Nursing Homes
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At Makesworth Bristol, we understand that Nursing Home Owner-Managers oversee highly complex businesses, often generating £5M in revenue while operating on tight margins. Managing multiple locations means handling property financing and maintenance, while also ensuring quality care for over 100 patients, each with individual funding arrangements. Additionally, expenses such as staffing, catering, supplies, and equipment require careful financial management. We’re here to provide the strategic accounting and advisory support needed to navigate these challenges effectively.

Over the past years we have helped the owner manager of the homes to:
- financial planning and cashflow forecasting
- preparing reports for the banks to support the ongoing funding of the business
- Negotiate funding for patients from councils and local authorities for patient care, by preparing costs for nursing care assessments and re-assessment for CHC negotiations
- staffing related financial matters eg. Payroll, Pensions, Training, Recruitment and awareness of visa requirements for foreign workers and similar HR matters.
- compliance with the plethora of financial regulations, and awareness of the many other regulations that care homes need to comply with eg CQC, Health & Safety, Fire Safety
- increase occupancy rates and reduce voids through better planning and control systems
- support the financial case for self-funded care for discussions with family members
- assist management to maximising profits by identifying additional income potential and identifying areas where cost savings could be made
- property ownership aspects, charging rent as an expense to the business, depreciation etc. and the P&L, balance sheet and related tax aspects.