As the regulator of England’s health care and social care services, it is Care Quality Commission's job to make sure that they meet essential standards of quality and safety and give people a positive experience of care. CQC's inspectors are continually checking services in every area of the country. As well as looking closely at individual services, each year CQC takes an in-depth look at the state of health care and social care nationwide and produces a report for Parliament on its findings. This booklet gives a brief overview of the state of care in 2009, drawing on some of the findings in our report to Parliament. It highlights what is working well and where health care and social care services need to improve, focusing on the needs of the millions of people who use them.