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Three Counties Care Services Ltd was rated Requires Improvement overall, with breaches of Regulations 12 (safe care and treatment) and 17 (good governance) leading to a warning notice due to inadequate risk assessments, poor COVID-19 infection control and absent quality monitoring systems. Although staff were knowledgeable about safeguarding and supported the person to make daily choices, gaps in training, supervision, MCA understanding and care planning meant care was inconsistent and not fully person-centred.