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Luna Healthcare, a small domiciliary care agency in Coventry, was rated Requires Improvement across all five key questions at its first inspection in May 2021, with breaches of Regulation 17 (Good Governance) and Regulation 19 (Fit and Proper Persons Employed) identified. While people and relatives praised staff as kind and caring, significant failures were found in recruitment checks, medication management, risk assessment, governance systems, and record keeping.