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N-Able Care, a small domiciliary agency supporting one person, was rated Requires Improvement overall at its first inspection, with breaches of regulations 17, 18 and 19 relating to governance, staff training and unsafe recruitment practices. Caring and responsive aspects were rated Good, reflecting a positive and consistent care relationship, but significant gaps in quality assurance, record-keeping, medicines management and staff competency assessment posed increased risk to the person supported.