Annual Report 2015-2016 Delivering Quality and Growth Chairman’s and Chief Executive’s Report - achieving an Outstanding category rating. It has been an unprecedentedly busy year for Greensleeves Care as we began to see the fruits of our long-term strategy to deliver quality care and nursing services to an increased number of older people. In line with our long-term strategic plan and after consultation with key stakeholders, we implemented a refreshed identity for the charity, which now operates under the brand of ‘Greensleeves Care’ and emphasises the importance of friendship across our services. This continues to be a key attribute we highlight to differentiate Greensleeves Care in a crowded market. Increasingly, we are caring for residents living with dementia and complex multi-morbidities and we aim to offer the best possible care and support. In 2015, we completed a strategic review of our dementia service and have begun to roll out an enhanced approach to recruitment and training to ensure we attract staff with values aligned to our philosophy. As a result, over 700 staff have become accredited Dementia Friends and we plan to make further improvements to our dementia service over the coming months. Once again we have continued to receive accolades for the quality of our work at local, regional and national level. In 2015, we won a prized national award for Nutrition and Hydration at The Great British Care Awards and won two further accolades – End of Life Care Award and Compassion Award – at The National Third Sector Care Awards. At individual home level, we have continued our success under the CQC’s new rating regime with four homes – The Briars, Harleston House, Kingston House and Mount Ephraim House In 2015 we successfully welcomed three new homes: Gloucester House in Kent, De Lucy House in Norfolk and Viera Gray House in South West London. De Lucy House is the charity’s first brand new home since the WRVS opened Queen Elizabeth House in Bromley in 1990. Gloucester House and Viera Gray House were existing homes acquired from fellow not-for-profit care providers. The addition of these three homes means that Greensleeves is now able to support almost 800 residents around the country. There is also an active pipeline of new and “Greensleeves is now able to support almost 800 residents around the country” 2 redeveloped homes due to open over the next three years. Three brand new homes providing a mix of dementia, nursing and residential care are due to open over the next two years in Kent and Sussex; this will allow us to support a further 200 older people. Our investment in our existing portfolio continues with the expansion of Croxley House in Hertfordshire and, following planning approval in June 2016, we will be redeveloping and expanding Mount Ephraim House in Tunbridge Wells. Margaret, Activities Coordinator with May, a resident at The Briars In 2015, we welcomed Kathryn Gray, a senior HR professional, to the Board of Trustees and, in May 2016, Mike Holt retired as Chairman having served his maximum term as a Trustee. The Board would like to record its thanks to Mike for his service at a time of rapid change and growth. At senior management level, we welcomed Julie Clarges, who leads the expanded Quality team that is responsible for standards, audit and training across the charity. Beautiful and historic Sharnbrook House in Bedfordshire We would like to thank all of our committed staff and volunteers, including our Board of Trustees, who give generously of their own time, for their continuing hard work and dedication. We are exceptionally fortunate that we have so many loyal and talented employees, without whose dedication our work would not be possible. Trustees Chris Shaw (Chairman) Paul Newman (Chief Executive) Chris Shaw (Chairman) Rob Strange OBE (Deputy Chairman) Richard Costella Mike Girling Kathryn Gray Leila Harris-Ryberg Rama Krishnan Liz Marsh Paul Rees Paul Varney 3 Delivering Quality: Care Report Food is an integral part of life in our homes and this year there has been a notable focus on good food and a great dining experience for our residents. Meal times are a social highlight, a time for people to get together and catch up and, without exception, our homes have excelled in that. The National Activity Providers Association (NAPA) challenged care homes across the UK to get involved in its ‘Fine Dining Experience’ award. Across the Trust, our homes set about creating unique and memorable dining experiences showcasing the culinary expertise of their chefs. Torkington House’s fine dining experience was shortlisted in the category Setting the Scene, and, at Croxley House, Nick Broad was