The Abbeyfield Society Value for Money Self Assessment 2014-15 2 Contents 5 Introduction 6 Value for Money at Abbeyfield 7 Resident Input on VFM 7 How the Board manages and monitors VFM 8-13 Our Five VFM Objectives Enhancing our financial effectiveness 14-17 Modernising and growing better places for older people 18-19 Delivery of great services through great people 20-21 Making time for older people 22-25 Focussing on the whole person 26 Looking back, moving forward 3 4 Introduction A bbeyfield is a registered provider of both housing and care services working with people aged over 55 but more commonly those aged over 70. The primary aim of an Abbeyfield service as envisaged by our founder Richard Carr-Gomm is to alleviate loneliness and enhance well being in later life. To this aim Abbeyfield not only works across the UK but in 9 countries across the world including Canada, Australia and South Africa. Abbeyfield is a collection of these worldwide member organisations and 186 UK members and ‘The Abbeyfield Society’ to which these members are affiliated. It is The Abbeyfield Society that is the subject of this self assessment although much of the work done by The Abbeyfield Society adds value across the Abbeyfield movement. The self assessment has been led by the Board members of The Abbeyfield Society. It has been prepared for our stakeholders and regulators and aims to reflect what we have done in terms of achieving our Value For Money (VFM) objectives; to summarise our current activity and to look ahead to our future plans for progress. The assessment will be published on our web site with our annual accounts and be made available to our stakeholders, including residents, volunteers, partner organisations, funders, families and the wider public. Overall Abbeyfield is home to just under 8,000 residents living in supported houses, Independent Living services and care homes. Abbeyfield is keen to grow these numbers and develop the Abbeyfield brand in a planned way with a number of developments now on site. The quality of these services is at the core of the current services and those planned for the future. Volunteers are the lifeblood of Abbeyfield and underpin our proposition of ‘making time for older people’. Value for money is inherent in all of Abbeyfield’s structures as a volunteer-led organisation. Over 4,000 volunteers give their time to our organisation, and more importantly to our residents. This is reflected at all levels from volunteer contribution at local level e.g. pastoral care, through to the strategic and operational direction of the Society on the Board. 2014/15 facts and figures 7,800 residents 601 houses in 9 countries The Abbeyfield Society £148 million turnover 4 new developments started in 2015 4,000 volunteers 5 Membership Centrally Managed Abbeyfield has a broad reach across the UK which is evident in the map opposite. The Abbeyfield Society at the end of 2014/2015 had 24 care homes, 5 Independent Living schemes and 102 Supported Houses. Abbeyfield as a whole has 72 care homes including 7 nursing homes and 416 supported houses plus the Independent Living. Our Mission: Aberdeen To enhance the quality of life for older people Dundee Our Values: Glasgow Caring, openness, honesty and respect Our Proposition: Sunderland Middlesbrough Making time for older people York Bradford Liverpool Sheffield Nottingham Telford Birmingham Gloucester Swansea Bristol Peterborough Luton Norwich Ipswich Colchester London Crawley Exeter Southampton Brighton Bournemouth Plymouth In support of our mission, values and proposition, Abbeyfield in all of our services whether Independent Living or a dementia care home focuses on caring for the whole person. In doing so we promote independence, choice and dignity to our residents. We aim to provide an environment that meets the needs of all residents, staff, families and volunteers whether these are physical, emotional or spiritual. It is recognised that Abbeyfield in doing so not only enhances the lives of those living in our services but provides a unique value and contribution to society. Value for Money at Abbeyfield In providing for the whole person, the Board has consciously taken the view that The Abbeyfield Society should position itself within the care and housing market as a provider of quality services, which are affordable to all, but which may not be the cheapest available. Against this The Abbeyfield Society none the less seeks to optimise the relationship between the costs and the quality of its work. This ideal is central to framing the objectives of our business strategy and provides the context in which we address value for money issues. The charitable objects of The Abbeyfield Society specifically guide the role of the Board in requiring them to maximise use of resources for the benefit of the public. These state that The Abbeyfield Society has been established for a number of objects including “the relief and care of elderly persons of all classes, beliefs and nationalities suffering from the disabilities of old age or 6 otherwise in need” and “the application of humanitarian Plans to promote the relief of the elderly”. (from Abbeyfield Society Article of Association, 2012) Resident feedback is supportive of the emphasis given to the quality of service we deliver, and we will continue to focus on improving our resident satisfaction and their wellbeing. We regularly consult with our residents about the quality of our service and during 2014/15; we have also consulted with 10% of residents explicitly about how we can better achieve VFM. Abbeyfield’s whole ethos is about community and volunteering, therefore promoting and supporting resident involvement is our reason for being – it is at the heart of our business. At the local level, we want to have a sound understanding of whether residents think we are offering good value for money and capture their ideas on making savings or achieving more efficiency. Resident Input on VFM Whilst residents are consulted locally on a regular basis they were keen to provide an update on the organisational Value for Money survey carried out last year. The number of services involved increased and results were very consistent with food being the top priority for residents and maintenance being their key concern due to the desire to use local contractors. How is the VFM? Abbeyfield’s action plan 2014-16 By who and by when? 22 of the 23 focus groups recorded at least 8/10 in terms of satisfaction with VFM in their home. Food