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Esmero Care Services Limited was rated Requires Improvement overall at its first inspection, with a regulatory breach of Regulation 17 (Good Governance) identified due to ineffective oversight systems failing to detect unsafe moving and handling practices by staff and a manager who lacked the relevant training to identify these risks. Caring and Responsive were rated Good, reflecting kind, person-centred care and personalised care planning, with medication management, infection control and recruitment all found to be safe.