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Phoenix Health Kare received an overall rating of Requires Improvement at its first inspection, with regulatory breaches identified across safe medicines management (Regulation 12), consent and mental capacity recording (Regulation 11), and governance and record-keeping (Regulation 17). Caring was rated Good, reflecting genuine staff compassion and person-centred values, but systemic failures in auditing, care plan maintenance and oversight present elevated risks to the two people in receipt of care.