The Care Quality Commission's (CQC) State of Care report has been published, highlighting problem areas in care.
The CQC report recognised that there is good care being delivered in health and social care and highlighted the considerable variation in services provided and called for an end "unacceptable care".
The CQC issues warning notices to those organisations not meeting the required standards, 1149 were issued to social care organisations in 2013/14 and 53 were issued to independent healthcare organisations.
Key findings by the CQC include that those living in nursing homes tend to receive much poorer care than those in residential homes, and one in five nursing homes did not have enough staff on duty. Homes with a registered manager were found to be better run than those without one in place for six months or more.
The CQC found that larger GP practices on average delivered a better quality of care than smaller practices, and in NHS hospitals safety was the biggest area for inadequate and requires improvement ratings with 79% of hospitals inspected in these categories.
David Behan, chief executive of the CQC, said: "The findings from our inspections over the last year clearly show there is too much variation in quality and safety between services and within services.
"People need to have confidence that they will get good care. Our role is to identify what works well and why, and what doesn't work, and use this information to drive improvement and close the gap."
Behan added: "While we will celebrate good and outstanding care where we find it, we are calling time on unacceptable inadequate care. When our inspections identify poor care, they must lead to improvement by providers, who should learn from the good and outstanding care we champion through our new ratings."
Heléna Herklots, chief executive of Carers UK said: "Each and every person has a right to expect high standards of care and poor quality services have a knock-on impact on employers and the wider economy as we lose skilled staff from the workplace when carers cannot manage any more. Estimates suggest the cost to our economy of carers who are unable to work is £5.3 billion a year."