and staff being the highlight. • Resident suggestions to be actioned where appropriate locally and centrally • Managers to focus on area of improvement and maintain high standards Business managers and local managers, ongoing Responsive and Planned Maintenance services Very mixed response, excellent local services and dissatisfaction with some centrally organised contractors –timescales. •P rocurement of new contractors is underway with aim to build a balance of local and central •M anage resident expectation in terms of timescale Property services teams supported by Divisional Directors. Review is on target for 2016 completion Meals service 12 of the 23 services recorded 10/10 for their meal provision with no service scoring less than 8/10. •M aintain high standard and managers to action those not achieving expected level All managers and cooks, ongoing How can we reduce costs? Generally comment was not to in case quality affected. •E fficient lighting to be installed through replacement programmes •C entrally and locally evidence best value food purchasing •L ocal handyman service to be developed further • Utility cost management Property services to plan into major works – 2015 – 2017 • Develop more local media focus • Involve local community more • Volunteers – try and get more younger people involved Local and business managers with central marketing and volunteer team – prior to this years Coping at Christmas. Generally Residents feedback on VFM Status • Reduce bureaucracy • Use local services • Install sensor lighting How can we further develop our social value? Generally positive feedback received about the community events Abbeyfield hold and the positive impact these have e.g. Sharing Sundays and Coping at Christmas. Suggestions made about further work required. How the Board manages and monitors VFM The Board monitors the Executive Committee’s performance on VFM in the following ways: • Approval and implementation of the VFM strategy • Monitoring of performance o Quality of services through our internal process – Core Standard Business Managers and local managers – for 2015/2016 Divisions April 16 Procurement review on target – 2014-2016 By December 2015 o CQC inspection o Financial performance and improvement plans • Approval of the budget and associated process including in depth challenge of business plans • Monitoring and approval of strategic plans – Summer/Autumn 2015 7 Our Five VFM Objectives The Abbeyfield Society is clear that its VFM objectives assist with delivering its overall strategic and business plans. The VFM objectives are: 1 Enhancing our financial effectiveness 2 Modernising and growing better places for older people 3 Delivering great services through great people 4 Making time for older people 5 Providing space for the whole person 1 Enhancing our financial effectiveness Our overall performance for 2014/15 is reported in the Annual Report and Accounts and summarised in the Annual Review 2015. The results show an operating surplus for the year of £8.4m which includes the benefits gained from a number of mergers into the society. This surplus is essential in enabling Abbeyfield to improve the lives of residents through the development of new quality services, investing in current and future accommodation, the recruitment and development of quality staff teams through the payment of the Living Wage and career-focused training programmes. Turnover from operations has advanced by 4.9%. The implementation of the Living Wage as opposed to the Minimum Wage has increased costs but this has generally been covered by some increased fees and cost savings and the positive benefits to staff outweigh this. Financial Summary The Abbeyfield Society – Income and Expenditure £k 2013-14 £k Turnover 39,173 37,333 Surplus from Managed Operations 1,872 1,982 Deficit after Membership and International 50 281 Surplus after property sales 139 1,164 (Deficit) Surplus for the year 8,410 (856) a. Investing in the right assets The five year strategy for growth draws to a close in 2015 with a new strategy being developed for the following 5 years focusing on quality and development. 8 2014-15 2014 -15 saw the start on site of a number of new developments including the innovative Winnersh dementia care home and the Hale Court Independent Living service in Tunbridge Wells. Both of these services will come on line in 2016/17. Winnersh: Care Home Development The review of current stock remains ongoing in terms of viability and investment. As an organisation which is dependant on relatively small Supported Housing units we recognise it is essential to ensure that the standard of these properties meets the needs aspirations of current and future residents. To this end the services are continuously monitored using our viability and closure toolkit, resident and staff input is sought on major works, marketing and future options for services. In 2014/15 we closed a number of houses and two care homes that we could not improve to the standards required. The income achieved from their sales will be invested in new developments and services. Marketing success: One of the Abbeyfield houses had 6 voids and an on going level of zero residential enquiries. In addition, four Abbeyfield houses in the same locality had high voids and were getting no enquiries. Rather than advertise in five different publications and produce five different direct mail inserts at additional costs, we created one generic advert using the county town as the main focus and included details of the four other house locations to create awareness and enquiries. In addition we did targeted mailings and advertising across the region sharing the burden of cost across the houses and enabling them to reap the benefits b. Improving void management The Abbeyfield Society like all other organisations places great importance on occupancy levels in our services. This is not only to ensure that financially our income levels are consistent but also due to the types of accommodation we have. The ethos of the ‘sheltered house’ is around alleviating loneliness through a shared home environment, if the houses are not full then this ethos is lost. To this end a real focus has been placed on void management with the introduction of a targeted resource in the Marketing Officer responsible for voids. This role is structured to work with all services providing support and guidance and materials to meet local need. This resulted in a number of new enquiries, across all five houses with six new residents. The plan now will be to have adverts and posters up on local community boards free of charge, promote Sharing Sundays, install “Room to let” estate agent style boards, banners etc where required all of which will have longevity, create local awareness in the community and provide an excellent return on investment. In 2014-15 our void loss figure in Supported Housing improved on previous years as can be seen by the month on month graph overleaf and the continuation of this is a priority for all in 2015/16. 