What we found at one care agency.
One live engagement with a CQC-registered domiciliary agency. We checked the care they delivered against the money they billed, line by line, in their own systems. Here is what the gap between the two was costing them — and the evidence it was hiding.
Identified and verified in the client’s own system data. Based on a single live engagement.
The Findings
Three Gaps, Hiding in Plain Sight
None of these showed up on a report anyone was reading. Each one sat in the space between the care system and the finance system, where nobody was checking.
58%
of planned visits missed and invisible to management
Overruns
care delivered beyond the plan but never billed
£200,000
income line with zero operational tracking behind it
The Client, In Their Words
“I was the only person who knew where everything was. When I was on leave during an inspection, staff couldn’t find anything. That’s why we brought Manny in. He understood our business from day one and built something that means we’re never in that position again.”
Rahil K.
Compliance Head, Trinity Healthcare Plus
The Wider Track Record
The Same Work, Beyond Care
The reconciliation work is care-specific. The habit behind it — finding the money that goes missing when systems don’t talk, then building something people actually rely on — is what these founders came back to say.
“Truly exceptional — Manny did everything we needed and more. Excellent communication throughout and an incredible workflow produced in a quick timeframe. Definitely my favourite freelancer on here.”
Luke F.
Founder & CEO · Manchester, UK
Verified on Upwork · $103K spent · 4.88★
“It's turned into a must-have. Every enquiry gets answered instantly — I don't miss leads anymore, even when I'm out on a job.”
Eliezer T.
CoolEli Detailing · Tampa, FL
24/7 lead capture
“It manages my calls, emails and week-to-week schedule, saves me time and really helps with research. Would I recommend it to other business owners? Absolutely.”
Nana O.
Founder, SEN Bytes · London, UK
Daily user · calls, emails & scheduling
Who Ran the Review
A finance background, pointed at care.
Manny Amoah spent a decade in enterprise and public-sector finance — Visa Europe, the UK Cabinet Office, the UK Health Security Agency — where reconciling what was delivered against what was paid was the job. That is the same discipline the Care Operations Review brings to an independent agency.
What would the same review find in your agency?
The first call is free. We look at how your care system and your finance system line up, and where they don’t.
For CQC-registered domiciliary care agencies. Systems first, not clinical care.