Annual Report 2012-2013

Care Plus Group
Annual Report and Financial
Overview 2012-13
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2
Contents
Introduction
4
Welcome from the Chairman
5
2012-2013
6
A Look to the Future
7
Financial Overview
11
Financial Statement
12
Independent Auditor’s Statement
14
Registered Office:
Care Plus Group (North East Lincolnshire) Limited, ABP Port Office,
Cleethorpe Road, Grimsby, North East Lincolnshire, DN31 3LL
Company Registration No. IP031272
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Introduction
Welcome to our second annual report, covering the period July 1, 2012 to
March 31, 2013.
This is our third year of operation as a Community Benefit Society, owned
by our staff and run for the benefit of our community. We’ve grown and
developed as an organisation during this period and are proud of our
achievements. This report highlights our last nine months and outlines the
challenges ahead.
For more details about Care Plus Group please visit our website at
www.careplusgroup.org
or telephone (01472) 266999.
“
82.61%
of service users
died at their
preferred place
of death”
4
76%
“
of
Pulmonary Rehab
patients said
they were more
confident following
the programme”
Welcome from the Chairman
2012/13 sees us into
our third year of
operation. Last
year in this
foreword, I talked
about our aims
and goals which
were about getting
everything in place,
both corporately and
financially so that, as a new organisation, we
not only remained sustainable but were able
to have our rightful place at the table with
other providers and our commissioners in
order to secure the best possible contracts
(funding) to enable our services to develop
and our organisation to flourish.
We continue to build on our focus which is
high quality local services for local people.
Whilst we haven’t developed any new
contracts in the past year we have been
successful in securing substantial extra
funding for Community Nursing and Palliative
and End of Life Care Services as well as
smaller amounts for a number of other
services.
Of course, we continue to identify areas
for improvement but positive reaction and
relationships, both internally and externally,
has definitely fallen in line with what the
board has agreed as the way forward to
manage the organisation. This, on the back
of a balanced financial account, sees us
going into the following year, a different
one financially, but one that we will manage
determined to retain the right contracts for
the right services; making us sustainable for a
longer period.
Of course, we cannot deliver anything we
do without the involvement of everyone in
the organisation; from the staff that deliver
our day to day services, to support staff,
employability, administration, clerical, finance
and human resources.
I would like to also, at this point, thank the
board for their hard work and commitment,
in particular my Non-Executive Directors,
Ms Yvonne Bramall, Mr Craig McKay and Mr
Colin Childs, who have put so much work into
understanding the business and being part of
the strategic plans.
Lastly, a final thanks to our Chief Executive,
Mr Lance Gardner, Chief Operating Officer,
Mrs Jane Miller and Director of Finance,
Mrs Jan Young. We could not function
without their leadership skills, just as much
as we could not function without the caring,
compassionate skills of our volunteers who
give their time freely every day.
I commend this second Annual Report to you
and look forward to further success for Care
Plus Group in the future.
Val Waterhouse
Chairman
Sadly since writing this report, our Chairman Val
Waterhouse passed away on July 31 2013. Val had been
unwell for some time, but in spite of this was determined
to continue in her role as Chairman, continuing to play an
active role and championing Care Plus Group across North
East Lincolnshire and wider. We would like to recognise
the phenomenal work that Val tirelessly undertook on
behalf of the organisation even when she was unwell, she
will be missed not only by colleagues at Care Plus Group
but widely throughout North East Lincolnshire.
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2012-2013
Our second year has seen
some challenges due to
the continued need
to respond effectively
to required efficiency
savings whilst at the
same time respond
to increased needs
and demands for our
services, but in spite of this
we have also seen the achievement of some
tremendous successes for Care Plus Group
and the further embedding of Care Plus
Group into the fabric of care provision across
North East Lincolnshire. On 1st April 2013
Care4all was launched as a charity providing
services for older people and people with
disabilities; we saw the launch of the
Macmillan Cancer Survivor support service;
recruited and commenced the new role of
Consultant in Palliative Medicine. We have
also continued to be successful in gaining
regional and national recognition in the form
of awards and accolades for the services we
provide and more detail concerning these
successes is given later in the Awards section
of this report.
an extensive development programme
concerning Dignity and Respect issues we
have also expanded the ways in which we
gain feedback from our service users and
patients and are putting this to good use
in making further improvements to our
services. A further development has seen
us undertaking extensive work to gain ISO
quality accreditation.
Care Plus Group continues to play a key
role in the delivery of health and social care
across North East Lincolnshire, working with
our partners to ensure that services are
personal to all individuals, meeting their
specific requirements. A key focus for us in
2012/13 as previously has continued to be
the Intermediate Tier, involving us in key work
with the local acute trust and other partners
with demands on Accident and Emergency
departments locally and nationally under
unprecedented pressures.