9 Supported Housing – Void Loss Void Loss Percentage 22% 20% 20.3% 18% 16% 14% 16.6% 15.1% 15.1% 14.2% 13.9% 12% 10% 13.5% FY 2011 FY2012 FY2013 FY2014 Apr 14 May 14 11.3% Jun 14 c. Benchmarking 1. The Abbeyfield Society services In the same way as previous years each individual house or home is managed according to its own separate income and expenditure account. This enables the real costs and income of running each to be individually assessed against the minimum viability level. The local manager of each home is given detailed financial data on a monthly basis, which is targeted to keep the budget for 2015-16 within the minimum viability level (currently a 5% surplus following overheads) for existing units of stock. This approach encourages local Managers to deliver cost savings and ensures they are able to meet and exceed business objectives while contributing to Abbeyfield Society’s financial viability. Local Managers have performance targets for each area of their service including staff costs as a percentage of their budget. Those who exceed the 5% surplus generate more funding to be able to invest locally for the benefit of their residents. While trading accounts also include an element of overall central costs (to full recovery) we see this as an important part of embedding VFM into the organisational culture and ethos. 10 13.7% 12.2% 12.2% Jul 14 Aug 14 Sep 14 10.5% Oct 14 12.0% Nov 14 10.8% Dec 14 12.7% 11.7% Jan 15 Feb 15 Mar 15 older people and generally both housing and care. Our Supported Housing service can not be compared in terms of cost against these due to the size of our houses and the intensive service provided in them. The same can be said of re-let times within Supported houses. A room in an Abbeyfield house can take time to re-let as we need to find residents who wish to be part of a family home environment, sharing mealtimes and facilities with other like minded people. As our Independent Living services develop we will be on more of a par with the key providers and have discussed with them opportunities to benchmark more effectively. This emphasis on the performance of individual services in monthly reports drives VFM across the Society through highlighting best performers and spreading good practice, and identifying those needing more peer or management support. Similar performance reports are available at local, Business unit, divisional and national levels showing spend against the overall budget for the year, and enabling effective control of spending by the local Managers. 2. External organisations 39 Re-let times Resident satisfaction 88.0% 84.0% CQC Compliance 71.4% Gas Safety checks 99.9% GP HAN FM TAS 16 29 25 23 95 97.0% 75.0% 93.0% 77.0% 96.5% 91.30% 99.0% Average cost of repairs (£) £140 £893 Resident satisfaction with repairs 97.0% 96.0% Current tenant rent arrears The Abbeyfield Society (TAS) SAHA Family Mosaic (FM) H21 Hanover (HAN) Housing 21 (H21) AH Guiness Partnership (GP) Anchor (AH) MHHA The information we have collected is detailed in the table below: Salvation Army Housing Association (SAHA) Methodist Homes Housing Association (MHHA) The Abbeyfield Society recognises that by the nature of our services detailed meaningful benchmarking with external providers is difficult to achieve. We therefore focus on the other organisations who provide services for 4.28% £102 77.0% 100.0% £785 94.0% 1.40% 5.09% 1.50% 11 3. Member societies Benchmarking against the independent member societies is more useful at this stage and a target of 5% surplus was set across the whole Abbeyfield movement. Accounts are sent into The Abbeyfield Society by all members which allows us to compare performance and importantly talk to and support those who are not achieving the target aimed for. The operating performance of the member societies can be seen below: Operating Performance - YOY 100 90 80 70 60 No. of societies 13.9% 50 12.2% 40 30 20 10 0 >100k 0-£100k 0-(£100k) >(£100k) Operating Performance - YOY 2014/15 2013/14 d . Operational changes – financial savings increased local ownership It was clear through the early part of 2014/15 that having regionalised the day to day operations that the asset management side of the organisation should move in this direction too. A review of current and future costs was undertaken and a programme of decentralisation 12 commenced in November 2014 and was completed in April 2015. A review of the impact will be undertaken at the end of 2015/16 looking at the financial impact and change in satisfaction levels from all involved. 13 2 Modernising and growing better places for older people a. Strategic direction The Abbeyfield Society continues to advocate that VFM is about more than managing our costs. The ‘Strategy for Growth’ written in 2010 focused on the need to develop and invest in homes and services that matter to older people. This continues to be key to the strategic decisions we take with more new ‘extra care’ developments being brought to the table and the recognition that the growing unpopularity of the traditional supported houses is managed carefully and sympathetically, with a long term divestment plan for those that can not be improved. In the autumn of 2015 the Strategy for Growth will be superseded by our new 5 year strategy ‘United in Excellence’. The development of this strategy has involved staff and residents across the Abbeyfield Movement. It is our opportunity to expand our focus on quality and value for money in new larger more cost efficient developments and in our current services. Whilst the aim for growth continues the spotlight is very much on the quality of our services and the needs of our current and future residents. Through new stock condition surveys and market research internally and externally the units that can be upgraded to better meet the aspirations of our customers. In addition we have plans to extend a number of services where the sites allow for it, in both care and housing services. An opportunity to do this allows us to provide services to more people whilst in some cases making financial savings for those already using the service. b. Development – services and funding opportunities 2014/15 has been a period of standardisation and focusing on the detail of future developments. The Development Department have consciously carried out reviews and identified improvements rather than reinventing the wheel in our plans for the future. 