Official Statistics

Adult social care provider statistics, England: quarterly update to December 2025

Published 15 January 2026

Applies to England

Introduction

This statistical bulletin provides an overview on a range of information on adult social care settings in England.

Updates to current report

Changes to reporting approach and frequency

This publication was previously released monthly on the Adult social care in England, monthly statistics page up to and including December 2025. From January 2026 this publication will have a quarterly reporting cycle. The tables presented within this publication display monthly data, with 3 months of new data published every quarter. Subsequent publications will be released regularly in March, June, September and December.

Official statistics in development on insights from client level data (CLD) from local authorities, which were previously published as part of the monthly statistics, can now be found on the Adult social care client level data, England: quarterly update page. The CLD statistics will be updated in January, April, July and October.

This separation of publications is owing to differences in data collection and coverage between Capacity Tracker and CLD-derived metrics. Capacity Tracker data covers all CQC-registered adult social care providers and the people they care for and is collected at a provider level. CLD covers people receiving local authority provided or organised long-term support, or undergoing local authority assessments, and is collected at an individual level. As such, both publications offer different insights into the adult social care sector and should be considered separately.

Statistics on occupancy, the number of people receiving adult social care services, visiting, staff absences and flu vaccination are now presented from August 2022 in the accompanying data tables. This was the first month in which data was collected on a monthly basis in Capacity Tracker, following the mandation of data collection from 31 July 2022.

The Department of Health and Social Care (DHSC) publishes a range of official statistics on adult social care. We are committed to improving the service for the wide range of users who want and need easy access to our statistics. Feedback from users is essential to this, and we want to gather insights on who uses these statistics, user experiences, and any challenges currently faced when making use of the adult social care provider statistics publication. If you are a user of these statistics, contact us at asc.statistics@dhsc.gov.uk.

Digital social care record statistics designation

From the January 2026 release, the digital social care record (DSCR) section of this quarterly ‘Adult social care provider statistics, England’ report will be published as official statistics (previously official statistics in development). This is following an ongoing assessment of methodologies and data sources, in combination with taking on board user feedback.

Official statistics are statistics produced by crown bodies, those acting on behalf of crown bodies, or those specified in statutory orders, as defined in the Statistics and Registration Service Act 2007.

All official statistics are produced in accordance with the Code of Practice for Statistics and its principles of trustworthiness, quality and value, and regulated by the Office for Statistics Regulation (OSR).

The provider statistics background quality and methodology for this publication gives users more information on how we meet the standards in the code of practice.

Updates on future reports

The next publication will be released on 5 March 2026. Dates for future publications will be announced on the GOV.UK publication release calendar.

Main points

The main points outlined in this bulletin are that:

• 86.1% of total beds in care homes were occupied as of the week ending 15 December 2025
• there were 361,628 residents in the 94.1% of total care home providers that responded in the week ending 15 December 2025
• there were 499,279 people receiving Care Quality Commission (CQC) regulated domiciliary care in the 84.2% of domiciliary care providers that responded in the week ending 15 December 2025
• 99.4% of care homes in England were able to accommodate residents receiving visitors as of the week ending 15 December 2025
• 0.1% of care home staff and 0.1% of domiciliary care staff were absent due to COVID-19-related reasons as of the week ending 15 December 2025
• 10.4% of total staff and 62.7% of total residents are known to have received a flu vaccination for the 2025 to 2026 season in the 99.1% of total care home providers that responded as of 15 December 2025
• 12.9% of total domiciliary care staff are known to have received a flu vaccination for the 2025 to 2026 season in the 96.1% of total domiciliary care providers that responded as of 15 December 2025
• as of October 2025, 81.1% of provider locations are estimated to have a digital social care record (DSCR)

These main points of interest are from the accompanying data tables on the Adult social care provider statistics, England: quarterly update to December 2025 page.

The chapters below contain detailed analysis on the published statistics.

1. Occupancy

As of the week ending 15 December 2025:

• 86.1% of total beds in care homes were occupied
• 10.8% of total beds in care homes were vacant and admittable
• 3.1% of total beds in care homes were vacant and non-admittable

Figure 1: proportion of occupied, vacant and admittable, and vacant and non-admittable care home beds, England, 14 January 2025 to 15 December 2025

Source: Capacity Tracker.