runner up after serving a seven course meal. Nick was rewarded with a masterclass with Michelinstarred chef, Mark Sargeant. Throughout the year homes have focused on the dining experience through specific events and occasions, themed menus and celebrations of the cultural diversity of our residents, their families and friends. Gina, Deputy Manager enjoys a joke with John a resident at Queen Elizabeth House 4 At Borovere, residents enjoyed their own Orient Express experience with a selection of themed meals from across the globe. Their journey began in Paris, with a champagne reception and crepes suzette for dessert, and ended in Krakow with bigos (a sauerkraut meat stew). Similarly at St Cross Grange the culture of many different countries was celebrated as the residents enjoyed films and food from around the world. It culminated on National Care Home Open Day when the day was celebrated with themed events from Hawaii and France, which had been chosen as the most popular destinations. Broadlands in Oulton Broad won the Suffolk County Council Gem Award for the “My Home My Food” category, and has been shortlisted again this year. This demonstrates that the importance of a delicious and well balanced menu cannot be overstated in terms of its positive impact on wellbeing. Celebration has also been a recurrent theme this year with the 70th Anniversary of VE Day, the 90th Birthday of the Queen, National Care Home Open Day and many individual events in the homes. “We have taken steps to create a dementia friendly culture in all our homes” Thornbank celebrated VE Day in style with the help of St Margaret’s Primary School Year 2 pupils. Every single member of staff dressed up in the style of that era. What made it more special, was that the children had dressed up too. Some carried gas mask boxes, some had suitcases and all of them had their ID cards with them. Jams, fresh eggs and vegetables were on display and everyone was invited to try carrot biscuits, potato pastry jam tarts and also potato cakes. The Briars wished Her Majesty The Queen a very happy 90th Birthday with a special birthday buffet lunch, followed by a birthday cake. The residents decorated a birthday banner for the fireplace and royal face masks completed the occasion. At Speirs House, there were special birthday celebrations with a visit from the outgoing Mayor of Kingston upon Thames (on his last day) to honour two birthdays, one of 100 years and one of 90 years. This was followed by a visit of the incoming Mayor (during his first week) to celebrate another two birthdays – this time one of 100 years and one of 103 years! At St Leonards-on-Sea, Grosvenor House put on a medieval banquet, with staff in attendance dressed in medieval costume. This year, we have seen another three homes added to the Eden Alternative UK & Ireland Register of Homes and our congratulations go to Speirs House, Tickford Abbey and Torkington House. We now have thirteen Greensleeves’ homes that have achieved Eden accreditation. The value of having an active life is something we do not underestimate at Greensleeves. There is a mixture of individual, social and lifestyle activities on offer in all our homes. Having fun and staying active is as therapeutic as it is enjoyable. We find that it is not only our residents, their families and friends who enjoy themselves, but local communities join in too. Mount Ephraim House started a new venture in September with children from the local primary school visiting every Tuesday afternoon. The pleasure the children and the residents have had from this has been amazing, culminating in a book the children have produced with entries about their visits. The plan is for this to continue now year on year. Music and singing has been a theme throughout the year. Fun and creativity was behind the introduction of the Greensleeves Song Contest. Gareth Harding, Activities Coordinator at Harleston House, set our homes the challenge to perform a song that represents their home. Performances by residents and staff were recorded and uploaded onto YouTube where the entry of each home was viewed and votes cast by the residents in competing homes in the same way that votes are cast at the Eurovision Song Contest. Elvis appeared to entertain residents at Arden House, setting toes and feet a-tapping and Gloucester House started a choir called “Make Some Noise”, which meets monthly. At Queen Elizabeth House the residents’ choir not only sang, but also put on a nativity play for family and friends at Christmas. As well as having fun we take the business of care very seriously too, and as part of our ongoing strategy to continuously improve the quality of care we deliver