14 The key areas of importance have been 1. Introducing an interior designer to the team to develop standard specifications for each type of service right down to the type of knife and fork most suitable to the resident type. This has enabled us to speed up the interior design process whilst ensuring quality is not reduced. 2. Reinforcing the emphasis on social value in development from local employment to steering groups for all developments which must at the Boards’ insistence include local volunteers from the start. 3. Managing risk against the development opportunities available to us. 4. Using the most modern methods of constructions – the new 62 bed dementia care home at Winnersh is a circular timber framed building – not only innovative in design but in build. Service types for the future remain focused on the three models identified in the strategy for growth in 2010. • Independent Living with care : apartments with communal facilities, meal provision and on site care and support services. Local community accessing meals and services where possible to embed the service within that community. • Care homes : all new care homes will be dementia friendly and carefully designed to meet the needs of those with the highest need where required. We hope to enable residents to remain with us for longer and only move on if imperative to their nursing needs. • Integrated living: the ideal option if a site will allow it would be to have a combination of Independent Living and care home. This would enable Abbeyfield to provide a home for life and is key to meeting the aspirations of future residents. No new developments were completed in 2014/15 but there were a number of mergers of Societies and other small charities in to the society which netted off the lost units and allowed stability within the divisional operations. c. Social value – Abbeyfield communities The Abbeyfield founders determination to relieve loneliness means it is important to the organisation to be part of a community. We aim to ensure that our residents feel at home whatever kind of service they choose to live in. Part of this is ensuring that the service provides value for money financially but largely through quality of life. We invite the community into our houses and homes in many different ways and our staff aim to be known in the community and be part of the local life. Examples of the variety of ways this may happen are featured below: 1. Lois Rogers – Senior House Manager, Isle of Wight She is a familiar and wellrespected face in the community around her. When Lois is not out and about putting up posters in shops and community centres for Abbeyfield events, you can find her in her spare time giving talks and attending open days or drumming up voluntary support from local schools and colleges. Lois says: “I have built up a successful network of contacts and friends in the community around us. We have links with an array of local community groups and organisations, including Age UK, Older Voices Isle of Wight, local churches, the Red Cross, Social Services, the Homeless Prevention Team through to the Women’s Institute. Our door is always open to them. Our local MP is also very supportive of our work and often comes along to Abbeyfield events, like our Abbeyfield Week Lunch Party.” Bringing the outside world in to its homes and houses has far-reaching benefits for both residents and isolated older people living alone, too, and is a core Abbeyfield philosophy Lois is passionate about achieving. Lois says: “Our door is always open to older people from the surrounding communities to come and join us. We throw ourselves into national Abbeyfield initiatives like Abbeyfield Week, Coping at Christmas and Sharing Sundays – or in our case – Sharing Wednesdays where we invite older people living alone to join us for lunch in return for a small donation. We send out flyers into the local community for all of our events and make sure people who have attended previously get a special invitation.” “We have a monthly ‘Teapot Club’ that our residents were actively involved in setting up, alongside Age UK. It’s a one-stop shop with activities and information sharing about issues to help make life better for older people. 15 “Events like these are a way of taking away the loneliness experienced by people living alone living alone in the community. They enjoy the company just as much as the tasty, nutritious meal we’ve home-cooked especially for them.” Solution: To perform a regular daily fitness regime which consisted of personal training, self training and group based training. The exercises where performed under the guidance and recommendation of combining physiotherapy and commercial fitness exercises. “Meeting new people certainly has many advantages for our own residents. They form new friendships which allows them to enjoy meaningful and stimulating conversations. I encourage them to invite their own friends to our events and many come along to our Wednesday lunches and Coping at Christmas events. We have all made new friends and everyone involved has benefited.” After: Once Resident ‘A’ had completed the 12 week program of aqua and gym based exercises it was concluded that there would be no further investigations into joint replacements as these areas of the body where no longer a concern for them. The consultants and staff at Addenbrookes Hospital were also very impressed with Resident ‘A’s general health and wellbeing with showing lower levels of blood pressure, resting heart rate and cholesterol levels. 