Sisters Hospitallers Sisters Hospitallers of the Sacred Heart of Jesus CIO Annual Report and Accounts Yeor ended 31 Decernber 2023 ¢￿alIty N￿be¥ 1198651 Contents R•ports Referonce and administrative information Foreword by the Chair of Trust88S Trustees. report Inde￿ndent 8uditorf$ report 46 Accounts Stslement of fin8no81 actiwliès Balance sheet S1 statement of cash flows 52 Prlndpal accounting polici Notss to the 8cLxJunts 53 59 Sisters Hospltallers of the Sa¢rocl Hoart of Jesus CIO Referen￿ and admlnl$trative inlomwtlon Trnst•e8 Sister Maria Lourdes Sanz (Chatr) Slstsr Encamacion Aguayo Sister Tomasa do la TLYré Provlnclal Sister Maria Lourdes Sanz Provln¢i•l Bursar S(slor Enc4m¥￿)n Aguayo Provlnclal Secr•l•ry SisterAn8 M Oroz Prln¢ipal offico St Teresa's Homa 42 Roland Gardens London SWI 3PW Telgphone Facsimile Website E-mail 020 7373 3054 020 7259 2446 v.sislershos itallers.o rovincial hscknuk.o Charfty r•gt8trntion numbar 1198657 Audllor Buzzacott LLP 130 Wood Street London EC2V 6DL Bank•rs National Westrninst8r Bank 135 Bitshopsgote London EC2M 3UR Invostmont managors Coutts & Co Charity Investment 440 Strand London WC2R (MJS Ralhbone Investment Management Limited 8 Flnsbury Circu8 London EC2M 7AZ Sisters Hospita118rn of thg Sacred Heart of Je8u8 CIO 1 Referon¢e and admlnlstratfve Inforniatlon Solr¢itors Stone King LLP Upper Borough Court Upp8r Borough Walls Bath 8A1 1RG Slst8r8 Fk)8pitallers of the Sa¢red Heart of Jesus CIO 2 Foreword by tho Chalr of TN$toes 31 December 2023 INTrODUCTION AND WELCOME Wel¢ome lo the Annual review of our Charity for 2023 Th8 purw86 of our Congregation Is to glorify God the Falher. rgprofluclng In oty ourselves the sentiments of the Heart of the Son by the action of the Spirit, continuing in the ch￿￿h and for Ihe wodd the sawng rnission of Jesus, on bèhaff Df people with psychiatrK illne88, and Into15ectual and physlcal dlsabilltie3. with a pT8ference for thg poor. By our charlsm we are called to be wlln88888 of God's Infintte mercy, ty embcrffying hospitality, fiJlfillSng Jesus's command lo.go and do lik8vlse" and Colla￿TatIng in buSlding up the Kingdom. Evangelisalion Is an e8$enlial dgmand of our vocation. For us. the specific way we proclaim the Good Nèw8 of Jesus is the hosFitaller Irf•. In the past year, our Gharty has made s1gnifi￿nt s￿deS In achievlng its mission of supportlng those indfvldu81s with mental heatth needs wllhin our centres in the Unfted Kingdom followng our successfvl transrtion from a Charitable Trust lo a Charitable Ineorporaled Organisalion (cio). Becomlng a CIO was a crucial mil•stonè for our charity. provhJlrvJ us wllh greater operational flexlbllity and legal proleclion. Thls new status has this year enhan￿j our abllity to manage assets and enter contracts. while offering kmited Ilabllty protection for our trustees. The transition reflects our oJmmrtm8nl to evofvlng and strengthèning our organizatlonal struclure to better sorye our purpos8 and mlssion. As ￿ move forward. we are ¢onfyJ8nl thBt Ihls thange will enable us to delN8r an even greater impxt and continue our growth with a solid foundatk)n. Operationalty, we have focused on improving our Sntemal processes and goveman¢e lo ensure transparenoy and effiu8ncy. This year following our "Going Blue Strategr ￿ have onlinued to IMp￿ment rthv systems. The Intrcxluctlon of new technology rapre88nts our commitment to 18vera9ing modem tools to optlmize our resources and better serve our community. Thls improvement has not only m&ae our ¢worations more efflckgnt but has also positloned us to scale our efforts and maxlmlze our impact in the ¢omirFg arKI fLthKo years, wfth plans lo further oxpand our programs and de8p8n our ¢ommunJty Impact. OurfinanGial health remalns robust, with careful budget managementan(J increased reseNes. Good financial health is essential for a chartfy as ft underpins the organization's abillty lo fulfil its mlssk)n and sustain its operations. Our Sound financlal management has ensured that Ihe charity oan effectivety allocate resources to its prcorams and In￿'aliVe$. proyidlng eonsistenl and teliable 5UPPQrt to its beneftdarles. We have focused on meeting and in the fulure exoeedwig wlatory requlremenls as this is crftfcal for maintaining the intsgrrty and trus￿0￿h1n98s of OUT charmy. cOw￿lIanCe 6nsures thot we op8r8te withln the bgal frameworks sel by govemlng E¥Jdi8s, protectiry us from potsntial legal Issues and penalts'es. It also demonslratO8 our commitmènt to transparency, accountabilty, and 8thical practices. ￿1¢h are essentlal for buildlng and maintaining the trust of ¢)ur stakeholders and the genwal public. Sisters Hospitallers of th& Sacred H8art of Je8U8 CIO 3 Foreword by Ihe Chalr of Trustees 31 December 2023 INTRODUCTION AND WELCOME Icontinuedl As we look ahead, we arg commltted to bulldlng on the successes of 2023. Building on $ucces$ is Grurial for a charity as it fI￿terS gro￿. innovallon. and sustsined impact. We are Immensety gral&fiJl to all our cN¥orkers, volunteers and b8ngf8Ctors for thelr support and contributions toward the work oftho Charity. Sister Maria Lourdes Sanz, HSC Provincial Superior, English Province Chair of Trustees c&obo( go XW Sisters Hospitallers of the Sacréd Heart of J8sus CIO 