Reglstered number 10690071 Cha￿ty number 1173379 ADSS Facing dementia together TRUSTEE5 REPORT AND ANNUAL STATEMENT FOR THE YEAR ENDING 31° MARCH 2023 ALZHEIMEWS & DEMENTIA SUPPORTSERVICES CONTENTS Page Reference and administrative details Trustees, report 3-21 Independent auditorf5 report 22-25 Statement Df financial activities 26 Balance sheet 27 Statement of cash flows 28 Notes to the financial Statements 29-38 ALZHEIMEIYS & DEMENTIA SUPPORT SERVICES REFERENCE AND ADMINISTRATIVE D￿All5 FOR THEYEAR ENDED 31 MARCH 2023 Registered Charity Number: 1173379 Reglstered Company Number: 10690071 Principal Offlcè Safeharbour Coldharbour Road NORTHFLEET Kent DAII 8AE Trustees Karen du Rocher Chris Inwood David Mackenzie Denise Osborn Sam Barton Catherine Jones Adedayo Ajakaiye Gareth Simpson Louise Buet Vikki Harding Avril Hamiltoll lappointed 5 November 20221 lappointed 10 July 20231 (appointed 10 July 20231 lappointed 10 July 20231 lappointed 10 July 20231 Chalr of Tru5tee5 Sam Barton Treasurer Catherine lones Chief Executive OffKer Katie Antill Auditors UHY Kent LLP trading 35 UHY Hacker Young Thaffles House Roman Square Sittingbourne Kent ME104BJ Banker5 CAF Bank Ltd Kings Hill WEST MALLING Kent ME194JQ ALZHEIMER'S & DEMENTIA SUPPORTSERVICES REFERENCE ANDADMIN15TRATIVE DETAIiS FOR THE YEAR ENDED 31 MARCH 2023 Banker5 {continuedl Charity Bank Fosse House 182 High St TONBRIDGE Kent TN9 IBE Shawbrook Bank Ltd Lutea House Warley Hill Business Park The Drive Great Warley BRENTWOOD Essex CM13 3BE Advisor5 Peninsula Employment Consultants Peninsula Health and Safety Consultants Cyber and Data Protettion Advisors- from 05.2023 ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 The Trustees are pleased to present their report with financial statements of the Charity for the year ending 31 March 2023. The Trustees confirm that the report and financial statements of the Charity comply with the current statutory requirements. the requirements of the governing document, and the provision5 of "Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their account5 in accordan￿ with the Financial Reporting standard applicable in the UK and Republlc of Ireland IFRS 1021 (Charities SORP IFRS 102IIISecond Edition). ststus Alzheimerf5 & Dementia Support Services IADSSI is a charitable company limited by guarantee and has no share capital. The company was incorporated on 24 March 2017 and is governed by Articles of Association. Structure, Management and Governance Method of appointment or electlon of Trustee5 The management of the Charity is the responsibility of the Trustees who are elected at the Annual General Meeting or co-opted under the terms of the Articles of Association. The Board review5 Its strengths and weaknesses to ensure its effectiveness with achieving the Charity's mission, governing the organi5ation, and leading the Strategy. Thi5 helps identify when new Trustees should be recruited. During the year of 2022-23 one new Trustee has been recruited, Adedayo Ajakaiye. In early 2023 The Board of Trustees has also embarked Dn a recruitment campaign to find additional Trustees to fill skills gaps and to increase the depth of talent and experience on the Board. In 2023- 24 four new Trustees have been recruited.. Gareth Slmpson, Louise Buet, Avril Hamilton and Vikki Harding. The Board of Trustees has due regard for limited tenure best practice; however, it is prioritising having a regular in-flow of new talent to the Board. Currently, no Board member has been on the Board of Trustee5 for more than six years. Policies adopted for the induclion and training of Trustees There is an agreed procedure for inducting and training Trustees, which ensures they are provided with the relevant information about the Charity, in order that they can contribute to the efFective governance and leadership of the organisation. Organi5ational structure and decision making The overall management of the Charity is in the hands of the Trustees. who currently meet quarterly. There are also two committees, Funding & Finance and Quality, Rlsk & Complian￿, that meet quarterly. In 2023-24 it is anticipated that new committees will be added to assist with oversight and management of specific areas. This reflects the growth of the Charity and the Board of Trustees, and will ensure that ADSS utilises the new talents and skills Introduced to our Board. The Board dele8ate5 the day-to-day running of the organisation to the Chief ExecutNe Officer, Katle Antill. The CEO forms the Senior Leadership Team with Matt Thurston, Chlef Operating Officer,. Sarah Taylor. SeNice Development Manager; Kelly Clark, Dementia Care ManaEer,' and Denise Kilshaw, Dementia Support Manager. We are also pleased to be welcoming a Finance Manager in October, who will support with the analysi5 and management of the organisatlon's flnances. ALZHEIMER'S & DEMENTIA SUPPORTSERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 Risk management The Trustees have assessed the major risks to which the Charity is exposed, in particular those related to the operations and finances of the Charity, and are satisfied that systems and procedures are in place to mitigate exposure to those risks. The Board of Trustees has undertaken Risk Management Training. The Risk Register is reviewed by the full Board and the relevant risks are discussed in further detail at the Funding & Finance Committee and Quality, Risk & Compliance Committee meetings, a5 well a5 at meetings of the Senior Leadership Team. Consistent with many other charities the key risks. based on their impact and likelihood, are.. Risk Mitigation Cybercrime- a risk for all Cyber Essentials charities stsff Training Future plans Penetration testing Fraud Monthly and Quarterly Finance Control Checks Treasurer completion of Charity Commission Checks Annual Audit Policy oversight by Finance & Funding Committee Finance Manager to implement more robust testing Short-teTm funding EfiSU￿ Complian￿ wlth the contrart deliverables Robust exit Strategv Fundraislng plan Relnvlgorate ourstrategy and fundraising plan Data protection breach Digital Systems Data Protection Training Data Protection Impact Assessments Embed new way5 ofworking introduced by outsourced Data Protection Services Recruitment and retention of staff and volunteers Employee experience Culture and values Leadership and succession planning People Strategy Volunteer experience accreditation Managementteam capacity and burnout New posts to increase capacitv Leadership development ot junior leaders and supervisors People Strategy Constitution The organisation is governed by a constitution, which was adopted on 24 March 2017. It5 objectives are to give continued practical and emotional support to people with dementia, their Earers. other relatives. and supporters, and to deliver such support in a respectful way which recognises individuality and safeguards dignity. ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES. REPORT FOR THE YEAR ENDED 31 MARCH 2023 Investment Powers The constitution authorises the Trustees to apply the assets and property of the Charity solely towards the promotion and purpose of ADSS as laid down in the constitution. In the year in question the Board of Trustees has created an investment poliry and invested its reserves using the CAF deposit platform management by Flagstone. Public Benefit The Trustees have had due regard to the guidance issued by the Charity Commission on public benefit when reviewlng the Charity's objective5 and planning future activities. An Introduction from our Chair I'd like to start this yearfs report by saying an enom)ous thank you to our CEO Katie Antill, the senior leadership team, and all of the staff and volunteers at ADSS. 2022-23 was a transformative year for the charity. as we took on new contracts and managed rapid growth. It is a testament to everyone's hard work, passion. and dedication that we are in such a positive position today. As a charity. we are more ambltious than we have ever been. In the past year we have supported a record 4,791 unique people- a 171% increase on last year- and our income has increased by 53% on the previous year. We employ more staff than we ever have before, and have also seen an increase of more than 2CM)% in referrals to our services. However, like most organisations, we have also experienced many challenges over the past 12 months, and our success has also brought with it significant "growing pains" Recruitment is one of the biggest tests we are facing at present. We are under no illu5ion5 that working for ADSS can be extremely challenging- it require5 a great deal Df skill, empathy, and mental strength to work with people living with dementia, and we are incredibly grateful to all of our staff and volunteers for everything they do. At the same time, the cost of living crisi5 means that many people are struggling to make end5 meet, and as an employer we want to do as much a5 we Possibly can to support our wonderful team. Despite the growth we have seen. It has become more difficult to balance the books. We are working hard to drive growth and boost efficiency across ADSS- in areas such as in fundraising and our Support at Home service5 and day centre- so that we have more flexibility to meet our current and future financial needs. and those of our team. But there is more work to do. And while expansior) does come at a cost. our ambitions for ADSS will continue to grow. Our vlsion is that everyone living with dementia in Kent and Medway gets the sUPPOrt they need to live the life they want. As a Board, we believe there is no organi5ation better able to support people with dementia, and therefore we want to keep expanding, and keep reathing more people. TD help u5 navigate this growth, we are delighted to welcome no fewer than four new Trustees this Summer, each bringing much-needed skills to the Board, across HR, healthtare, and marketing. It Is a measure of how far ADSS ha5 come over recent years that we have been able to attract such a broad range of high-quality people as Trustees. I believe that the skills and experience they will bring, combined with the wealth of talent of our existing Trustees, will make an enormous difference to us. and will help u5 to achieve even more over the coming years. 