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The Care Inspectorate says vulnerable patients were put at "risk of harm" due to "critical failings" at NHS Highland's Care at Home service in Sutherland.
Medication was administered incorrectly, with patients needs often neglected at a Highland care service, according to a new report.
It follows concerns raised last month by the watchdog.
NHS Highland previously said it had developed an action plan that it is trying to implement as quickly as possible. It has been approached for further comment.
