Care South Annual Review 2007-2008 Beauchamp Gardens Beauchamp Country House Care Hatch Beauchamp, Somerset 2 Care South | A Year in Review Annual Report & Accounts 2007-2008 contents Statements reports Section One Chairman’s Statement Felicity Irwin DL 4 Chief Executive’s Statement Susan Willoughby 5 Section Two Residential Care Services Report Richard Hawes Director of Care Services 6 Section Three Home Care Services Report Carolyn Collins Director of Domiciliary Care & Business Development 8 Section Four Human Resources & Training Report Moira Brown Director of Human Resources & Training finance Section five Financial Report John Wardle Finance Director company 10 12 Section six Board of Directors & Executive Team Company Information 14 3 Care South | A Year in Review Annual Report & Accounts 2007-2008 Chairman’s Statement The past year has seen Care South deliver quality care to a wider client group. The purchase of Beauchamp House and the opening of the Dementia Unit at Sussexdown, together with new Home Care delivery contracts, have added to our service user base which is excellent. Alongside that, changing need has given rise to challenges on occupancy in some of our older homes. This means that it is essential for Care South to continue to expand and develop, investing in rebuilds and acquisition to provide relevant care to meet market need now and in the future. Care South has created a more secure financial base over the past five years in order to be able to fund the development of the provision of nursing and dementia care that meets the needs of the future. Demographics support this long term strategy and Care South continues to pursue this development plan both independently and together with the Local Authorities where possible. As always, the dedication and professionalism of all staff throughout the Company are vital to our success 4 and I thank each and every one of them for their commitment and energy. Training continues to play an important part in that professionalism and it was good to see so many achieve NVQs and other qualifications again this year. At last it seems we can see care emerging as an accepted career and the sector can only benefit from that recognition. Hopefully, this recognition will reflect positively in more staff joining the Company on a permanent contract and we can reduce our use of agency staff. We look forward to another year of growth despite the global financial downturn and you may feel sure that the Board, together with the Senior Management Team, will endeavour to ensure that next year will bring further development and delivery of quality care by Care South to the community. Felicity Irwin DL Chairman Care South | A Year in Review Annual Report & Accounts 2007-2008 Chief Executive’s Statement The last year has been a year with much to celebrate! We gained the renewal of our accreditation under Investors in People; Alex Every, Chef at Buxton House, won the Caring Times Care Chef of the Year Award; Mandy Langton, Home Manager at Mount Pleasant, won the overall South West Skills for Care “Ted Gully Award” for New Care Manager; Care South won the Social Care Association’s Associate Corporate Member of the Year Award; and over 150 staff collected various awards at the Company’s Annual Awards Ceremony. The 20 bed dementia unit at Sussexdown was opened in early January and this was quickly followed at the end of January with the Company’s acquisition of Beauchamp House Country Care in Hatch Beauchamp, South Somerset. This home, a Grade II listed Georgian house, built in 1756, is situated in beautiful landscaped gardens with 12 mews style cottages providing assisted living. During the year, the Company took an Option on a site adjoining Sussexdown. The Company applied for, and was successful in obtaining, planning permission to develop 11 close care apartments and, as a result, the Company exercised its Option to purchase the site in July 2008. The development, to be known as Strome Park, will enhance the care facilities available at Sussexdown. In addition, we are currently exploring options to reconfigure and upgrade facilities at the Sussexdown Care Home. The Home Care division has continued to expand having won new contracts during the year, including a block contract by the Bath and North East Somerset (BANES) Community Directorate. To service this contract, the Company has just purchased a new domiciliary care office at the newly created Bath Business Park. The end of December 2007 saw the appointment of Richard Hawes as Director of Care Services following the retirement of Roger Fulcher after 16 years’ service with the Company. Richard is a Registered Mental Health