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Care Companions Limited, a small domiciliary care agency in Coventry, received an overall rating of Requires Improvement on its first inspection, with safe and well-led key questions rated Requires Improvement due to incomplete recruitment checks, inconsistent medication records, insufficient risk assessment detail, and immature governance and audit systems. Effective, caring, and responsive key questions were rated Good, reflecting well-trained staff, person-centred care, and high satisfaction from people and relatives.