## 

## 

|Trustees||R E L Smith Esq||
|---|---|---|---|
|||Miss SF Smith||
|||Mrs SJ Sharp-Smith||
|||A C Stewart Esq||
|||SW Somers Esq||
|||Miss L M Sharp-Smith||
|Secretary||Miss S F Smith||
|Charity number||1053448||
|Company|number|03164820||
|Registered|offic|Hampton<br>Green||
|||Old Eign<br>Hill||
|||Hereford||
|||Herefordshire||
|||HR1 1UB||
|Auditor||Thorne Widgery Accountancy|Ltd|
|||Wyevale Business Park||
|||2 Wyevale Way||
|||Hereford||
|||Herefordshire||
|||HR4 7BS||
|Bankers||Lloyds TSBBank Pic||
|||38 Blue Boar Row||
|||Salisbury||
|||Wiltshire||
|||SP1 1DB||
|Solicitors||Willans LLP||
|||28 imperial Square||
|||Cheltenham||
|||Gloucestershire||
|||GL50 1RH||
|||Harrison<br>Clark Rickerbys||
|||Ellenborough<br>House||
|||Wellington<br>Street||
|||Cheltenham||
|||Gloucestershire||
|||GL20 1TD||
|Trust Directors||Mrs Sue McBride||
|||Dr Lisa Purslow||





## 

## 

||||Page|
|---|---|---|---|
|Trustees'<br>report|||1-5|
|Statement<br>oftrustees'|responsibilities|||
|Independent<br>auditor's|report||7-10|
|Statement offinancial|activities|||
|Balance sheet|||12|
|Statement ofcash flows|||13|
|Notes to the financial|statements||14-26|
|Detailed statement<br>of|financial|activities|27-28|





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||||Unrestricted|Restricted|Total Unrestricted|Total Unrestricted|Restricted|Total|
|---|---|---|---|---|---|---|---|---|
||||funds|funds||funds|funds||
||||2022|2022|2022|2021|2021|2021|
|||Notes|6|f.|6|6|8|f.|
|Income from:|||||||||
|Donations,<br>legacies and|||||||||
|grants||3|89,525||89,525|233,376||233,376|
|Charitable<br>activities||4|4,297,020||4,297,020|3,982,148||3,982,148|
|Other trading<br>activities||5||||102||102|
|Investments||6|2,694||2,694|6,597||6,597|
|Total income|||4,389,239||4,389,239|4,222,223||4,222,223|
|~E*<br>dg|||||||||
|Raising funds|||(68)||(68)|1,691||1,691|
|Charitable<br>activities||8|4,062,085|33,791|4,095,876|4,385,441|33,872|4,419,313|
|Total expenditure|||4,062,017|33,791|4,095,808|4,387,132|33,872|4,421,004|
|Net income/(expenditure)||for|||||||
|the year/|||||||||
|Net movement|in funds||327,222|(33,791)|293,431|(164,909)|(33,872)|(198,781)|
|Fund balances|at 1 April|2021|7,153,469|1,355,301|8,508,770|7,318,378|1,389,173|8,707,551|
|Fund balances|at 31 March||||||||
|2022|||7,480,691|1,321,510|8,802,201|7,153,469|1,355,301|8,508,770|





## 

## 

## 

||||||2022||2021||
|---|---|---|---|---|---|---|---|---|
|||||Notes|f||6||
|Fixed assets|||||||||
|Tangible assets||||12||4,777,134||4,823,497|
|investments||||13||1||1|
|||||||4,777,135||4,823,498|
|Current assets|||||||||
|Debtors||||14|233,649||367,440||
|Cash at bank and||in|hand||3,955,700||3,550,986||
||||||4,189,349||3,918,426||
|Creditors:|amounts||failing due within||||||
|one year||||16|(164,283)||(233,154)||
|Net current|assets|||||4,025,066||3,685,272|
|Total assets less||current liabilities||||8,802,201||8,508,770|
|Income funds|||||||||
|Restricted|funds|||18||1,321,510||1,355,301|
|Unrestricted|funds|-|eneral||||||
|Designated|funds|||19|3,773,085||3,eee,e55||
|General<br>unrestricted|||funds||3,707,606||3,467,814||
|||||||7,480,691||7,153,469|
|||||||8,802,201||8,508,770|