4 Trustsg$' r•port 31 December 2023 The Trustees present the rgPQrt and accounts of the SK8t8rs Hospitallers of the Sactsd Heart of Jesus CIO Ith8"charW) for the year ended 31 December 2023. The accounts have been prèpared In accordance wilh the accounting policie8 8etoul on pages 53 to 58 of the attached accounts and compty with the Charity'$ trusl deed, applScable law5 and Accounting and Reportlng by Charitiès.. Statement of Recommended Practice applicable lo charities preparing their accounts in 8ccordance with the Financial Reportlng Standard applicable in Ihe United Kingdom and Republic of Iroland IFRS 1021. INTRODUCTION Tho Congregation of Sisters Hospitallers of the Sacred Heart of Jesus Ilhe"Congregatbn"l 18 an Intemètional Roman Catholic rellglous congregation, Supporting 890 slslers worldwide. It wa5 founded In Spaln In 1881. The purpose of the Congregauon Is lo glonfy God the Father, produong in us the sentiments of tho Heart of the Scn by th8 acUon of the Splrft, continuing In the Church 8nd for the wortd the savtng mission of Jesus, on behalf of people with psychSaMc Sllnesses, and with Intellectual and physical dlsabllttles. wlth a preference for the We also perforni our misslon In other are8s of Ihe apostof8te, caring for people in * Ststo of distress, or particul8r vulneiabllty. depending on the lime and the place, Sn accordance wlh our charism. Th8 G8ner818te is bosei1 in Romè 8nd the Congrogation is dSwded Into 8 number of indiv#Jual canonic81 provinc88. The English Province supports Care homè8, hospitals and health contre8 In England. Ghana and Libaria. The accijunts accompanylng thi8 report are the 8cGounts of the Chartsble Incorporaknj Organisalion Icroi onwhichthose assets ofthg Engl￿h Provlnce ofthg Congregation sltuated In the United Kingdom are held. The charity is governed by 8 Constitution dated 19 AFKII 2022. and is reglstered wrth thè Charty Commission. The Charity Regiylration Number 1$ 1198657. MISSION The mission ofthe congr8gation is embojimenl and 9xpression of the Hospltaller tharism. Through our INes, w6 manlfesl the love that God h88 for all humankind. particularly tho most vulnerable. We are a me58age of hope and witnesses lo the notion ihat a beatfflc spirlt Can transform the worfd. Our Hospitaller mlsslon exterKls the healing m8¥s8ge of Jgsus of Nazar8th acn)ss limo and contexts. It oonslsts of 4￿8p1an¢8. asslsl8nca. and caring fw those suffèring from mental illn8ss. phYS￿al or inlell8ctual disability. and other allments. whlle taking into account the needs arKI urgency of each situation and prn)rilising the poorest and most marginalised. Sisters Hospitallers of Ihe sa¢red Hoart 01 Jesus CIO 5 Tru$t••$' report 31 December 2023 MISSION (continu8dl Some of the mission's guSdlng principles IrKlude: Those vtho suffer are the focu8 of our HoSp￿aller actlons. We provide ¢ompreh8nsive Gar8 by uniting science and humanity. We offer preferentbal care to the most dtsadvantsg6d people or those whh th9 grgatast Respect and defence of lrfe 8nd ethTh in all endeav(wrs guKle our care activity. Everyong Invofved In thls work-pallents, Ihelr famllies, our employegs. vglunleers. and the si8ters4orms a Hospitaller community. The English Province of the Congregalknn of the Slslers Hosplt811ers of the Sacred Heart of Jesus alms to care forthe èlderfy wllh dementia and ALzheimerf6, together wlth olhgr Gharilablg works according to our chari5m, including caring and supporting the members of our CorKJregotion. In Ghana and Liberia. the Sisters care for people wlh mental illn8ss in addition to provlding general health care., IhL8 work is supported finanualty by the charity. These ministries all benefft members of the general public. Publ1¢ bgn•fft The charity ensur8S that It Is acting in the publlc benefit and the Trustees confimi that they have paid due regard to the Charity Commission's guidance on publlG ￿nefit. Valuas The Congr8g8tion can summarise all thelr value8 In lust one.. HOSPITALITY. 11 conslsts of offerlng spac8 and tlme, attention and eare, humanty and resources, lo the r8cipienls of its mission. In order to make this value explicit. we have expanded It Into elght values: SENSITIVITY FOR THE EXCLUDED. Hospitality entsils and nourishes empathy. prgferably wtth those who are excluded because of illness or psychic limitations. SERVICE TO THESICKAND NEEDY. Everything and everyone is at the seNice oflhe people they seNe; they ￿ the cenlre of Ihe organization LIBERATING WELCOME. Thoy are chara¢larlzed by the wam)ih of the welcome wlth pallenl graluitOU8n688. They aim at the highest level of rehabilitation. They care with Ihe wamilh of a home. HOLISTIC HEALTH. Thelr work for hoallh covers all Ihg dlmgnslons of the person ac￿rdIng to integral humanism. They aim to Cufe and care. Slsters Hospitallers of the sacred H•art of Jesus CIO 6 Trust•o8' rnport 31 December 2023 MISSION {conlinued) Valu•$ (c(Mrtinu8d PROFESSIONAL QUALifY. They ara effeclivo in their service Ihrough profossional rigor, effidency in managemenL teamwork. adaptstion of devkes and pemianent updating ol professionals. HUMANITY IN CARE. They explicitly and practtcally cultivate humanlzatbn in th9ir approaches and in each specific actlvty. Their Care is a human