Railway Bridge View

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This is the first assessment for this service. This key question has been rated good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (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 had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. The organisation demonstrated a strong vision of teamwork and community support. Staff consistently reported that they enjoyed their roles and felt valued and appreciated. The provider promoted equality by supporting people to access community services and ensuring inclusive opportunities were available to all.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty. Staff told us that managers and leaders were approachable. One comment included, 'The [manager] is great. I find [manager] approachable.' Leaders demonstrated a clear understanding of their responsibilities under the duty of candour and were open and transparent about any issues or incidents.

The provider fostered a positive culture where people felt they could speak up and their voice would be heard. A whistleblowing policy and procedure were in place, and staff told us they would feel confident using it and would not hesitate to raise concerns if necessary.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them. All staff we spoke with shared positive experiences of working for Roche Homecare Ltd. They told us they felt well supported and valued in their roles. The organisation also demonstrated flexibility and consideration for each staff member’s individual circumstances.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate. A governance structure was in place that focused on identifying gaps in service provision and assigning action plans to support continuous improvement. Additional training needs were identified and addressed, ensuring staff had the necessary knowledge to deliver safe and effective care. The registered manager demonstrated a clear understanding of their role and the legal requirements for reporting to the CQC.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement. A stakeholder shared the following feedback with us “I have no negatives to say in regard to the carers or the organisation as a whole and I often recommend the service."

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research. The provider was committed to improving the service and welcomed feedback from CQC. Long-term action plans were in place to support the safe expansion of services.