Skip to content
Physical disability support
England

Physical disability support

Care and support for adults with a physical disability, at home, in supported living or through a personal budget.

18,544 CQC-registered physical disability · Source: CQC, 01 July 2026

Find providers near you

  • Every provider from the CQC public register
  • We check what funding you can get first
  • Free, and we are not a care provider

It only takes a minute and it is free.

Support for adults with a physical disability is built around independence: staying in your own home, working if you want to, and choosing who supports you.

What support looks like

Care at home. Personal care, help with moving and handling, medication and daily tasks. Often two carers where hoisting is involved.

Direct payments and personal assistants. The most common arrangement for working-age disabled adults. You take the budget and employ your own staff.

Supported living. Your own tenancy with support, where living entirely independently is not practical.

Equipment and adaptations. From grab rails to a full wet room.

The four funding routes worth knowing

Council social care. A Care Act needs assessment, then the means test. Most working-age disabled adults sit below the £14,250 lower capital limit, so capital is ignored. Push hard on disability related expenditure: the council must deduct the extra costs disability creates, and it is the single most missed reduction in the whole assessment.

Disabled Facilities Grant. Up to £30,000 in England for adaptations. Start with a free occupational therapy assessment from the council.

Access to Work. Equipment, a support worker, taxis to work, or vehicle adaptations. Not means tested, does not affect benefits, never repaid.

PIP. Not means tested, and the enhanced mobility rate also opens the Motability scheme, which lets you lease a car, wheelchair-accessible vehicle or powered wheelchair using the allowance.

Equipment, and what should be free

Equipment and minor adaptations costing under £1,000 should be provided free by the council following an OT assessment. That includes grab rails, raised toilet seats, bath boards and similar. You should not be paying for these.

Wheelchairs come through the NHS wheelchair service. Ask about a personal wheelchair budget, which lets you put the NHS contribution towards a chair of your own choosing.

Choosing a provider

Read the full CQC report, then ask:

  • Are staff trained in moving and handling for this specific person, and who reviews the risk assessment?
  • Will the same carers come, and how is that managed around leave and sickness?
  • Can visit times flex around work, study or appointments?
  • What happens if a call is missed, and how quickly can you cover?
  • Are staff comfortable taking direction from the person they support, rather than deciding for them?

The 10 best-rated physical disability in England

Every service here holds an Outstanding rating from CQC, the highest awarded. Within that, they are ordered by how many of the five inspection domains are also Outstanding or Good, then by how recently they were inspected. Nobody pays to appear.

1

Berkhamsted, HP4

Operated by Hospice Of St. Francis (Berkhamsted) Limited

Best for: HospiceOlder peopleYounger adultsPhysical disability

Registered to support older people, younger adults, physical disability. Care delivered in your own home. Rated Outstanding by CQC, published 9/9/16.

Spring Garden Lane, Northchurch, Berkhamsted, Hertfordshire, HP4 3GW

5 of 5 CQC domains rated Good or Outstanding

2
Ipswich Outstanding

Ipswich, IP4

Operated by The Papworth Trust

Best for: Supported livingYounger adultsLearning disability and autismMental health

Registered to support younger adults, learning disability and autism, mental health. Care delivered in your own home. Rated Outstanding by CQC, published 9/8/18.

42-54 Foundation Street, Ipswich, Suffolk, IP4 1BN

5 of 5 CQC domains rated Good or Outstanding

3

Southampton, SO15

Operated by Southampton City Council

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/8/18.

Sembal House, Handel Terrace, Southampton, Hampshire, SO15 2FH

5 of 5 CQC domains rated Good or Outstanding

4

Woking, GU23

Operated by Home Counties Carers Limited

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/6/23.

5-7 Webb House, Portsmouth Road, Ripley, Woking, GU23 6ER

5 of 5 CQC domains rated Good or Outstanding

5

Berwick Upon Tweed, TD15

Operated by Northumberland County Council

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/6/23.

McDonald House, Wallace Green, Berwick Upon Tweed, Northumberland, TD15 1ED

5 of 5 CQC domains rated Good or Outstanding

6

Durham, DH7

Best for: Home careDementia careLearning disability and autismMental health

Registered to support dementia care, learning disability and autism, mental health. Care delivered in your own home. Rated Outstanding by CQC, published 9/5/18.

19 Quebec Street, Langley Park, Durham, County Durham, DH7 9XA

5 of 5 CQC domains rated Good or Outstanding

7

Fareham, PO14

Operated by Hamble Valley Care Limited

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/4/19.

