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In House Care, a domiciliary care provider in Northampton, was rated Requires Improvement across all five key questions at its first inspection in September–October 2022, with regulatory breaches found in safe care and treatment (Reg 12), staffing (Reg 18), and good governance (Reg 17). Key failings included unsafe medicines management, inconsistent risk and care plan documentation, insufficient staffing levels causing late or shortened visits, and inadequate governance systems that failed to identify and address these issues prior to inspection.