The article analyzes the sufficiency, adequacy, and quality management in the Spanish system of care for dependency. It examines the use of services and economic benefits by individuals served in the System of Autonomy and Care for Dependency (SAAD), as well as the tools developed to guarantee the quality of long-term care. According to data from the Disability, Personal Autonomy, and Dependency Survey (EDAD 2020), the most used social benefit is home assistance, followed by telecare. Additionally, it is observed that a significant percentage of people do not receive any type of service or benefit. The article presents data on the distribution of people with disabilities and dependency in Spain in 2020. The combination of formal and informal services and benefits received by these individuals is analyzed. It is highlighted that 78% of cases receive more than five hours of care daily, with a higher percentage in home care. Additionally, the distribution of services and benefits by autonomous communities is mentioned, showing significant differences. The low hourly intensity of home assistance service and the insufficiency of economic benefits to cover care costs are noted. The text presents a series of data on beneficiaries of benefits according to the degree of dependency in different autonomous communities of Spain. Percentages and numbers of beneficiaries in each category are mentioned, as well as the average ratio of benefits per person. Information is also provided on specific benefits included in each category. Additionally, data on the average intensity of the Home Assistance Service (SAD) and the average amount of the Economic Benefit for Care in the Family Environment (PECEF) and the Economic Benefit Linked to Residential Services (PEVS) by degree and autonomous community are presented. The article analyzes the sufficiency, adequacy, and quality management in the Spanish system of care for dependency. It highlights that there is a widespread perception that the catalog of services and benefits provided for in the dependency law is neither sufficient nor adequate to meet the needs of users. Deficient services such as personal assistance, supervised housing, and personal autonomy promotion services are mentioned. The need to improve access to technical aids and support products is also raised, as well as the development of intensive case management models to personalize care. The article addresses the need to improve case management and care services for dependent people in Spain. The importance of allocating adequate budgets and resources to case managers, as well as providing training and support to family caregivers, is emphasized. The need to expand and diversify the catalog of services and benefits, as well as improve social and health coordination, is mentioned. The trend towards the deprofessionalization of care and access to digital care hiring platforms is also noted. Overall, the fragility and limitations of the care system in Spain, which have been highlighted during the COVID-19 pandemic, are emphasized. The article addresses problems related to the quality of care in residential and home care in Spain. It highlights that residential facilities offer uniform care with limited options for residents, double rooms, and constant turnover of professionals. Additionally, the lack of social and health coordination and the insufficiency of current required ratios are mentioned. Regarding home care, the low hourly intensity, rigidity, and inflexibility of the service are noted. The need to promote changes in organizational practices and professional cultures to personalize and flexibilize residential care is raised. The need to flexibilize and enrich home care services is also emphasized. The article addresses the lack of flexibility and bureaucracy in the system, [Extracted from the article]