REGISTERED CHARITY NUMBER: 1059680 Report of the Trustees and Unaudited FinallclaE Statements for the Year Ended 31 March 2024 for Kate's Home Nursillg William Hinton Limited c.h&rted Accountants Ross House The Squ8re Stow-on-the-wold Gloucestershire GL54 IAF
Kate's Home Nurslng Contents of the Financial Staternents for the year ended 31 Mareh 2024 Page Referenee and Administrative Details Report of the Truste£s Independent Examiner's Report Statement of Financial Actlvities Balance Sheet Casb Flow Statement Notos to the Cash Flow Statement 10 Notes to the fin[cIal Statements 11 to 16 Detailed Statement of Financial Activities 17 to 18
Kate's Home Nursing Reference and AdmRnistrative Details for the year ended 31 March 2024 TRUSTEES A F Noorani (Chainnan) Mrs F Allen Mrs N J Nran1 Mrs H Spooner (resigned 3111212023) Dr P Sherringham M Pender Dr P Johnson Dr B Ward PRINCIPAL ADDRESS The George Moore Community Centre Moore Road Bourton-on-the-water Cheltenham Gloucestershire GL54 2AZ REGISTERED CHARITY NUMBER 1059680 INDEPENDENT EXAMINER William Hinton Litnited Chartered Accountants Ross House The Square Stow-on-the-wold Gloucestershire GL54 IAF SOLICITORS Kenddll & Davies Crossways House The Square Stow-on-the-wold Gloucestershire GL54 IAB ACCOUNTANTS Tayabali Tomlin Kenton House Oxtord Street Morelon-in-marsh Gloucestershire GL56 OLA Page I
Kate's Home Nursing Report of the Trustees for the year ended 31 March 2024 The trustees present thell rerrf)it wittL the financial statements of the charAty for the year ended 31 March 2024. The trustees have adopted the provisions of Accounting and Reporting by Chakities: Statement of Recommended Practice appjicable to charities preparillg their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of treland (FRS 102) (effective l January 2019). ORIECTIVES AND AcrivrrIES Objects The objects of the chltY 8Tr to provide iincharged palliative nursing care to ELny patient living within a 20 mile rathus of Stow-on-the-wold, Gloucestershire, who is in need by reason of terminal illness and who would prefer to be nursed in their own home, including where appropriate any complementary therapy from lime to tirne approved by the Trustees. In fllrtberCe of these objects but not otherwise and only when there is capacity without detracting from the objects above, to enhance the vIsion of the service by enabling patients to become familiar with it at all &ppropri&te time and to continue the service to an appropriate Conclusio the trustees shall have power to enable the following.. Patients living within the area of benefit may be accepted on a short terni basis:_ a. if they are feeling very ill as a result of Lhemotherapy or othei treatment, although they have not yet been given a clear palliative diagnosis. if they have long-term degenerative conditions such as MS or MND and are experiencing a particularly bad phase or where respite care is needed for their farnily. c. the provision of bereavement support for the next of kin of patients nursed by the charity rf they reside within the area ot benefit. The provision of siich home nursiiig care is at the absolute discretion of the Trustees, provided always that Ihe care is first reqiiested by either the Community Nurse in charge of the patient, the patient's General Practitioner 01 a self ieferral, In setting these objectives and planning our activities, the Charity's Trustees gave careful consideration to the Charity Comtnission's general guidance on public benefit, Page 2
Kate's Home Nursing Report of the Trustees for the year ended 31 March 2024 OBJECTIVES AND ACTIvrrtES Activities and achievements for Ihe year The deinL1nd for our nursino service tluctuated this year. with soine very busy months balanced by quieter time%. We saw a small decline in the average length of time we were nursing patients and a higher percentage of younger patients. We provided a total of 6,895 hours of nursing care, over 1.323 nursing shifts for local people and support for their carers and families. In addition we provided 313 hours of bereavemenl support tor the families and carers of those we nursed, in the forn] of one to one support, coffee mornings, walks, an evening of remembrance at Chrislmas. We continued to pmvide a full service, workin(ff to maintain the safety of our nurses. staff, patients and their families and carers. We have a service level agreement with NHS Gloucesterhire for infection control advice and training. We Lontinued with training on Systm One and use Syslin One, which means that we are now paper free in relation to direct patient care. Infomiation on Systm One relating to pdlients treatmeni and care is updated, acLessed and shared by other relevant medical professionals such as GPS and Community nurses, resulting in better infornialion for everyone and more joined up care. Through out the year we continued to receive excellent feedback from our patient5 and their families and other professional teams. We conducted audiis to