Home care · County Durham
Substance misuse support at home in Horden
Of the 19 home care agencies covering Horden, 3 offer substance misuse support. Of the 3 CQC has rated, 100% are Good or Outstanding, compared with 88% for substance misuse support across England. Our estimate of typical fees here: about £33.50 an hour for visiting care and £1,610 a week for live-in careestimated. 2 home care agencies have not been rated for more than four years. CQC's latest rating here went to Vestra Homecare Hartlepool: Good, on 12 December 2025.
Updated 27 October 2026 from the CQC register (Open Government Licence)
The short version
- Latest CQC rating changes in County Durham, checked daily.
- Dementia is a registered specialism for 3.
- County Durham council offers a free care needs assessment, whatever your savings.
To cite: "Substance misuse support at home in Horden", The Care Panel, Oct 2026, from CQC register analysis.
- 3agencies registered with CQC
- 100%of those rated are Good or Outstanding
- 3offer dementia support
- 1inspected or rated since November 2024
Ranked providers of substance misuse support
Order: CQC rating first, then how recent that rating is, then distance. Our ranking method
- All 19
- Elderly care · 18
- Mental health care · 17
- Physical disability care · 16
- Care for adults under 65 · 16
- Dementia care · 16
- Sensory impairment care · 13
- Learning disability care · 9
- Children's care · 8
- Supported living · 6
- Eating disorder support · 3
- Substance misuse support · 3
| # | Agency | CQC rating | Last rated | Office | Other specialisms |
|---|---|---|---|---|---|
| 1 | Vestra Homecare Hartlepool | Dec 2025 | 6.3 miles | 8 | |
| 2 | Elite Home Care Service Limited | Sep 2022 | under 0.5 miles | 8 | |
| 3 | Direct Care and Support Team | Jan 2020 | 5.6 miles | 7 |
All agencies covering Horden with a CQC registration for substance misuse support. Order: rating, then how recent it is, with distance from the centre used last.
Substance misuse support in Horden: ratings, size and cost
16% of Horden's agencies (3 of 19) hold a CQC registration for substance misuse support. Of those rated, 100% are Good or Outstanding: in line with the 100% for every agency here, and above the England figure of 88% for substance misuse support.
Vestra Homecare Hartlepool, Elite Home Care Service Limited and Direct Care and Support Team lead the list for substance misuse support. Ratings run from January 2020 to December 2025, and 1 is from the last two years. 1 is based within 2 miles of the centre of Horden.
County Durham as a whole has 7 agencies registered for substance misuse support; 86% of the rated ones are Good or Outstanding. Across County Durham, 10% of agencies are registered for substance misuse support, against 16% here.
Typical prices in the North East: about £33.50 an hour for weekday visits (evenings and weekends cost more) and around £1,610 a week for live-in care. How we estimate costs.
About substance misuse support
Substance misuse support helps people affected by alcohol or drug use to stay safe, manage their health and work towards recovery, alongside specialist treatment services.
What to ask about substance misuse support
- What happens if someone relapses?
- How do you keep people safe at night?
- How do you support recovery goals and family relationships?
- How do you work with local drug and alcohol treatment services?
- How do you support physical health and medication?
Helpline: FRANK, 0300 123 6600. How to get assessed by County Durham.
Substance misuse support around Horden
| Place | How far | Agencies | Rated Good or Outstanding |
|---|---|---|---|
| Horden | – | 3 | 3 |
| Peterlee | 1.0 mi | 3 | 3 |
| Seaham | 5.1 mi | 4 | 3 |
| Easington Lane | 5.6 mi | 5 | 4 |
| Hartlepool | 6.4 mi | 5 | 5 |
| Hetton-le-Hole | 6.7 mi | 8 | 7 |
| Houghton-le-Spring | 8.2 mi | 7 | 6 |
Council help
County Durham
A care needs assessment from County Durham council is free whatever your savings. With savings below £23,250, the council may help pay.
Asking County Durham for an assessment, and how payment and direct payments work
Free · by email
Free care cost report for Horden
- Typical local prices for home care, overnight and live-in care
- What the council and the NHS may pay, with the 2026/27 savings limits
- The best-rated services near you, from the CQC register
Common questions about substance misuse support in Horden
Who offers substance misuse support at home in Horden?
Of the 19 CQC-registered agencies that have an office within 7 miles of Horden, 3 list substance misuse support as a specialism (Oct 2026). Well-rated choices include Vestra Homecare Hartlepool, Elite Home Care Service Limited and Direct Care and Support Team.
Are home care agencies in Horden well rated?
Good or Outstanding: 3 (100%) of the 3 rated.
How much does home care cost in Horden?
Typical prices across England in 2026: visiting care around £32–£34 an hour; live-in care around £1,540–£1,610 a week. Agencies differ more than regions do on hourly rates, so request a complete tariff from each one, covering weekends and bank holidays too. The Homecare Association puts the minimum sustainable price for council-funded home care in England at £34.42 an hour for 2026/27. Source: Lottie Care Index, Q3 2026. See our full cost guide.
Will I get help from County Durham council with the cost of home care?
Two sources of help: Attendance Allowance, which ignores savings and is for people over State Pension age, and the council. By law (Care Act 2014) County Durham council must assess care needs at no charge for people who look as if they need support; if savings and investments are under £23,250, it may pay a share once your finances are assessed, depending on income. With care at home, the house itself is not included. How to reach County Durham council.
How should I compare agencies in Horden?
Start with the latest CQC report and its date: 1 of the 3 listed here was inspected or rated in the last two years, and 2 have an older report. Then ask about continuity of staff, how they handle missed visits, and the full price before you sign. See the checklist.
How do nearby towns compare with Horden for substance misuse support?
Counting substance misuse support: Horden 3 (3 Good or Outstanding); Peterlee (1.0 miles): 3, 3 rated Good or Outstanding; Easington (1.7 miles): 2, 1 rated Good or Outstanding; Seaham (5.1 miles): 4, 3 rated Good or Outstanding.
Busy? Let us pass your request to providers.
Describe what's needed in one form. We send it to as many as three Horden providers who accept enquiries via The Care Panel, and they email you back.
Substance misuse support near Horden
- Substance misuse support in Peterlee 1.0 mi
- Substance misuse support in Easington 1.7 mi
- Substance misuse support in Seaham 5.1 mi
- Substance misuse support in Easington Lane 5.6 mi
- Substance misuse support in Hartlepool 6.4 mi
- Substance misuse support in Hetton-le-Hole 6.7 mi
- Substance misuse support in Houghton-le-Spring 8.2 mi
- Substance misuse support in Bowburn 8.4 mi
Other help in Horden
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CQC register data (Oct 2026), reused under the Open Government Licence v3.0. The Care Panel is independent of every provider listed.