The traditional model of domiciliary care does not align with new legislation in Wales, and is transactional rather than focused on helping people to achieve their preferred personal outcomes. Cartrefi Cymru Co-operative is delivering a new Home Care locality model, commissioned by Gwynedd County Council and Betsi Cadwaladr Health Board. In a partnership between the service commissioner and Cartrefi Cymru Co-operative, the service was designed and developed using the Vanguard Method, a systems thinking approach for improving services and innovating, based on real data and context. The contract is for a five-year minimum period with scope to extend it up to nine years. The annual cost of the service is based on the provider’s assessment of the cost of the service in their locality for the level of care and support required by the local population. The provider is paid in 13 equal monthly block payments guaranteeing their overhead costs are covered. Cartrefi Cymru’s key innovation is flexibility. This locality patch based model of home care supports local employment, creates beneficial community connections and is driving tangible increases in social value. Joint commissioning enables the best use of local resources. Its impact includes: • Improved outcomes for People we Support (PWS), the local community and the employed Cartrefi Cymru team • Community links between Cartrefi Cymru’s Supported Living service, its Home Care service and its support service at Cae Garnedd Extra Care scheme, and with local community organisations The design of the service aligns with Wales’ National framework for commissioning care and support and with the re-balancing care agenda via the Section 16 requirements of the Social Services and Well-being (Wales) Act. • How can we scale up this kind of innovation and create more effective, responsive, and sustainable people-focused public services? Read our January 2026 report. • More case studies of social enterprise innovation
The traditional model of domiciliary care does not align with new legislation in Wales, and is transactional rather than focused on helping people to achieve their preferred personal outcomes. Cartrefi Cymru Co-operative is delivering a new Home Care locality model, commissioned by Gwynedd County Council and Betsi Cadwaladr Health Board. In a partnership between the service commissioner and Cartrefi Cymru Co-operative, the service was designed and developed using the Vanguard Method, a systems thinking approach for improving services and innovating, based on real data and context. The contract is for a five-year minimum period with scope to extend it up to nine years. The annual cost of the service is based on the provider’s assessment of the cost of the service in their locality for the level of care and support required by the local population. The provider is paid in 13 equal monthly block payments guaranteeing their overhead costs are covered. Cartrefi Cymru’s key innovation is flexibility. This locality patch based model of home care supports local employment, creates beneficial community connections and is driving tangible increases in social value. Joint commissioning enables the best use of local resources. Its impact includes: • Improved outcomes for People we Support (PWS), the local community and the employed Cartrefi Cymru team • Community links between Cartrefi Cymru’s Supported Living service, its Home Care service and its support service at Cae Garnedd Extra Care scheme, and with local community organisations The design of the service aligns with Wales’ National framework for commissioning care and support and with the re-balancing care agenda via the Section 16 requirements of the Social Services and Well-being (Wales) Act. • How can we scale up this kind of innovation and create more effective, responsive, and sustainable people-focused public services? Read our January 2026 report. • More case studies of social enterprise innovation