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Big Hearts Recruitment Ltd, a domiciliary care agency serving 97 people, was rated Requires Improvement overall at its first inspection in March 2023, with breaches of Regulations 12, 17 and 19 identified in risk management, medicines recording, governance and recruitment. Caring was rated Good, reflecting a kind and respectful workforce, but inconsistent visit reliability, poor care-plan detail, inadequate medicines recording and weak recruitment checks posed ongoing risks to people's safety.