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Unity Plus Healthcare Leeds, a small domiciliary care service registered in January 2021, received an overall rating of Requires Improvement at its first inspection, with Effective and Well-Led key questions rated Requires Improvement due to incomplete MCA assessments, inconsistent staff supervisions, and governance systems only recently initiated by a new management team. Safe, Caring, and Responsive were all rated Good, with inspectors finding strong safeguarding practices, consistent staffing, safe medicines management, and a person-centred culture praised by relatives and professionals.