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Westlake Carers Ltd, a small domiciliary agency serving 20 people, was rated Requires Improvement overall at its first inspection due to regulatory breaches in medicines management (Regulation 12) and governance (Regulation 17), including MAR gaps, absent body maps, inconsistent risk assessments and inadequate auditing. People and relatives were positive about the caring, person-centred approach of staff, and the safe and effective domains were otherwise sound, but robust oversight systems must be established before the service can demonstrate consistent safety and leadership.