51Page ALZHEIMER'S & DEMENTIASUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 A few words from our CEO As years go, 2022-23 has been an outstanding one for ADSS and we will be forever changed by the exceptlDnal year we have had. ADSS is now significantly bigger, brighter bolder. Bigger in terms of income, staff and volunteer numbers, geography, the number of services we now provide and, most importantly, the nutnber of people living with dementia we are reaching. We are brighter: our new logo and bright colour palette now set5 us apart and ensure5 we have a visibility in Kent and Medway that we have never previously enjoyed. We have attracted a wealth of new talent to the Charity, whi15t retaining much of the experience we have in our team. We a￿ also bolder,. AD55 h35 a newfound tonfidence that means we are demanding more for people with dementia,. we are now firmly intrenched as equal partners in the Dementia Pathway in the Kent Health and SDcial Care System. I have also personally supported the th2nges in the way the NHS works. The introduction of the Integrated Care System created an opportunity for me to not only represent ADSS, but also the wider voluntary sector, on the Inequalities, Prevention and Population Health CDmmittee. am extremely proud of what the ADSS team has achieved. New and existlng team members have pulled together to deliver new services. Serve more people, and support each other, and yet we have still retained our great culture. The team 15 busy, and most probably at capacity, but we will use the next year to consolidate where we are and ensure we catch up with ourselves. Our hard work and efforts were acknowledged when. in May 2023, we were awarded Kent's M05t Inspiring Dementia Care Provider Award. This success came on top of bein8 finalists in the Kent Integrated Care Alliance Awards in September 2022. The SLJcce5s of the organisation would not be needed if it wasn't for the devasting impact that dementia can have on people and their families. The impart of Covid-19 and the lockdown is still being felt by people with dementia, and this has resulted in people needing more from us other health and care professionals. People affected by dementia are entitled to the best care and support Possible to enable them to have fun and fulfilling lives, and that is what motivates the team at all levels of this wonderful charity. At a recent event we held, someone we support spoke about the impatt we have had on his and his wife's lives. He said that 'the team at ADSS certainly know how to bring out the best in u5,. This really is the essence of ADSS, and it is my hope that I bring out the best in my team to enable them to do that for the people who need us. Objective and Activities Purpose Too many people affected by dementia do not get the vital social care. support and guidance they need. We use our person-centred experience of dementia to define and Implement social care services, from diagnosis to end of life, that reduce the devastating impact the disease can have. Vision Everyone living with dementia, in Kent and Medway, get5 the support they need to live the Ilfe thev want. ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 Mi55i0n Our mission is to give people affected by dementia the knowledge, support and care they need to take back control of their lives, take part in family and community life, and manage their symptoms. Value5 We believe: That everyone's rights and dignity should be promoted. In being per50n-centred and focused on people's abilities. In being inclusive and embracing everyone in our community. In worknng together to deliver excellence in the information, support, and services we provide. In being caring and compassionate in all we do. In acting with integrity and honesty at all times. ADSS delivers a range of services to people affected by dementla through our two service lines 'Dementia Care, and 'Dementia Support,. The Dementia Support team provides a range of services that ensure people can build good support networks, are well infornied and minimise their risks of becoming lonely or isolated. Dementia Support is there to ensure people understand what dementia is, what support is available, help people build peer networks, but most importantly to have fun and live a fulfilling life. The seNices include Dementia Cafés, Peer Support Groups. support and learning groups for carers, activity groups and cafes, day trip5 and so much more. Our Dementia Care team builds on that by providing a greater level of 5UPPOrt and personal care to people whose dementia has advanced or who need more. This includes our Beacon Day Support Centre and our home care service, Support at Home. All our services are designed to have something for everyone and to make our 5UPPOrt available from pre-dia8n05iS to end of life. Our heritage is in Dartford, Gravesham and Swanley- in these areas we can offer our full array of services. But all residents of north and west Kent are now able to get some level of sery1￿ from AD55, and where we don't provide a full complement of services we work with partners to help people access what they need. Achievements and performance Review of our slrategv In 2021 we launched an ambitious five-year strategy, and we continve to make good progress. We knew that there were still people out there who didn't know about us, and big parts of Kent and Medway that were not receiving the same level of support that we were offering in Dartford, Grave5ham and Swanley. We wanted to do something about this. We set ourselves ambitious goals to make Kent a better place for people with dementia, but a150 looked inwards at what we can do better. Here is what we said we would do: rNeknyear strate8v We will increase our reach by IO% each year 50 that everyone living with dementia in the community can benefit from our guidance, support and Care. We will demonstrate excellence and specialism throughout every aspect of our work. ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES. REPORT FOR THE YEAR ENDED 31 MARCH 2023 We will coproduce a wellbeing setvice model that offer5 flexibility and choice and includes evidence-based activitie5. We will expand our Dementia Support and Wellbeing SeNices across Kent and Medway. We will increase our efficiency by 20% over five year5. To find out more information about our strategy. please take a look at our website www.alz-dem.or What we have achleved In 2022-23 AD55 supported 4,791 unique people in 2022-23- an amazing 171% increase on last year. We supported an average of 1,405 people each month- an 84% increase on last year. We had 4,048 new referrals to the Se￿ice$. This is an increase of 213%. We were awarded three Major contracts from Kent County Council and Kent & Medway NHS. This has enabled us to do more than ever before and 15 te5tarnent to the faith that kev funders have in the work of ADSS. This has presented us with an increase in income of over £800,000. We conducted a seNice-wide evaluation in which 138 people who use our servlces took part. Evaluation The key findings from our evaluation showed that ADSS is having a significant impatt on the people we 5UPPOrt. 74% of people say our services help them live safely and independently 81% of people say our services provide them with specialist information and advl 71% of people can access social activltles that they enjoy 92% of people feel like they are treated as an Indlvldual when accessing our services 94% of people think our staff have the right knowledge and understanding to SUPPOrt them 99% of people think our staff are caring and compassionate Compliment5 and Complaints During 2022-23 we were delighted to receive 42 compliments127 last year). Thi5 is testament to the excellent service we provide and many of the compliments were directed towards team member5 who had recently joined us, which is reassuring for both the organisation and the individual. However, we did also receive 11 complaints15 last yearl. While it is never a good feeling to receive complaints, we are for the honest feedback and given us the opportunity to learn and make things better. Only one complaint was a formal complaint. Unfortunately. a significant proportion of the complaints related to a single issue, and this led to Us uncoveiing a performance management issue with one team member, which in turn led to the termination of that team memberf5 employment. Equaltty. Diversity and Inclusion In late 2022 AD55 created an equality, diversity and inclusion action plan, this was in recognltion of the fact that we knew that Some people from the diverse population of Kent were not acce55ing our services. We also recognised that our team did not truly reflect the communlties we se￿e and therefore we were missing out on talent and a diverslty of thinking. Our plan is a collection of practical actions we can take to address this. We have also reviewed and renewed our policy on Equality and Diversity and trained our Board and managers. ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 Safeguardlng the people we support At ADSS we have a robust Safeguarding policy, procedures. and training. All new team members are trained by our Designated Safeguarding Lead. Katie Antill, and they then have annual follDW-UP training. During the past year, we have seen a huge increase in the number of safeguarding concerns we are dealing with, though this has not come as a surprise given that we ale now 5UPPOrting 171% more people than the previous year. Number of safeguarding concerns dealt with- 41 Number of safeguarding tonterns raised as an alert- 20 Whilst the abuse. or potential abuse, of people affected by dementia is not a topic we want to be discussin& we believe it is vital to shine a light on the fact that people living with dementia can and do experience abuse. The impact of abuse or the risk of abuse on people affected by dementia can be huge, it can lead to people being hurt, caring arrangements breaking down, and greater social care needs developing. During the last few years, since the Covid-19 lockdowns, we have seen the complexity of people's circumstances increasing and we have seen more families that are unable to support their family member with dementia. The lockdown increased the deterioration in people's dementia, increased their frailty. and also made many people even more i501ated- all things that increase the risk of people being abused. ADSS as a place to work The Board of Trustees and the Senior Leadership Team are committed to ensuring that ADSS is a place where people want to work and volunteer. We are proud of the fact that we have grown significantly in the last year but have managed to ensure our culture is not diluted. The instruments we have put in place to support our ambition of being a great pla￿ to work are: Support for our team during the cost of living crisis An Employee Forum Leadership development for all levels of the team who have or aspire to have line management responsibility Trustee development and visibility wlth the team Medicash healthcare scheme A wellbeing team of traine(l Mental Health First Aiders Resilience training for team members Volunteer development at ADSS Desplte the aftermath of the pandemic, we have seen a v35t development in the recruitment of volunteers since employing our Volunteer Coordinator. She has dedicated time and effort to recruiting a good calibre of volunteers from all backgrounds and skill sets to build 3 growing diverse team dedicated to help people with dementia. We have introduced a robust recruitment process, induction, and role descriptions for our volunteers to ensure they feel equipped for their role and always feel supported. Targeted recruitment, along with the assistance of social media platforms. ha5 helped us to raise our profile and advertise Dur volunteer opportunities throughout the organisation to Trustee level. We invest in our volunteer5 by offering ongoing customised training to support them and enhance the quality of our servlce, build a strong team and maintain good ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES. REPORT FOR THEYEAR ENDED 31 MARCH ZOZ3 retention. We started the year with 31 volunteers and finished the year with 52, increasing our volunteer contribution by 68%. In May, we hosted a volunteer appreciation tea party to say thank you. Fourteen volunteers attended along with two Trustee5, the VolLtnteer Coordinator, and the CEO. The volunteers enjoyed meeting each other and every volunteer was awarded with a Certifitate of Appreciation. It was enjoyed by all, and the volunteer5 were able to talk and network together. In totsl our wonderful volunteer team has contributed a staggering 11,066 hours, helping us with groups, events, office and admin duties, supporting in The Beacon, driving the minibu5 and helping with meal prep in The Hub. "I reolly enjoy being t7 volt4nteerforADSS and l am so proud and dellghted with oll the amozing work they do. It'5 such a Ipvelyfeeling to be oble to have the opportunity to help antl make a difference. Eoch session isfilled with fvn and loughter GTnd it's such a joy to See ond be purt of.- VolunteerforADSS In January 2023, we launched our befrlending service 'ADSS Connections, This ha5 taken time, as we needed to recruit a very specific type of volunteer for this seNice to provide social support in the person's home. and match personalitie5. The service provides Social stimulation for people with dementia and their carer to reduce the feeling of loneline55 and isolation. Within the first 12 weeks we have provided 21 volunteer vi51ts totalling 23.5 hours of sUPPOrt to people in their own homes. Demand for the seNice is steadily increasing. Already, the benefits have been tangible for knth volunteers and thD5e we are Supporting. Our priority 15 to expand our recruitment and focus on building a diverse team of volunteers who have the skills and confidence to engage with people in the comfort of their own home. This year we have also been working with local Senior schgols, giving the student5 Opportunity to gain experience working with our organisation and learning about dementia. We hope to develop this partnership over the next year. Investing time and knowledge into our future workforce in social care is a priority for us for the benefit of our community. Volunteerln8: the fvture We will continue to encourage more male volunteers to provIde'Budd￿ support. We will promote sotial Inclusion by recruf(ing volunteers from all Sectors of our diverse community. We will identify a volunteer reward scheme, such a5 'Room to Reward Scheme,. We will work towards 'lnve5ting in Volunteers, quality framework. Medway Buddy Volunteers We have continued to deal with the effects of Covid-19, well into the year. It has been a period of recovery and redevelopment. Progress at times has been slow owing to regular ward closures and, in some cases, volunteers have been anxious about returning to the wards. Some volunteers have ¢h05en not to continue volunteering in the hospital setting. The Buddy Coordinators kept a dailv presence working from their hospltal office, in addition to covering the wards and maintaining relationships with ward staff. They kept in regular contatt with the volunteer Buddies, giving support and reassurance. The Buddy Volunteers received daily updates regarding Covid and the Safety control measures implemented by the hospltal. We have seen a steady rise in volunteer capacity throughout the year. Out of a team of 28 Buddy Volunteers (pre Covidl we retained eight of the original team, Throughout this period, we experienced restrictior15 to VlSlting, which impacted on the in-patients living with dementia, making the role of the Buddy Volunteef even more vital. The ability IOIPage ALZHEIMEIVS & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH Z023 to spend time and engage with the patient living with dementia 15 what makes the Buddy servlce such a success. offering per5on-cent￿d support and helping to champion the voice of people affected by dementia. This year Buddy Coordinators prioritised recruitment to rebuild the volunteer team. They produced an action plan to diversify the recruitment of volunteers and work collaboratively with partners. They targeted local health and social care students lover 1815tudying at Medway and Maidstone Campus and Mid Kent College. Thls has been extremely suc￿5$ful and has assisted us in getting back on track to rebuild our volunteer capacity. The Service provi(led 2,217 visits equating to 1,424.5 hours of support to patients living with dementia on five wards. The dementio buddies (Jrefriendly and helpfvl, alwoys willing to do octivities Wlth the potients t7nd encouroge cortVEfsations. This really help5 take the pressurefrom the Nurses and CSW's. You can definitely tell the difference vvhen the Buddy Volunteer5 (Jre on the word. You re(7lly must encourage more volunteers to the team, they ore o huge help and can make such a difference to the PLTtients Stay Team member Ivedway NHS Foundation Trust Dementia Care Dementia Care consists of our Support at Home Service ISAH is enabling and well-being led and SAH+ is our Regulated Home Care Service), and our Beacon Day Centre. It is our aim to offer life- ènhancin& stimulating support and care throughout these services. They are predominantly aimed t people whose dementia is quite advanced, and with our specialist knowledge and experience, we enable people affected by dementia to live the life they want to live and take part in activities that they enjoy. SuppDrt at Home 65 unique individuals supported over the year 32 people were assigned to the seryice in April 2022 56 people were assigned to the Service in April 2023 6,291 hours of support provided Support at Home Plus 46 unique individuals supported over the year 24 people were assigned to the service in April 2022 57 people were assigned to the service in April 2023 9,775 hours of support provided An average of 2,000 items of medication administered every month Bridging Service 38 people were referred into the Bridging Service 716 hours of support provided 6 people weie able to continue receNing their care from ADSS IIIPage ALZHEIMEWS & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 CQC Inspection On the 20th April 2022, our SAH+ service received a 'Focused' inspection by Theresa Wrightman from the CQC. who had previously inspected the service in 2018. The inspection was instigated by the CQC, as there had been no official Registered Manager in post since the departure of the previous Registered Manager. As a 'Focused' inspection, Theresa concentrated on two of the Key Lines of Enquiry: Safe and Well- Led. We had received a monitoring call from the CQC in March, so we were well prepared with our evidence to share, and the inspection went very well. Theresa