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Delta Healthcare Group Limited, a small domiciliary care agency, was rated Requires Improvement overall at its first inspection, with breaches of Regulation 12 (safe care and treatment), Regulation 17 (good governance) and Regulation 18 (staffing) resulting in warning notices. While people and relatives were positive about the caring and personalised support received, significant failings were identified in staff training and competency, medication management, risk monitoring and quality assurance systems.