encounter that prioritiZ8s th dignty of the persons. EThICAL 114TERVENTIOhl. They are required to ba ethical, acccyding to the crtterta of bioethics and Ihg ￿nCIple ol Hospltsllty. in all their acdoM. HISTORICAL AWARENESS. Promote indlvldual and collectfve awareness of belng part ofthe hospitaller history, faithful to the origins, protagonists of the present and bullders of the t￿$pitalI￿r future. The CongregatSon considers its values to be a key distinctive feature, as th6y are qualiiies ch defin8 thè Sisters. projects. significantly charactgrise thèir actNities and manrfesl the 8pet4al way of workSng. OBJECTrVES. SPECIFIC ACTIVITIES AND RELEVANT POLICIES The activities of the charity can be divided into threg principal areas.. own8rshlp and operation of three residentlal care homes for the elderly Icentresl. tha 5uprK)rt of projects In Africa, and carlng members of the Congregation. The charity m8asure$ the suttess or olherwise of its advtties by ￿)mparIng the alms and objeclfves as set out bel(M and as presented 8ath y08r in the Indmdual Centres, annual plans and budgets against actual 8chlevemants. Th• manner in which a¢hievements are ass8888d Brg helpfully tatsgorised into the foll¢)wlng maln arèas: Identity and values, care, human resources. finance and gc(momy, organisation and management and communications. ConfimialSon of whether a Centre has been succ8ssfiJl in any orall of lis aims is monitored by uslng 8 variety ofinlernal and extèrnal control processes as far as the UK care homes are concemed. These include: Visits from the Senior Managemenl Team and trustees to each Home. Any aspects that requlre improvement are placed onto 8n action plan. Annual Quality Survey of re$idgnts, reIal￿ and members of stafTr. the resuhs are taken Into account. Th? annual plan$ foreach Home are revEwed regularty and gvaljated yearty. Sisters Hospttallers of the sacred Heart of Jesus CIO 7 TrustMs' report 31 De￿rnber 2023 OBJECTIVES, spe¢iFIC ACTMTIES AND RELEVATrrr POLICIES (continued) The chority has on'exit rferview. pro￿$ in ordèr to kw the rea8ons for Staff leaving th8 organlsatlon and for leamlng ab)ut matters that may Imp8Ct our standard5. alms and rtyfjctivgs. Follow up via aCt￿)n plans of any mattws brought to our attention by extemal bodles and con8utsnts e.g. the Care Quality Commission (CQCI. Health and Safety Officer, and the external auditor. An annual budget is prepared al the end of the yeor for Ihe following year. verlfy by the manager and approved by the trusle8s, and Is n￿nttor8d monthly by the Local Management Team and the Provinrjal Team. A comprehensive aud￿ is carried out every year. The Centres in Afri￿ are audKed by the relevant Diocese based on thelr pollcle8 and proceduros. Resldentl41 care hom In England we operate three registered care homes for the care and support of people who are eldgrfy. of whiGh 8 large number have various degrees of demgntia. requiring speck?lisgd supwrL Tho Hom8s are.. St Tele￿,$ Care Home, 4(￿46 Roland Gardens, London SW7 3PW,' StAugustlne's Car• Homo. Simplgmarsh Road. Addlestong, Surrey KT15 1QR; and Chrlst th• Klng Car• Hom•, Foolh8doy Hall, Shenstone, Staffordshiro WS14 OHG. In operating these Hom8$, the Trustees aim lo: Provid8 excellent roshlenllal care lo tho ekjerly. ensuring th8t their needs are met ful and that they enjoy as high a qualty of lrfe as possible. Employ staff who have the necessary qualfficatlons and Iralning negded fOr1￿1r w Ensure that the Homes moet Ihg rgqulrements ofthe CQC; and Maintain the financial securty of the Hcthe8 through cllreful budgeting and by setting fees at levals that ensure the viabilty of Ihg Homes is not threatsned. Support for projects in AfrIGa In Africa. the charity also supports, financially 8ndlor with voluntary human resources, a number of prolects whith. allhough not a118re directty owned by the charity, are dosely oligned wRh the Congreg8tlon and other partnèr organisations which share thè same alm8 and values. principalty In providing hospital and day servlces to Pgople with gengral medlcavsurgtcgl needs and poopb with Menlal illnesses. Thes• projects include: Slsters Hosprtallers of the saL¥ed Heart of Jesus CIO 8 Trusl•ès' byort 31 December 2023 OBJECTIVES. speciFIC ACTMTIES AND RELEVANT POLICIES {o)nlinu8d) Support for proJ•¢t* in Afrlca {continuod} StFrnnclsXavlerHospital. Assln Foso. Ghana Th8 Charity halps Ihe* Hospltal by provldlng slsters. professlonab. and other rasources in order to help them to provide a holist￿ health care quality care. 118lso covers the Iravelling costs and èxpenses for the fr)re￿Jn Slsters. In this Centre they conllThJe th the project of the new matemity, fcftunalety the conslru¢tion h08 been complete. The third phase of th6 project will involve th6 equipping of the prolect and the axiernal work8 Includlng landscaping and r8lat8d matters, for whlch we are looklng fuThJ$. The Congregation has contributed financial￿ to complete It, w& tak¢ the OPPOrtunty to thank fr￿d. vollmteers and are conlritxrtiw to this prolect and to whom w8 are very grateful. 