The main observations from figure 1 are:

• rates of occupied beds, vacant and admittable beds, and vacant and non-admittable beds have remained stable over the 12 months to December 2025
• the proportion of total beds occupied was below the 12-month average of 86.0% in January 2025, with this proportion remaining stable between January 2025 and June 2025. This increased to the 12-month average of 86.0% in July 2025, and continued to increase until November 2025, when this proportion decreased slightly
• the proportion of total beds vacant and admittable remained above the 12-month average of 10.8% between January 2025 and July 2025, with this proportion decreasing slightly in February 2025. This proportion remained the same between February 2025 and May 2025, before decreasing slightly between May 2025 and September 2025. This figure increased slightly each month from October 2025 to December 2025
• the proportion of total beds vacant and non-admittable was at the 12-month average of 3.2% in January 2025. This proportion remained largely the same between January 2025 and November 2025, with the exception of slight increases in April 2025, June 2025 and August 2025, before decreasing slightly in December 2025

There was some regional variation in care home occupancy rates. As of the week ending 15 December 2025, the proportion of total care home beds that were:

• occupied varied from 82.4% in the East Midlands to 89.7% in London
• vacant and admittable varied from 7.8% in London to 13.9% in the East Midlands
• vacant and non-admittable varied from 2.0% in the North East to 3.8% in the East Midlands and the North West

This data can be found in table 4a of the accompanying ‘Occupancy, visiting and workforce statistics, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page, in addition to data by region and local authority.

Care home occupancy by bed type

The proportions of total beds occupied by bed type, as of the week ending 15 December 2025, were:

• 85.8% of non-specialist residential beds
• 86.3% of non-specialist nursing beds
• 87.0% of specialist and other beds

The proportions of total beds vacant and admittable by bed type, as of the week ending 15 December 2025, were:

• 11.1% of non-specialist residential beds
• 10.7% of non-specialist nursing beds
• 9.6% of specialist and other beds

The proportions of total beds vacant and non-admittable by bed type, as of the week ending 15 December 2025, were:

• 3.1% of non-specialist residential beds
• 3.0% of non-specialist nursing beds
• 3.5% of specialist and other beds

Figure 2: proportion of occupied, vacant and admittable, and vacant and non-admittable care home beds by bed type, England, week ending 15 December 2025

Source: Capacity Tracker.

The main observations from figure 2 are:

• the proportions of occupied, vacant and admittable, and vacant and non-admittable beds were broadly similar among non-specialist residential, non-specialist nursing, and specialist and other bed types
• the proportion of occupied beds varied from 85.8% among non-specialist residential beds to 87.0% among specialist and other beds
• the proportion of vacant and admittable beds varied from 9.6% among specialist and other beds to 11.1% among non-specialist residential beds
• the proportion of vacant and non-admittable beds varied from 3.0% among non-specialist nursing beds to 3.5% among specialist and other beds

Data on occupancy and response rates can be found in tables 4a to 4d and 8 of the accompanying ‘Occupancy, visiting and workforce statistics, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page.

2. Number of people receiving CQC-regulated adult social care services

Number of care home residents

As of the week ending 15 December 2025, there were 361,628 residents in the 94.1% of total care home providers that responded. This included:

• 335,489 residents in the 94.5% of older adult care home providers that responded
• 26,139 residents in the 93.1% of younger adult care home providers that responded

See the ‘Terminology’ section for definitions of younger and older adult care homes and see the provider statistics background quality and methodology for how this data can be used.

This data can be found in tables 1, 2 and 3 of the accompanying ‘Number of people receiving adult social care services, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page, in addition to data by region and local authority. Response rates are given in tables 5, 6 and 7.

Number of people receiving CQC-regulated domiciliary care

As of the week ending 15 December 2025, there were 499,279 people receiving CQC-regulated domiciliary care in the 84.2% of domiciliary care providers which responded.

This data can be found in table 4 of the accompanying ‘Number of people receiving adult social care services, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page, in addition to data by region and local authority. Response rates are given in table 8.