Chief Operating Officer
The past year has seen us further improve the
quality of delivery for people across North
East Lincolnshire. As well as launching new
Customer Care Standards and undertaking
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Change has continued to take place within
different elements of Care Plus Group during
the year in order to improve what we do,
and in some cases we have seen services
expand, for example our Community Nursing
service has expanded into an 8-8 service and
with more extensive cover at weekends. We
recognise that changes will continue to take
place in the services Care Plus Group provides
as more and more services are delivered
in communities rather than in hospitals.
There is the further challenge of responding
effectively to expanding needs as people live
increasingly longer but with increased frailty
and complexity of the conditions that they are
trying to cope with, especially dementia.
Jane Miller
191
“
is the
average number
of volunteers
supporting Care
Plus Group”
A Look to the Future
Whilst the recent
Government Spending
review paints a very
gloomy picture for the
next few years, there
is room for optimism
with clear opportunities
on the horizon.
The creation of Clinical
Commissioning Groups (CCGs) and the
transfer of Public Health services to the Local
Authority has created an appetite for change
amongst local commissioners so there are lots
of services coming up for tender or for a new
approach to their delivery which suits Care
Plus Group really well.
To ensure Care Plus Group is ideally placed
to grasp these opportunities we have
recently won a government grant called the
Investment and Contract Readiness Fund
which provides us with £134,000 to work
with our highly skilled partners at Baxendale
to make sure we are ready to respond to
new tenders and offers as they arise. Equally,
many of our services such as Hope Street,
Intermediate Care, Employability and Drug
and Alcohol services continue to receive
national recognition and create a reputation
as high quality services which puts us in a
really strong position going forward.
The next few years aren’t going to be easy but
you can be sure that CPG is ideally placed to
continue to grow and cement our position as
the provider of choice.
Lance Gardner
Chief Executive
“At Hope Street Specialist Service
the average distance completed
in the Endurance Shuttle Walk
Test was 276 metres
pre-pulmonary rehab and 727
metres post-rehab. A clinically
significant increase is 54 metres,
so our patients are averaging
over 8 times that.”
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What our staff say
As a Community Benefit Society, owned by
our staff we understand that our staff are our
most important asset and are at the heart of
everything we do. A staff survey is undertaken
each year, some examples of feedback from
the 2012 survey are included below:
79% receive frequent feedback from their
line manager about performance.
If a friend or relative needed our services,
82% said they’d be happy with the standard
of care provided by Care Plus Group.
80% are proud to be a member of staff at
Care Plus Group.
What our service users say
Care Plus Group is committed to ensuring
that all patients and service users receive
a high quality service at all times. We are
also committed to responding positively to
feedback received. We aim to ensure that it
is as easy as possible for all service users and
patients to provide feedback in relation to
the service they have received. We then seek
to use this feedback, both good and bad, to
improve service quality at every opportunity.
Care Plus Group is absolutely committed to
continuous improvement.
“Just to say a big thank you to you all for
your care and kindness whilst you have
been looking after my husband for the last 6
months”
Care Plus Group received 29 complaints
during the period covered by this report, 7
were not upheld, 3 were partly upheld and 19
upheld.
“Thanks for everything and all your kindness
and help to me in these last 7 months. I shall
never forget you all and I am feeling so much
better.”
We received 472 compliments about our
services and also received feedback via the
Patient Opinion site, a few of these comments
include:
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“All the staff treated my mother with the
utmost respect and dignity, as they helped
her to recover from a distressing medical
condition. They explained everything to her,
attended to her with loving care, making her
feel secure and safe, with the result she was
somewhat reluctant to leave!”
“Our Cancer
Collaborative spoke
to 9061 people
about the signs and
symptoms of cancer”
Awards and Successes
Our services and individual members of
staff or people we’ve supported have been
recognised at national and regional awards.
During the period covered by this report,
we’ve been successful in numerous awards
schemes as well as launching new services:
Care Plus Group, in conjunction with
Macmillan Cancer Support, launched a
new service to support people living with
and beyond cancer. The Macmillan Cancer
Survivor support team was launched
on August 1 and is a two year initiative
supporting the needs of cancer survivors.
Employability Services won the ‘Employer
of the Year’ category in the Yorkshire and
Humber SHA Apprenticeship Awards. An
apprentice supported by Employability, Lisa
Hassell of the Roundabout, was also Highly
Commended in the Non Clinical Apprentice
of the Year Award at the Yorkshire and
Humber SHA Apprenticeship Awards.
Employability Services were Highly
Commended in the Skills for Care Best
Recruitment Initiatives 2012/2013.