Nurse and brings a wealth of experience in both the NHS and private residential homes sector. More recently in July 2008, we saw the retirement of John Wardle as Finance Director after four years of service and the appointment of his successor, Steve Wisdom, who joins us from financial services. There will continue to be challenges ahead, particularly given the current economic climate. The dependency levels of our residents and home care clients continue to increase as does the demand for care services. I am grateful to everyone in the Company for their commitment and for going the ‘extra mile’ to ensure that our customers receive good care and that the Company has had another successful year and continues to go from strength to strength. Susan Willoughby Chief Executive 5 02 We are tremendously proud of our achievements this year. We currently have the potential to provide care and comfort for up to 945 residents in any one of our 20 homes across Dorset, West Sussex and Somerset. For those making the choice to come into a care home, whether it is the family member or the individual, it is a difficult time. We should never underestimate the enormity of the challenge to the individuals involved. At Care South we believe that our staff understand the need to support people through this process and help residents to adapt to their new home, while offering comfort and support to family members. SECTION 2 RESIDENTIAL CARE SERVICES RICHARD HAWES DIRECTOR OF CARE SERVICES THIS YEAR WE WELCOMED BEAUCHAMP HOUSE IN SOMERSET INTO THE CARE SOUTH FAMILY Of course it is not just residents that can be new to Care South; we welcome Beauchamp House in Somerset into the Care South family. This fabulous care home with nursing is located in the pretty village of Hatch Beauchamp near Taunton. The home is a Grade II listed Georgian house built in 1756; it became Somerset’s first private nursing home in 1956, and more recently 12 mews style cottages providing assisted living have been built in the grounds. The care offered to the home’s residents is of a high quality and many have commended the excellent food provided in the home. programme looking at a range of subjects including record keeping, personal care, and medication. This will not only evidence the good standards we deliver, but provide the opportunity to identify where we could further enhance our service to residents. The majority of our homes meet a good standard (two stars); one of our homes, Wickmeads, achieved an excellent standard (three stars); our congratulations go to the home and particularly to Maureen Anderson, the home manager. To put this into perspective, nationally only 27 out of every 100 homes achieve this. In Dorset, at the time of writing there were only three homes that reached this level. Beauchamp House is Care South’s second nursing home, joining Sussexdown in West Sussex where the specialist dementia unit was opened in January 2008. This unit offers care in full en-suite facilities for up to 20 residents living with dementia; it is a spacious unit with a circular route through the building, and offers a range of activities for residents. The philosophy and atmosphere in the unit are conducive to meeting the individual needs of residents through a person centred approach. The demand for facilities for those living with dementia is increasing and the opening of the unit at Sussexdown will offer another level of support to the community in West Sussex. The Commission for Social Care Inspection have changed from measuring against standards to looking at outcomes for residents. They expect organisations to look ahead and plan ways in which services are developed to benefit individuals living in care homes. At Care South we have always maintained an ethos of delivering quality care; recently we have introduced a clinical audit 6 Continuing with the theme of congratulations two of our staff were successful in high profile awards. Alex Every, Chef at Buxton House in Weymouth, won the Care Chef of the Year in November 2007 having faced stiff competition in a “cook off” against other nominees. This is a national award run in conjunction with the Caring Times publication. Mandy Langton, our home manager at Mount Pleasant, won the Dorset round of the South West Skills for Care “Ted Gully Award” for New Care Manager. For this she received a training bursary which was spent on creating a facilitated ‘Dementia café’ and ‘Understanding Dementia’ workshop for staff, residents, relatives and visiting professionals. As winner for Dorset, Mandy was then automatically entered into South West final. Mandy beat many high calibre managers to take the title and the prize of