provided us with invaluable feedback regarding our recruitment and application process, suggesting all applications are forensically audited to ensure we are confident that the people we recruit have a traceable work and education history. We were also given guidance on how to ensure that medication 15 being administered as safely as possible, using our digital care plan system. We werE rated an overall 'Good' in these areas and have already made chanEes to our recruitment proce55, a5 recommended by Theresa. Development of Di£itali5ation As a team over the course of the last year, we have gained confidence and knowledge in ensuring we are using the digital care plan software to the best of its abilities, and to help us ensure we are providing a Service that is safe, responsive, efficient, and well-led. Using the 50ftware and the analytical data it provides us with, we are able to evldence to the CQC how quickly concerns are being dealt with, how many items of medication have been administered, how accurately the carers are arriving for their Scheduled visit time, and whether they have stayed for the expected duration of the visit. Feedback from family members of the people who use our setvice has been good,. they appreciate beinE able to read the carer5' log entries in real time as this means that they can pass on relevant information to the carers based on what they have recorded, through the office team. Barriers to providin8 the service Recruitment and retention have been the biggest barrier to providing a service to everyone who needs it,. lack of weekend and evening staff have Meant that we have been unable to provide full packages of care to people, seven days a week. Existing staff worked tirelessly throughout the summer Months outside of their usual availability to help ensure everyone received their vi51t5 a5 planned, We were supported by team membersfrom otherareas ofthe organisation too, who had left their roles within Dementia Care to develop elsewhere. Enhanced rates of pay for existing staff who were willlng to come outside of their regular availability helped to ensure that the team felt rewarded for their help. Due to low staff capacity, we have often been unable to provide support to people who are being discharged from Darent Valley H05Pltal. Quote from the daughter of someone who use5 the SAH+ Service: "I receive a really usefvl roster in odvance each week advising me which member of the teum will be attending ecch dÈ7V thefollowing week and ot what time. Everyone is always relioble ondpunctual. I 121 Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICÉS TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 o150find the dally 6irdie' update reports (which I con read on my phone immediatelyfollowing eoch visit) to be extremely helpfvl os they enoble me to understt7nd how mum is each duy, in reol time. The Senior Support Teom also conslstently demonstrate o professional. proactive and genuinely curing opproath ond olways keep me informed. Nothing has ever been too much trouble [e.9. they hove often put t7ddition(71 care in placefvr mum at very short notice if fnum ht75 suddenly neededfour visits a dayfor a week to take a course of antibiotics orif there has been an urgent Issue. they have immediately stepped In to resolve it.] As i don't live locally, the reu55urance that mum is in good honds ond genuinely caredforis priceless. I connot recommendADSS highly enough." Support at Home: plansforthe year ahead This year, we will continue to focus on recruitment as we hope to expand our SAH servlces into Medway, We will continue to strive for improvement of the service by continually monitoring the quality of care we are providin& as well as providing our staff with development opportunltles and tralnlng specifically related to dementia. We aim to increase the number of people we support by 20% by the end of the financial year, but this goal is dependent on our ability to recruit more care staff. The Beacon Day Centre Unique individuals attended - 103 Hours of day support provided- 1,685 Hot mea15 provided - 4,645 Life after Covld-19 The Beacon Team has worked hard to build attendance levels up since we re￿pened- we are now supporting more people than we have Èver supported at The Beacon. Barriers to increasing these figures are the high volume of traffic in the area during the times that the minibus is needed to collect people in the morr)ing. The rnore people we collect, the later they all arrive and therefore the more of their paid-for time they miss out on. Achievements of the ser¥lce Management has implemented updated policies and procedures, as well a5 compliance rnonitorin& to ensure we are monitoring the service effectively, in a similar way to which the quality of SAH is monitored. Staff contract changes implernented in August 2022 have meant that we now have the right people in the right place at the right time, reducing the amount of overtlme that was being claimed previously. More importantly, this has enabled management to assigr) key responsibilities to staff who have the skills to take them on. Quote frorn daughter of person who attends The Beacon: "My mum Ilves olone and The Beacon has made such a difference to her quollty of life. Not only 15 her genert71 mood (7nd wellbeing uplifted, but her dementlu 15 a150 improved on the days She attends. Although her memory moybeft7ding,' she knows thot she will be picked up in u minibus, will be greeted warmly und affectionately, huve o lovely meol and lots olfun and games.. 131 Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 The Beacon- Plan for the year ahead We plan to increase attendance to our 'Crafty Crafters Club, that 15 facilitated by Lorraine. a member of staff who volunteers her time every Friday morning in The Beacon. Ourvery own Matthew Thur5ton 15 an avid attendee of this group and ha5 recently managed to secure an opportunlty for their artwork to be displayed at The Woodville Halls later this year. We a150 plan to increase the dlversity of our event5 and celebrations throughout the year and are bein8 SUPPOrted to thi5 by Beacon team member, Lorraine. Dementia Support Post Dlagn05tic Support Achievements This has been an outstanding year of achievement. We needed to transform our team in line with the new contract5, so we created our Wellbeing Team., comprising three Dementia Wellbeing Coordinators dedicated to the Post Diagn05tic Contract. They are responsible for facilitating all the groups, tafes. activities, and events. We promoted from within our organi53tion and made rapid progress. Through stakeholder feedback we turned ideas into actions. We developed a new and irnproved post diagnostic programme for Dartford, Gravesham and Swanley, consisting of social activity, low Impatt exercise, and much more. We started the year facilitating 19 regular groups per month and, by March of this year, we had increased this to 31 sessions per month- an increase of 63%. We have introduced Singing Back the Memories to Sittingbourne, Sheppey and Faversharn, extended our Activity Cafe into Dartford, trialled 'Cyclo for All. Sessions at the Cyclopark and introduced chair fit sessions every week. We have started two more Dementia Cafes in the rural locations of Longfield and Shorne. We have worked collaboratively with the Adult Education Service to) deliver art sessions. Attendance levels have Steadily increased throughout the year a5 Covid has become less of a risk, and we have received a steady flow of new referrals via our dedicated Dementia Coordinators. Attendance numbers at our cafes varies from 10 people (usually In rural locations) to more than 50 in central locati0r15 such as Dartford. We see lots of regular faces, 35 the group and Dementia Cafes provide 2 vital lifeline and social 5UPPOrt for all affected by dementia. To accommodate the growth, we have needed to seek larger venues and expand our volunteer teatn to ensure we meet the needs of all the people we support. The total number of group attendances lincluding Èvents and day trip51 across North Kent. Sheppey, Faversham and Sittingbourne is 9,1941 The total number of groups delivered thi5 year across all areas is 765, totalling 2,314.5 hrs of support, to 687 unique people. Events and Day Trips In total, 259 people attended the events we held throughout the year. Carers and family feel comfortable and safe at our well organlsed events. The people we support voted to select their activities and destinations we vislt. The events have proved to be very popular and on occasion we even have waiting lists for tickets. We held a Queen'5 Jubilee party in June 2022, attended by 76 people living with dementia. their carers and family members. 