Collaborative Care Solutions

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

The service was previously in breach of the legal regulations in relation to people receiving care in line with their needs and staff receiving adequate training and supervision. Improvements were found at this assessment and the service was no longer in breach of these regulations.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The provider told us no one had moved into the service since the last inspection. However, they had developed their assessment policy which was focussed on providing person centred support. People’s support plans we reviewed monthly with staff to ensure they remained current and relevant.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. However, the management team and staff were not always aware of relevant best practice guidance such as Right Support, Right Care, Right Culture and the REACH standards, used to assess supported living settings to ensure people’s choices are maximised. The management team told us they would research this best practice guidance and look at the most effective ways to embed this into their practice. In other ways we found best practice guidance was followed such as how people’s health was monitored alongside healthcare professionals.

The provider worked well across teams and services to support people. Although people had a main core of staff supporting them, staff spent time supporting the majority of people. This helped to ensure staff who knew people well were available to support them at all times. A daily handover took place with staff supporting across the supported living settings. This enabled staff to plan for their day, ask for any support they may need, plan for appointments and discuss any specific concerns. The manager felt this had led to greater consistency in the way staff worked and had improved communication.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People told us they felt staff supported them in trying to improve their health and wellbeing. One person told us that with staff support they had reduced the amount they were smoking. Another person told us they received support from staff to attend the gym. Both people told us they felt this had had a positive impact on both their physical and mental health. A member of the management team told us, “We try to find something for them to be involved in, that sense of achievement is very important.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met the expectations of people themselves. People were supported to develop interests in addition to taking part in educational and work opportunities. One person told us staff understood how important it was for them to go to college for them to achieve their ambitions. They told us staff knew it would take them some time to gain the qualifications they required and had supported them to do this in a more manageable way. One person told us how staff had continued to support them in looking for work opportunities.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us they felt staff respected their rights in relation to consent. One person told us, “They [staff] don’t have to ask for my consent as I decide when I want my support and ask for it.” All those currently being supported by Collaborative Care were able to consent to staff providing their support. They were able to give examples of where staff had provided information regarding risks but had still respected their right to make their own choices. Staff had received training in relation to the Mental Capacity Act 2005 and understood how this impacted their role. One staff member told us, “Yes we have had training. Everyone is assumed to have capacity until they are assessed as not having capacity, there should be no prejudgements. Capacity varies, someone might have capacity to manage their money for example, but not other things.”