a travel bursary which will be spent in the Netherlands comparing and contrasting their approach to dementia care. Care South A Year in Review Highlights from the year (clockwise from top left): Pleasant, winner of the “Ted Gully Award” for New Care Manager for the South West. St Martins, Gillingham celebrate the opening of their new decked area. Care South Chairman Felicity Irwin DL, Richard Hawes, Director of Care Services and Home Manager, Laura Bale at the opening of the Dementia Unit at Sussexdown, Storrington. Mandy used her award bursary to organise an ‘Understanding Dementia’ workshop with Dr Gemma Jones. Wickmeads was one of only three homes in Dorset to achieve an excellent standard from the Commission for Social Care Inspection. Beauchamp House at Hatch Beauchamp. Alex Every, winner of the Care Chef of the Year, receives his award from Esther Rantzen at the Care Awards Gala Night. Mandy Langton, home manager at Mount Annual Report & Accounts 2007/08 Dutch Day at Sussexdown, Storrington. 7 03 Nationally, home care or ‘domiciliary care’ as it is often referred to, is preparing for the ‘personalisation agenda’ which is the overall government vision where the state empowers individuals requiring care or support to shape their own lives and the services they receive. This change, to be implemented nationally by March 2011 will lead to all of our home care clients being given the option of managing their own care and support budgets. This is to enable them to have more choice and control over how their support is delivered. This choice option will be known as an ‘Individual Budget’. At Care South we are working hard to develop innovative flexible services and choices of domiciliary care delivery models to ensure that we meet the aspirations of our clients and remain their provider of choice. 8 SECTION 3 HOME CARE SERVICES CAROLYN COLLINS DIRECTOR OF DOMICILIARY CARE AND BUSINESS DEVELOPMENT IN THIS FAST PACED, EVER CHANGING ENVIRONMENT, AS EVER THE STARS ARE OUR STAFF WHO NEVER CEASE TO AMAZE US In the midst of this sea change we have experienced yet another busy year, both with growth within our existing services and with new services that have started during the year: the Primary Care Trusts with a view to joint commissioning. This is good news for home care as to date such jointly commissioned services have been innovative and tend to generate staff development opportunities. • in late 2007 we were awarded the contract to provide care and housing related support at a new Extra Care Housing Scheme, Bure House in Christchurch. This scheme was completed in January 2008 and the tenants took up residence shortly after. The scheme has 44 selfcontained apartments for people aged 55 and above with varying dependency levels, plus three bungalows for the young disabled As one of the founding care providers who developed the Care Ambassador Scheme (now a national initiative), we continue to look for innovative ways to promote and develop our services: • in January, Care South acquired Beauchamp Country House Care comprising a nursing home with assisted living cottages and apartments known as Beauchamp Gardens in the grounds. These cottages are a welcome addition to the home care division and offer yet another domiciliary care lifestyle choice in the Care South portfolio • in February we received notification that we were to be awarded a block contract by the Bath and North East Somerset (BANES) Community Directorate. This contract became operational in June 2008. To service this contract we have purchased a new domiciliary care office, including training rooms, just outside Bath in Peasedown St John at the newly created Bath Business Park. This year we have seen more care commissioned by the Primary Care Trusts in all our offices, particularly for palliative care. All of our local authority commissioners are currently focused on developing their links with • in August we took a stand at the two day Dorset County Show in Dorchester and were overwhelmed by the interest it generated in our care services. Following this success in 2008 we will have attended four such shows by the end of the year • in October we show-cased a five minute film on innovation through partnership working, at the 2007 National Children & Adult Services Conference (previously known as the Annual Directors of Social Services Conference) at the Bournemouth International Centre. The film, which showed our Somerset night response and dementia sitting services, was very well received, it stimulated a lively debate and was applauded both for being an ideal way to show the positive impact domiciliary care services can have on people’s lives, and also