Nurse‑Led Clinical Care at Home (TDDI)
Treatment of Disease, Disorder or Injury (TDDI)
Rockingham Home Care is CQC registered to provide Treatment of Disease, Disorder or Injury (TDDI), enabling us to deliver safe, structured, nurse‑led clinical care to people with complex health needs in their own homes.
This registration allows us to support individuals who require ongoing clinical input alongside personal care, helping them remain at home, avoid unnecessary hospital admissions, and maintain dignity, independence, and quality of life.
Our Clinical Approach
All clinical care delivered by Rockingham Home Care is nurse‑led and clinically governed. The service is led by our Registered Manager, who is also a Registered Nurse and Clinical Lead, providing clear accountability, professional oversight, and consistent decision‑making across the service.
Clinical care is delivered in line with:
Individualised care plans
Evidence‑based clinical protocols
Robust risk assessments
Ongoing monitoring and review
Healthcare tasks are only delegated to care staff where they have received appropriate training, been assessed as competent, and are working under clear nurse supervision.
Conditions We Support
We support adults with a wide range of diseases, disorders, and injuries, including:
Spinal injuries
Stroke
Parkinson’s disease
Huntington’s disease
Cerebral palsy
Acquired brain injuries
Other long‑term, progressive, or complex health conditions
Many of these conditions require skilled clinical input, careful monitoring, and a personalised approach to care.
Clinical Treatments We Provide
Our nurse‑led service is able to provide and oversee a range of clinical treatments at home, including:
Medication management and clinical oversight
Wound care
Pressure area care
Catheter care
PEG care and feeding
Respiratory support
Tracheostomy care
Oxygen therapy
Administration of emergency medication where required
All care is delivered safely, in line with professional standards and regulatory requirements.
Strong Clinical Governance
At Rockingham Home Care, the Registered Manager also undertakes the role of Clinical Lead, ensuring strong clinical governance in line with CQC Regulation 17 (Good Governance).
This includes:
Clinical supervision and support
Staff competency assessment
Safe delegation of healthcare tasks
Clinical audits and quality monitoring
Incident management and learning
Risk management and escalation
As the service grows, we have clear plans to strengthen our team by recruiting additional registered nursing support and administrative capacity, ensuring resilience, continuity, and high standards of care.
Person‑Centred Care You Can Trust
Through our TDDI registration, Rockingham Home Care is able to deliver high‑quality, person‑centred clinical care at home, tailored to each individual’s needs, goals, and preferences.
We work closely with families, GPs, community services, and hospital teams to ensure effective communication, coordinated care, and positive outcomes for the people we support.