprehensive portfolio of care home consultancy and managed services. The core offering consists of inspection readiness services (Mock Inspections in-person and remote), regulatory compliance support (CQC Consultancy, Challenges, Registration), and turnaround/crisis management. Specialist services address Complex Care (autism, dementia, learning disabilities, mental health, neurological), Domiciliary Care, and Scottish Care Inspectorate requirements. The company provides tiered subscription Care Packages (Essential at £299/month, Enhanced at £599/month, Premium at £899/month) offering increasing levels of ongoing consultancy support including inspections, PIR assistance, and named consultants. The Managed Services Programme (MSP) offers structured monthly governance oversight across three tiers (Core at £1,185/month, Enhanced at £1,495/month, Comprehensive at £1,995/month). Additional services include Managed Asset Support for operational leadership, QMS tools, and data dashboards (Care Home Numbers, Ratings, League Tables). Knowledge resources include webinars and a Pivotal People interview series. The product architecture follows a modular approach where subscription packages build upon core inspection services with escalating levels of strategic partnership and hands-on support.

Differentiator

Problem solved

Functional benefit

Brands

• Managed Asset Support: Operational leadership and governance support for care providers while retaining ownership and strategic control
• Managed Services Programme (MSP)
• Care Packages

Products and services

• In-Person Mock CQC Inspections Expert on-site mock CQC inspections that assess a care home's readiness for regulatory inspection, providing detailed feedback and recommendations to improve ratings. Sold to care home operators, registered managers and providers across England and Scotland.
• Remote Mini Mock Inspections Remote review of key documentation and trackers to maintain CQC inspection readiness between on-site visits. Sold to care home operators as a standalone engagement or as part of subscription Care Packages.
• CQC Consultancy Services Expert guidance to improve CQC ratings through tailored action plans and ongoing compliance support, aimed at care home and care provider operators with poor or declining ratings.
• CQC Challenges Expert guidance, evidence review and legal support to challenge unfair CQC reports and protect care home ratings. Sold to providers disputing CQC inspection outcomes.
• CQC Registration Support Expert guidance for swift CQC registration, ensuring compliance and a seamless process setup for new care services. Sold to prospective and newly registering care providers.
• Crisis Management for Care Homes Immediate response services to stabilise care homes facing acute operational or regulatory crises, including risk of closure or enforcement action. Sold to care home operators facing urgent compliance or operational threats.
• Care Home Turnaround Services Structured programmes to restore stability, improve CQC ratings and boost occupancy for underperforming care homes. Sold to operators of care homes facing financial, compliance or occupancy challenges.
• Interim Management (In-Home Management) Experienced interim leadership providing operational stability and continuity of care quality during management transitions at care homes. Sold to operators facing leadership gaps or registered manager vacancies.
• Mentoring and Coaching Leadership development services to improve staff retention and enhance care quality through expert coaching of care home managers and teams. Sold to care home operators seeking to strengthen in-house leadership.
• Governance and Compliance Support Specialist governance support for care home boards to ensure regulatory compliance while focusing on strategy. Sold to care home operators, boards and owners needing governance expertise.
• Dementia Support Services Specialised consultancy to enhance dementia care quality, improving residents' lives and boosting CQC ratings. Sold to care providers offering dementia services.
• Complex Care Services Expert guidance for care providers supporting individuals with autism, learning disabilities, mental health needs and neurological conditions across residential, supported living and domiciliary settings.
• Domiciliary Care Consultancy Support for home care providers covering CQC compliance, medication management, lone worker safety and care planning. Sold to domiciliary and home care operators.
• Scottish Care Inspectorate Consultancy Expert consultancy for Care Inspectorate scenarios in Scotland, including mock inspections, investigations and enforcement support. Sold to care providers regulated by the Care Inspectorate.
• QMS (Quality Management System) Quality management system support and documentation services to help care homes maintain compliance and inspection readiness. Sold to care home operators.
• Essential Care Package Foundational compliance support subscription at £299/month + VAT, including one annual on-site mock inspection, one annual remote mini mock, PIR support, audit tracker templates and sample policies, a named consultant and priority email/telephone support. Sold to care home operators seeking ongoing compliance partnership.
• Enhanced Care Package Clinical compliance monitoring subscription at £599/month + VAT, including everything in Essential plus monthly record review, monthly safeguarding review and advice, regular consultant catch-up calls, and WhatsApp, phone and email priority support. Sold to care home operators needing more active quality improvement.
• Premium Care Package

Quantifiable outcome

• Team has over 100 years of combined care home sector experience
• +4 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eight partnerships are on record, tiered core and minor.

