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Keyznow Health and Social Care Ltd was rated Requires Improvement at its first inspection in December 2022, with regulatory breaches identified across person-centred care (Reg 9), safe care and treatment including medicines management (Reg 12), and good governance (Reg 17). While safeguarding, infection control, recruitment and staff training were found to be adequate, care planning, risk assessment documentation and quality monitoring systems were insufficiently robust to ensure safe, personalised care.