141Page ALZHEIMER'S & DEMEf+flA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 Quote from a carer that attended: 'It's so nice to hove a get together with like-minded people, fGTbulous otmosphere everyone enjoying themselves." In 2022 we also vlslted Dymchurch for a day trip in September, with 46 attendees, and Rochester christmas market in December, with 55 attendees. We held our Christmas Extravaganza in December, with 82 attendeesl Carers Learning Programme This year the course has been redesigned to be facilitated in four sessions using a series of activities. videos and discussions. We cover important topics such as dementia awareness, communication, complex behaviours. carer support, self-care, respite and the social care system, coping strategies, legal aspect5, planning for the future and respite options. The course encourages carers to Share experiences and create a support network. Due to issues wilh recruitment, unfortunately we have been unable to meet our delivery target. however, we delivered nine sessior¢s in total. Quote from someone who uses our Post Diagnostic Services "My wife, Elizabeth, has Alzheimer's ond VosculorDementio.' l am herfvll-time corer. We have bee ottending your Memory Cofv ot Hextoblefor the last three months and we both wish to record our oppreciation of thefriendly, professional and coring support we have received ot the meetings. Elizabeth really enjoys ottending ond it is very odvontogeousfor her to meet other people in similar circumstunces an infvrmol setting. The meetings ore especit711y useful in providing helpfvl advice and information on Services which ore avoilable via the NH5 ond So￿al Service5, together with where to seek advice as regurds e.g. Power of Attorney etc. We rJrefvlly 5UPPOrt ond very gratefulfor the work you undertake on our behalf ond wish you continued Success in providing this service. Challenges IY5 been a drffitult start for the Singing Group in Faversham as our Dementia Coordinator Team does not cover the area. Attendance numbers are very low despite our best efforts. We have experienced much more success when our Demèntia Coordinators are covering an area. In evaluations for the new Post Diagnostic Support I"PDS"I contracts, we found that the people we 5UPPOrt did not engage well with the questions. Thi5 is under review to create a more dementia- friendly evaluation. Recruitment has been an issue and we hope to be fully recruited very soon. The future Set up Swanley peer support group. Develop arts and crafts activities. Community inclusion- target the communities we are currently not serving. Attract funding in Medway so we can deliver the same level of setvice there a5 we do in North Kent. Work with the Dementia Coordinators to regularly introduce new people into the group 5ession5. Carer support- identify further ways that we can en5Ltre carers get the support they need throughout their experience of caring. 151 Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 Dementia Coordlnatof Ser¥lce Kent & Medway NHS has invested significantly in the support and care available to those living with dementia. The Dementia Coordinator prograrnme supports the county to achieve the NICE (National Institute for Clinical Excellence) guidance that everyone wwth dementia has a named professional to 5UPPOrt them throughout their experience of dementia. Each Dementla Coordinator work5 c105ely with a group of doctors, surgerie5 CBlled a PCN IPrimary Care Networkl- They identify the patients registered and then conduct a holistic assessment and create a person-centred support plan. The Service has been well received by those affected by dementia and clinicians within the system. It is quickly being seen as the lynchpin service to support those affected by dementia to live the best life they can. In total, we were commissioned to provide 16 full-time Dementia Coordinators in north Kent Ithe districts of Dartford. Gravesham, Swanley, 5wale and Medwayl and nine in west Kent Ithe distritts of Maidstone, Tunbridge Wells. Tonbridge and Sevenoaksl. Our Dementia Coordinators have carried Dut 2.583 assessments thi5 year Over 6,000 OLStcomes have been achieved The people who use the service have found the support invaluable... Quote from daughter of someone who ha5 a Dementia Coordinator -It W¢75 nice to meet you last week too and a relief to tulk to someone about Dod 5 condition. Thonk youfor thi5 information. Mum received a phone collfrom someone obout getting some respltefor her todt7y and she olso hod o call[rom speech t7nd languoge 50 wefeel something is hoppening. In a survey of the professiona15 who refer into the Se￿iCe, 81% of people said that the Dementia Coordinator makes a positive difference to the lives of people affected by dementia. Quote from an NHS Multi-Disciplinary Team Coordinator e feedbock I hove had from clients / curers AS incredibly positive, they t711 soy how much more positive theyfeel and better equipped to cope with ony changes. They also expres5 how glad they t7re that there is o support Service avuiloble to them." Challenge5 Unsurprisingly the development of this new service ha5 created challenges, but with the skill and attention of our Senior Leadershlp Team, our Deputy Managers and key Operations team member5, we managed to create the system5 and protesses, purchased the resources and recruited and inducted most of these new posts. One particular challenge was re¢rultment. Initially we had applications coming in that exceeded our expectations, however, these are difFicult times in the employment market and SD there has been quite a bit of movement. We had one team member on TUPE from Imago, which was our first experience of handling a Transfer of Undertaking5, and six staff left in the first year Ithree Senior Dementia Coordinators and three Dementia Coordinators). We are. however, really proud of the fact we have helped many team members to develop, and have enabled five people to be promoted into new roles. Another challenge has been building the trust and cooperation of key people within health and social care services,. this has been Dngoirig and remains so. Senior Dementia Coordinators were utili5ed to erigage with the GP surgeries and build networks with external servi¢es, voluntary and statutory. Barriers that we encountered in sharing the initiative with PCNS.. 161Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 Lack of awareness and understanding of the Dementia Coordinator Service. Delay5 in the Joint Controller Agreement. No acknowledgement from some of the Practices despite many attempts to establish contact. Meeting5 held with PCNs/GPs but no further engagement from them. Resistance to allow dementla coordlnators allocated time in surgerie5. Lack of space- surgeries are unable to allocate workspace to the dementia coordinator. We have worked collaboratively with the memory assessment Services run by Kent & Medway Partnership Trust. The team of coordinators ha5 been attending triage meetings once Dr twice a week. We are using oui unique view and understanding of the issues facing people affected by dementia. Currently, some areas are experiencing long waiting list5 for memory clinic appointments, and we are using our influence and understanding of the human costs to affect change. Fundraising Fundraising policy Amounts received from our fundraising activities are presented in our accounts as donations and legacies. We confirm that all solicitations are managed internally, without involvement of commercial participators, profe55ional fundraisers or third parties. The day-to-day management of all income generation is delegated to the executive team, which is accountable to the Trustee5. During 2020-21 we updated our fundraising policy and created an ethical fundraising policy, which ha5 been approved by the Board of Trustee5. Ourteam is bound by our Code ofconduct and Gifts & Hospitality policy. At ADSS, funds are raised from a variety of sources, including statutory grants, client contributions, 5rnaller grants, donation5 and event5. ADSS has registered with the Fundraising Regulator and, as in previous years, is using its guidan￿ to ensure our fundraising practice is of the highest order. We are pleased to say we have received no complaints about our fundraising activitvi despite having contact from the Fundraising Preference Service, which was a case of mistaken identity. The Trustees of ADSS understand the protection5 required for vulnerable people with regards to fundraisin& and we use our understanding of dementia to ensure we protect people. We also have a clear segregation between our service delivery and fundraising team. Fundraising thi5 year A considerable amount of time has been given to building our fundraising capacity this year,. we held the ambition to recruit a new fundraiser, but thi5 proved quite a challenge. We have long recognised that it is imperative for us to have a diverse range of income streams. Public bodies, such as Local Authoritie5, are under increasing financial pressures, but with our desire to do more for people with dementia we knew we had to develop and build on our fundraising capability. We managed to recruit Nneka Bolji to the team late last year, and she is already makinE quite a difference. We a150 knew we needed to organise our fundraising work and identify the opportunities ADSS had. Thi5 work has been led by Malt Thurston, our Chief Operating Officer, and Sheila Buckley, our Senior FLJndraiser. We have identified our strategie5 and, with the help of our newly recruited fundraiser. we are now turning that into actions. Our focus will be on community and digital channels. I addition, with our new contracts we also have a unique opportunity to go to new areas to raise funds. 