Bishop Fleming are a regional firm covering the South West and the Midlands. The ageing population means there are more retirement homes here than in other parts of the country and this has become an important sector for us. However, recent changes in funding have impacted on occupancy levels, clients are becoming more cost conscious and a move to ‘care in the community’ all mean that the care sector is facing difficult and interesting times.

Our team of specialists provide advice to over 150 homes, from the owner-managed and privately owned to large portfolios and corporate groups. These include Care homes (retirement/residential homes for the elderly), nursing homes, learning disability, challenging behaviour and specialist needs, rehabilitation, supported or assisted living, domiciliary care agencies and foster carers.


Our specialist Care Homes Team


Care Homes Services

Buying or Selling a Care Home

All of Bishop Fleming’s healthcare clients have access to our experienced and successful Corporate Finance team, who can assist in any aspect of buying or selling a care home business.

We have a range of experts to provide specialist services, including financial due diligence, business-strategy advice, tax planning, business valuations, advise owner-managed businesses on management buy outs (MBOs), management buy-ins (MBIs), company sales, acquisitions and re-financing expansion plans.

If you’re looking to sell your care business, think of Bishop Fleming. We have a strong history and reputation in advising our clients on selling their businesses in a confidential, professional process. We manage this process to ensure vendors receive maximum value, whilst minimising disruptions to the running of the business.
Due Diligence

Over the years our Healthcare team have developed an extensive knowledge and understanding of the sector. Our due diligence assignments are carried out in a very focused manner and with our knowledge we are able to understand the target businesses rapidly, identifying the key issues.

Our specialist team:
  • Offers our clients advice on the key areas on which to focus their enquiries
  • Quickly identifies anomalies, and evaluates KPIs against others in the market.
  • Has an in-depth understanding of the challenges and business and operational issues faced by each business.
  • Is able to provide valuable input to the acquirer’s solicitors in drafting the sale and purchase agreement. We work with many firms of lawyers on transactions.

Issues affecting Care Homes

The care home industry is highly regulated and poses a number of challenges to the care home sector, including pressure on fees, policies to keep the elderly in their own homes, focus on public spending and reduced referrals due to the current policy. As well as the annual accountancy and tax compliance work we provide, our knowledge and expertise extends to many business areas including:

Business planning

Our expert team spend a large amount of time with our clients looking at their cash flow, finding areas where they can reduce costs and mitigate tax liabilities, as well as reviewing the business structure.We carry out a very effective benchmarking exercise which helps our clients see how their home compares both regionally and nationally.

Refinancing/business acquisition and sales

From our significant experience in acquisition, disposal and financing work in the care home sector, we are able to offer a comprehensive service to clients wishing to buy, expand or exit a business. From small family enterprises to listed companies, our corporate finance team have significant industry links to offer a bespoke service tailored to your needs.

Staffing and payroll issues

We understand that payroll can be a headache; it’s time consuming, extremely complex and costly. We work with our clients to piece together effective payroll solutions. Our attention to detail, accurate processing, knowledge of PAYE legislation and compliance are essential and at Bishop Fleming we can save your business both time and money with our effective payroll services.

Useful Links

Better Caring
A compressive Care Home search engine and vital source of information on care for the elderly and people with learning disabilities.

Care Home A-Z
The market leading care home resource in the UK, featuring the most comprehensive, trusted and detailed database of UK care homes and suppliers to the UK care industry.

Care Quality Commission
The CQC inspect and report on care services and councils. They are independent but set up by Government to improve social care and stamp out bad practice.

Community Care Market News
A monthly newsletter which concentrates on delivering the news, sector developments and market trends in the expanding field of community care.

Department of Health
Providing health and social care policy, guidance and publications for NHS and social care professionals.

National Care Association
The leading representative body for independent care homes and speaks with a unified voice both for its members and the whole community care sector.

Laing and Buisson
The leading provider of authoritative data statistics analysis and market intelligence on the UK Healthcare Community Care and Childcare sectors.

Registered Nursing Home Association (RNHA)
The RNHA campaigns for high standards in nursing home care.

The Care Forum
An independent voluntary organisation working across the South West Region.


Care Homes News


Care Quality Commission’s ratings programme extended

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The Care Quality Commission’s (CQC’s) ratings programme, covering hospital care, social care and GPs, is extended to cover more than 800 additional providers. This includes independent doctors that offer primary care online. All healthcare organisations in England […]

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Care homes prescribed “Nil by Mouth” in Budget spending

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Despite funding for the care sector being in a serious state, the Chancellor prescribed it no new funds in the Autumn Budget. Top 30 advisory firm and care sector specialist Bishop Fleming warns that this […]

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