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Ornate Healthcare Trafford was rated Requires Improvement overall on its first inspection, with a breach of Regulation 17 (Good Governance) identified due to inadequate management oversight failing to detect shortfalls in PRN medicines guidance, staff competency checks, care planning gaps, and overdue supervisions and spot checks. Effective and Responsive were rated Good, reflecting sound care planning, staff training, and multi-agency working, but weaknesses in leadership capacity, inconsistent staff communication with people, and insufficient governance systems drove the overall rating down.