171Page ALZHEIMER'S & DEMENTIASUPPORTSERVICES TRUSTEES. REPORT FOR THE YEAR ENDED 31 MARCH 2023 Thank you's Our continued thanks goes to The Albert Hunt Trust who, in 2019, generou51y loaned us the funds to purchase our building, Safeharbour, which was not only a long-held ambition but also helps ensure our future sustainability. They have now kindly offered to discharge the loan, due to their faith in the services we provide, the difference we are making and the care we have given to improving and maintaining Safeharbour. Fundraising continues to be an ongolng challenge and focus for u5 to support the work we do. As ever, our appreciation goes to Kent Community Foundation, who do so much to SUPPOrt us and so many other charities across Kent and Medway. They kindly awarded grants to us from their Elderly and Isolated Themed Fund. Kent Rellance Provident Society Community Fund, and Wards Charitable Fund. Additional specific thanks go to Ebbsfleet Community Investment Fund, Screwfix Foundation, Sports England, Percy Bilton, Childwick Trust, and the National Lottery Community Fund. ADSS is fortunate to be well SLlPPOrted by our local communities and the clubs and groups that have kindly supported us this year are.. Gravesham with Ebb5fleet Rotaryi Istead Rise Active Retirement Association. Kent County Bowling Club, Northfleet & Ebbsfleet Lions Club. and Strood & Flnsbury Working Men's Club. We also have the wonderful support of many businesses, and this year we have had the support of KCL Digltal, John Lewis, Waitr05e ILongfieldl, Sekisui Diagnostics, Morri50n5. Port of London Authority. Hilltop Hotel & Restaurant, and Aldi Gravesend. Many individuals have raised significant funds for us by taking part in challenges or fundraising. We specifically thank Jei Andrews, Elise Hoyland, Alan Flynn ILIA Red Team), Joanne Pullman, Chris Till, Paulette & Tony Bilham, Mary Anne Abbott, Sarah Walton, and Christine Hammond. Ourthanks go to the family of Mrs J Heaver who have kindly made a donation to ADSS in memory of their mum. We also have many other kind people who make donation5 to us in memory of a loved one. Review of finances The charitable compan￿5 income for the year ended 31 March 2023 totalled £2,340,299 Iprevious vear- £1,530,166). This significant increase is due lo the additional funding from new contracts awarded following the 5ucces5ful tender by ADSS. Expenditure totalled £2,283,256 (previous year.. £1,546,7801- A change in the treatment of our fixed assets will mean that our building, Safeharbour, will be depreciated and therefore £50,OLM) from last yearfs revaluation had to be revised, resulting in a total net income of £57,043 Ipreviou5 year.. £33,386). Future Financial Planning A5 we move into the Charity's next phase of growth, our future firsancial planning will focu5 heavily on building our fundraising team and capacity. We know that the cor)tracts we have been awarded for 2022-23 do not cover all their costs, so going forward we will not be operating full cost recovery, and we also know that we need the flexibility and tontrol that voluntary income gives us. We are also focusing on our reporting and monitoring of our income and expenditure to ensure that the costs a550Ciated with our new contract5 are carefully managed. 181Page ALZHEImE￿5 & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THEYEAR ENDED 31 MARCH 2023 Reserves policy Designatsd reseNes The Trustees are very conscious of the need to act prudently wlth the administration of the funds of the Charity, and a55ess the levels of free reserves they consider the Charity should hold for all existing and planned activities to be financed. The Trustees are also aware of the need to meet all Contractual obligations. If, for any reason, the charity had to cease activity, the Charity would need to be supported with a sufficient amount of free reserves. due to the complexity of the work we do, and the reliance that some people who use the service have on us. The Trustees have a policy of regularly reviewing the levels of reserves each year. Thi5 was most recently done in July 2023. when the Trustees agreed, in view of the rapid expansion in new service areas, that the reserves policy should be in place primarlly to support a situation in which the Charity needed to wind down its services in its entirety- During the review. it was agreed that free unrestricted reserve5 Ithat is unrestricted reserves represented by net current assets) should be maintained at a target level above £550,000. This would be enough to cover redundancy, extended notice period to senior emp5oyees in the event of closure, and penaltie5 to exit existing contractual commitments. As at the year ended 31 March 2023, the reserve5 currently stand at £263,462 and are calculated as follows- RESERVES AT 31.3.2023 Total Reserves Less.. Restricted Reserves Designated Reserves £ 898,959 1£42.3481 1£190,0001 £ 666,611 Less- Fixed Assets 1£401,3321 Free reserves £ 265,279 During the year, £61,07212022.. £12,600) was transferred to designated reserves to cover repairs and e55ential maintenance to the roof and boiler system at Safeharbour. These works are scheduled for the first half of 2023-24. A figure of £42,34812022: £46,026) is in restricted reserves and therefore is not available for the general purposes of the Charity at the year end. The reserves held at the end of the financial year were below our target range, as we built designated reserves in 2022-23. This is now not the case following the generous gift and discharge of the loan of £315,000 from The Albert Hunt Trust. 191 Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES. REPORT FOR THE YEAR ENDED31 MARCH 2023 Principal Funding ADS5'5 income derives from Kent County Council Contrarts146%, of which 35% is funded by Kent & Medway NHSI, NHS Contracts Ill%l- Client Contributions135%1, Fundraising16%1. and Other12%1. Post balance sheet events At ADSS we are delighted that The Albert Hunt Trust will be discharging the loan of £315.000 for the purchase of Safeharbour in 2019. This generous gift was completed on 13 July 2023 and The Albert Hunt Trust no longer have a charge on the property. It is with immense gratitude that we accept thi5 generous gift. We have also been awarded an additional £176,270 of funding from our contract with Kent County Council on behalf of Kent & Medway NHS to provide five additional dementia coordinators in North and West Kent. This will be an enormous help to build our capacity and we are pleased that Kent & Medway NHS has the faith in our ability to deliver at such an early stage in the programme. We took receipt of our long-awaited minibus in April. We have waited for this Since 2020 when our minibus wa5 Stolen from our car park in Northfleet. This means we can ensure the greater stability of the Day Support Centre and ensure those who need us most can get toThe Beacon. The Future... ADS5 is on a journey. We know we need to keep improving and adapting so we can do our best to 5UPPOrt people affected by dementia. We won't stop until dementia stops. Whilst 2023-24 will not see the huge level of growth experienced in 2022-23, we will be consolidating where we are and ensuring we do the following.. Develop our fundraising capabilities and create our new operational plan. Continue to improve our proce55e5 and systems to make us as efficient as posslble. Continue the refurbishments and upgrades of Safeharbour, replacing the roof and heating system and building a new dementia-friendly garden. Focus on our team and create a new People Strategy to help u5 manage our Erowth and attract and retain the best staff. Work on our retention rates and recruit to the va¢ancies we have within the team. Focus on our Equality, Diversity and Inclusion Plan and develop our services to meet the needs of those from the diverse communities of Kent. Ider¢tify funding opportunities to develop post diagn05tic services in Medway Conduct a Trustee Recruitment Campaign to ensure we continue to fill any skills gaps identified, and review and update the Board Cornmittee structure. Advocate for the rights of people affected by dementia to get a timely diagn0515 and the 5UPPOrt when they need it, and help the system to recover from Covid-19. Statement of Trustees, Responsibilities The Trustees are responsible for preparing the Trustees, Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Pratticel. The law applicable to charities in England & Wales requires the Trustees to prepare financial Statement5 for each financial year that gwe a true and fair view of the state of affairs of the Charity 201 Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2023 and of the incoming resource5 and application of resource5 of the Charity for that period. In preparing these financlal statements, the Trustees are required to.. select 5Uitable accounting policies and then apply them conslstently: observe the methods and principles in the Charity's SORP.. make judgements and estimates that are reasonable and prudent: state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements,. arbd prepare the firbancial statements on the going concern basis vnless it is inappropriate to presume that the charity will continue in operation. The Trustee5 are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financSal statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the detection and prevention of fraud and other irregularitie5. Disclosure of information to auditor5 Each of the persons who are trustees at the time when this trustees, report is approved has confirmed that.. There is no relevant audit information of which the Charlty's auditors are unaware,. and The Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information. Small Company Provisions This report has been prepared in accordance with the special provisions for small companies under Part 15 ofthe Companies Art 2006. Approval This report Was approved by the Trustees on q 1.10 ! Z923 . and signed on their behalf. Signed Signed Sam Barton Chair of Tru5tee5 Catherine Jone5 Treasurer 211Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES INDEPENDENT AUDrroR'S REPORT TO THE MEMBERS OFALZHEIMERS'5 & DEMENTIASUPPORTSERVICES FOR THE YEAR ENDED 31 MARCH 2023 Opinion We have audited the financial statements of Alzheimels & Dementia Support Services Ilhe charity'l for the year ended 31 March 2023, which comprise the Statement of Financial Activities, the Balance Sheet, the Statement of Cash Flows and notes to the financial statements including significant accounting policies. The financial reporting framework that has been applied in their preparation 