Independent guidance for England · Content version: 1 November 2026Pre-launch review
Governance · Report

State of Care highlights governance and workforce pressures

CQC's 2025/26 report identifies governance, staff competence and market pressures in adult social care. Its assessed-service findings require careful interpretation.

What CQC reports

CQC published its annual State of Care report on 23 October. The adult social care section points to weaknesses in leadership, oversight, staff competence and recruitment in services where inspectors found concerns.

It also describes consolidation among care homes and a more varied community care market. The report links these changes with challenges for commissioning and the sustainability of care provision.

Reading the findings in context

The findings provide a useful prompt for reviewing how a service checks care quality and follows up risks. CQC's assessments were risk-led; results from assessed services should not automatically be treated as representative of every provider.

Keep the status clear

A national report is not an assessment of your service. No rating, inspection outcome or new provider deadline can be inferred from this summary.

Points to consider

CQCaudit interpretation for a provider’s own review.

  • Review whether governance checks connect identified risks with completed improvement actions.
  • Consider how supervision and competency checks demonstrate staff readiness for their roles.
  • Use the report as context alongside evidence from your own service.

Read the original sources

Prepared with automated research and summarisation. Source checking does not represent clinical, legal or qualified professional sign-off. Our news standards.

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