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Mount Hill Care, a small domiciliary care agency in Harlow, was rated Requires Improvement overall at its first inspection in January 2023, with a breach of Regulation 17 due to absent governance systems including no MAR recording, no staff competency monitoring, and failure to notify CQC of a safeguarding concern. Care delivery was rated Good across effective, caring and responsive domains, reflecting personalised, person-centred support for the single service user at the time of inspection.