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Voyage (DCA) Greater Manchester was rated Requires Improvement overall at its first inspection, with a breach of Regulation 12 identified due to multiple medication management failures including incomplete MARs, unsafe storage of thickening powder, and failure to document administration times for time-sensitive medicines. All other key questions were rated Good, reflecting a caring, person-centred service with strong leadership, effective safeguarding, and committed staff delivering positive outcomes for people with learning disabilities and autism.