• HowdencoreGTM or Marketing PartnerHowden is a leading UK insurance group with specialist expertise in health care and professions insurance. Fulcrum Care is affiliated with Howden as a preferred insurance partner for care homes, offering their clients access to specialist risk and insurance support. The partnership provides Fulcrum's care home clients with access to Howden's insurance products while giving Howden access to Fulcrum's client network.
• RWK GoodmancoreStrategic or Co-development PartnerRWK Goodman is a specialist law firm with a dedicated Health and Social Care team advising adult social care providers, operators, lenders, and investors. Fulcrum Care has a partnership with RWK Goodman through which they can offer clients access to specialist legal advice on CQC regulation, care sales and acquisitions, employment, property, contracts, safeguarding, and operational legal risk. The partnership enables Fulcrum to provide integrated legal-regulatory support to care providers.
• Care Business Associate Training (CBAT)minorStrategic or Co-development PartnerCBAT is a health and social care training provider delivering flexible, practical training for care organisations across the UK and Ireland. Fulcrum Care partners with CBAT to deliver training to care providers, including Oliver McGowan Mandatory Training. The partnership enables Fulcrum to offer comprehensive training alongside its consultancy services, providing clients with a full compliance and development solution.
• OwnacarehomeminorGTM or Marketing PartnerOwnacarehome offers business growth services and solutions for care home operators, including free guides, content, webinars, podcasts, and events. Fulcrum Care is affiliated with Ownacarehome as a sector specialist partner, providing visibility to care home operators seeking to improve compliance and profitability through the Ownacarehome network.
• Surrey Care AssociationminorGTM or Marketing PartnerSurrey Care Association (SCA) is a not-for-profit organisation providing collaborative support for social care in the Surrey region, working alongside care home groups, independents, and regulatory bodies. Fulcrum Care is affiliated with the SCA, positioning itself as a sector specialist trusted by the Surrey care community.
• The Care Workers CharityminorGTM or Marketing PartnerThe Care Workers Charity (CWC) was founded in 2019 to support care workers and their families during hardship. Fulcrum Care is affiliated with CWC as a sector partner, demonstrating commitment to the broader care worker community and aligning brand values with the charity's mission.
• National Care ForumminorGTM or Marketing PartnerNational Care Forum (NCF) is a leading voice for the not-for-profit care sector, promoting a 'stronger together' approach to social care. As a membership organisation, NCF bridges the gap between care providers and government agencies. Fulcrum Care is affiliated with NCF, leveraging the association for credibility and sector influence.
• Care EnglandcoreGTM or Marketing PartnerCare England is the leading representative body for independent adult social care providers in England, offering expert policy insight, strategic advocacy, and practical resources. Fulcrum Care is affiliated with Care England as a sector specialist partner, positioning itself within the most prominent adult social care trade body in England and gaining access to its member networks and policy influencing channels.

Scale indicators2 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• Nourish Care: UK-based digital care planning and compliance platform widely used by care homes and domiciliary care providers. Competes for some of the same compliance/inspection-readiness budget as Fulcrum's MSP, though via a software/SaaS delivery model rather than consultancy services.
• KareInn: Care home management software platform covering care planning, risk assessments and reporting for UK care providers. Comparable as an emerging tech-enabled player in the inspection-readiness and governance stack that complements or competes with Fulcrum's MSP offering.
• Person Centred Software: Provider of electronic care planning, medication and compliance software to UK care homes and nursing homes. Sells into the same operator buyer as Fulcrum but focuses on point-of-care software rather than advisory services.
• Rivo (Care Home CRM): UK CRM and marketing platform for care homes targeting enquiry-to-admission workflows and occupancy improvement. Adjacent to Fulcrum's occupancy uplift service line (e.g. 33% to 90% occupancy turnaround outcomes) but delivering via SaaS rather than hands-on consultancy.

Direct peers

• Quality Compliance Systems (QCS): Leading UK provider of CQC-compliant policies, toolkits and quality assurance content for care homes and domiciliary care providers. Comparable as the subscription-style compliance backbone that many of Fulcrum's Care Package subscribers would also be evaluating.
• Radar Healthcare: UK health and social care compliance and risk management software vendor that competes for the same operational and quality assurance budget that Fulcrum addresses through its Managed Services Programme. Both target multi-site care operators seeking governance and inspection-readiness tooling.
• Carterwood: UK specialist advisor to care home operators, investors and lenders, providing market intelligence, due diligence and operational benchmarking. Comparable in being a sector-specialist consultancy for the UK elderly care market with which Fulcrum's investor and portfolio clients also engage.
• Care 4 Quality: UK-based CQC compliance and care home consultancy offering audit support, training and turnaround services to adult social care providers. Directly comparable to Fulcrum Care in customer base, service mix (mock inspections, compliance audits, governance) and geography.

Broad incumbents

• Citation Group (formerly Citation ISO): Large UK HR, employment law and compliance consultancy serving SMEs including care providers. Overlaps with Fulcrum on governance, CQC compliance and HR support but addresses a much broader set of sectors and offers bundled HR/employment law delivery rather than deep elder-care specialism.
• Arthur D. Little / Big Four Healthcare Advisory (representative): Global management consultancies (ADL, PwC, KPMG, Deloitte, EY) operate healthcare advisory practices that occasionally perform turnaround and regulatory work in UK care. They are not specialist elder-care consultancies, but represent the upper end of competition for larger Managed Asset Support and portfolio engagements.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@fulcrumcarelimited3871/videos
• LinkedInlinkedin.com/company/fulcrumcare

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Fulcrum Care Limited