No care homes in Wirral are currently rated as outstanding with figures showing Wirral is the worst in the North West for standards of care.
A new report shows that out of 116 care homes across Wirral, 69 are rated good and 47 required improvement.
Comparing Wirral to its neighbours Liverpool and Sefton, it has almost double the number of care homes requiring improvement with Sefton being a leader in the region with 85% of its care homes getting good status.