## 

## 

## 

|||||||||2022||2021||
|---|---|---|---|---|---|---|---|---|---|---|---|
||||||||Notes|f||8||
|Cash flows from operating||activities||||||||||
|Cash generated<br>from/(absorbed||||by)|||23|||||
|operations|||||||||574,245||(221,098)|
|Investing<br>activities||||||||||||
|Purchase<br>of tangible<br>fixed|assets|||||||(149,066)||(109,410)||
|Proceeds from disposal<br>of tangible|||||fixed|||||||
|assets||||||||||3,652||
|Investment<br>income received||||||||2,694||6,597||
|Net cash used<br>In Investing||activities|||||||(146,372)||(99,161)|
|Net cash used<br>In financing||activities||||||||||
|Net Increase/(decrease)|in|cash|||and cash|||||||
|equivalents|||||||||427,873||(320,259)|
|Cash and cash equivalents||at|beginning||||ofyear||3,522,607||3,842,866|
|Cash and cash equivalents|||at|end||of|year||3,950,480||3,522,607|
|Relating to:||||||||||||
|Cash at bank and<br>in hand|||||||||3,955,700||3,550,986|
|Bank overdraRs<br>induded|in|creditors||||payable||||||
|within one year|||||||||(5,220)||(28,379)|





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## 

|Freehold<br>land and buildings|2%, 15%and 20% straight|line|||
|---|---|---|---|---|
|Property<br>improvements|2%, 5%, 15%and 20% straight||line||
|Plant and equipment|15%straight<br>line||||
|Fixtures and fittings|15%and 33%straight<br>line||||
|Motor vehicles|25% straight<br>line and 25%|reducing||balance|





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## 



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## 

## 

|||||||||Unrestricted|Unrestricted|
|---|---|---|---|---|---|---|---|---|---|
|||||||||funds|funds|
|||||||||general|general|
|||||||||2022f|2021f|
|Donations||and|gifts|||||15,392|21,727|
|Grants|including|||Covid 19||grants||74,133|211,649|
|||||||||89,525|233,376|
|Grants|receivable||||for core activities|||||
|Nurse|training||grant|||||23,700|27,650|
|Coronavirus||Job||Retention||scheme|&SSPgrants|16,965|114,745|
|Other|Coronavirus||||grants|||33,468|69,254|
|||||||||74,133|211,649|



## 

||||2022|2021|
|---|---|---|---|---|
||||E|f|
|Invoiced|patient|care|4,297,020|3,982,148|





## 

## 

## 

||||Total|Unrestricted|
|---|---|---|---|---|
|||||funds|
|||||general|
|||||2021|
|||||8|
|Charity|shop income|||102|
|Investments|||||
||||Unrestricted|Unrestricted|
||||funds|funds|
||||general|general|
||||2022|2021|
||||6|8|
|Interest|receivable||2,694|6,597|
|Raising||funds|||
||||Unrestricted|Unrestricted|
||||funds|funds|
||||general|general|
||||2022|2021|
||||8|f|
|T~dl|||||
|Operating||charity shops|(68)|1,691|
||||(68)|1,691|



## 



## 

## 

## 

||||2022f|2021f|
|---|---|---|---|---|
|Staff costs|||3,395,362|3,729,550|
|Rates, water and waste disposal|||39,589|38,522|
|Insurance|||38,987|26,167|
|Light and heat|||95,213|80,651|
||||3,569,151|3,874,890|
|Share of support costs (see note 10)|||505,408|523,158|
|Share ofgovernance||costs (see note 10)|21,317|21,265|
||||4,095,876|4,419,313|
|Analysis<br>by fund|||||
|Unrestricted|funds -|general|4,062,085|4,385,441|
|Restricted|funds||33,791|33,872|
||||4,095,876|4,419,313|
|For the year ended||31 March 2021|||
|Unrestricted|funds -|general|4,385,441||
|Restricted|funds||33,872||
||||4,419,313||