2. Abbeyfield Week Abbeyfield Week is an annual week of activities and open door events to promote Abbeyfield and its schemes to local communities. Abbeyfield houses and homes across the country open their doors and invite people in to celebrate with events ranging from cream teas to BBQ and tea dances. This year was no exception and whilst events took place in Abbeyfield Week during June many houses offer hospitality and companionship throughout the year. On hearing the plight of one lonely local lady in the Manchester Evening News the local house manager called by return to invite her to Sunday lunch. She attended a week later and is now looking at local Abbeyfield schemes and considering moving in. 3. Girton Green Case Study 2015 The Independent Living service in Girton, Cambridge has an on site gym and pool which is open to the over 55’s in the local community as well as to all residents. The personal trainer on site works with each individual and builds them specific exercise plans to improve their well being and health. We featured an example of resident success in the VFM assessment for 2013/14 and do so again as the importance of this service can not be underestimated. In addition the variety of classes provided by the trainer brings residents and the local community together giving significant social benefits on top of the health. Resident ‘A’ Age: 79 Before: Various lower body aches, pains and injuries. Consultants at Addenbrookes Hospital (Cambridge) diagnosed a possibility of ankle, knee and hip replacement. 16 Future Progress: To ensure that Resident ‘A’ maintains this level of fitness and wellbeing they have agreed with the onsite fitness trainer to keep attending weekly personal and group based training sessions as well as training them selves individually. d. Property services Having monitored the increasing expenditure on our older stock, The Abbeyfield Society made the decision to decentralise the Asset Management into divisional Property teams. One reason being to enable the divisions to increase the local input into this management and increase the investment in the right places whilst divesting where this is the only option. The changes took place in the last quarter of 2014/15 and the teams are bedding in taking time to collect the information they need to make the appropriate decisions going forward. The regionalisation of the staffing has already resulted in costs savings on a staff and travel basis which can be invested back into maintenance directly. We continue to look for options to expand our current stock through the conversion of flats previously used by live in managers, reconfiguration to add en-suite bathrooms but any of these changes require detailed business plans that not only include the cost but the benefit to the service and the residents. In 2014/15 we invested 16% of our net income into planned work improvement and extensions of our services. The updated stock condition surveys will further enable the new teams to plan in line with the strategic direction and invest in services with a future. 17 3 Delivery of great services through great people At Abbeyfield we are clear that staff are the key to our success and we are always looking for opportunities to improve the offering to our current and future staff whether through salary levels, development opportunities or conditions of employment such as annual leave allowances. a. Employing great people The Abbeyfield Society took the significant step of moving to the Living Wage in April 2014. As the first care provider to do this we have ensured that our reasons for doing so have been in the public domain. We believe absolutely in the moral and business cases for doing so and have made sure that staff and residents have been fully included in this change. Making this change has had a real impact on our staff on a day to day basis and we have seen improvements in staff retention and general satisfaction through doing so. This can only be of benefit to our residents and service users. One particular example of how paying the Living Wage to our frontline staff has affected them is given below. External coverage: The charitable organisation and residential care provider, Abbeyfield is a Living Wage employer. All their directly employed staff receive the Living Wage. Louise Turner is a Care Assistant who has worked at their Brown’s Field House in Cambridge since October 2013. ‘I love working at Abbeyfield. The atmosphere is good. We chat and make our residents laugh. I treat the residents the way I would expect to be treated myself and give them the dignity they need.’ Since receiving the Living Wage, Louise has been able to take her two three-year-old and 18 her five-year-old grandchildren out more often for the type of treats that many grandparents take for granted. ‘It is lovely to watch them have fun and to be able to buy them the bits and pieces, like clothes, they need – and that helps out my children.’ Nationwide Bank, AGM In addition to the Living Wage our People Workstream programme has progressed with a review of our pay levels and introduction of a new grading structure. This continues into 2015/16 with a view to the harmonisation of terms and conditions of which we have numerous variations due to the way The Abbeyfield Society developed. HR Indicators Turnover 5.4% Absenteeism 2.3 days Apprenticeships 4 % Appraisal completed 79% b. Developing our people Building on the Living Wage and the desire to give our staff opportunities to grow and develop we have introduced a standardised development programme for those who wish to progress in the care or housing industry. It enables staff members to plan what they wish to do and see how it can be done. In addition we have focused on our appraisal system and made huge changes which have then been communicated to all managers through a widespread training course. We have a 100% target for appraisal completion which with our geographical spread is a challenge. c. Providing great services The strategy for 2015-2020 is entitled ‘United in Excellence’. In preparation for this 2014/15 saw the launch of the new Abbeyfield Quality Programme The Abbeyfield Quality Programme aims to guarantee the quality of Abbeyfield’s service and ensure there is consistency in its delivery. Progress and aspiration are integral to quality, and Abbeyfield aspires to lead and influence by providing concrete evidence of both our ethos and effectiveness. Central to the new quality programme is the Abbeyfield Core Standard which is a mandatory quality assessment for all services both housing and care. The Core Standard covers 6 key areas of service and is completed in the form of a self assessment followed by a validation visit from a specially trained volunteer or manager. The validation process was carefully piloted in the latter months of 2014 and programme is being run through 2015 and into 2016 which will cover all services both Abbeyfield Society and membership. Once all Abbeyfield houses and