15 applicable law and United Kingdom Accounting Standard5, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland, (United Kingdom Generally Accepted Accounting Practice). In our opinion the financial statements.. give a true and falr view of the state of the charitsble company's affalrs as at 31 March 2023 and of the charitable compan￿5 incoming resources and application of resources, including it5 income and expenditure for the year then ended: have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice: and have been prepared in accordance with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with International Standards on Auditing IUKI IISA5 IUKII and applicable law. Our responsibilities under those standard5 are further described in the Auditors, responsibilities for the audit of the financial statements section of our report. We are independent of the company ir) a¢¢ordante with the ethical requirements that are relevant to our audit of the finantial statements in the United Kingdom. including the Financial Reporting Council's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Conclusions relating to going concern We have nothing to report in respect of the following matter5 in relation to which the ISAS IUKI require us to report to you where.. the trustees, use of the going concern basis of accounting in the preparatlon of the financial statements IS not appropriate,. or the trustees have not disclosed in the financial statements any identified material uncertainties that may cast significant doubt about the charitable companf s ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from the date when the financial statements are authorised for issue. Other information The trustees are responsible for the other ir)formation. The other information comprises the information included In the Report of the Trustees, other than the financial Statements and our Auditorfs report thèreon. Our opinion on the financial statements does not cover the information and, except to the extent otherwise explicitly stated in our report, we do not expre55 any form of assurance conclusion thereon. 221Page ALZHEIMEW5 & DEMENTIA SUPPORT SERVICES INDEPENDENT AUDITOR'S REPORT TO THE MEMBER5 OF ALZHEIMERS'S & DEMENTIA SUPPORT SERVICES FOR THE YEAR ENDED 31 MARCH 2023 In connection with our audit of the financial statement5, our responsibility is to read the other information and, in doing so, consider whether the other information is materialSy inconsistent with the financi31 statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material incon515tencies or apparent material mi55tatements, we are required to determlne whether there is a material misstatement in the financial statement5 Qr a material misstatement of the other information. If, based on the work we have performed, we conclude that there 15 3 material mi5Statement of this other information, we are required to report that fact. We have nothing to report in this regard. Opinlon on other matters prescribed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit, the ir)formation 8iven in the Report of the Trustees for which the financial statements are prepared Is conslstent with the financial statements. Matters on which we are required to report by exception In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Tru5tees' Report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion: adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us,. or the financial statements are not In agreement with the accounting records and returns- or certain disclosures of trustees, remuneration specified by law are not made,. or we have not recewed all the information and explanations we require for our audit. Responsibilltles of TNstees As explalned more fully in the Statement of Trustees, Responsibilitie5, the Trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control a5 the Trustees determine is necessary to enable the preparatlon of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the Trustee5 are re5por)sible for assessing the charitable company's ability to continue as a going concern, disc105ing, a5 applicable, matter5 related tQ 8oinB concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so. Auditor's responslblllty for the audit of the fin?ncial statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misststement, whether due to fraud or error. and to Issue an Auditor's report that includes our opinion. Reasonable assurance is a high level of a55urance, but is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are consldered material if, individually or in the aggregate, they could reasonably be expected to influence the 231Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF ALZHEIMERS'S & DEMENTIA SUPPORT SERVICES FOR THE YEAR ENDED 31 MARCH 2023 economic decisions of users taken on the ba515 of these financial Statements. Irregularities, including fraud. are instances of non-compliance with laws and regulatlons. We design prO￿dureS in Ilne wbth our responsibilities. outlined above, to detect material misstatements in respect of irregularities, includin8 fraud. The extent to which our proceduTes are capable of detecting irregularities. including fraud is detailed below.. How the audit was considered capoble of deterting irregult7rities. includingfroud.. Our approach to identifying and assessing the risks of material mi55tatement in respect of irregularities, including fraud and non-compliance with laws and regulations, was as follows- we identified the laws and regulations applicable lo the charity through discussions wlth management, and from our commercial knowledge and experience in the sector- we focused on specific laws and regulations which we tonsidered may have a direct material effect on the accounts or the operations of the charitable company, including the Charities Act 2011 and the Companie5 Act 2006,. we assessed the extent of Complian￿ with the laws and regulations identified above through making enquiries of management and inspecting correspondence,. and identified laws and regulations were communicated within the audit team and the team remalned alert to instances of non-compliance throughout the audit. We assessed the susceptibility of the charitable CoMpan￿S accounts to material mlsstatement, Includlng obtaining an understanding of how fraud might occur, by: rnaking enquiries of management as to where they considered there was suscepribility to fraud, thelr knowledge of actual, suspected and alleged fraud,. and considering the internal controls in place to mitigate risks of fraud and non-compliance with laws and regulations. To address the risk of fraud through management bias and override of controls, we.. performed analytical procedures to identify any unusual or unexpected relationships,. tested journal entries to identify unusual transartions,. assessed whether judgements and assumptions made in detemiining the accounting estimates set out in the accounting policies were indicative of potential bias,. and investigated the rationale behind significant or unusual transactions. In response to the risk of irregularities and non-compliance with laws and regulations, we designed procedures which included, but were not limlted to- agreeing financial statement disclosures to underlying supporting documentation; reading minutes ot meetings of those charged with governance; and enquiring of management a5 to actual and ptstential litigation and claims. There a￿ inherent limitations In our audit procedure5 described above. The more removed that laws and regulations are from financial transactions, the less likely it is that we would become aware of non-compliance. Auditing standards also limit the audit procedures required to identify nor)-compliance with laws and regulations to enquiry of the trustees and other management and the inspection of regulatory and legal correspondence, If any. 241 Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES INDEPENDEl+lT AUDITOR'S REPORTTOTHE MEMBERS OFALZHEIMERS'S & DEMENTIA SUPPORT SERVICES FOR THE YEAR ENDED 31 MARCH 20Z3 Material mi55tatements that arise due to fraud cars be harder to detect than those that arise from error as they may involve deliberate concealment or collusion. A further description of our responsibilities for the audit of the financial statements 15 located on the Financial Reporting Council's webslte at- www.frc.org.uk/auditorsrespon5ibilities. The description forms part of our Auditor's report. Use of our report This report Is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might State to the charitable company's members those matters we are required to state to them in an Auditors, report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyon& other than the charitable company and its members, as a body, for our audit work, for thi5 report, or for the opinions we have formed. Allan Hickie Bsc FCA (Senior statutory auditor) For and on behalf of UHY Kent LLP Chartered Accountants and Statutory Auditors Thames House, Roman Square Sittingbourne. Kent. MEIO 4BJ Date= 18 October 2023 251Page ALZHEIMER'S & DEMENTIA SUPPORT SERVICES srATEMENT OF FINANCIAL ACTIVITIES {INCLUDING INCOME AND EXPENDfwRÉ ACCOUMTI FOR THE YEAR ENDED 31 MARCH 2023 2023 Unrestricted 2023 Re5trirted 2023 Totol 202Z Totol Notes Income from: Donations and legacie5 Charitable artivities Investments 91,928 2.182.272 6,431 59,668 151,596 2,182,272 6,431 188,109 1,341,249 808 Total income 2,280.631 59,668 2,340,299 1,530,166 Expenditure on: Raising funds Charitable artivitie5 37,698 2,219,209 37,698 2,245.558 23,836 1,522.944 26,349 Total expenditure 2.256,9D7 26,349 2,283,256 1,546.780 Net Income Transfers between funds Z3,7Z4 36,997 33.319 136,9971 57,043 (16,6141 Net movemert in funds 60,721 { 3,6781 57.043 116.6141 Gains on revaluation Df fixèd assets Reversal of revaluation gains 50.tXIO I SO,￿0) I so.0001 Net movement In funds 10,721 13.6781 7.043 33.386 Reconciliation of funds: Total funds brought foThvard 844,038 46,026 890,064 856,678 Totsl funds carrled forward li 854.759 42.348 897,1¢)7 890,064 The Statement of financial activities includes all gains and losse5 recognised in the period. All income and expenditure derives from continuing activities. 