for highlighting how domiciliary care services can reduce hospital admissions. In this fast paced, ever changing environment, as ever the stars are our staff who never cease to amaze us with their ability to adapt to the changing needs of our clients and services whilst continuing to deliver quality care. Care South A Year in Review Highlights from the year (clockwise from top left): Home Care BANES office in Bath. Beauchamp Gardens in the grounds of Beauchamp House, Nr Taunton. Domiciliary carer arriving to deliver care. Carolyn Collins accepts, on behalf of Care Annual Report & Accounts 2007/08 South, the Associate Corporate Member of the Year Award from Social Care Association Chief Executive Nick Johnson, at the 59th SCA Annual Seminar in Cardiff. Bure House Extra Care Housing Scheme at Christchurch. Jo Charles, Manager of Bath Domiciliary Care office with Kim Harding, Residential Care Services Manager at the Bath and West Show, Somerset. Carolyn Collins with a selection of her domiciliary care managers (clockwise from top): Dawn Palmer, Crewkerne Office; Lynne Elliott, Honiton Office; Tina Bales, Poole Office; Lesley Morgan, peripatetic manager. 9 04 During the year the personnel and training teams provided professional support including advice, training and coaching to all 24 sites. One of our key goals during this year was to ensure the Company achieved Investors in People re-accreditation. The Company has continued to successfully be re-accredited since it first achieved Investors in People in 1996. SECTION 4 HUMAN RESOURCES & TRAINING MOIRA BROWN DIRECTOR OF HUMAN RESOURCES & TRAINING OUR AWARDING BODY, EDEXCEL, AGAIN COMMENTED ON THE HIGH STANDARD AND QUALITY OF OUR ASSESSMENTS Personnel Training and NVQ Centre Legislative changes and best practice issues required updating of personnel policies. There were two major pieces of legislation which required extensive work to implement: the ban on smoking in workplaces effective from 1 July 2007; and the increased entitlement to statutory holidays from 1 October 2007. The Annual Awards Ceremony held in June 2008 at the RNLI Lifeboat College in Poole celebrated the year’s achievements. The theme for the ceremony was “Feel Proud” and in total 163 successful employees were invited. John Nash, Regional Development Manager from Skills for Care South West, presented the awards which included 108 achieving Level 2 in Health and Social Care, 29 at Level 3 and four at Level 4. Our Awarding Body, Edexcel, again commented on the high standard and quality of our assessments. New programmes were included in the Awards Ceremony for the first time. These were: Institute of Leadership and Management (ILM) Team Leading; ILM Introduction to the Care Sector; NVQ2 in Professional Cookery; and qualifications relating to the Adult Learning Sector. Beauchamp House staff attended their first Awards Ceremony and provided five of the achievers. Job descriptions have been updated for all residential care, catering and domestic staff together with the creation of associated competency framework. Further work is being undertaken to ensure all managers utilise the competency based approach to recruitment and selection. As part of the expansion of Sussexdown, with the opening of the dementia unit, the personnel team assisted with an extensive recruitment campaign including the innovative use of radio advertising in West Sussex. The personnel team were involved in the acquisition of Beauchamp House: reviewing employee due diligence, conducting policy and file audits on site as well as liaising with staff. As part of a move to enhance employee engagement a Staff Newsletter was created – The Link. This was sent to all staff and invited their contributions and news covering the whole of Care South. The Company now has over 1500 employees. The Staff Association continues to play a valuable role in the development of the Company and in seeking the views of staff. The work undertaken by Staff Association Representatives and their positive contribution are much appreciated. 