homes have met the Abbeyfield Core Standard it is planned to have a ‘Quality Rating’. This will give houses and homes the opportunity to gain recognition for the provision of services or aspects of their service that operate at a level of excellence, over and above the Core Standard. A quality rating will enable societies and central services to highlight their performance and benchmark themselves with other Abbeyfields as well as with our competition. The marketing team will also use the outcomes as part of our marketing campaigns. The process will be resident focussed and have measurements of ‘quality’ against clearly defined criteria eg residents satisfaction of food quality etc (measurements will come from standard questionnaires and other formats that can be made consistent for benchmarking purposes). On a day to day basis Abbeyfield monitors the quality of our services through quality monitoring, auditing and external checks such as environmental health. We are extremely proud that 98% of our services currently hold 4 and 5 star ratings for food hygiene but will not be satisfied until this reaches 100%. Leadership Food hygiene ratings – Volunteering Resident Core Standards Your home Marketing Staff In every standard it is expected that examples of VFM can be provided but primarily that the Abbeyfield ethos is evident in all aspects of service delivery. 86% 5 star – very good 12% 4 star - good 1% 2 star – some improvement necessary 1% 1 star – improvement necessary The target for 2015/16 is to gain 100% 4 or 5 star ratings Residents are consulted in all services at a local level on the quality and value of their service. As highlighted earlier a number were very keen to feedback in the specific forums on VFM. The national external survey that we sign up to, carried out by Ipsos Mori is currently being undertaken and will form the basis of targets for the coming year. 19 4 Making time for older people What is making time? The view of a member of staff. “Making time is fundamentally important to all older people’s well being. We are all restricted by time and we all have deadlines to meet, but what matters most of all is making our residents feel happy and fulfilled. We can only do that by making time for them and being dedicated in all that we do to support them. “For me, it’s important to consult with residents and look beyond the person in front of you to pinpoint how best to identify with them and how to meet their needs. You have to be able to look beyond any current difficulties and take them from where they are, to making them feel more fulfilled. A case identified by an Abbeyfield House Manager that exemplifies this is a lady in her eighties who was living alone in a large, unheated farmhouse. “She was referred to me by Social Services in a very severe state of self neglect. She was not eating, she was severely dehydrated and very confused and anxious. This was a lady who was barely existing and had given up on life. 20 “We were able to offer her a home with Abbeyfield and helped her with the necessary form filling for her to claim housing benefit and source furniture and addressed her care needs. We were also able to give her that TLC Abbeyfield is famous for, along with the companionship of people around her. “Less than three weeks later, she had become a different woman. Being able to transform someone’s life like this is the reason why I love my job.” a. Volunteers Volunteers are the lifeblood of The Abbeyfield movement and are a critical part of delivering VFM since all 4,000 volunteers across the Abbeyfield movement give up their time for our residents to carry out a variety of roles including residents support, activities co-ordination, marketing, transport, and a host of other unpaid job roles. Indeed, it is the time that our volunteers give to our residents that sets us apart from many other providers in the sector, who often have no volunteers. Our volunteers enable us to make more time for residents, while also growing human, social and cultural capital within our homes and the local community. Our commitment to working with volunteers ensures our homes are ‘more then just bricks and mortar’, they are embedded in and play a key part in the local communities in which they are located. Using Volunteering England’s recommended economic value calculation for volunteering (volunteer numbers, multiplied by annual volunteer hours, multiplied by the current Office of National Statistics average salary (£13.08, ONS 2014), we are able to calculate the financial value in kind of our volunteers to the Abbeyfield movement last year was over £2.7 million. Assessing the social value of volunteering in Abbeyfield We currently measure the impact of our volunteers by using a methodology based on the Institute for Volunteering Research’s Volunteering Impact Assessment Toolkit (www.ivr.org.uk) as it is the only one focussed purely on volunteering. The assessment breaks the impact in to four groups of people: our residents, Abbeyfield as an organisation, the volunteer themselves; and the wider community. In 2014, through a relationship with Barclays Bank we were able to offer one on one opportunities for our residents to trial technology. 161 residents took part from 92 houses, of which 7 were international Abbeyfield houses. 69 Barclays Digital Eagles are recorded as attending the events and volunteering during International Older People’s Day. Abbeyfield also have an ongoing relationship with BT which provides practical support in corporate painting and gardening days as well as skilled support by providing troubleshooting workshops. In the last year, Abbeyfield houses have hosted 18 BT corporate volunteering events involving 244 BT volunteers. b. Services to member societies The Abbeyfield Society provides support to 186 Member societies across the UK who themselves provide accommodation through 368 care homes and supported houses. from marketing materials through to specialist support around care and housing services. Member societies are independently managed and governed by volunteer trustees whilst the affiliation with The Abbeyfield Society ties them into a quality programme which focuses on all aspects of service delivery particularly making time for residents and staff. c. Fundraising It is intended that Fundraising in line with the new strategy will raise £15 million by 2020. To achieve this in 2014-15 the Director of Fundraising was employed to kick start this process and had an immediate impact