2023 was an Incredible year for our hospital. We achieved a slgnificanl milestone by ￿Ing upgraded lo a secondary level facillty by NHIA and HeFRA. This recognldon is a testament lo our commthnent lo provkjing quallty healthcare. SIBW￿dICÈme￿￿IRehab1lItatl0n C•ntr•, Plpeline, Monrovla. Ubwla This Centre receivas $upport wilh the slstsrs as w811 as financial support and olher ILVJ assistan¢x. The Centre, relalns its dignty. prid8 and allegi8ncetolhe poopleof Liberia. continuesto restore and tsinlegrate women living with Mental illnes$. The mlsslon. vision antl values are aiways incorporated in the care we gNe. The inltiativè of the 8mpowenngnt program was brought up after reSea￿h $h¢)wed that 85% of patients di$¢harged with good mental stale and having a w8rranled jobltrade do not relapse. In 2023, we Increased capacity buildlng by reinfordng trgatment of SthlanGe Use and Addidon Into our care. Benlto MennlHo$pltal. Domp<>ase. Oh•na This Centre is supported with the provision of sistors in a manngr similar to St Francis Xavler HOS￿1. In addition to the work tn the hospital. there is also an adult mental heamh sgThice with a day centre for adults 8nd young people with Intellectual disabSlltles. Mental health care in the country is not subsldlsed by the govemm8nL so this s8rvi¢e is expens￿8 lo malntain. and the Congregation ¢onlribules 90% ofthe cost, which includes treatment. programmes of a¢tivtbes, salaries, food. and maintenance. The Management ￿ partnership wlth the Diocesan's hgallh offKe is engaged in the construction of a Mother and Chlld Department uslng their own resources. Their sim is to Improve the service they offer in this ar8a. Sl$ters Hospitallers of the sacred Heart of Jesus CIO Trusts￿, roport 31 December 2023 OBJECTIVES, SPECIFIC ACTivrriES AND RELEVANT POLICIES Icorrtinued} Support fr•rproJects In Afrfca {conllnued} Carfng for members of the Congregation Tho age profil8 of th8 maM￿[S of the Congregation in EngLgnd Is Increaslng and there continue lo be no new vo(xtions. The charity continues to assist members ofth6 Congregalon in their ¢haTilabk and religious work. as the Congregaknn has an obllgadon lo provide Gare for its m8mb&rs. none of vthom hav8 r&Sour￿8 of their own. Elderfy and frail membors of th8 Congrègation were carad for by tsvo sisters In Ihg Congregation'$ infirmary in Addleslone ensuring all members of the Congregation recefve the h￿h level ofcare they require to provide them wlth the quallty of1Ske that they have the right lo exF*Ct. The aims of the Iruslee8 indude.. ReviewiThJ the charity's propety used as an infimiary and assossing its suitability for the elderly and frail. and enabling all members of the Congwatlon to continue wth their ministy for 88 kjng as pos81ble. Sahguarding of vuln•r•ble adults The Irustses recognise the necesslty of ensuring the protection and safety of those in the charity's care and are Committ￿ to Implemen￿ng all polScies and procedures of the Cathd Safeguarding Standards Agency ICSSAI. The Congregation is a m8mber ofthe Religious Lrfe SafeguardSng Servlce IRLSS). Ihls organisation offers support, knowledge in the aroa of Safeguarding by providing taik)r-m8d& training and advice. The Catholic Safeguardlng standards Agency ICSSA) provkjes stsnrlards, guldelines and audit. The Cha￿ty has employgd a lay person who Gov9rs the rolo of Safeguardlng Lgad. In addhlon, each Home follows the CQC and Care Act regulations laid out at a natbnal18vel onceming the safeguarding of residents. ACHIEVEMENTS AND PERFORMANCE Rosldentlal care homos StTernsa's Hom 89.1° StAugu$tlne' Hom Chrlst tho Klng Hom cupancyOA esidents1￿d8 91.2% 51 esidents, deaths in year ischarges ussions Sisters Hosprtallors of thg sacred H8art of Jesus CIO 10 Truste•s' r•port 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (conllnuad) R•8ld•ntlal ￿re homes {ts)ntinuedl St T•rnsa S Home, London SI￿ its humb￿ beginnings in 1926, St. T8r8sa's Home has been a recognis8d residential care facility dedicated to providlng outstanding ¢ar&for Ir￿1v￿￿U0k$ exp8rfenclng the challènges ofAzhelme¢s disease. Whh onty 26 beds, our primary concom is on providing person￿ents9￿ care aTrJ creating a wann, supportive envlronménl f￿ the i)dlviduaL8 we seNe. We e￿deavOUr to maintain the hpJhesl l&veb of care professlonaThsm. Thrc4Jgh a culiurè of collaboration. our stsff and 818ters unite in a shared mission of supporting resOden*s in achlevlng Iheirfull8$1 potenti81. Byadjresslng thè rthysieal. emollonal and splrmual ngeds of our residents. we S￿Ve to cultfvale an envlronment conducive lo h)li8tic well-being. At the heart of our values and charism11gs our Hospitaner Identity, whlch revolv88 8round holistic and person-centred approach in our pastoral worff. To ensure the preservallon of our Jgntty, history, and values, w8 recognize the need to establish a ¢omprehensive program Ih8t safeguards their relevance and lasting kgacy. Car8 Our approach to delivering care Is guided by the holistK 4Jproach. We priorfllse the Imple￿n￿lI(￿ of per8onalis8d care plans which demonstrate our shored commitment to the people in our care and Ih8ir famlty. Our occupancy for the year was 89.1%. Slsters Fh)spitalleTr of the Sacred Heart of Jesus CIO 11 Tm#t•e$' report 31 December 2D23 ACHIEVEMENTS AND PERFORMANCE {continuedl Resld•ntial Garg homM (contlnued) St Teresa s Hom•. London (conÉAnued) We believe that adivities are an integral element of the