This article explores how out-of-home care systems across five countries (Australia, Canada, New Zealand, United Kingdom, and the United States) approach cultural care for children, examining the organisational structures, leadership, and practices that support or hinder children’s connections to their culture, family, and community. Drawing on interviews with service providers, it highlights key drivers of effective practice and offers practical tools and insights for strengthening culturally responsive, system-wide approaches to safeguarding children’s identity and wellbeing.