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Utmostcare Limited received an overall rating of Requires Improvement on its first CQC inspection, with regulatory breaches found in safe care and treatment (Regulation 12) and good governance (Regulation 17), primarily relating to inadequate risk assessments, unsafe medicines record-keeping, ineffective infection control measures, and audit systems that failed to identify significant concerns. The service demonstrated strengths in its caring approach, multi-agency working, and responsiveness to inspection feedback, with staff described as kind and people reporting they felt safe.