care w6 provlde. and that the luncllon of thg activty ￿OrdInator is ¢￿tka1 in ¢JJr &?re team. In the INely fabrrc of Ilfe at StTeresa'$ Care Home throughout 2023, 8 symphony of stimulating actwiti88 unfolded, fed by the warmth of personall8ed Intsraclions and the trustsvorthiness of our dynamic collaborations. Whilst our home mosuy offered inside events that fostered frièndship. w8 ventured beyond Ks walls to enjoy the bBauty of our surrounding. Casual strolls acros8 the n8lghboufv)od resulted in lovety Interadon8 wlth neighbour8, followed by th appealing aroma of freshly brewed coffee and scrumptious pastdes. Museum excursbns enlightened our soulg wlth art and inlomialion, while peaceful WriCKls in a¢jIa￿nI parks 8nd gathering8 at local schools and churches wamied our heart8. Weekly visits from th8 local primary school sparked unbridled enthusiasm and tog8themes5. The children's infec￿oU$ laughter and compelllng storytelling brightened our èvenings, buildirrfJ conng¢tlons beN¥een generations brilliantariwork. hamionS8lng slnging. and lively deb8t88. During Christmas. the childrgn's wrsonalised card5 filled our hearts with love and unity. apturing the genuine 888ence of the season. Tho devoted Slslers. staff. and volunteers led rgvilafising walks th81 became treasured moments of Solidarity and rejuvenation. Our common areas hummed with IWe a5 we parlcipalad in enorgising workouts, Ilvely qulzzes. and frfendly games, whlle our a￿stIC and cultural interests nourished our souls, Pasloral Carn Our prlmary goal at St Teresa's Care Home Is to provide a cornplete sermce that addresses 811 aspects of an individual's well-belng. We endeavour to address the spiritU81 needs from a Christian viewpoint wlthSn our pa8tor81 team. s8oking lo bring tha most spiritual w8lln&ss to resldents, c(pworkers. and loved onos. Our Skyritual joumey was marked by religious observances, ranglng from the solemntty of Ash Wednesday to theloyful N)ys of St Teresa's Fe8s1 Day and Christmos. Residerrts. sisters. and staff gathered in together lo honour these precious traditions. creating a tapesty of reverence 8nd joy that vn¢tes us together. Thls approach entails attentfve and mindfvl listenin9, as well as individu81, engaged, and Casual conversations. This kind of support is especially important during an individual's final rnoments of lrfe and conllnues Into grlevlng phase. where we stsnd together with family members. offerfng ct4nfort and ¢ompasslon. Varfous rellglous services are organi$¥d for all faiths. Our chapel is open for everyone who desires to spend quiet lime prayer. Sisters Ho8prtallers of the sacred Heart of Jesus CIO 12 Trustees, r•port 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (ryjnlinued) R•sldentlal care homes (￿ntInUed} St T•resA s Homffj London (Gontinued) Human Resources During the year we have had 16 leavers and 18 starters. Our total number was 32 and we subcontract Its catering and deanlng. In refioclion, vthile 2023's reGTuitmont challenges were formkJabl8, they werg not overwhelming. The proactive measures of our HR departmènt mitioated their impact Moving fo￿ard, adaptation. creativity, and 81rateglc refinemènt are critical. By Cultivating a resilient workforce capable of n8vigatlng advgrsity, we fortify our cryanIZa￿on% foundats'on for 8uslalnad 8uccess. Irrespe￿Ve of 8xtemal constraints. Trainl St Teresa's Home has a consistent d9dication to quallty throughout all parts of rts operations. evidenced by ils ongoing staff training project. Recognisiro the importarKe of Continual leamlng and growth, the institution guarantees that all empbyg9$ r￿1¥& thorough trainiThJ, which includes both mandatory requirements and speclallsed serV￿fOcused Instruction. Re(x)gnlslng th6 vital importancg of well-trained and kncwledg8able staff in delwering hlg qualty care. St Teresa's maintslns proactive in kee￿ng ts team CLwrent of the latast industy nomis, leglslafjve updates and best practices. M8N1atory tralnlng courses address CTilical issues such as health and safety stand8rds, infection control procedures and ￿$￿￿ents, rights. promotjng a ojllure of quality and professionalism ar￿ng pgrsonnal. FurthemioT9, St Ter08a'8 Care Home takes greot pleasure In Its c£*mmhment to developlng tslfrnt among 118 ranks. Currenly. threfr care asslsL8nts are engag¥d in the NVQ3 Apprentl¢eship programme. an excellent effort twgetod at improving Ihoir abilities and krK)wledge base. Insp8ctions During the year we had an audit from the Local Pharmary and no significant concern$ havo been raised. As everyon6 successfulty Ce￿brated in an enjoyable celebration, the m8gical atmosph8r8 of Chrlsbnas surrounded St Teresa's staff. Tha organisation r￿arded th8m wrth 8ppr8claUon and kindling delight while fosterlng a sense of solidarity amongst everyone. This year, we launched Acce$s, our innovative drug management platform, which advan￿$ our arnbit￿n lo transform healthcare adMin￿tratIOn. Access builds on the success of our People Planner and Care & Clinl¢al modules, demOnstralw￿ our commitment to sm¢y)th and gfficient care delfvery whlle empowering both staff and residerts. Sisters H05Pitall8rs of thg sa¢rgd Heart of Jesus CIO 13 Trusttts, r•port 31 Dècember 2023 ACHIEVEMENTS AND peRFORMANCE (continued) Resldenlial eare homu (continued St Tornsa's Homo, London {contfnued) InnovalionAmprovement {Gon1￿U￿dj Our EMAR Medicatlon management mrxlule seamlessly integrates medication tracking, reminders, and admini8tralknn, ensurlng a¢Jherenc8. minimizing errors, and enhanclng residenl safety. Intelligent alerts and notifi￿lI0ns keep carers and management proactive, with customizable features ¥C￿MM0d￿tIn9 diverse bY*dication regimens and dosing schedules. Our Care & Clinioal module t8 helping lo Iransfomi healthcare management by providing re81- lime monhoring and addressing gwJraphical barr￿TS. With quick access lo vKal slgns, medkal Informatfon. and treatsnent plans, rapid interventions are possible, erealng trust In residents and ther families. This expansion reaffims our comm¢tment to empowering Senior Carers with profession81, accountsble, and proaCt￿e tools. Our Access softsvare not onty enhan￿$ effiC￿nCY bul also elevates the standard of compossK)nat8 care 8t St Tere88'8 C8re Home. Challorgo, way FO￿ard. In 2023, our efforts to recrult lull4me enwloyees faced malor challenges. The thnandal c08ts Invotved with travelling or relocating deterred potential applicants. aggrovaling the dffficuNy of obtaining and maintaining Skilled workers. To solve this problem, we wont on a trip to investigate novel 8ppro8ches, such as appealing remuneration packages and focused recruhmenl campalgns. By bridging the gap be￿en the need for compassionats carers and their lirnited availability, we want lo ov8rcom& thes8 obstacles and creat8 a bng4erm solut*Jn for the care Home Slsters Hosprta118rs of th• sa¢red Hoart ol Jesus CIO 14 Tru8t••s' rèport 31 Dxember 2023 ACHIEVEMENTS AND PERFORMANCE (continued} R•$ld•ntlal ¢are home8 {continued) StAuqu8tlne's Home. Addlestone, Sun¥y st Augustine's Care Home Is a re$KlenUal cara hom8 established In 1945 w5th 51 r88ldents. The rgsldgntial rooms on the ground and fi￿1 floor areas are of v8rylng $Szes, each having lis own character. Moreover. we aL%o have a secur8 unil with 10 beds. lo provide additlonal safety for those residents living wrth advanced levels of dementia. Foalures In the grounds include a serw garden wth water feature and a grotto. We have ampl& outside seating, so resldents and tslr vlsllors can enjoy the grounds when the wealhgr permts. There is also a communal dining room and, in line with h)me's religious hlstory. a beautiful chapel. The chapel holds regular semees. and everyone Is wekome to attond. In St Augustine's there is 8 comrnunlty of sisters wlh) support tha cara staff n diff8rent tasks such as helping at mealknmes. a￿0MpanY1ng r8sK16nts to aptx)Intments when famllles are unavailable arKI other athities. Staff and slslers w￿k togetherto enable residents to achleve their Ma￿MuM potentkgl. Our vafugs we such thpt as long as we are ab￿ lo meet on Indlvldual's needs, thèy W￿ld $lay at St Augustine's Homo. We achieved this with Ihg support of our Sisters. Hospice and dl8trict Nur66 Team. We have been abk to ensurn most I￿ldents 8nd th8ir1rf8 W￿1h us In th8ir Sl Augu5Jng's Home surrounded by k)ve and klThln68s of the Staff and Sl8ler3 VA￿ know them best. This i8 also a great Comfort lo the relatNes. Durw)g the year our occupancywas 78.8%. Slsters Hospital10￿ of tha sacrèd H68rt of Jesus CIO 15 Trustees, report 31 December 2023 ACHIEVEMENTS AND PERFORMANCE {conlinu8d} R•sldentlal ¢are homes {wnlinu8d) StAugustln•'s Hom* AddleStOn￿ Suffey (continued) Actiwties, outlngs and entertwnment We wnsider the actlvities to be very Imwrtant In our care, therefore our resldents are encouraged to participate in th& various types of aclivitie3 that f(uJs on different aspects of each resident. Activities coordinators and volunloors provlde opportunltles that residen18 can enjoy and participate in to increase their mobility and cognitive processes. We have group and one to one activrties gcoording to their needs. Physical activities Includ& yoga ax8rds8 wlth musk, whlch 8n¢xJurdoes the resSdents with gentle exercise. while others prefer to sing along ￿th the music. other ath'vliles Include all gomes and memory games. Board games {CognlOve games) are always availakle on hand such as Ches$, Scrabbla. DomiTh)os, JpJ5aw pudes, rnnopoly etc. Tuesday 1$ Bingo games which encourages the resldents lo join in for mèntal 8llmul8tions. Our reshJ9nls keep busy doing * ond crafts, colouring egg drawings for tho 8OSt8r w hun( and buntlng for tho decoration for th8 kwng8 for Ihe drtfaront celebrallons. We hold regular conc8rt8 In the aftern￿n. our re81dent8 are entertained by 8 variety of music )trc¥n all drfler9nl musicians including a harpist, gvharist and plani$l, and group ch￿r singer with accordion and Pantomime from Rah-rah throughout the year. We also hold our own s68slon of slnglng, darKlng and 8torytelling. Birthday Celebrations are part of wr aclivilies where residents enjoy a party 8nd entertainments. Frwids of sfAugustine's Thg Home has a group call8d Fri8nds of St. Augustin8's, ￿lch ha$ existed since 2014. Their oblectlve 18 to ralse funds lo support the residents by promoting their wellbelng through actNities, outings. entertainments othws. They are legally establlshed. They are very supportive al all ￿Ve1$. They