## 



## 

## 

|Support cos|ts|||||
|---|---|---|---|---|---|
|||Support|Governance|2022|2021|
|||costs|costs|||
|||6|6|||
|Staff costs|||4,776|4,776|4,776|
|Depreciation||195,429||195,429|176,082|
|Telephone<br>and ITcosts||14,964||14,964|14,797|
|Postage and|stationery|7,314||7,314|8,018|
|Medical and|hygiene|87,093||87,093|156,372|
|Cleaning<br>and|laundry|12,509||12,509|8,669|
|Catering||35,602||35,602|34,646|
|Protective<br>clothing||4,777||4,777|2,846|
|Holidays<br>and|activities|5,726||5,726|2,238|
|Recruitment|costs|14,111||14,111|19,135|
|CQC &CRB||3,978||3,978|3,308|
|Travelling<br>and subsistence||131||131|167|
|Motor expenses||12,096||12,096|14,741|
|Property<br>repairs||35,846||35,846|16,194|
|Equipment<br>repairs and small tools||64,269||64,269|56,039|
|Licences and|subscriptions|1,490||1,490|1,600|
|Staff training||5,679||5,679|4,163|
|Sundry expenses||3,691||3,691|3,394|
|Bank charges||703||703|749|
|Audit fees|||6,000|6,000|4,176|
|Accountancy|||3,060|3,060|2,694|
|Legal and professional|||5,917|5,917|8,259|
|Office costs|||1,564|1,564|1,360|
|||505,408|21,317|526,725|544,423|
|Analyssd<br>between||||||
|Charitable<br>activities||505,408|21,317|526,725|544,423|



## 

|The average<br>monthly<br>number<br>ofemployees<br>during<br>the year wa|s:||
|---|---|---|
||2022|2021|
||Number|Number|
|Full time (more than 30 hours per week)|74|68|
|Part time (30hours or less per week)|65|74|
|Total|139|142|





## 

## 

|11|Employees||(Continued)|
|---|---|---|---|
||Employment<br>costs|2022|2021|
|||E|E|
||Wages and salaries|3,094,521|3,462,808|
||Social security costs|251,341|220,780|
||Other pension costs|54,276|50,738|
|||3,400,138|3,734,326|



|Full time equivalent|Full time equivalent|employees|-analysed|by function|
|---|---|---|---|---|
|Patient Care||105|||
|Management|&Admin|12|||
|Total||117|||



|2022|2021|
|---|---|
|Number|Number|





|~0||W||Ct|Ot|$ O<br>O|CA0<br>At||Dt|
|---|---|---|---|---|---|---|---|---|---|
|||||O|~SZ||Ct||CA<br>N|
||||||N||N|||
|I||W||||||||
||||0)|||||||
|'N|||Dt|||||||
||||IXt|||||||
|00||||||||||
|'0 ll<br>RF||W|||CA <br>O|N O<br>CD||||
|||||O||||||
|||||||CD||||
||||CD|I||||||
|'OE||W||||||||
||E|||||||CA||
|||||||||CD||
||||||||CA|||
||||||||CAN|||
|0|||||||CD|||
|IL||||||||||
|'0 g<br>jE||W|O|p<br>O|O<br>CA<br>CD|CD||||
||||CD|CD|CA|||||
|||||CA||||||





