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Margaret House, a domiciliary care agency serving 25 people, was rated Requires Improvement overall on its first CQC inspection, with a breach of Regulation 17 identified due to ineffective governance systems failing to detect medicines stock shortfalls, incomplete risk assessments, and insufficient care plan detail. Staff were consistently described as kind and caring, visits were reliable, and people felt safe, but significant improvements to audit effectiveness, medicines management, record keeping, and staff induction oversight are required.