Please accept my apologies that you felt Bramhall Manor didn't manage your Mum's fall well, and that you did not feel you could raise a concern at the time of the incident.  I can advise that the home has acoustic monitoring at night. This monitors the room for any sound or movement and alerts staff that they need to attend to a resident. This means that we can sometimes prevent a fall occurring. Unfortunately, if we have not been able to prevent the fall, we know immediately and can attend quickly.   I can confirm that the staff also go into rooms in line with resident's assessed needs during the night. I can also advise that the paperwork that goes with residents to hospital is a "hospital pack".  This is a summary  of the person's needs and the reason for their visit to the hospital. It is not all of the notes that were recorded during the shift.  I would have been very happy to discuss this at time, if you would like to discuss this further then please do not hesitate to contact me