ensure the quality of our service. Other audits indicated that oiir nurses feli very well supported and our policies and processes were well received and practised. We maintained our vital links Wlth the National Association of Hospice at Home (NAHH), HospiLe UK, NHS Lommissioners in Gloucestershire and Oxfordshire and other local hospices and charities providing a similar service. We continued to attend end of life board Eneetings with both Gloucestershire and Oxfordshire CCGS. We continued to have regular collaborative meetings with other charities Iociilly, 10 share experience, good practice and to mitigale costs where pos.sible for example by reducing dupliLation, sharing trainÉng. We continued to offer training. both online and face to face. We continued to monitor our polickes and procedures. We did all we could to ensure that through our governance processes our nurses and volunteerb continued to feel supported, that our expectations and requirements were very clear and that our patients continued to receive the best possible c<e. We encouraged all of our nurses to take up Pr<tctice Support to help and support them in their roles. Our Recrnitment. induction. appraisal and feedback processes remain embedded and robust. Over the year the bereavement support provided vital and inuch appreciated support to our patient's family and carers. The main function of this service is to provide support through the difficult first year, nonnalising the grief process and helping people to understand the impact it has on their day-to-day life. We allow people time to talk about the person who has died and their emotions. Although we offer this service for a year, the average length of stay on our case load is approximately 6 months. When people may teel isolated and vulnerable ive link-in and signpost thetn to non-medical prescribing re-socialisation. We also assess for signs of complicated rief and if we feel that someone may need counselling and further in depth support we signpost them to Cruse, their GP and other I(al services. We hdve included our bereavement support service in our auditing process and feedback confim]s that this service is extremely beneficial. We continue lo look for other ways in which we Can provide bereavement and carer support. We have continued our rclationship with the Gloucestershire Carers Support Hub which has proved io be an invaluable source of support, ddviLe and opportunities for our carers. Page 3
Kate's Home Nursing Report of the Truslees for the year ended 31 March 2024 OBJECTIVES AND ACTtvrF In Line with our 2022-2.5 Strategy we have continued io be proactive in looking for ways to improve the service we offer whilst remaining a truly local charily. Our board of trustees reinained resolute that the charity should look to maintain an excellent service within our area whilst not expanding our ea of operation. Fundraisin(y remained a challen¢ye this year. We continued to maintain close links with the volunteers on our committee. Our annual Carol Concert was very well suptK)rted and was, once again. our main event of the year. We continued to receive a lot of suptM)rt from Ial people who provided grants and donations and arranged their own fund raising events. Our main source of income from NHS funding wa5 through Gloucestershire Continuing Health Care Fasttrack Funding. During the year, to ensure we e acce.ssing the most up to date Human Re50urLes and Health and Safety and Fire regulations and guidance. including our staff contracts and related policies. we continue to woi"k with Pentnsula, a highly regarded national company. This provides a cost effective way of obtainiiig up to the minute specialist information, advice and guidance. FINAINCIAL REVIEW Reserves policy The Trustees will endeavoiir always t() hold a minimum of £4(K).000 as a reserve against future expenditure, recognising that demand for the chatity's service and the noUn1 received in donaLions or legacies can both vary considerably. STRUCTURE, GOVERNANCE AND MANAGEMENT Governance The Charity is governed by a Declaration of Trust dated l November 1996 as amended 14 May 1997. 7 July 1999. 12 OLtober 2010. 17 Decetnber 2012 and 7 September 2017. Recruitment of new trustees New Trustees when needed are usually recruited frotn among the local communiry on the recominendation of existing Trustees, based on the experience wtllch a new Trustee brings to the role. Newly elected Trustees are infonnally mentored by the Chairnian and CEO. Risk management The Trustees dctively review on a regular basis the major risks faced by the charity and, having examined operatic)nal and business risks confronting it. can confinn that they have established systems to mitigate the signific<int risks. Full liability insurance is carried against claims from both patients and nursing staff. Investments selection policy The Truslee8' Act 20(K) confers investment powers on the charity. Although the charity ensures that a significant amount of its reserves are kept in interest-bearing bank accounts. rather than being pul in any risk tund, a proportion remains invested in a moderate risk fund, in order to generate tunds for future operational needs. Page 4