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“Our Coronary Heart
Disease Collaborative
conducted 794 blood
pressure tests, resulting in a
25% referral rate to a GP”
“91% reported that they were very
satisfied with the Falls Rehabilitation
programme.”
“We’ve trained 179
Cancer Champions
to raise awareness
and look out for
symptoms in their
local communities”
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Financial Overview
Care Plus Group has now ended its second year of financial independence,
performing well in year one and again in year two.
The financial year end has been changed in 2012-13 to bring us in line
with our main contract and as such we have had a nine month reporting
period ending on the 31st March 2013.
We managed to achieve a surplus before tax for the nine month period of
£131,276 against a target of £48,000.
This is a significant achievement given the savings required, the savings we needed
were £865,000 and we finished the year with savings and additional contribution of £948,276.
Once we have accounted for Corporation tax this leaves £106,081 to add to our reserves
position, bringing the accumulated reserves to £202,136.
This Financial Year 2012/13
While we have achieved a great deal during the last two years, once again given the public purse
and funding levels for both Health and Social Care we again approach this financial year with
many challenges.
During the next twelve months we are forecasting a requirement to make savings to the tune
of just over £1 million (£1,192,000). We have plans to enable us to do this, however this is year
three and with the continued cuts in our contracts our ability to meet these demands increases
in difficulty.
We are confident however that our plans which include further savings
combined with income and new business generation are robust and
with the support of all staff and colleagues we can achieve our
target profit for 2013-14 of £135,825.
Jan Young
Director of Finance
“There were 12,256
attendances at our
over 50’s Social Clubs”
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The Year End Picture
Balance Sheet as at 31 March 2013
£864,302
£2, 075,567
£4,635,813
£1,809,080
£202,136
Financial Statement Care Plus Group
(North East Lincolnshire) Limited for the period ended 31st March 2013
2013
2012
Income and Expenditure Account
£
£
Turnover
Cost of services
18,837,771
(17,607,079)
23,512,975
(22,519,376)
1,230,692
993,599
(1,188,716)
87,048
(1,167,197)
129,024
113,851
4,708
(2,456)
7,054
-
131,276
(25, 195)
120,905
(24,850)
106,081
96,055
Gross Surplus
Administration Expenses
Other Income – Government Grants
Operating Surplus
Other interest receivable and similar income
Interest payable and similar charges
Surplus on ordinary activities before Taxation
Tax on profit on ordinary activities
Surplus for the period
287,449
The income and expenditure account has been prepared on the basis that all operations
are continuing operations.
There are no recognised gains and losses other than those passing through the income and
expenditure account.
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Balance Sheet as at 31 March 2013
2013
£
2012
£
£
£
Fixed Assets
Tangible Assets
Current Assets
Debtors
Cash at Bank & In Hand
864,302
44,944
2,075,567
1,898,080
1,519,765
Creditors (within 1 year)
3,973,647
(3,820,792)
2,388,038
(2,320,687)
868,273
Net Current Assets
152,855
67,351
1,017,157
112,295
Creditors: amounts falling due
after more than one year
(355,745)
-
Accruals and deferred income
(459,276)
(16,240)
202,136
96,055
202,136
96,055
Total Assets less current
liabilities
Financed By:
Accumulated Funds
Approved by the Board and authorised for issue on 20 August 2013
L Gardner
J Young
Director
Director
J Miller
Director
Company Registration No. IP031272
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Independent Auditor’s Statement to the directors of
Care Plus Group (North East Lincolnshire) Limited
We have examined the summarised financial statements for the 9 months ended 31st
March 2013 set out on pages 12&13.
Respective responsibilities of the directors and the
auditor
The directors are responsible for preparing the summarised financial statements.
We report to you our opinion on the consistency of the summarised financial statements
with the full annual financial statements.
We also read other information contained in the summarised annual report and consider
the implications for our report if we become aware of any apparent misstatements or
material inconsistencies with the summarised financial statements.
We conducted our work in accordance with Bulletin 2008/3 issued by the Auditing
Practices Board.
Opinion
In our opinion the summarised financial statements are consistent with the full annual
financial statements of Care Plus Group (North East Lincolnshire) Limited for the 9 months
ended 31st March 2013.
Barber Harrison & Platt
Statutory Auditor
Chartered Accountants
2 Rutland Park
Sheffield
S10 2PD
Date – 20th August 2013
Directors’ statement on the Summarised Financial
Statements
The summary financial statements are not the statutory accounts but a summary of
information relating to the Income and Expenditure account and the Balance Sheet for
the 9 months ended 31 March 2013. The full financial statements were approved by
the directors on 20 August 2013 and subsequently submitted to the Financial Services
Authority.
The auditor has issued an unmodified report on the full financial statements.
Copies of the full financial statements may be obtained from the company’s registered
office.
Signed on behalf of the directors
L Gardner
Director
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