3. Visiting in care homes

In the week ending 15 December 2025, 99.4% of care homes in England were able to accommodate residents receiving visitors. This figure has been stable since September 2022.

Figure 3: proportion of care homes accommodating or limiting visits for residents, England, 14 January 2025 to 15 December 2025

Source: Capacity Tracker.

The main observation from figure 3 is that the proportion of care homes accommodating visiting for residents has remained stable at a rate of between 99.3% and 99.5% over the 12 months to December 2025.

In the week ending 15 December 2025, there was some regional variation in the proportion of care homes able to accommodate visits in or out of the care home for residents in all circumstances, ranging from 98.7% in the East Midlands to 99.6% in the South East and the East of England.

For more information, see the provider statistics background quality and methodology for these statistics.

This data can be found in tables 1 and 5 respectively, of the accompanying ‘Occupancy, visiting and workforce statistics, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page, in addition to data by region and local authority.

4. Staff absences due to COVID-19

In the week ending 15 December 2025, 0.1% of care home staff and 0.1% of domiciliary care staff were absent due to COVID-19-related reasons.

These proportions stayed the same for both care home staff and domiciliary care staff in the last month.

Figure 4: proportion of staff absent due to COVID-19-related reasons, England, 15 August 2022 to 15 December 2025

Source: Capacity Tracker.

Users should note that the proportion of staff absent due to COVID-19-related reasons is not comparable across care settings.

The main observations from figure 4 are:

• absence rates due to COVID-19-related reasons among care home staff fluctuated around 0.6% between August 2022 and March 2023, before steadily decreasing to 0.2% between April and June 2023. This rate remained stable at 0.2% until April 2024, when it decreased to 0.1% and has remained the same since
• absence rates due to COVID-19-related reasons among domiciliary care staff broadly decreased from 0.9% in August 2022 to 0.1% in September 2024, with the exception of increases in October 2022, March 2023 and between July and October 2023. This rate has remained broadly stable at 0.1% since September 2024, with the exception of a slight decrease in May 2025

Staff absences due to COVID-19 in care homes

In the week ending 15 December 2025, there was little regional variation, with regions reporting COVID-19-related staff absence rates between 0.0% and 0.1% (to one decimal place). Since the week ending 14 November 2025, absence rates decreased from 0.1% to 0.0% in the East of England and the North East and remained the same in all other regions.

Data on absences and response rates in care homes can be found in tables 2 and 6, respectively, of the accompanying ‘Occupancy, visiting and workforce statistics, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page.

Staff absences due to COVID-19 in domiciliary care

Absence rates in domiciliary care settings are not directly comparable with those in residential care homes.

In the week ending 15 December 2025, there was some regional variation, with regions reporting COVID-19-related staff absence rates between 0.0% and 0.2% (to one decimal place). Since the week ending 14 November 2025, absence rates decreased from 0.1% to 0.0% in the North East and South West, decreased from 0.4% to 0.2% in the West Midlands and remained the same in all other regions.

Data on absences and response rates in domiciliary care settings can be found in tables 3 and 7, respectively, of the accompanying ‘Occupancy, visiting and workforce statistics, data to December 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page.

5. Flu vaccination in adult social care settings

Within the 99.2% of older adult care home providers who had updated their seasonal vaccination data as of 15 December 2025:

• 10.8% of total staff are known to have received a flu vaccination for the 2025 to 2026 season
• 63.8% of total residents are known to have received a flu vaccination for the 2025 to 2026 season

Within the 98.9% of younger adult care home providers who had updated their seasonal vaccination data as of 15 December 2025:

• 7.9% of total staff are known to have received a flu vaccination for the 2025 to 2026 season
• 49.1% of total residents are known to have received a flu vaccination for the 2025 to 2026 season

Within the 96.1% of domiciliary care providers who had updated their seasonal vaccination data as of 15 December 2025, 12.9% of total staff are known to have received a flu vaccination for the 2025 to 2026 season.

As data is self-reported by care providers, flu vaccination rates are affected by response rates. Only those who have updated Capacity Tracker since the first 2025 to 2026 seasonal vaccination questions were added on 1 September 2025 are included.

