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Afresh Healthcare Limited, a small domiciliary care service in Luton, was rated Requires Improvement overall at its first inspection in May 2023, with breaches of Regulation 17 (Good Governance) due to ineffective auditing, unsafe recruitment practices, and inadequate medicines management. Care delivery was generally good, with staff treating people with dignity and respect, robust personalised care planning, and positive feedback from the one person using the service.