This report details the impact of the COVID-19 pandemic on nursing homes in Ireland, with a focus on the experiences of residents, their relatives and staff. Over the past few months, HIQA inspectors and staff have spoken to many people directly affected by the pandemic, with both residents and their loved ones experiencing a range of emotions from anxiety, to confusion and loneliness, as well as gratitude to staff for the care they provided. COVID-19 has brought into sharp focus the need for reform of current models of care for older people, which are also outlined in this report.