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A Little Extra Help, a small domiciliary care agency registered in August 2020, was rated Requires Improvement at its first inspection due to regulatory breaches in staffing (Regulation 18) and governance (Regulation 17), including incomplete care certificate training, gaps in recruitment checks, absent risk and capacity assessments, and insufficient audit oversight. Strengths included safe medicines management, good infection control, adequate staffing levels, and positive caring relationships between staff and people using the service.