we have developed our dementia service with the aim of offering innovative and flexible dementia care that really focusses on the individual resident. To do this we have introduced new initiatives around recruitment and training and have taken steps to create a dementia friendly culture in all our homes, committing to have all staff and Trustees registered as Dementia Friends. In order that the dementia service we provide is really person-centred we have introduced Positive Outcomes for people with dementia, which is underpinned by Dr Tom Kitwood’s Philosophy of Personhood. This allows each home to provide care which is under pinned by a coherent approach but allows care to be delivered in a way that is particular to that home, and which best meets the needs of the residents. The whole initiative was a great success. Every home took part, but the outstanding winner was De Lucy House with a performance of Singing in the Rain. 5 Delivering Quality: Recognising Excellence At Greensleeves Care we strive for excellence in the service we provide to our residents and we are proud of the awards we are nominated for and go on to win. Mount Ephraim House wins End of Life Care Award at the 3rd Sector Care Awards Over the past 12 months our homes have won six awards including Mount Ephraim House winning the award for Nutrition and Hydration at the Great British Care Awards and the End of Life Care Award and Compassion Award at the 3rd Sector Care Awards. The Briars was nominated for and went on to win the Growing Old Disgracefully award from the National Activities Providers Association, and Lyn Andrews at Thornbank won the Activities Coordinator of the Year from National Activities Providers Association. In addition in 2015-16 our homes were nominated for over 20 external awards including ‘Best Care Newcomer’ and ‘Dignity In Care’ at the Great British Care Awards, and ‘Outstanding Contribution to Social Care’ award at the Wiltshire Adult Social Care Awards. Speirs House crowned Home of the Year at the Greensleeves Care Awards We acknowledge and celebrate the huge contribution our staff make and recognise the excellent work that happens in our homes through our own internal awards. Each year Greensleeves Care holds the Greensleeves Care Awards which sees homes and individual staff members acknowledged for their achievements. Staff from all our homes come together for a day to celebrate the year that has passed, to share experiences and ideas, and to simply enjoy each other’s company in a relaxed atmosphere outside the hustle and bustle of our busy homes. Des Kelly, Executive Director of the National Care Forum, was our guest speaker at the 2016 Greensleeves Care Awards when eleven awards were presented to our homes and staff. Speirs House won Home of the Year Award and Comfort Boatemaa from Speirs House scooped the Carer of the Year Award. We also acknowledge the impact visitors and volunteers have on our homes and the lives of our residents and our Special Award this year was awarded to Roy and Jenny Simms, two volunteers who are regularly involved with Mount Ephraim House. Roy and Jenny were described as staunch supporters of the home running a fortnightly art and craft session with the residents, helping out in the gardens and providing essential and priceless support to the home. Both our internal awards and our success in external awards demonstrate that excellent care is delivered across Greensleeves Care every day, ensuring that our residents are at the forefront of all we do. “We strive for excellence in the service we provide to our residents” 6 Greensleeves Homes Trust re-brands as Greensleeves Care On 12 April 2016 Greensleeves Homes Trust changed its brand name to Greensleeves Care. The new brand was unveiled to staff at the annual Greensleeves Care Awards ceremony at The Oval in London. This change of brand identity is the result of extensive research conducted with residents, relatives, Trustees and staff across our care homes and Head Office. The research revealed that our old name suggested our priority was bricks and mortar but what actually mattered most to everyone was the delivery of care at our homes. There was clearly a need for change and we came to the decision to emphasise care delivery in our new brand. As part of our new identity and logo we also adopted the strapline ‘You’re among friends’. This strapline communicates the genuine warmth that is tangible in our homes and our personalised approach to care. Joan, resident enjoys a chat with Julie, Duty Manager at Harleston House As part of the brand launch we have updated our website www.greensleeves.org.uk giving it a modern and fresh look. On