Collaborative Care Solutions

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Good

Our view of the service

The inspection of Collaborative Care Solutions took place between 14 May and 23 May 2025. The inspection took place to review changes within the service since our last inspection. Collaborative Care Solutions is a domiciliary care agency providing supported living services. The service delivers personal care in 5 settings, to people with mental health conditions and associated needs, to people with learning disabilities and autistic people. The service also provides the regulated activity of treatment of disease, disorder or injury for people carried out by or under the supervision of a qualified registered nurse. Not everyone who used the service received a regulated activity. At the time of the inspection there were 3 people who received a regulated activity being supported by the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found on the whole the provider was meeting this although would benefit from a greater understanding of the guidance and needed to ensure these principles were fully embedded into practice.

The last rating for this service (published 4 January 2024) was inadequate and identified breaches of regulation in relation to people’s safe care and treatment, medicines management, reporting safeguarding concerns and ensuring these were shared with the CQC, and ensuring people’s care was relevant to their needs. In addition, staff had not received adequate training and supervision, recruitment checks were not robust and there was a lack of governance and management oversight. At this inspection we found improvements had been made and the provider was no longer in breach of regulations although these systems needed to be sustained over time.

People were supported to manage risks to their safety and well-being as staff had a good awareness of their needs although additional guidance within records was needed. Accidents and incidents were reviewed regularly and action taken to minimise risks going forward. Systems to support people with their medicines were in place although audits had not identified changes to one person’s medicines had not been made on their records. This was rectified at the time of our inspection.

Staff received training in all areas of their role and had regular supervision to support their work and development. Care records contained guidance regarding how to provide people’s care safely and in line with their preferences. Staff told us they felt supported and valued in their roles.

Quality assurance and audit processes had been implemented to monitor the service people received. Safeguarding reports were shared with the local authority and other relevant bodies, including CQC as required.

This service has been in Special Measures since 23 January 2023. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

People's experience of this service

People told us they were happy with the support they received from Collaborative Care Solutions and felt improvements had been made to the service. People told us they were supported to access resources which were important to them such as education, employment and leisure facilities. There were sufficient staff available to care for people which meant people could access support flexibly to suit their needs. Staff knew people’s needs, preferences and life histories well. This enabled staff to support people in a person-centred and respectful way. People received their day to day medicines in line with their prescriptions. People told us they felt safe with the support they received and felt able to raise any concerns openly. People were involved in planning their own care and the running of the service. People’s individuality was respected and people described staff as caring and responsive.