During an assessment under our new approach
Date of Assessment: 14 to 24 April 2025. Railway Bridge View (Roche Homecare Ltd) is a care at home service providing support to adults of all ages who may be living with physical disabilities, sensory disabilities and dementia. This is the first assessment of this service since it registered with CQC.
Recruitment processes were secure and reliable. Sufficient staff were available to visit individuals at home safely and according to their preferred schedules. Team members were well-prepared, having received thorough training and orientation. Detailed risk evaluations addressed both the physical and emotional well-being of the people supported. Trained personnel administered medications safely. A strong culture of learning was evident, reflected in how staff discussed their roles and the continuous support they received.
Staff ensured individuals fully understood their care and treatment, allowing them to give informed consent. When individuals lacked mental capacity, staff worked with those close to them to make decisions in their best interest. People were actively involved in evaluating their own needs, with staff considering their communication styles, personal preferences, and health conditions. Care delivery followed current best practices and evidence-based approaches. Nutritional needs were met, and staff collaborated with other professionals to ensure smooth transitions and optimal care outcomes.
Staff well-being was supported by the provider. Privacy and individuality were respected, and personal choices were honored. People were encouraged to stay connected with their communities and maintain meaningful relationships.
People were informed about how to give feedback or make complaints, and they trusted the management to respond effectively. Care was delivered fairly and equally, with staff trained to recognize and address disparities in health and social care. People were included in making decisions about their care and were aware of their right to refuse or stop receiving services.
Staff expressed confidence in the leadership, particularly the registered manager, and felt safe to voice any concerns. Policies protected individuals with legally protected characteristics. A commitment to continual improvement was evident, with staff given opportunities and resources to innovate. The registered manager fulfilled their responsibilities, including reporting all required incidents to the Care Quality Commission (CQC).