our website, in new brochures and other marketing materials we will only use photographs of our own residents and staff working at our care homes. Through this approach, we want to show real care delivered in our homes and capture the feeling of friendship and warmth which is palpable the moment you walk through the front door. The new logo features lower case, less formal, lettering, with a modern look and feel which reflects the innovative approach we adopt in our homes. The combination of colours in the logo reflects our values and traditions – the British racing green reflects our heritage, the blue expresses health, while the dark pink conveys creativity and warmth which is evident in the care we deliver. All three elements are unique but work well together; just like Greensleeves Care’s diverse homes. With the sector becoming increasingly competitive and commercially aware, we know that a strong and positive brand that communicates what we are about is important in differentiating us from our competitors. Our thanks go to all our residents, Trustees and staff who helped with the development of our new brand. 7 Delivering Growth: Major Developments 2015-16 saw the successful integration of three new care homes into the Greensleeves estate. Gloucester House in Kent, De Lucy House in Norfolk and Viera Gray House in South West London were all welcome additions to our portfolio of homes during the year. Gloucester House was purchased in June 2015 and is in the process of an ongoing upgrade programme to improve the environment of the home for our residents. In addition to significant upgrades to the heating system and a major redecoration and re-carpeting programme, we are about to start improvement works to the existing ensuite facilities to offer full wet room provision. Viera Gray House was acquired in November 2015 and offers 38 bedrooms with en-suite facilities together with comfortable communal space for our residents to enjoy. We are planning to remodel the existing reception area to provide a more welcoming and useable entry point to the home and will also upgrade the existing bedroom ensuite facilities to provide modern wet rooms. De Lucy House is the first new build home to be opened by Greensleeves and we welcomed our first residents in September 2015. The home is proving popular and attracting new residents 8 Gloucester House in Sevenoaks, Kent with a view from the rear garden at a very healthy and sustainable rate. De Lucy House successfully complements our other homes in the East Anglia area – Thornbank, Harleston House and Broadlands. the three new build homes to come into phased operation over the next one to three years. It is anticipated that the acquisition of the operating home will be concluded before December 2016. We also continue to invest in all our homes through our ongoing repairs and maintenance programme. We have also been developing plans to significantly refurbish and extend two of our existing homes – Mount Ephraim House in Kent and Croxley House in the conservation area of Croxley Green near Rickmansworth, Hertfordshire. We received planning approval in June 2016 for major changes at Mount Ephraim House. We will replace the existing extension and completely renovate the characterful main house to provide us with a stunning new home with 57 bedrooms and extensive communal facilities, all sited in the existing beautiful gardens. Building work is expected to start in late 2017 or early 2018. Plans to refurbish and extend Croxley House to provide 24 bedrooms in the existing house and an additional 40 bedrooms in an extension located in the nursery garden were initially approved in 2015. However, further investigation revealed an undocumented Victorian water main running under part of the nursery garden and so we have had to slightly re-design the extension. Revised plans have been submitted for approval by the local planning authorities and a decision is expected in August 2016. Our development activity continues and we have agreed indicative terms on a further three new build opportunities and the acquisition of an existing operating home. We would expect Mary, a resident with Liz, a Carer, enjoying a puzzle at Viera Gray House in Barnes 9 Delivering Growth: Our Financial Performance The results for 2015-2016 have been affected by the addition of three new homes and the resulting increased head office operations. Two of the homes were existing operations and have made a positive contribution. The other is a leasehold home where initial start-up costs, gradually increasing residents and the rental charge have adversely impacted our results. Expenditure increased by £4.2m to £23.5m and