Bramhall Manor Care Home

Most people told inspectors they felt safe and spoke positively about staff.

“Most people told us they felt safe at the service and spoke positively about staff.” from the report

Inspectors found the home very clean and well maintained. Equipment checks were also being carried out.

“The service was very clean and well maintained.” from the report

People could receive visits from friends and family, and visitors said they felt welcome.

“We observed many people enjoying visits, and visitors told us they felt welcomed when they visited the home.” from the report

The home had good working relationships with NHS and local authority services and made referrals when people needed extra support.

“The service had good relationships with partner agencies in the NHS and Local authority” from the report

The provider and manager took immediate action on several issues identified during the inspection, including reviewing care plans and risk assessments.

“The provider and registered manager were very responsive to our feedback and took immediate action to review all care plans and risk assessments to ensure they were correct.” from the report

Staff did not always follow the medicines policy. Some medicines were not available when needed, patch sites were not always recorded, and information for medicines given through feeding tubes was sometimes missing.

“Medicines were not always managed and administered safely This was a continued breach of Regulation 12” from the report

Risk records sometimes disagreed with each other, and care records did not always show that staff followed plans for blood glucose, fluids or pressure relief. One wheelchair without footplates was being used until inspectors reported it.

“People's individual risk was not always clearly identified and appropriate action taken to mitigate this risk.” from the report

Audits and checks identified repeated problems, but did not consistently show that action was completed. Records did not always prove that daily checks or lessons from incidents had been followed through.

“The providers systems and processes were not being operated effectively to ensure compliance in the assessing, monitoring, and mitigating risk” from the report

Care plans were not always updated when people's needs changed or when outside professionals gave advice. This could make it harder for staff to provide the planned care.

“This meant that planned care was not always reflective of current needs.” from the report

People and staff reported that staffing was sometimes short, especially at busy times. Records showed that some people waited longer than the home's five-minute call-bell standard.

“there were times when people had to wait longer time frames than the service's 5 minute gold standard.” from the report

Records did not always show decision-specific capacity assessments or best-interest decisions. Reviews were not always completed when additional restrictions or equipment were introduced.

“Records did not demonstrate how the service was working within the MCA process and decision specific assessments and best interest decisions were not evident.” from the report