## 

## 

## 

|13|Fixed asset Inves|tments||||||
|---|---|---|---|---|---|---|---|
||||||||Other|
||||||||Investments|
||Cost or valuation|||||||
||At 1 April 2021 &31 March||2022|||||
||Carrying<br>amount|||||||
||At 31 March 2022|||||||
||At 31 March 2021|||||||
|||||||2022|2021|
||Other investments|comprise:|||Notes|6|f|
||Investments<br>in subsidiaries||||22|||
|14|Debtors|||||||
||Amounts<br>falling due within|||one year:||2022<br>5|2021f|
||Trade debtors|||||173,264|320,061|
||Amounts<br>owed by|subsidiary||undertakings||11,382|11,382|
||Prepayments<br>and|accrued|income|||49,003|35,997|
|||||||233,649|367,440|
|15|Loans and overdrafts|||||||
|||||||2022|2021|
||||||||6|
||Bank overdrafts|||||5,220|28,379|
||Payable<br>within one year|||||5,220|28,379|





## 

## 

## 

|Creditors: amounts|falling|due within|on|e year|||||
|---|---|---|---|---|---|---|---|---|
|||||||Notes|2022f|2021f|
|Bank overdrafts||||||15|5,220|28,379|
|Other taxation and|social security||||||68,170|64,447|
|Deferred income||||||17|9,035|2,277|
|Trade creditors|||||||48,522|98,721|
|Other creditors|||||||11,624|11,539|
|Accruals|||||||21,712|27,791|
||||||||164,283|233,154|
|Deferred Income|||||||||
||||||||2022f|2021f|
|Arising<br>from Patient|care invoices raised||in||||||
|advance|||||||9,035|2,277|
|Deferred income is|induded<br>in the financial|||statements|as follows:||||
||||||||2022f|2021|
|Deferred<br>income is|included<br>within:||||||||
|Current<br>liabilities|||||||9,035|2,277|
|Movemsnts<br>in the year:|||||||||
|Deferred income at|1 April|2021|||||2,277|2,430|
|Released<br>from previous<br>periods|||||||(2,277)|(2,430)|
|Resources deferred|in the|year|||||9,035|2,277|
|Deferred income at|31 March 2022||||||9,035|2,277|





## 

## 

|||Balance at|Revaluations,|Balance at|Revaluatlone,|Balance at|
|---|---|---|---|---|---|---|
|||1April 2020|gains and|1 April 2021|gains and|31 March|
||||losses||losses|2022|
||||E||E|E|
|Property|and landscaping|136,629|(3,341)|133,288|(3,341)|129,947|
|Motor vehicles||22|(6)|16|(4)|12|
|New home<br>building||1,242,909|(29,305)|1,213,604|(29,305)|1,184,299|
|Camcorder||79|(79)||||
|Bathroom||7,484|(191)|7,293|(191)|7,102|
|EyeGaze|system|418|(196)|222|(196)|26|
|Sensory|equipment|1,458|(676)|782|(676)|106|
|Beamz -|Sophie House|174|(78)|96|(78)|18|
|||1,389,173|(33,872)|1,355,301|(33,791)|1,321,510|



## 

||Balance at|Transfers|Revaluations,|Balance at|Transfers|Revaluations,|Balance at|
|---|---|---|---|---|---|---|---|
||1 Apr0 2020||gains and|1 April 2021||gains and|31 March|
||||losses|||losses|2022|
|||E|E||Z|E|E|
|Operational||||||||
|fund|220,000|||220,000|||220,000|
|Fixed asset||||||||
|reserve|3,502,187|109,410|(145,942)|3,465,655|149,069|(161,639)|3,453,085|
|Sophie||||||||
|House|||||100,000||100,000|
||3,725,369|109,410|(145,942)|3,685,655|249,069|(161,639)|3,773,085|