26 | Page ALZEIMER'S & DEMENTIA SUPPORT SERVICES BALANCE SHEET AS AT 31 MARCH 2023 2023 2023 2022 2022 Notes Fixed asset5 Tangible assets 401,332 491,370 Current assets Debtor5 Cash at bank and in hand 172,688 789,665 99,886 713.783 962.353 813,669 Credltors: arnount5 falling due wlthln oneyear 1151,5781 199,9751 Net current assets 810,775 713,694 Creditors: amounts falling due after one year { 315,t￿l) 1315,000) Total net assets 897.107 890,064 The fundsofthe charity Unrestricted funds Restricted funds 854,759 42,348 844,038 46,026 Total funds li 897,107 890.064 These financial statements have been prepared in accordance with the special provisions for small companie5 under part 15 of the Companies Act 2006. The accounts were approved by the Board of Trustees on !a)?.&.. and signed on their behalf by: Catherine lones Samuel Barton Trustee Treasurer 27 | Page ALZHEIMER'S AND DEMENTIA SUPPORT SERVICES STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2023 2023 2022 Notes Cash flows from operating artivities". Net cash provided by operating artivities 72,533 47,481 Cash f]ow5 from investing artSvltles: Dividends,intere5t and rents from investments Purchase of tangible assets Disposal of tangible fixed assets 6,431 14,150} 1,068 808 130,2531 Net cash used in investinE activities 3,349 129,4451 Change in cash and cash equivalents for the year 75,882 18,036 Cash and cash equivalent5 at the beginning of the year 713,783 695,747 Cash and cash equivalents at the end of the year 789,665 713,783 A Reconciliation of net income to net cash flow from operatlng actlvStie5 Net income for the year As perstatement offinonciol octivities 57,043 116,614) Adjustments for: Depreciation charges Loss on disposal of a5set5 Decrease I lincreasel in debtors Increase I Idecreasel in creditors Interest received 39,024 4.096 172,8021 51,603 16,4311 40,175 2.881 17,6201 29,467 18081 Net cash provlded by operating artivities 72,533 47,481 281 Page ALZHEIMER'S AND DEMENTIA SUPPORT SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 Accounting policie5 The principal accounting policie5 adopted, judgements and key Sources of estlmation uncertalnty in the preparation of the accounts are as follDws.' 1.1 Basls of preparatlon The financial statements have bèen prepared in accordance with "Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021" leffective I January 20191 (Charities 50RP (FR5 1021, the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 and the Companies Att 2006. Alzheimer's & Dementia Support Services meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policies. There are no material uncertainties about the charity's ability to continue, and so the going concern basis of accounting ha5 been adopted. The accounts are presented in pounds sterling and rounded to the nearest pound. i.Z Status Alzheimer's & Dementia Support Services is a charitable Company limited by guarantee and incorporated in England and Wales Icharity number 11733791, registered company number 106900711. In the event of the company being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity. The address of the registered ofFI￿ office is Safeharbour Memory Wellbeing Centre, Coldharbour Road, Northfleet, Kent, DAII 8AE. 1.2 Income Income from donations and grants is recognised when the charity is entitled to the funds, the receipt is probable and the amount can be measured reliably. For donations, this is usually on receipt. For grants, this is usually when a formal offer is made in writing, unless the grant contains terms and conditions outside of the charitV'5 control which must be met before the charity is entitled to the funds. Investment income Is recognised when receivable. Income from charitable activities 15 recognised over the period to which the income relate5. Charges for services are recognised when the services are provided. Income received in advance of the service provision 15 accounted for as deferred income. 29 | Page ALZHEIMER'S AND DEMENTIA SUPPORT SERVICES NOTES TO THE ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 1.3 Expenditure Expenditure is recognised when a prèsent legal or construrtive obligation exists at the balance Sheet date as a result of a past event, it is probable that a transfer of economic benefits will be required to settle the obligation, and the amount can be estimated reliably. Expenditure has been classified under headin85 that aggregate all costs related to the cateEOry. Staff costs Ere allocated acr055 the charitable attivities and administrative actlvltles undertaken by the charity on the ba51$ of staff time. Support costs. whlch are those costs relating to funttions which assist the work of the charity but do not directly relate to it5 activities, have been allocated to the activities undertaken by the charity on the basis of income. 1.4 Tangible fixed a55ets and depreciation Tangible fixed a5set5 are stated at cost less depreciation. Depreciation 15 provided at rates calculated to wrlte off the cost less estimated realisable value of each assèt over its expected useful life, as follows.. Motor vehicles Equlpment Fixture and fittings Building Land 25% reducing balance 25% straight line 25% straight line 2% straight line Fixed assets with an individual cost of less than £500 are written off in the year of purchase. During the year the charity changed the basi5 upon which it values its freehold land and buildings from the revaluation basis to the cost basis. This change in accounting policy has been dealt with as a revaluation in accordance with section 10.IOA of FRS 102. 1.5 Debtors Trade and other debtors are recognised at the Settlement amount due. Prepayments are recognised at the invoiced c05t prepaid. 1.6 Creditors Creditors are recognised when a present legal or constructive obligation exi5t5 at the balance sheet date as a result of a past Èvent, it 15 probable that a transfer of economic benefits will be required to settle the obligation, and the amount can be estimated reliably. Creditors are recognised at the settlement amount. 30 | Page ALZHEIMER'S AND DEMENTIA SUPPORTSERVICES NOTE5 TO THE ACCOUNTS FOR THEYEAR ENDED 31 MARCH 2023 1.7 FInanc￿l instruments The charity only has financial instruments of a kind that qualify as basic financial instruments. Basic financial instruments are Initially recognised at transaction value and subsequently measured at their settlement value. 1.8 Pension contrlbutlons The charity makes deflned contributions into employee private pension schemes. Contributions are charged to the statement of financial activities as they become payable in accordance with contract terms. 1.9 Operatlng leases Rents15 payable under operating leases are charged against Income on a straight line basis over the lease term. 1.10 Fund accounting Unrestricted funds are those funds which are available for use at the dlscretlon of the trustees In furtherance of the general objectives of the charity and which have not been designated for other purposes. Designated funds are unrestricted funds earmarked by the Trustees for particular purposes. Restricted funds are funds which are to be used in accordancè with specific restrictions imposed by donors or which have been raised by the charity for particular purposes. 1.11 GolnE Concern {Accounting Policy) The financial statements have been prepared on a going concern basis. The Tnjstees have considered relevant information, including the annual budget, forecast future cash flows and impact of subsequent events. on the busine55 in making their assessment. Based on these assessments and having regard to the resources available to the entity, the Tru5tee5 have concluded there is no material uncertainty and that they can continue to adopt the going concern ba515 in preparing the annual report and accounts. Income from domllons and legacies 2023 2022 Donations Government Grants 149,904 1,692 101.638 86,471 151,596 188,109 The comparative fi8ure includes E102,971 of restricted income. 31 | Page !l¥lli n3 3 3 rL O O LD > W o) o 400 ) o) rK o 00 O ¢51 UT ID AiZHEIMEFVS & DEMENllASVPPORTSERVICES NOTESTOTHEACtOUNfS FOR THE YEAR EfiDED 31 M4RCH 202> Expenditwe on r*blnifwNIs 2023 2Q22 Wa8esand Salaries other fufKlraising ctssts 27,657 10,041 IS,D81 7,755 37.698 Z3,836 Costs of ChariEableActlvltles IQ13 Totsl Totsl DlrertartI￿￿5 5wpportcosts Summwy ￿tUTh￿type Daycareifransport 5upwrt at HlI￿R/SupPort at Home P051 Diagn05tic Support Dementi6 Coordin3torsNDrth Kent Dem£ntia Coordinators West Kent Dementia Buddy DVH Brid8in8 Servl Other ètti¥iUes 214,873 562,624 217,416 434,398 222,243 34,578 113,771 49.9112 116.424 47,990 110,834 S9.395 9.756 42.518 8.796 264,815 679,048 265,406 5fj5.232 281,638 44.334 156.289 8,796 246.165 827,6 199,638 47.ÈC 195.ZDI 6,532 I.?99.￿)3 445,655 1245.558 L522.944 ThE comparative fisure itdudes £475,79J of expenditurefrom restricted fund5. D1￿cl cost5 2023 20Z2 Wages and Salèries Stsff Tralnlng Stalf trtorneworking ￿l￿wa￿e Retruitrnent Yo￿nIeerS Trwel costs Transportcosts lent acri¥¢ie5 Client activities-AGE UK Printin& P05tsBe and statiO￿ry Telpphane EquiptThent Profr55ional fees rrco5ts nk Iharees LitÈKesand subscriptior SuDdry Auditor's ￿m￿neratIon-01kr 3c