• Residential substance misuse service

Nest Healthcare

Overall: Requires improvement read more about inspection ratings

49 Arnold Road, Clacton On Sea, Essex, CO15 1DE (01245) 355434

Provided and run by:
Paradise Lodge Care Home Limited

Latest inspection summary

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Overall

Requires improvement

Updated 30 January 2026

Date of assessment: 20 August 2025


We carried out this assessment to follow up on the breaches identified at the last inspection and to review if the conditions on the providers registration needed to stay in place.


During our last inspection on 30 July 2024, we rated the provider as requires improvement. Because of the low number of admissions, we did not remove the conditions placed on their registration during the inspection on 27 September 2023. This meant they must not admit any new clients without the prior written agreement of the Care Quality Commission.


During this inspection we noted improvements in some areas. However, we were concerned about the feedback we received from people using the service.


We inspected 8 quality statements across the safe, effective, caring, and well-led key questions, specifically following up on areas of improvement from previous assessments.

We have combined the scores for these areas with scores from the last inspection to give the rating.


During this inspection, we found breaches in the following areas:


The service must ensure it has individualised early or unexpected exit from treatment forms located within client’s files (Regulation 12)


The service must ensure it has a personalised ligature risk assessment and ligature risk management plan in place. (Reg 17)

Nest Healthcare was registered with CQC in December 2017 to deliver the regulated activities: Accommodation for persons who require nursing or personal care, Accommodation for persons who require treatment for substance misuse. Treatment of disease, disorder or injury was added to their registration in September 2020.

The service had a Registered Manager at the time of inspection.

Substance misuse services

Requires improvement

Updated 16 July 2025

This assessment was carried out on 20 August 2025 to follow up on breaches identified at the last inspection.

During our last inspection on 30 July 2024, we found breaches in the following areas:

The service must ensure it has individualised early or unexpected exit from treatment forms located within client’s files (Regulation 12)

The service must ensure that governance systems and process including audits are in place. (Reg 17)

The service must ensure it has a personalised ligature risk assessment and ligature risk management plan in place. (Reg 17)

The service must ensure staff have access to regular supervision, appraisal and team meetings in line with the providers policy. (Reg 18)

The provider must ensure that duty of candour is considered, and the duty of candour policy is followed when something has gone wrong. (Regulation 20)

We rated the service as Requires Improvement. We found 4 breaches of the regulations in relation to safe care and treatment, person centred care and good governance.

However, there were enough staff to ensure people’s safety and the service had addressed some breaches from the last assessment.

We have asked the provider for an action plan in response to the concerns found at this assessment.