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Bramble Home Care LTD - Cinderford received an overall rating of Requires Improvement at its first inspection, with a breach of Regulation 17 (Good Governance) identified due to inaccurate medicines records, absent PRN guidance, and insufficient audit processes failing to detect these shortfalls. Care, responsiveness and effectiveness were all rated Good, supported by strong staff consistency, positive feedback from people and professionals, and proactive person-centred practice.