10 The training team offered 38 different specialist care training courses and a total of 470 were delivered to 3677 delegates across all our 24 sites. This included induction and specialist dementia training for new staff at Sussexdown. Flexible learning methods were developed, including 42 individual learning sessions and seven information booklets. Management development was enhanced with managers attending a Myers Briggs Type Indicator© workshop to increase self-awareness by discovering normal differences in people. The management development programme is devised to be flexible and now includes competency based interviewing skills. Care South A Year in Review Highlights from the year (clockwise from top left): Xiao Wei Tang with her certificate at the Annual Awards Ceremony. this year and sent to all staff and welcomes their input to each issue. Staff celebrate their success at this year’s Annual Awards Ceremony at the RNLI Lifeboat College in Poole. The theme of this year’s Awards Ceremony was “Feel Proud” and in total 163 successful employees were invited to celebrate their achievements. Moira Brown (second left) with the Training and NVQ Team on the terrace at the RNLI Lifeboat College, Poole. John Nash, Regional Development Manager from Skills for Care South West presents Annual Report & Accounts 2007/08 The staff newsletter, The Link, was launched 11 Care South | A Year in Review Annual Report & Accounts 2007-2008 Finance Report The summary financial information shown is an extract from Care South’s Group financial statements and may not contain sufficient information to allow for full understanding of the financial affairs of the Group. The Group’s financial statements have been audited by PricewaterhouseCoopers LLP whose report is unqualified. Total income for the Group increased by £3.9m (15%) over 2006/07. This reflected strong growth in both residential and community care income with yearon-year increases of 17% and 9% respectively. The growth in residential care income was due to: • the full year effect of Maiden Castle House (opened January 2007) and Sussexdown (purchased February 2007) • the opening of a 20 bed dementia unit at Sussexdown in January 2008 • the acquisition of Beauchamp House Nursing Home Limited in January 2008 • the number of beds increasing during the year, by 53, to 946. The growth in community care income reflected increased demand for our services across all offices. Residential care costs increased by £3.3m to £20.1m due to: • the increase in the number of beds during the year and the full year costs for Maiden Castle House and Sussexdown • increased rent, food and utility costs • the ongoing schedule of works to improve, repair and maintain homes • higher expenditure on temporary care staff (up £0.8m to £2.1m) due to difficulties in recruitment and retention. 12 Community care costs increased by £0.7m to £5.2m, primarily due to increased staff hours to reflect the demand for services. Support costs increased by £0.4m to £2.0m due to the creation of additional posts and higher professional fees, both arising from the increased activities of the Group. The increase in the surplus for the year of £0.9m to £4.2m was due to the £2.2m actuarial improvement on the defined pension scheme deficit. If the actuarial gain was excluded from both years then the surplus movement would have been a reduction of £0.7m. Balance Sheet net assets have improved by £4.2m as a result of the surplus in the year. The increases in fixed assets and long term liabilities reflect the freehold property acquired on the purchase of Beauchamp House Nursing Home Limited and the bank loan used to finance, in part, the acquisition. The Company is an Admitted Body to the Dorset County Pension Fund. Care South closed admission to new members in May 2006. The triennial review was carried out on 31 March 2007. In the calculation for FRS17 purposes the Actuary estimates that the Care South share of the Fund has a net pension liability of £2.5m, £2.0m better than the previous year. The Fund is subject to its next triennial review in March 2010. Reserves, calculated as the surplus of assets over liabilities after taking into account pension liabilities, are necessary to ensure that the Group is in a financially sound position to make long term contractual commitments with our clients. The reserves represent 4.1 months of total annual operating expenditure (2007: 2.8 months). The Board’s policy is to have reserves of six months operating expenditure, which they feel is appropriate for the Group. The financial statements were approved by the Board of Directors on 23 July 2008 and copies will be sent to the Charities Commission and Registrar of Companies. Copies of the financial statements and the auditors’ report can be obtained from the Company Secretary at Care South’s Head Office. This summary of financial information is consistent with the financial statements of the Company. John Wardle Finance Director care South Group Financial summary Income 2007/08 £’m 2006/07 £’m Residential care services 23.4 20.0 Community care services 5.9 5.4 - 0.2 0.6 0.4 Voluntary income Investment income Other income 0.2 0.2 Total income 30.1 26.2 Expenditure 2007/08 £’m 2006/07 £’m Residential care 20.1 16.8 Community care 5.2 4.5 Support costs 2.0 1.6 Interest