Kate's Home Nursing Report of Ihe Trustees for the year ended 31 March 2024 STRUCTURE, GOVERNANCE AND MANAGEMENr Sustainability The Chilrity is committed to promoting suslciinability. We aim lo follow and to proinote good sustainabilily practice. to reduce the environmental impacts of all our activities and to help those we work with do the same. We will reduce and effectively manage our impact in a responsible manner. by ensuring that environmental considerations are integrated into decision making. Thi% repnrt has been prepared in accordance with the Statement of Recommended Practice - Accounting )d Reporting by Charities. Approved by order of the board of trustee,8 on 16 January ?025 and signed on its behalf by.. A F Noorani - Trustee Page 5
Independent Examiner's Report Éo the Trustees of Kate's Home Nursing Independent examiner's report to the trustees of Kate's Home Nursing report to the charity trustees on my examination of the accounts of Kate's Home Nursing (the Trust) for the year ended 31 March 2024. Responsibilities and basis of report As the charity trustees ot the Trust you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Aci 201 l ('the Act,). I report in respect of my examinatinn of Ihe Tru5t'S iiccounts Ced out under Seclion 145 of Ihe Act and in carrying oiit my examination I have followed all lipplicable Directions given by the Charity Commission under Section 145(5}(b) of the Act. Independent examiner's statement Since your charity's gross income exceeded L?50,0(N) your exIner must be a member of a listed body. I can confirni ihal I ain qualified to undertake ihe examination beL¥iuse I am a ineinber of the Institule of Chartered Accountants in England and Wale5. which is one of the listed bodies. I have compleled my examination. I confirni that no material matters have come to my attention in connection with the examination giving me cause to believe that in any malerial respect: accounting records were not kepi in respect of the Trust as required by Section 130 of the Act; or the accoiints do not accord with those records; OT the accounts do not comply wilh the applicable requirements concernino the form and cnntent of accounts set oiit in the Charilies (Accnunls and Reports) Regulations 2008 other than any requirement that the aLLounts give a true and fair view which is nol a matter cunsidered as part of an independent examination. I have no concerns and have coine across no other matters in conneLtion with the examination to which altention should be drawn in this report in order lo enable a proper understanding of the accounts to be reached. l(in Quartem]ain¢ FCA William Hinton Limited Chartered Accountants Ross House The Square Stow-on-the-wold Gloucesten%hire GL54 IAF 16 January 2025 Page 6
Kate's Home Nursing Statement of Financial Activities for the year ended 31 March 2024 2024 Unrestricted fund 2023 Toial funds Notes INCOME AND EIYDOWMENTS FROM Donations and legacies 277,775 5?6.898 Oiher Irading aLtivilies Investment income 34,134 8,019 47,109 26,555 Total 319,928 600,562 EXPENDITURE ON Raising funds 5,490 1,424 Charitable activities Providing care costs 335,081 486,264 Administration costs 49,983 82,572 Transter from Charity to CIO 1,059,423 Total 1,449,977 570.260 Net gainsl(losses) on investments (91,476) (28,585) NET INCOMEI(EXPENDITURE) (1221,525) 1.717 RECONCILIATION OF FUNDS Total funds brought forward 1242,975 1,241,258 TOTAL FUNDS CARRIED FORWARD 21,450 1.242,975 The notes form part of Ihese financial stalements
te's Home Nursing Balance Sheet 31 March 2024 2024 Unrestricted fund 2023 Total funds Notes rIxED ASSETS Tangible assets Investments 12,399 1,150,057 1,162,456 CURRENT ASSETS Debtors Cash at bank and in hand 8,678 16,762 31,800 54,682 25,440 86.482 CIIEDITORS Amounts falling due within one year (3,990) (5,963) NET CURRENT ASSETS 21,450 80,519 TOTAL ASSETS LESS CURRENr LIABILIT 21,450 1,242,975 NET ASSEI TS 21,450 1,242,975 FUNDS Unresiricted funds 10 21,450 1,242,975 TOTAL FUNDS 21,450 1,242,975 The financlal statements were approved by the Board of Trustees and authorised for issue 16 Jalluty 2025 and were signed on its behalf by: A F Noorani - Trustee 'rhe notes form part of these financiaI statements Page 8
I(ate's Home Nursing Cash Flow Statement for the yeai. ended 31 March 2024 20 2023 Notes Cash flows from operating activities Cash generated from opeiations {1,116,919) (7,686) Net cash used in operating activilies (1,116,919) (7,686) Cash tlojvs from investing acdvities Purchase of tangible fixed assets PurLhase of fixed asset investments Sale of langible fixed assets Sale of fixed asset investments Iiiterest received (13,022) (76,516) (7,966} 12,399 1,066,547 8,019 26,555 Net cash provided by/(used in) investing aettvilles 1,fr78,999 (62,983) Change in cash and cash equivalents In the reporting period Cash and cash equivalents at the beginning of the reporting period (37,920) (70,669) 54,682 125,351 Cash and cash equivalents at the end of the reporting period 16,762 54,682 The notes forni part of these financial skitements Page 9