Figure 5: proportion of residents of older and younger adult care homes who have received a 2025 to 2026 flu vaccine, England, 14 October 2025 to 15 December 2025

Source: Capacity Tracker.

The main observations from figure 5 are:

• the proportion of older adult care home residents who have received a 2025 to 2026 flu vaccine has increased from 34.2% in October 2025 to 63.8% in December 2025
• the proportion of younger adult care home residents who have received a 2025 to 2026 flu vaccine has increased from 19.5% in October 2025 to 49.1% in December 2025

Figure 6: proportion of staff in older and younger adult care homes and domiciliary care who have received a 2025 to 2026 flu vaccine, England, 14 October 2025 to 15 December 2025

Source: Capacity Tracker.

Users should note that the proportion of staff receiving flu vaccinations is much lower than the proportion of residents, so attention should be drawn to the y-axis scale.

The main observations from figure 6 are:

• the proportion of older adult care home staff who have received a 2025 to 2026 flu vaccine has increased from 6.0% in October 2025 to 10.8% in December 2025
• the proportion of younger adult care home staff who have received a 2025 to 2026 flu vaccine has increased from 4.1% in October 2025 to 7.9% in December 2025
• the proportion of domiciliary care staff who have received a 2025 to 2026 flu vaccine has increased from 9.3% in October 2025 to 12.9% in December 2025

Data on flu vaccination and response rates can be found in the accompanying ‘Flu vaccination statistics, data to December 2025’ and ‘Flu vaccination response rates, data to December 2025’, respectively, on the Adult social care provider statistics, England: quarterly update to December 2025 page, in addition to data by region and local authority.

6. Digital social care records

Data on the estimated uptake of DSCRs is available up until the end of October 2025.

Adult social care provider locations in England with a DSCR

As of October 2025, 81.1% of CQC-registered adult social care provider locations in England are estimated to have a DSCR, compared to 74.7% in October 2024.

Information on the uptake of DSCRs is self-reported. Adult social care provider locations registered with CQC are required to provide an updated position on their DSCR usage annually. This means that data reported each month represents a snapshot in time from a sample of roughly one-twelfth of the CQC-registered adult social care provider location market. Due to the nature of this rotating sample, it is possible to see fluctuations in usage from one month to the next. To account for this potential for variation, the statistics presented in this report represent the reported use of DSCRs across the current and preceding 2 months.

For more information, see the provider statistics background quality and methodology for these statistics.

Figure 7: estimated proportion of adult social care provider locations that have a DSCR, England, February 2022 to October 2025

Sources: CQC PIR.

The main observation from figure 7 is that the proportion of adult social care provider locations estimated to have a DSCR has broadly increased between February 2022 and October 2025.

This data can be found in table 1 of the accompanying ‘Estimated uptake of digital social care records, data to October 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page.

People receiving adult social care services in England with a DSCR

As of October 2025, 90.4% of people cared for by CQC-registered adult social care providers in England are estimated to have a DSCR, compared to 84.1% in October 2024.

Data on the estimated coverage of DSCRs among people receiving adult social care services is available from October 2022, capturing information provided since August 2022. This follows the commencement of the adult social care provider information provisions on 31 July 2022.

Figure 8: proportion of people cared for by adult social care providers estimated to have a DSCR, England, October 2022 to October 2025

Sources: CQC PIR and Capacity Tracker.

The main observation from figure 8 is that the proportion of people receiving adult social care services estimated to have a DSCR has broadly increased between October 2022 and October 2025.

This data can be found in table 2 of the accompanying ‘Estimated uptake of digital social care records, data to October 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page.

Adult social care provider locations in England who are in the process of implementing a DSCR

As of October 2025, an estimated 10.0% of adult social care provider locations are in the process of implementing a DSCR.

This information is taken from Capacity Tracker, which is updated monthly. The question in Capacity Tracker relating to DSCR use is not mandatory and as such this data may not be fully representative. It should be viewed only as an indication of the proportion of provider locations who may have a DSCR in the near future.

This data can be found in table 3 of the accompanying ‘Estimated uptake of digital social care records, data to October 2025’ on the Adult social care provider statistics, England: quarterly update to December 2025 page. Due to differences in data sources and coverage between metrics, proportions published in the accompanying data tables cannot be added together.

