- Care home
Bramhall Manor Care Home
Assessment report published 19 June 2026
Contents
Ratings
Our view of the service
Date of assessment 16 April to 5 May 2026.
Bramhall Manor Care Centre is a purpose‑built care home registered to provide nursing and personal care for up to 71 people across 3 floors. At the time of our inspection, 60 people were using the service. The home provides residential care, residential dementia care, and nursing care, with people living across all 3 floors.
At our last inspection, the provider was in breach of 2 legal regulations relating to the management of medicines and the systems for governance, and enforcement action was taken. At this inspection we found continuing breaches regarding the safe management of medicines and governance and oversight of the service. We have asked the provider for an action plan in response to the concerns found at this assessment
Medicines were not always administered safely, and there were repeated concerns relating to medicines requiring specific administration guidance, including the safe application of topical creams. Concerns were also identified regarding the management of time‑sensitive medicines.
Risk assessments and care plans were implemented in a timely manner. However, shortfalls were identified as they did not always fully reflect people’s individual levels of risk, and oversight of risk management was inconsistent, with some areas being more robust than others. We found falls management had improved, with an increased focus on falls prevention and supporting people to maintain and improve mobility.
An overall improvement was noted in response times to call bells; however, there were still occasions when people experienced delays in receiving support. Staffing levels remained a recurring theme raised through surveys and meetings.
Feedback from people and their relatives was positive, and people told us they felt safe. Staff were suitably recruited and received the training and support required for their roles. The provider had ongoing actions in place to ensure staff received appropriate training to support people with learning disabilities and autistic people.
The home was clean, tidy, and well maintained, with suitable processes in place for equipment checks and maintenance. However, further work was required to ensure the environment fully met the needs of people living with dementia, particularly in relation to accessibility and orientation.
Systems for management and governance were not always effective in identifying, escalating, and resolving risks relating to medicines management, fluid monitoring, and record‑keeping. While record‑keeping was improving, it was not consistently accurate or sufficiently detailed to evidence safe, effective, and person‑centred care.
Staff generally described a positive culture, with good teamwork and pride in their work. A range of engagement with families was in place through meetings, surveys, and regular communication, with feedback welcomed and responded to. There were positive community links, including intergenerational activities and opportunities for people to access the local community.
People's experience of this service
People were positive about their experience of living at Bramhall Manor and spoke highly of the staff team, who were described as very kind and caring. People told us they felt safe and well cared for overall. Families were confident staff had the knowledge and skills to meet people’s needs. One family member commented, “I have no concerns. I regularly look at the care, medication, and diet records for [family member] and they are bang up to date. I do not announce my visits and [family member] is always clean and well looked after.” People spoke positively about the support they received to eat and drink. One person commented: “There are plenty of drinks – jugs of water, juice, and tea.” We observed staff frequently offered drinks and snacks, and people’s weight was generally stable. Mealtimes were a positive experience for people, and we observed people enjoyed their meals. One person told us, “Staff always speak to me properly and listen. For example, at mealtimes, if I don’t like something I tell them and they change it.” People were encouraged to remain socially active and mentally stimulated. Activity staff offered people a range of activities within the home, as well as opportunities to access the local community. A physiotherapist visited the home and supported people with group physiotherapy therapy, as well as one‑to‑one sessions where appropriate. The registered manager provided examples of the benefits this had for people, including improvements in mobility and independence, and reductions in the number and severity of falls. Intergenerational work was taking place, with a local nursery group visiting the home, and the registered manager had introduced a service choir, which people living at the home had engaged with positively. People felt able to provide feedback on their views and experiences, and a wide range of compliments had been received by the service. Families told us communication worked well, with one family member commenting, “Everything here works well. Good communication with family, good care, and regular social events and activities.” Feedback was requested regularly through surveys and indicated overall positive responses. Regular resident and relative meetings were also held. The only areas for improvement noted in feedback from people and relatives related to some concerns around staffing levels. The registered manager reviewed these concerns on a regular basis, and ideas such as additional activities, improvements to mealtime experiences, and more effective management of laundry were shared, reviewed, and acted upon.