Kate's Home Nursing Notes to the Cash Flow Ststement for the year ended 31 March 2024 RECONCILIATION OF NET (EXPENDITURE)IINCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES 2024 2023 Net (expenditure)/income for the reporting period (as per the Statement of Financial Activities) Adjustments for: Depreciation charges Losses on investments Inierest reLeived DeciEase/(incre(Ise) in debtors Decrease in creditors (1,221,525) 1.717 4,133 28,585 (26,555} (15.479} (87) 91,476 18,019) 23,122 (1,973) Net cash used in operations (1,116,919} (7,686) ANALYSIS OF CHANGES IN NET FUNDS At 114123 Cash flow At 3113124 Net cash Cash al bank and in hand 54,682 (37,920) 16,762 54,682 {37,920) 16,762 Total 54,682 {37,920) 16,762 The notes fortn part of these financial statements Page 10
Kate's Home Nursing Notes to the Finaneial Ststements for the year ended 31 March 2024 ACCOUNTING POLICIKS Basis of preparing the financial statements The financial slalemenls of the chariiy, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP {FRS 102) 'Accounting and Reporting by Charities: Statement of Recon]ended Practice applicable to chalities preparing their accounts in accordanLe with Ihe Financial Reportino Standard applicable in the UK and Republic of Ireland (FRS 102) (etfeetive l January 2019),, Financial Reporting Standard 102 'The Fiiiancial Repnrtiiig Standard applicable in the UK and Republic of Ireland. and the Charitie5 Act 2011. The finaiicial statements have been prepared under the historical cost convention. with the exception of investments which are included al market value, as modified by the revaluation of certain assets. Income All income is recognised in the Sialemenl of Financial Activitie.5 once the charity ha8 entiilemenl lo the funds. it 15 probable that the income will be received and the (unount be measured reliably. Expenditure Liabilities are recognised as expenditure as )0n as there is a legal or construclive obligation committing the charity to that expenditure. it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligalion can be measured reliably. Expenditure is accounted tor on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly altribuled to particular headings they have been allocated to activities on a basis consistent with the use of resources. Tangible fixed assets Depre¢iation is provided at the following annual rates in order to write off each asset over its estimated useful life. Fixtures and littings Computer equipment 25% on reducin2 balance 25% on reducing balance Taxation The charity is exempt from tax on its charitable activities. Fund accounting UnreslriLted t.unds can be used in accordance with the charitable objectives al the discretion of the trustees. Re%tri¢ted funds can only be used for particular restricted purExi8es within the objects of the Charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted puryN)ses. Further explanation of the nature and purpose of each tund is included in the notes to the financial statements.. Hire purchase and leasing commitments Rentals pd under operating leases are clwged to the Statement of Financial Activities on a strght line basis over the period ot the lease. Pagell continued...
Kate's Home NursRng Notes to the Financial Statements - continued for the year ended 31 March 2024 DONATIONS AND LEGACIES 2024 2023 Other donalions Grant inLome In memoriain donations 102,465 128,386 46,924 144,027 266,642 116.229 277,775 526,898 Grants received, included in the above, are as follows: 2024 2023 NHSE grant Other grants 71,086 57 JOO 128,066 138,576 128J86 266,642 OTHER TRADING ACTIVIT 2024 2023 Other fundraising activities Carol concert 34,134 32,725 14.384 34,134 47.109 INVESTMENT INC0IE 2024 2023 Interest received Dividends received 53 7,966 63 26,492 8,019 ?6.555 Page 12 continued...
Kate's Home Nursing Notes to the Financial Statements - continued for the year ended 31 March 2024 TRUSTEES, REMUNERATION AND BENEFITS There were no trustees, remuneration or other benefits for the year ended 31 March 2024 nor for the year ended 31 March 2023. Trustees, expenses There were no trustees, expenses paid for the year ended 31 Mah 2024 nor for the year ended 31 March 2023. TANGIBLE FIXED ASSETS Fixtures and fittings Computer equipment Tolals COST At l April ?023 Disposals 2,559 (2,559) 21,361 {21J61) 23,920 (23,920) At 31 March 2024 DEPRECIATION Al l April ?{)23 Eliminated OTh disposal 1567 (1,567) 9,954 (9,954) 11,521 (11,521) At 31 March 2024 NET BOOK VALUE At 31 March 2024 At 31 March 2023 992 11,407 l2.399 FIXED ASSET INVESTMEwrs There were no inveslmenl assets outside the UK. There were no investment assets held at the year end. Page 13 continued...