## 

## 

|20|Analysis|of|net assets|between|funds||||||
|---|---|---|---|---|---|---|---|---|---|---|
|||||Unrestricted||Restricted|Total|Unrestricted|Restricted|Total|
||||||funds|funds||funds|funds||
||||||2022|2022||2021|2021|2021|
||||||8|8||F|5||
||Fund balances at 31||||||||||
||March 2022||are||||||||
||represented||by:||||||||
||Tangible|assets||3,453,085||1,324,049|4,777,134|3,465,657|1,357,840|4,823,497|
||Investments||||1||1|1||1|
||Current|assets/(liabilities)||4,027,605||(2,539)|4,025,066|3,687,811|(2,539)|3,685,272|
|||||7,480,691||1,321,510|8,802,201|7,153,469|1,355,301|8,508,770|



||Name ofundertaking|Registered|Registered||Nature|ofbusiness||Class of<br>% Held|Class of<br>% Held|Class of<br>% Held|
|---|---|---|---|---|---|---|---|---|---|---|
|||office||||||shares|held<br>Direct|Indirect|
||Martha<br>Hereford|UK|||Project|management|services|Ordinary|100.00||
||(Developments)<br>Limited||||||||||
|23|Cash generated<br>from|operadons|||||||2022|2021|
||||||||||6|6|
||Surplus/(deficit)<br>for the|year|||||||293,431|(198,781)|
||Adjustments<br>for:||||||||||
||Investment<br>income recognised<br>in statement||||offinancial|activities|||(2,694)|(6,597)|
||Loss/(gain)<br>on disposal|oftangible|fixed|assets|||||366|(2,525)|
||Depreciation<br>and impairment<br>oftangible|||fixed assets|||||195,063|178,607|
||Movements<br>in working|capital:|||||||||
||Decrease/(Increase)<br>in|debtors|||||||133,791|(207,383)|
||(Decrease)/Increase<br>in|creditors|||||||(52,470)|15,734|
||Increase/(decrease)<br>in|deferred<br>income|||||||6,758|(153)|
||Cash generated<br>from/(absorbed||by) operations||||||574,245|(221,098)|
|24|Analysis<br>ofchanges|in net funds|||||||||





## 

## 

||2022|2021|
|---|---|---|
||8|E|
|INCOME AND ENDOWMENTS|||
|Donations<br>and legacies|||
|Donations<br>and grants|89,525|233,376|
|Charitable<br>activities|||
|Invoiced<br>patient care|4,297,020|3,982,148|
|Other trading activities|||
|Charity shop income||102|
|Investment<br>Income|||
|Deposit account interest|2,894|6,597|
|Total Incoming resources|4,389,239|4,222,223|
|EXPENDITURE|||
|Charitable<br>activities|||
|Wages|3,341,086|3,678,812|
|Pensions|54,276|50,738|
|Rates, water and waste disposal|39,589|38,522|
|Insurance|38,987|26,167|
|Light and heat|95,213|80,651|
|Supportcosts|||
|Telephone<br>and ITcosts|14,964|14,797|
|Postage and stationery|7,314|8,018|
|Medical and hygiene|87,093|156,372|
|Cleaning<br>and laundry|12,509|8,669|
|Catering|35,602|34,646|
|Protective<br>dothing|4,777|2,846|
|Holidays<br>and activities|5,726|2,238|
|Recruitment<br>costs|14,111|19,135|
|CQC and CRB|3,978|3,308|
|Travelling<br>and subsistence|131|167|
|Motor expenses|12,096|14,741|
|Property<br>repairs|35,846|16,194|
|Equipment<br>repairs<br>and small tools|64,269|56,039|
|Licences and subscriptions|1,490|1,600|
|Staff training|5,679|4,163|
|Sundry expenses|3,691|3,394|
|Bank charges|703|749|
|Donations|||
|Depreciation<br>and loss on disposal offixed assets|195,429|176,082|





## 

## 

## 

||||2022|2021|
|---|---|---|---|---|
||||6|6|
|Governance|costs||||
|Accountancy|fees||3,060|2,694|
|Auditors'<br>remuneration|||6,000|4,176|
|Legal and professional||fees|5,917|8,259|
|Wages|||4,776|4,776|
|Office costs|||1,564|1,360|
|Other trading|activities||||
|Charity shop|costs||(68)|1,691|
|Total resources expended|||4,095,808|4,421,004|
|Net Income/(expenditure)|||293,431|(198,781)|