payable on bank loans 0.5 0.2 - 0.1 0.3 0.3 Interest on pension scheme liabilities Other costs Total operating expenditure 28.1 23.5 Actuarial gains on pension scheme (2.2) (0.6) Total expenditure 25.9 22.9 Retained surplus 4.2 3.3 Source of income 2007/2008 Community Care 20% All other income 3% Residential Care 77% How the income was spent 2007/2008 Community Care 17% Support costs 7% All other costs 3% Balance sheet 2008 £’m 2007 £’m Fixed assets 17.5 11.4 Current assets 12.5 10.2 Current liabilities Long term liabilities Defined pension scheme liability (6.5) (3.9) (11.5) (7.9) (2.5) (4.5) Reserves (pre-actuarial reduction in pension scheme deficit) 7% Residential Care 66% Net assets 9.5 5.3 13 Care South | A Year in Review Annual Report & Accounts 2007-2008 Company Information board of directors Mrs Felicity Irwin DL MCIPR Chairman Mr Christopher Kean FCA Vice Chairman Mrs Sheila Collins LLB (Hons) TEP Solicitor Sir Christopher Coville KCB BA FRAeS FCIPD Dr Rosalind Maycock BM DRCOG Mr Christopher Panes FRICS (Retd.) (resigned 7/12/07) Miss Alison Pope JP SRN SCM MTD QN (Retd.) Mr Christopher Tatham Mrs Trish Taylor Mr James Webster BSc FRICS (appointed 28/11/07) Standing (left to right): Christopher Kean, Christopher Tatham, Sheila Collins, Christopher Panes, Sir Christopher Coville. Seated (left to right): Alison Pope, Felicity Irwin DL, Rosalind Maycock Mr James Webster BSc FRICS (appointed 28/11/07) Mrs Trish Taylor executive team Left to right: Carolyn Collins, Steve Wisdom, Susan Willoughby, Richard Hawes, Penny Sargeant, Moira Brown Mrs Susan Willoughby BA (Hons) ACA Chief Executive Mrs Penny Sargeant ACIS Company Secretary Ms Moira Brown MSc MCIPD MCMI Director of HR and Training Miss Carolyn Collins BA (Hons) Director of Domiciliary Care and Business Development Mr Richard Hawes RMN MBA DipHS Director of Care Services (appointed 31/12/07) Mr John Wardle MBA FCCA Finance Director (resigned 24/07/08) Mr Roger Fulcher BSc (Hons) Director of Care Services (resigned 31/12/07) Mr Steve Wisdom ACA Finance Director Designate (appointed 1/07/08) company details Company Secretary Penny Sargeant ACIS Registered Office 39 Commercial Road, Poole BH14 0HU Company No. 2565033 Registered Charity No. 1014697 14 Auditors PricewaterhouseCoopers LLP, Southampton Solicitors Lester Aldridge, Bournemouth Bankers The Royal Bank of Scotland plc, Southampton Barclays Bank plc, London Alliance & Leicester Commercial Bank plc, Birmingham Care South | A Year in Review Annual Report & Accounts 2007-2008 Company Information Residential Homes Home Address Telephone Alexandra House Alexandra Road, Parkstone, Poole BH14 9EW 01202 746640 Beauchamp House Hatch Beauchamp, Taunton TA3 6SG 01823 481500 Buxton House 423b Radipole Lane, Weymouth DT4 0QE 01305 760834 Castle Dene Throop Road, Bournemouth BH8 0DB 01202 397929 Dorset House Coles Avenue, Hamworthy, Poole BH15 4HL 01202 672427 Draper House Draper Road, Kinson, Bournemouth BH11 8BD 01202 572232 Elizabeth House Dolbery Road, Parkstone, Poole BH12 4PX 01202 744545 Fairlawn St Mary’s Road, Ferndown BH22 9HB 01202 877277 Heathlands Constitution Hill Road, Poole BH14 0PZ 01202 676858 James Day Home Ulwell Road, Swanage BH19 1LQ 01929 422272 Leybourne House Western Avenue, Northbourne, Bournemouth BH10 6HH 01202 574426 Maiden Castle House 12-14 Gloucester Road, Dorchester DT1 2NJ 01305 251661 Mount Pleasant 21 Mount Pleasant Avenue, Weymouth DT3 5JF 01305 760903 Queensmead 1 Bronte Avenue, Christchurch BH23 2LX 01202 485176 St Martins Queen Street, Gillingham SP8 4DZ 01747 823221 Sussexdown Washington Road, Storrington, West Sussex RH20 4DA 01903 744221 Talbot View 66 Ensbury Avenue, Ensbury Park, Bournemouth BH10 4HG 01202 537571 Templeman House Leedam Road, Northbourne, Bournemouth BH10 6HP 01202 537812 The Fearnes 26 Knyveton Road, Bournemouth BH1 3QR 01202 296906 Wickmeads Thornbury Road, Southbourne, Bournemouth BH6 4HR 01202 427144 Home Care Offices Poole 39 Commercial Road, Poole, Dorset BH14 0HU 01202 712430 Crewkerne 4a The Linen Yard, South Street, Crewkerne, Somerset TA18 8AB 01460 270500 Honiton East Devon Business Centre, Heathpark Way, Heathpark, Honiton, Devon EX14 1SF 01404 548680 Bath 3 The Office Village, Roman Way, Bath Business Park, Peasedown St John, Bath BA2 8SG 01761 422920 Training Services Poole 39 Commercial Road, Poole, Dorset BH14 0HU 01202 712450 15 Queensmead, Christchurch Staff and residents planting up spring flowers on a sunny day. Head Office 39 Commercial Road, Poole, Dorset BH14 0HU t. 01202 712400 | f. 01202 712401 | info@care-south.co.uk | www.care-south.co.uk © Care South. September 2008. All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner.