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ST PAUL CARE SUPPORT LTD received a 'Requires Improvement' rating across all five key questions at its first inspection in March 2023, with regulatory breaches identified in person-centred care (Reg 9), safe care and treatment (Reg 12), good governance (Reg 17), and fit and proper persons employed (Reg 19). Key failures included inadequate care planning, absent governance and audit systems, unsafe recruitment practices, no formal training programme, and no medicines management framework, though relatives reported positive experiences and safeguarding and infection control practices were adequate.