increasing the fundraising income to over £1m for the year. The development of new build homes presents us with a unique opportunity to gain access to funds particularly trusts and especially those services that demonstrate a high level of innovation or where developments are in areas of social deprivation. As more member societies develop new homes, the fundraising team will then help them to develop local fundraising strategies whilst embedding the service into the community. In addition the Abbeyfield Research programme funds research into the older person within a residential setting. This presents a great opportunity for Abbeyfield to lead the field in this research and funding partnerships will be developed over the next 5 years. The organisation is committed to highly innovative initiatives, such as these, and fundraising will build on these areas. Member societies pay an annual fee for the Abbeyfield affiliation and this gives access to support which can vary 21 5 Focussing on the whole person Abbeyfield staff are focused on providing a service that addresses the whole person. Below is how one staff member describes what this means to them: “That means addressing their health, physical, emotional and spiritual wellbeing, social interaction and details like their finances, too – we take the time to look at every aspect of their lives to see how we can make things even better for them, whether that is setting up Skype for a resident to talk to and see a family member overseas or offering counselling and support following a bereavement. a. Spirituality Abbeyfield identified the need as a care and support provider to not only focus on the physical, mental and social needs of older people but to consider spiritual well being and faith as equally important. This aspect of a persons life is often at its most intense towards the end of life when they may be struggling with illness, change and reflecting on their lives. The organisation has taken steps over the year to understand how we might further embed spirituality in our everyday work, this will continue well into 2015/16. The focus on the ‘whole person’ led to the chaplaincy role being introduced initially as a pilot in the West division in Support to staff and residents throughout service closures late 2014. This role focuses primarily on supporting staff in a number of ways which in turn leads to a number of benefits for residents and those connected to our services. The chaplaincy role was given structured objectives and aims for the initial 6 and 12 month periods. These focused on getting to know the services and those running them whilst preparing to train staff members on key areas not previously tackled such as bereavement and end of life. From the outset it was determined that the surest way for the chaplain’s role to generate an impact would be through enabling and training staff to be more resilient in maintaining their own personal well being and those of others around them. Specific incidents and crises – e.g. sudden death Chaplain referral requests – bereavement, spiritual care assessment, loneliness and isolation Staff retention through support of a differing nature to day to day management During 2015/16 we are monitoring and developing these services potentially to the other two divisions enabling the social value of this service to reach the whole organisation. 22 b. Coping at Christmas The Abbeyfield Society delivered a powerful PR campaign generating awareness and take up of Abbeyfield’s 2014/15 Coping at Christmas campaign. The campaign, which alleviates loneliness in older people, helped a record number of older people this year. Coping at Christmas aims to alleviate loneliness in people aged 55+ who would otherwise be alone during the Christmas period by offering free overnight stays, lunches or meals and invitations to festive events and activities. A target of 300 beneficiaries was set by Abbeyfield of older people to enjoy the warmth and companionship provided by Coping at Christmas events. Securing a national platform to relay Abbeyfield’s key messages and garner public awareness and take up of the scheme was essential to the success of the campaign. A number of high profile personalities were identified to act as campaign ambassadors to highlight the importance of the campaign and to boost media interest. Abbeyfield successfully appointed musician, broadcaster and presenter Aled Jones as Abbeyfield’s Coping at Christmas ambassador. Aled participated in a photo shoot to launch the campaign and spoke on our behalf in support of Coping at Christmas and showed his support through his social media channels. Abbeyfield secured a winning bid to become one of three charities selected for The Telegraph’s Christmas Charity Appeal 2014, case studies and story ideas for eight, high profile features about Abbeyfield with a call to action for Telegraph readers to donate to Abbeyfield. A series of planned press releases linked to YouGov research commissioned by Abbeyfield that revealed the plight of Britain’s lonely elderly nation and campaign milestones was released to local, regional and national media outlets, issuing a call to action for older people to contact Abbeyfield’s designated Coping at Christmas phone line. Abbeyfield’s Great Christmas Knit was launched to encourage house, staff and resident participation in the campaign. Residents knitted Christmas items to send to celebrities both as part of communal group activities involving local people and to raise awareness of Abbeyfield. 23 Key Outcomes of Coping at Christmas Number of participants increased from 159 in 2012 to 647 in 2014 159 houses participated offering 423 activities or events 90 new volunteers were recruited as result of the campaign A touching example of how this low budget campaign achieved fantastic results can be seen in this email regarding an elderly man who heard about the campaign on his local BBC radio station. He booked into one of the Abbeyfiield’s homes for Christmas and is now interested in becoming a permanent resident. Web site enquiry Best day to return message: Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday Time of day to return message: Morning Enquiry message: I heard you (Abbeyfields) on Radio Newcastle. I would like information about Abbeyfields. I’m 70, I live alone. But if it costs too much, I won’t be able to apply. I have the state pension & another small pension. As I say this is just a preliminary enquiry for information. Yours sincerely, David Wright. 