Terminology

Active Capacity Tracker locations

Care homes which have a CQC active status, excluding those with a current dormancy start date.

Care home

Facilities providing residential care. The data in this bulletin refers to CQC-registered care homes.

Care provider location

The term used by CQC for a care home or home care agency, noting that some care home locations will also offer home care. The term also includes a small number of other social care locations which are neither care homes nor home care agencies.

Digital social care records (DSCRs)

Software solutions for recording a person’s care information. They replace paper records.

Domiciliary care

Services providing personal care for people living in their own homes. The data in this bulletin refers to domiciliary staff employed by independent CQC-registered providers.

Older adult care homes

Care homes serving any older people (aged 65 and over) as identified from the latest CQC data on care homes in the ‘older people service’ user band. A small number of residents within care homes serving older people may be aged under 65.

Staff

Unless specified, staff can refer to staff directly employed by a provider and/or through an agency.

Vacant and admittable beds

Beds which are vacant and available to accept an admission on the day of data submission, as self-reported by care providers in Capacity Tracker.

Vacant and non-admittable beds

Beds which are vacant but not available for admission on the day of data submission, as self-reported by care providers in Capacity Tracker. This includes the number of beds that are reported as ‘vacant and reserved’ and derived remaining beds that are classified as ‘vacant but not available for admission’.

Younger adult care homes

Care homes not serving any older people (aged 65 and over) as identified from the latest CQC data on care homes in the ‘older people service’ user band.

About these statistics

This is a quarterly publication by DHSC of official statistics on adult social care in England. Official statistics are produced in accordance with the Statistics and Registration Service Act 2007 and the Code of Practice for Statistics, and meet high standards of trustworthiness, quality and public value.

These statistics are being published as a part of a wider landscape of statistics on adult social care. The Government Statistical Service compiles a UK adult social care database of official statistics on adult social care across the 4 nations of the UK. This is updated on a monthly basis.

These statistics are assessed regularly and any improvements in quality are incorporated accordingly at the next available opportunity. The scope of the data included in this publication is also assessed to ensure the value of these statistics is maintained. Data collection may change in response to shifts in priorities, leading to corresponding adjustments in this bulletin’s reporting.

The UK Statistics Authority conducted a review of adult social care statistics in England, which called for:

• better leadership and collaboration across different organisations publishing official statistics. This publication has been produced in collaboration with other statistics providers of adult social care data and DHSC will endeavour to work with various stakeholders as more data is published through this publication
• addressing of gaps in available data, particularly in privately funded care. This bulletin aims to plug some of that gap by including data on residents privately funding their care in addition to those funded by local authorities
• improving existing official statistics. Statistics derived from Capacity Tracker are badged as official statistics and more data will be added iteratively based on user needs

Data sources

This section details the data sources used to produce the statistics.

Capacity Tracker

Data on the following is taken from self-reported data submitted by care providers in England through a data collection and insight tool called Capacity Tracker:

• occupancy in care homes
• number of care home residents
• number of people receiving regulated domiciliary care
• visiting in care homes
• staff absence in adult social care settings
• flu vaccination in adult social care settings

Since 31 July 2022, this data has been part of the subset of data that providers are required to submit on a monthly basis.

Data on the estimated proportion of adult social care provider locations that are in the process of implementing a DSCR is taken from Capacity Tracker. This question does not fall under the formal notice of a mandate and as such this data may not be fully representative.

CQC provider information return

Data on the estimated uptake of DSCRs by adult social care provider locations is obtained from the PIR. The PIR is managed by CQC. Each adult social care provider is required to complete their return annually, usually on the anniversary of their registration with CQC.

Methodology

More detailed information about data sources can be found in the provider statistics background quality and methodology for these statistics. This document also includes detailed information on:

• data coverage
• data quality
• relevance
• accuracy and reliability
• timeliness and punctuality
• comparability and coherence
• accessibility and clarity
• cost and burden

Revisions

Any revisions to past publications will be in line with DHSC’s revision policy and highlighted in future publications accordingly.

Contact

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For feedback and any further questions, contact asc.statistics@dhsc.gov.uk.