Unit 25b, Katana House, Fort Fareham Industrial Site, Newgate Lane, Fareham, Hampshire, PO14 1AH

5 of 5 CQC domains rated Good or Outstanding

5 of 5 CQC domains rated Good or Outstanding

9

Cambridge, CB25

Operated by Guyatt House Care Ltd

Best for: Home careSupported livingOlder peopleYounger adults

Registered to support older people, younger adults, learning disability and autism. Care delivered in your own home. Rated Outstanding by CQC, published 9/28/22.

Cambridge Innovation Park, Denny End Road, Waterbeach, Cambridge, CB25 9PB

5 of 5 CQC domains rated Good or Outstanding

10
LD Care Outstanding

Hounslow, TW3

Operated by L D Care Limited

Best for: Residential care homeYounger adultsLearning disability and autismMental health

Registered to support younger adults, learning disability and autism, mental health. 9 beds. Rated Outstanding by CQC, published 9/28/22.

9 Gresham Road, Hounslow, Middlesex, TW3 4BT

5 of 5 CQC domains rated Good or Outstanding

Based on CQC data published 01 July 2026. Ratings change between inspections, so check the current rating before deciding.

Top 10 lists by town

The same ranking method applied locally, for towns with enough rated services to make a top 10 meaningful.

Other highly rated examples

Services in this category currently rated Good or Outstanding by CQC, sorted by rating and then by how recently they were inspected. This is a sample, not a ranking of the best in England.

Berkhamsted, HP4

Operated by Hospice Of St. Francis (Berkhamsted) Limited

Best for: HospiceOlder peopleYounger adultsPhysical disability

Registered to support older people, younger adults, physical disability. Care delivered in your own home. Rated Outstanding by CQC, published 9/9/16.

Spring Garden Lane, Northchurch, Berkhamsted, Hertfordshire, HP4 3GW

Ipswich Outstanding

Ipswich, IP4

Operated by The Papworth Trust

Best for: Supported livingYounger adultsLearning disability and autismMental health

Registered to support younger adults, learning disability and autism, mental health. Care delivered in your own home. Rated Outstanding by CQC, published 9/8/18.

42-54 Foundation Street, Ipswich, Suffolk, IP4 1BN

Southampton, SO15

Operated by Southampton City Council

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/8/18.

Sembal House, Handel Terrace, Southampton, Hampshire, SO15 2FH

Woking, GU23

Operated by Home Counties Carers Limited

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/6/23.

5-7 Webb House, Portsmouth Road, Ripley, Woking, GU23 6ER

Berwick Upon Tweed, TD15

Operated by Northumberland County Council

Best for: Home careOlder peopleYounger adultsDementia care

Registered to support older people, younger adults, dementia care. Care delivered in your own home. Rated Outstanding by CQC, published 9/6/23.

McDonald House, Wallace Green, Berwick Upon Tweed, Northumberland, TD15 1ED

Durham, DH7

Best for: Home careDementia careLearning disability and autismMental health

Registered to support dementia care, learning disability and autism, mental health. Care delivered in your own home. Rated Outstanding by CQC, published 9/5/18.

19 Quebec Street, Langley Park, Durham, County Durham, DH7 9XA

Browse by area

Counts are registered office locations. A home care agency based in a nearby town may still cover your postcode, so check coverage when you call.

Common questions

Who pays for care for a working-age disabled adult?

Usually the council after a Care Act needs assessment, subject to the means test. Most working-age disabled adults have capital below the £14,250 lower limit, so capital is ignored and they contribute only from income while keeping the minimum income guarantee. Ask about disability related expenditure, which the council must deduct and frequently does not.

Can I get a grant to adapt my home?

Yes. A Disabled Facilities Grant is worth up to £30,000 in England for adaptations such as a stairlift, level-access shower, ramps or a ground-floor extension. It is means tested for adults, but not at all for a disabled child under 18.

How do I get equipment and a wheelchair?

Equipment and minor adaptations under £1,000 should be provided free by the council after an occupational therapy assessment. Wheelchairs come through the NHS wheelchair service, and a personal wheelchair budget lets you put NHS funding towards a chair of your choice.

Can I employ my own personal assistants?

Yes, through direct payments. This is the most common arrangement for working-age disabled adults who want control over who supports them, when, and how. Councils normally fund a payroll service to handle the employer side.

Carevo is not a care provider and does not inspect or endorse services. CQC ratings change. Check the CQC website for the current rating and read the full inspection report before making a decision.