Over the last five years leading the Supply Team at Care Hires, I’ve seen it all. The wins, the challenges, and the broken systems that hold incredible care staffing agencies back.
I’ve worked with agencies on the edge of closing their doors. One had just two staff and was ready to give up. Today, that same agency generates nearly £1 million through Care Hires.
That’s what happens when real commitment meets the right support. When growth is built on momentum, not guesswork.
The 3 biggest mistakes agencies make when they grow
1. Chasing numbers instead of outcomes
Many agencies try to grow by adding more clients even while existing ones complain about inconsistency. Growth isn’t about size; it’s about sustainability. Real success means improving fill rates, compliance accuracy, and client satisfaction not just increasing invoices.
2. Confusing activity with progress
More shifts filled doesn’t always mean better performance. When teams work beyond capacity, carer burnout increases and turnover rises. Efficiency comes from smarter scheduling, not endless hustle.
3. Copy and pasting broken processes
Scaling a flawed process only multiplies the problem. When agencies copy what’s not working like manual reporting, scattered data and reactive compliance, they end up growing their chaos, not their business.
Before scaling, ask yourself:
- What’s actually working?
- What’s worth repeating?
- What needs to be rebuilt?
What to measure before you scale
To build sustainable momentum, agencies need to review:
- Financial sustainability — predictable cash flow, reduced invoice delays
- Operational efficiency — automated scheduling, accurate payroll
- Staff performance and engagement — retention, satisfaction, reliability
- Client satisfaction and quality — service delivery, compliance, feedback
- Growth readiness — clear processes, connected systems, data visibility
The signals are clear:
✅ 80%+ positive client feedback
✅ 95%+ shift fulfilment
✅ Carers staying 12 months or longer
These are the metrics that turn growth from a gamble into a strategy.
Scale what works. Not what’s broken
Sustainable growth in social care staffing isn’t about doing more. It’s about doing more of the right things.
The agencies that thrive are the ones that build consistency before capacity.
They fix the cracks before adding more weight.
They make data-led decisions instead of gut guesses.
Because growth built on chaos collapses.
But growth built on clarity? That’s unstoppable momentum.
Bhavisha Maru
Head of Supply, Care Hires
Part of The Accelerator Team