Kate's Home Nursing Notes to the Financial Statements - continued for the year ended 31 March 2024 DEBTORS: AMOUNfs FALLING DUE wrrHIN ONE YEAR 2024 2023 Other debturs Prepayments 8,678 31.540 260 8,678 31,8(Ml CREDITORS: ANIOUNTS FALLING DUE FVttHIN ONE YEAR 2024 2023 Other creditors 3,990 5,963 10. MOVEMENT IN FUNDS Net movement in funds At 3113124 At 114123 Unrestricted funds General fuiid 1,242,975 (1,221,525) 21,450 TOTAL FUNDS 1,242,975 (1,221,525) 21,450 Net movement in funds, included in the above are as follows: Incoming resources Resources expended Gains and Movement losses in funds Unrestricted funds General fund 319,928 (1,449,977 } (91,476) {1,221,525) TOTAL FUNDS 319,928 (1,449,977) (91,476) {1221,525) Page 14 continued...
Kate's Home Nursing Notes to the Financial Statenients - continued for the year ended 31 March 2024 10. MOVEIWIENT IN FUNDS - continued Cornparatives for movement in funds Net movement iIi tunds Ai 3113123 At 114122 Unrestricted funds General fund 1,241.258 1,717 1,242,975 TOTAL FUNDS 1.241.258 1,717 1.242,975 Cornparalive net movetnent in funds. included in the above are &$ follows: Incoming resources Resources expended Gains and losses Movement in funds Unrestricted funds Geiieral fund 600.562 (570.260) (28,585) 1.717 TOTAL FUNDS 600,562 (570.260) (28.585) 1.717 A current year 12 months and prior year 12 months combined y)8ltion is as follows: Net movement in funds At 3113124 At 114122 Unrestricted thnds General fund 1,241.258 (1,219.808) 21.450 TOTAL FUNDS 1,241.258 (1.219.808} 21,450 Page 15 continued...
Kate's Home Nursing Notes to the Financial Statements - Lontinueil for the year ended 31 MarLh 2024 io. MOVEMENT IN FUNDS - ¢ontinueil A current year 12 montlis and prior year 12 Inontlis combined net movement in funds, included in th¢ above are as follows.. Incoming rcsources Resources expended Gain5 aiid Movement losses in funds UnrestriLted funds General t'uiid 920,490 (2,020,237) (120,061) (1,219,808) TOTAL FIINDS 920,490 (2,020,237) (120,061) (1,219,808) 11. RELATED PARTY DISCLOSURES There were no related party traiisactions for the year ended 31 Marcli 2024 nor for tl)e year ended 31 March 2023. 12. CI4ARITY REORGANI.SATION Followiiigr tlie incorporatioii of Kate's Home NursingF CIO (charity number 1203159) on 19 May 2023, the reserves of £1 ,059,423 were traiisferred to this charity. Page 16
Kate's Home Nursing Detailed Statement of Financial Activities for the year ended 31 March 2024 2024 2023 INCOME AND ENDOWIWIENTS Donations and legacies Other donations Grant income In memoriam donations 102,465 128,386 46,924 144,027 266,2 116,229 277,775 526,898 Other trading activities Other fundraising activities c01 concert 34,134 32,725 14,384 34,134 47.109 Investmenl income Interest received Dividends received 53 7,966 63 26,492 8,019 26,555 Total incoming resources 319,928 6(K).562 EXPENDITURE Raising donations and legacies Other fundraising costs 5,490 1.424 Support costs Management Salaties admin and nursing coordination Nursing co.sts Rent and rates Insurance Pension cosls Telephone & postage Clinical supervi8ion costs Marketing costs otfice costs Canied forward 49,983 265,197 7,474 1,652 11,658 3,865 115 727 20,043 360,714 82,572 372,105 9,367 3,814 14.885 7.179 2,107 4.090 19,686 515,805 This page does noi forn) part of the statutory fin(InLial st<ltements Page 17
Kate's Hon)e Nursing Detailed Statement of Financial Activities for the year ended 31 March 2024 20?4 2023 Management Brought forward Travel Training Account¥illLy L£gal, profe.ssional and regulatory 360,714 11244 2,587 3,990 6.529 515,805 17,347 12,IK)6 3,049 16,496 385,064 564,703 Other Fixtures and fLtiings COputer equipment 331 3.802 4,133 Governance costs Transfer from ch(lty to CIO 1,059,423 Total resources expended 1,449,977 570,260 Net (expenditure)lincome before gal$ and losses (1,130,049) 30,302 Gains/(losses) on fixed a&set investments Realised gains/(losses) on fixed asset investments (91,476) (28,585) Net (expenditure)lincome (1,221,525) 1.717 This page does not fortn part of the statutory financial smtements Page 18