24 In addition Over £180,000 was raised for The Abbeyfield Society by the Telegraph Christmas Charity Appeal 2014. Sustained local regional and national media of Coping at Christmas across all media outputs including print, broadcast and online (excluding the Telegraph coverage) generated 175 pieces of free PR coverage, making this year’s Coping at Christmas campaign Abbeyfield’s most successful yet. The advertising value equivalent for this is in excess of £150,000, an increase of 500% on the 2013 figure. c. Research Why fund research? Abbeyfield is committed to the concept that research provides evidence to inform decisions, to direct policy development and to uphold the sector’s credibility. Research can identify and achieve measures of efficacy and quality in the field, based on the best available evidence. It reflects Abbeyfield’s ethos to provide care for the whole person – physical, mental, emotional and spiritual. Research can also identify and develop more robust, innovative, and evidence-based measures of need (as distinct from solely demand) for services such as those provided by Abbeyfield. The Abbeyfield Society’s founding principles focus on enhancing the quality of life for people in later life. Promoting and funding research is one of the many ways that Abbeyfield contributes towards this strategic objective. It not only has the potential to enhance Abbeyfield’s own offering but is also transferable throughout the sector. of quality research funding awarded only to charities who meet defined standards, including a published research strategy, rigorous peer-review procedures for grant selection (such as a code of conduct and conflicts of interest policy) and a position statement supporting research in universities. In turn, the AMRC is the strong collective voice for medical research charities in the UK, and its members are eligible for the Charity Research Support Fund and the AcoRD agreement on direct research costs for any work in NHS settings. There are other substantial benefits in terms of practical support, influence, networking, and potential collaboration with other large and smaller research charities. Four projects were funded in 2014, of varying study design, methodology and therapy area, but all of direct relevance to those whom Abbeyfield seeks to serve. Presentations of two of the projects (from Aston & Birmingham) were given by the grant holders at the November Conference and enthusiastically received by Abbeyfielders across the board. During the course of 2014, Abbeyfield applied for, and was awarded, membership of the Association of Medical Research Charities (AMRC). Membership is a hallmark 25 Looking back, moving forward The Abbeyfield Society has consistently demonstrated the commitment to delivering Value for Money in all aspects of its business. The five business objectives were identified to assist this process and focus the business. The Abbeyfield Core standard will be completed for this round and best practice and learning opportunities will be shared across the movement. 4. Making time for older people 1. Enhancing our financial effectiveness Property Services: The divisionalisation of the asset management team took place in the last quarter of 2014/15 with the last staff joining the teams in April 2015. The impact of the change is being monitored by the Executive team and Board at each meeting. The clear challenges being to improve quality and meet residents desire for local contractors and manage cost. 2. Modernising and growing better places for older people We acknowledge that our residents and others in the community need better care and support services at home than they currently access from some other providers. We therefore intend to put a real focus on this area of the business with a Service Development Manager now in place to support the progression from accommodation based service to community based. Our ‘Care at Home’ service will not be a ‘5 minute check in’ service but one that gives time, time for a chat, time for us to find out and meet their ‘real’ needs. 5. Providing space for the whole person New developments: whilst our latest developments do not open until the summer of 2016 the planning and management of them is well underway and the social value to the local community is central to our agenda. The steering groups and open days will enable us to start from the right place as part of the community and we hope to build on this throughout the year. We will continue to manage our closure and disposal programmes but to balance this we will also focus on the improvement and extension of those services which are suited for this purpose. We will link more closely with our peers and develop more appropriate benchmarks which are meaningful to our residents as well as those in the profession. 3. Delivering great services through great people The people workstream will continue to develop over the year and the benefits will be measured to assess its value for our staff and residents. The recent staff survey will be reviewed in detail and improvements actioned and reported upon as will the resident survey currently underway. The feedback from residents in the VFM specific forums will be taken on board and responded to. The high level of satisfaction displayed must be retained and we can not be complacent. 26 As has been evidenced there are many elements to meeting the needs of the whole person. Based on current progress our chaplaincy service will be assessed and expanded across the other two divisions with a clear remit to add the value in this area. The Abbeyfield core standard and internal assessment will give us further detail on the value of volunteering to the organisation. The improvements in infrastructure particularly IT development will enable our staff to spend more time with our residents. Overall the organisational structure has enabled us to make financial savings whilst the local focus has improved services for our residents. The board continues to push the executive committee to further our objectives and maintain the high satisfaction levels and continue to improve our delivery in all areas thus enhancing our performance around VFM. 27 The Abbeyfield Society St Peter’s House 2 Bricket Road St Albans Hertfordshire AL1 3JW Tel: 01727 857536 www.abbeyfield.com Registered in England and Wales, Company No. 574816, Charity No. 200719, Homes and Communities Agency (HCA) No. H1046 25
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