Most social care users are receiving a 'one size fits all' service, according to the Commission for Social Care Inspection's final annual report.

The regulator said many were not getting the care they needed and reforms to make services more personal had not yet succeeded.

"Personalisation means putting people at the centre of the design and delivery of services, acting to respect their rights and choices, and providing support to enable people to live their lives the way they wish," said the report, The State of Social Care in England 2007-08.