The Care Quality Commission (CQC) has rated Collaborative Care Solutions ‘inadequate’ and told it to make improvements, following an inspection conducted in September 2023.

Collaborative Care Solutions is a domiciliary care agency based in Slough. It provides personal care in five settings to people with mental health conditions and associated needs, people living with learning disabilities and autistic people. It also offers treatment of disease, disorder or injury, carried out under the supervision of a qualified, registered nurse.

At the time of the inspection, 16 people were being supported by the service. The CQC visited three Collaborative Care Solutions locations, and reviewed the care and support needs of six people.

What inspectors found

The CQC expects health and social care providers to guarantee people with a learning disability and autistic people:

  • Respect
  • Equality
  • Dignity
  • Choices
  • Independence
  • Good access to local communities that most people take for granted.

‘Right support, right care, right culture’ is the guidance the CQC follows to make assessments and judgements about services that support people with learning disabilities and autistic people.

Right support

At Collaborative Care Solutions, inspectors reported that people were “exposed to avoidable risk of harm” because systems to ensure the safe and proper management of medicines were inadequate. Not all staff had their competency to administer medicines assessed in line with best practice guidance.

Following on from the provider’s previous CQC inspection, its care plans and risk assessments continued to lack robust and clear guidance. They sometimes contained incorrect or conflicting information. Not all records demonstrated that risk was effectively assessed, monitored or mitigated.

In addition, inspectors found that staff had not always been safely recruited. References had not always been appropriately obtained and the CQC was not assured that staff had access to training.

Lessons were not always learnt when things went wrong, and the provider’s monitoring systems were inadequate because failures identified through the inspection were not always known about or acted upon.

Right care

People being cared for by Collaborative Care Solutions provided positive feedback about the skills and experience of staff. Relatives said the same, and inspectors reported that the service treated people with kindness.

Staff were person-centred in their approach and promoted people’s privacy and dignity. People being cared for by Collaborative Care Solutions were supported to have maximum control of their lives. They were supported in the least restrictive way possible and in their best interests.

The policies and systems in place at Collaborative Care Solutions supported this practice.

People also told inspectors they were supported effectively with food and drink, and had choice and involvement when it came to their care.

Right culture

Inspectors found that Collaborative Care Solutions’ governance systems remained inadequate. They also reported that the service was not well led.

The provider failed to carry out their regulatory responsibilities and did not have adequate oversight of the service.

In addition, Collaborative Care Solutions had not submitted all relevant statutory notifications when incidents had occurred.

Overall, the CQC concluded that the provider lacked robust assessments and controls to protect people and keep them safe.

Five key questions

The CQC also uses five key questions to help it form judgements about how well services are caring for people.

They are:

  • Is the service safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive?
  • Is it well led?

Collaborative Care Solutions was rated ‘good’ against the key questions about caring and responsiveness, but ‘requires improvement’ for effectiveness.

It was rated ‘inadequate’ for both safety and leadership, and therefore received a rating of ‘inadequate’ overall. The service will therefore remain in ‘special measures’.

This means the CQC will keep Collaborative Care Solutions under review and – if it does not decide to cancel the provider’s registration – will reinspect within six months to check for significant improvements. If enough improvement is not made within this timeframe, the CQC will take action to prevent the provider from continuing to operate the service.

The CQC’s full report on Collaborative Care Solutions is available to read on its website.

Have your say

Don’t forget – if you or a loved one has experience of care from Collaborative Care Solutions, you can rate and review the service right here on our website.

Feed back now

Published on 20 Dec, 2023 (updated 9 Jan, 2024)

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