Nest Healthcare

We rated safe as requires improvement. We assessed eight quality statements. We found improvements to the safety of the service following our last inspection. There was a positive learning culture where events were investigated. However, practise had not yet been embedded into the service and Duty of Candour had not been considered. The environment was safe and met peoples needs. However, the ligature risk assessment needed updating. Staff had received training appropriate to their role and medicines management processes had been improved. However, staff had not had the opportunity to put learning and new systems into practise, team meetings and supervision were not taking place to ensure staff learning and understanding of the service was up to date. Client files were thorough but did not include individualised early exit plans.