was made up as follows: Income increased by £3.9m to £24.0m and was made up as follows: • Seven and a half months’ rent for the leasehold home at a cost of £273,000. •£23.4m related to income produced by our core activity of providing residential, dementia and nursing care. This represents an increase of almost £3.7m of which £2.8m relates to the new homes with the remainder due to an annual fee increase, improved occupancy and the increasing care needs of our residents. • Nine and a half months’ loan interest used to part fund the purchase of one home at a cost of £44,000. • £74,000 was investment income generated by our investment portfolio and cash reserves. • £525,000 was for other miscellaneous income including that generated by independent rented accommodation, donations and fundraising plus profit from the sale of two motor vehicles. • £22.2m related to the residents’ care costs representing an increase of £3.9m. Again, a substantial amount of the increase was a result of the new homes as follows: • Day to day operating costs of £2.7m. • An increased depreciation charge of £196,000. • £1.3m was attributable to the cost of Head Office which has increased to support the expansion of the Trust. This included expenditure such as professional advisors’ charges in respect of future developments, costs to date in respect of the rebranding project started during the year and higher spending on computer services which had to be increased to meet the added demand of three new homes. • £19,000 was for other costs which relate to investment manager fees and costs relating to the various independently rented properties owned by the Trust. In the year, our investment portfolio produced realised gains of £74,000 and unrealised losses of £181,000 leading to net losses of £107,000. Overall, in 2015-2016, net income of £421,000 was produced. The consolidated balance sheet shows that at 31 March 2016, the total funds of the group were £32.4m. This was represented by fixed assets of £42.6m, net current assets of £1.1m including investments of £1.4m less long term liabilities of £11.3m. Unrestricted funds of £32.2m represent the reserves available to the Trust to fulfil its current operations and existing financial commitments over the long term and also to finance the growth in activity envisaged in future plans. This is a summary extracted from the unqualified audited annual report and accounts approved by the Trustees on 26 July 2016 and subsequently filed with the Charity Commission. For greater detail, please consult the full report available from the Registered Office. “We are opening new homes and investing in the future” 10 Financial activities for year ended 31 March 2016 INCOME FROM DAY TO DAY OPERATIONS Income Donations and fundraising Investment income Rental income Residents' care fees Residents' sundries Miscellaneous income Surplus from sale of fixed assets Total % 0.6 0.3 0.4 97.4 1.0 0.2 0.1 2016 153,780 73,805 84,947 23,387,577 229,237 41,562 14,949 2015 71,892 75,867 91,950 19,687,714 190,372 18,696 - 100.0 23,985,857 20,136,491 1% 97.4% 2.6% 0.6% 0.3% 0.4% 0.2% 0.1% Residents’ care fees Residents’ sundries Donations and fundraising Investment income Rental income Miscellaneous income Surplus from sale of fixed assets EXPENDITURE FROM DAY TO DAY OPERATIONS Expenditure Investment manager fees Rental costs Residents' care costs Head office costs % 0.1 0.2 94.5 5.2 Total 100.0 2016 4,308 14,913 22,187,217 1,251,169 2015 1,094 17,617 18,287,624 954,674 23,457,607 19,261,009 0.2% 5.2% 0.3% 94.5% 0.1% Residents' care costs Rental costs Head Office costs Investment manager fees 11 The Homes 12 Birmingham Norwich 9 4 1 6 15 17 18 5 19 Bristol 20 10 16 2 London 13 7 11 14 8 3 1 Arden House (Leamington Spa) 2 Borovere (Alton) 3 The Briars (Sandown, Isle of Wight) 4 Broadlands (Oulton Broad) 5 Croxley House (Croxley Green) 6 De Lucy House (Diss) 7 Gloucester House (Sevenoaks) 8 Grosvenor House (St Leonards on Sea) 9 Harleston House (Lowestoft) 10 Kingston House (Calne) 11 Mount Ephraim House (Tunbridge Wells) 12 Pelsall Hall (Pelsall) 13 Queen Elizabeth House (Bromley) 14 St Cross Grange (Winchester) 15 Sharnbrook House (Sharnbrook) 16 Speirs House (New Malden) 17 Thornbank (Ipswich) 18 Tickford Abbey (Newport Pagnell) 19 Torkington House (Acton) 20 Viera Gray House (Barnes) Greensleeves Care Head Office, Unit 2, Regent Terrace, Rita Road, London SW8 1AW Telephone: 020 7793 1122 | Email: [email protected] | Twitter: @greensleevesHT | Website: www.greensleeves.org.uk Greensleeves Homes Trust is a registered charity in England & Wales No. 1060478. Company No. 3260168.
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