- Care home
Bramhall Manor Care Home
Assessment report published 30 July 2025
Contents
Ratings
Our view of the service
This inspection was undertaken between 14 and 20 May 2025.Bramhall Manor Care Centre is a purpose-built care home registered to provide nursing and personal care for 71 people across three floors. The service is commissioned to provide 15 short-term, intermediate care placements for people discharged from hospital but not yet ready to return home. The other placements are for people who require nursing or residential care on a longer term basis. At the time of our inspection there were 51 people using the service.At our last inspection the provider had been in breach of 2 legal regulations and enforcement action had been undertaken. At this inspection we found shortfalls remained both in relation to the management of medicines, and systems of governance and the service remains in breach of regulation for the management of medicines and systems of governance. We also noted some areas of improvement and where areas of concern had been addressed in relation the management of risk The service had systems and processes in place to support safe care delivery; however, inconsistencies and shortfalls in several areas that impacted the overall assurance of safety were noted. Medicines were still not safely managed. Risk assessments and care plans were not always updated following an incident and records did not always evidence safe care practices, in line with care plan being followed. Staffing oversight was inconsistent, with some shortfalls in recruitment checks, supervisions and call bell response monitoring. We also received mixed views about the staffing levels. Suitable processes were in place to learn lessons, but these had not yet led to some areas of shortfall being resolved. There was a clean, well maintained environment with responsive domestic and maintenance staff. The provider had good working relationships with other professionals. People and families spoke positively about the service and the registered manager. The registered manager had an open door policy and people, families and staff told us they felt able to raise concerns and provide feedback, and felt confident issues would be addressed. Since the last inspection the management team had implemented numerous systems for oversight and monitoring to address our previous concerns. We noted these were being completed regularly and issues were being identified. However, there was still work needed to ensure areas of shortfall were fully resolved, for example in relation to record keeping and monitoring of care delivery. Whilst the provider had identified many of the areas of shortfall we found at this inspection, it had not identified all these, and the action taken had not yet led to the required changes being implemented and embedded within the daily practice. People were supported to access healthcare services as needed and staff worked closely with each other and external professionals. There were suitable processes in place to ensure oversight of people’s needs but it was not always clear these were being followed. For example, in relation to ensuring people had sufficient fluids and access to the appropriate diets, where we found improvements in relation to record keeping were needed. People felt well cared for at the service and told us they were supported by a consistent team of staff who understood their care needs. Staff told us they felt well supported in their role. There were opportunities to pursue leisure interests and activities available on site, as well as trips out to the local community. People spoke positively about the care they received, although records did not always demonstrate how people’s preferences were being met, that care was consistently delivered in line with care plans or demonstrate how people were consistently involved in developing and reviewing care that was personalised. People were supported to access care services as needed and we received positive feedback about people’s outcomes. Further work was needed to support people to plan for the future, particularly in relation to ensuring care provided to people approaching the end of their life was personalised. Information was available to people in accessible formats and the service had resources to support alternative methods of communication including communication cards.
People's experience of this service
People appeared well cared for and we observed kind and caring interactions between people and staff. People spoke positively about how staff cared for them. One person commented, “Since I have been here, they have always treated me with respect. The staff are courteous and friendly.” People told us they felt safe with one person commenting, “At night they come round and check on me, so I feel safe, and I know there are people there to help if I need them.” A relative commented, “We are quite happy [family member] is safe here. The main thing is when we leave here, we are not worried about them.”People told us staff were very responsive with one person telling us. “If I ask for anything I get it. The cook goes out of his way. They say tell me what you fancy the day before and I’ll do it for you.” We received some mixed feedback about the staffing levels although most people felt staff were quick to respond to requests for support but others felt staffing levels could be better. One person commented, “I think sometimes they could do with more staff. I think they need 3 at least because they are busy. No, it doesn’t affect me I am alright it affects them because they are busy.” People were supported by consistent staff with one person telling us, “I know all the staff and I know their faces and names; they change about because they are on shifts.”People spoke positively about the activities available, with one person telling us, “There’s loads of activities going on like chair exercises and I like going in the garden. It’s called wellbeing, and there is a trip out to Manchester airport on Friday. We go to garden centres and mills. They have singing and brass bands come in. There’s lots going on, I don’t get bored.” It was not always clear that where people had expressed preferences about how they were cared for, such as the gender of care staff or frequency of care, that these were being followed whenever possible. People felt able to raise concerns, with one person telling us, “If I ever have a small grievance, they address it straightaway.” People and families were involved in meetings where they received updated and could feedback any ideas or concerns. There were other processes to collect feedback including surveys. Families told us they were kept up to date in relation to their relative and that communication generally worked well.