add great value to fhe Home. They are well known by the residents and famllies. They are extremety caulK)us Mt to Interfere w6th the running of the Home. They run events such 8$ Tombola. raffle. bingo, summer quiz and Christmas Fayr8 to raise funds for the resldent8 and they organise entertainments and ffinanced the c08t. Pastoral Gare Pastoral ¢ar8 is essential in our holrstlc, the splrttual and rellglous need are taking car8 of by the pastoral team l&ad by a sister some members of staff and the chaplain of the Home. S15ters Hospriallgrs of thg sacred Heart of Jesus CIO 16 Trust••s' r•port 31 Decembor 2023 ACHIEVEMENTS ANO PERFORMANCE {continued) Residontlal care hom•s {￿ntinued) StAugu$tln•s Home, Addlestone, Surrey (contlnued) Pastoral (continu8dJ Opportunities Is glven to every resplent to take part In the own lalih servlce either in the Home or outside. Holy mass 1$ ￿lebrated reguL4rty in the Chapel's Horw every. Sunday and feast days and Wednesday there is m8ss in the Chapel where all the ￿SIdentS. families and frtends are welcome lo join the service hthelher thèy catholic or any other denomination. Every Thursday we say th8 Rosary in the lounge wllh slslers, Residents, famlll8s' ffiends. stsff and the prTèSt from St Ggorge's College. After the Rosary the Children from th8 Sc￿￿ ￿srt tha re8id8rts and Spgnd som8 Iwne with the reskyents chatting and walking arouThJ the gard8n. The team have onsured that Ihe home promotes resldents. splrltual and emotional wellbeing from Ihe day they move into th& care home until the end of Ihew Iwes. Tha team also ensu￿$ that residents. wishes are resp8ct8d. And they are a￿ays treated with dignity. The team have organised the sauament of th8 slck for dying resKlenls ensured that the almagphere is peaceful, serene. and calm as Peop￿ passed unto giory. Sisters and staff arg a￿ayS by their sld91o accompany them at thèir last moment and support their families. Human Resou￿8¥ The centre has 62 pemanent care staff and 6 bank members of staff. In 8ddltSon, we hBve tho management and administratlve staff as well as personnel for maintenance. We h8ve put a lot of ra$ources into improvlng the recruitmonl process although we encounter many challenges, we manage to biwig on board good and committgd staff. The Charfty is looklng Into varfous b8neffts package In order to retaln thesè staff. We subcorrtract catering SeMCeS and gardenlng. Durfng 2023 we have had 21 ￿8vets and we have employ8d 28 new members of staff. Thg home's biggest challenge is recruiting, and the home struggled specially with finding senior staff al the end of the year. Trairnng We consider training to be extremely important and il is encouraged at 811 levels. we are very fortunate as olmost all of our staff are qualified lo tho hlgh stsndard required. We have a comprehensfvè training programme that runs Ihroughouteach y8arfor all memb9rs of staff vA)Ich includes all mandatory courses. Thls updat8s èxlsling qualNkallon$ ènd also allows for 8ccredlted courses and H8allh & Soclal Care Dlpbma's to run aknngsldo. Our staff are also regulaty trained on the i(Jentity, phllosophy values of the In3triution of the Sisters Hospitallors. Sisters Hospilallgrs of tho sacr*J Heart of Jesu8 CIO 17 Trusl•es' r•port 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (conlinuedl Ro5Sd•ntlal c8ro hom•s (￿ntInUed> StAugustine& Home, Addloston•. Suff•y(GontinuedJ TrainKfvJ (conbnued) This year we hove Aecess LMS onllne trainlng that covers all m8ndalory training that can be completed onllne. Th18 covers all members of staff offering the necessary training lo suit each role. We will aL8o continue lo promote all dISlan￿ feamlng as these courses are so in-depth and offer a greater knowledge for 811 who complete them. InspeGbons & other Wisits following regulalory bodies vlstted CQC- there were 3 vislts during 2023. Infg¢tlon Control- there was 1 visit during 2023. No significant concems werg roisgd. En¥lronm•ntal H•alth - there was 1 vksit during 2023. No slgnlficant concem8 were T8ised. Th8 latest CQC in$pgdKJn rgport. dated 5 Juty 2023, highlighl8d the followlng areas for Improvement: People's records were not athys conslslenl, up to dale and detsiled ￿nC￿gh lo ensue all indwidual needs and risk were 1dentffj￿. InfeclIc￿ preventKJn and (Dntrol w8s not effecbvely m8naged during outbreakg. Approprfate appllcallons for deprNaUon of libety safeguarding when people require constant supervision and could not le8ve thè home on their own were ot a￿ayS in place., People's ￿nsent br car8 was not always apwopriatsly r8cordod', Emb9dd8d and eff8ctive govemance systems were not a￿ayS In plac8, thls Induded assurance ar￿nd IKiw the management team malntalnlng Ovars￿ht of quality and safety,. and Breaohes were idenlffied in Infection prevention. ￿fttrol. and govemance. Areas of goo(l outcomgs hlghluhted in thg rewt inGludgd: People receive safe care as staff knew Ihem well. there were robust handovers and summary records; People were supported lo have maximum Choice, control of Ih&ir Irves and were suptx)rted in the least restrfctlve way. and In their best Interest,. Sistgrs Hospitallers of tho sacred Heart of Jesus CIO 18 Trusttss, r•port 31 D8c8mbgr 2023 ACHIEVEMENTS AND PERFORMANCE (Continued) Rosld•ntlal care homes {￿)ntinued) StAugu$tlne$ Home. Addlestono. Surrey(conthued) Inspoctions & ¢)ther v￿1$ (conllnued) Improvement was n¢)tod around staff training. recruhmenl and me¢Jl¢ines managemènt.. There were enough slaff to support people safety. and rKgive safa support wlh medi¢ines, eating and drlnklng., staff supported peopl8 in a per50nwc8ntrgd way whl¢h was respgcfful and carfng., People were encourag8d to do what they ￿ke. stsff knew individual prefer8ncgs, wishes and lifesty￿ choices,. People and their relauves felt th8 home was safe.. arKI Staff knew how to raise concems and felt able to speak up when needed. ImprDvem8nts There were some Smprovements during 2023 how6ver. Some of Ihe planned Improvements will be caTried over into 2024. We have bean able lo implement Care and Clinical our new electronic car8 planning system that started on 3 July 2023. Prior to the implementstion staff members recel¥ed multlple trainlr#J se$s￿n5 rebvanl to Ihelr roles. The system allows qulck and accurate records of the sidents, needs. The $enior managemgnt team has remote access for checks and audits. Receptbn area was painted and decorated. The rcof works were wmpletes. The rooms wer8 rafumished as they become empty. Chall8nggs & wayFonvard Continue working on Ihe Caw & Clinral to become more ¢ffeclive. Implementation of thg EMARS electronical medlcatKJn Management. WorkSng lowards the smooth eLeaming transition from LMS to Ajtura. Dgv8k)p and strengthen s￿11$ and abiliti8$ of our Sanior Toam. Slsteis HospitaUer8 of the sacred Heart of Jesu3 CIO 19 Tru8teefj' report 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (continued} R•8ld•nllal care homes {cont￿u9￿) Foothorl•yH•ll, Sh•nston•, St*ffornlshlr• F£￿t￿eY Ham R6sld8nllal Car8 Hcthe was 88tabllshed In 1965 to provide resid8n1i81 care for 50 eldorty peoplg. including thoso Irving with dgm8ntia or limited moblltty. Fcth8rloy Hall has allraclfve a￿1 exlen8fv8 grcuKls wllh Walk￿ areas thfoughout, whkh gre all accessiblè for wheelchalts. The grounds 8180 off&r many seating argas. a large pond wth a waterfal and fountakn. a summer house and pergolas perfecuy pLgced. The patio Situated just outslde the re8ldenVs lounge and conservatory whith has an arrÈy of lablos and chalrs with awnings to offer surtable $had8 and as the Home is $Ruated in th8 heart of the Staffordshire countryslde the grounds aL80 offer peace and tr8wuIIIty. There18 a communty of s151er8 that o)natQTate V￿th the management at all levels. their main ro￿ is to assist in th8 we giv8. their presence add$ that very special unKiueness lo our home. Tho resrdenls are at the centre of what we do. The Care offered uniles sclence and humanisalion and takes Into 8ccwnt the person In all hls or her diménsions. All of us.. stsff. professbnals. famllles and slsters are Involve(I In thg Gate w8 offer to our residents, eaGh one wort together from the role they play. During the past year we have been able lo maintain almost full ￿CUPancY and we have been able lo deuver our usual excellent Stsndard of care to our residents promollng kndependence. dignity and chL4ce. Our CCLuparKy for the year was 91.2%. maintsining a wealthy waitirvd li$L ststws Hospllallern of tho sacr*J Heart of Jesus CIO 20 Trusl•es' report 31 D8c8mb8r 2023 ACHIEVEMENTS AND PERFORMANCE {continuedl R•8ldentlal care hom•$ (continued) FoothgrteyHall. Shenstone. Staffordshlre fo)ntlnued) Actrtyrfies Our act1￿lIeS programmes are organised by our adivities Cctrordinalors who keep our residents fil, acbve and ent6rtain8d wrfh a daily timetable, lo include a variety of activities acC￿ding to the choi¢es and capablllties of each resident. It ranges from,. pottery craft, card making. gentle exerclse, soft ball games. board gam8s, boar(I games and rèading articles from the newspaper. Our clasS￿al Music hour 15 very wpular. as 8re our bakery mornings and craft sessions. We hold regular conwt afternoons whereby our residents ar8 entertained by 8 variety of singers. Progressive Mobility and Yoga once a fortnight, and the vlstts from thg'Pal' dogs our resKlenls just adore arbd find so therapeuoc. Some of our resldenls enjoy lunchlim8 v￿11$ lo the Gentleman's'pub, lunch and 8 pint which was served in our sitting room on second floor and our18dies enioy'Ladies who Lunth, with 8 glass of wlne 8nd a very nice lunch t￿. Easter and Chrfstm88 2023 ware as alw8y8 celebrated In true Footherley style! Al Easterwith our Easter Bonnet Parade. Easl8r Egg gffts for our residents which they enjoyed. Motherfs Day and Father's Day are special day3 and telebraled accordingty. We also ¢elebrate as many special days a5 possible and this year we celebTated Valentine's Day. Sl Patrick's Day, St Gèoryg's day, the Queen's Piab'num Jubllee, Harvest Festival. and of Goursg Halloween. Durfng 2023 our rasidents have enjoyed our beautiful gèrdens wth the rather ex¢8ptional wgather we had during spring and the summer months. We bst count of the picnio lunches we held. 8nd we were all involved. staff, our residen15 and our sisters. The picTrlc lunch became a regular èvent. and they were super days and all so enjoyed. At Christrnas wo hdd a Carol Concert with our 51s18rs and management team sirying their hearts out once again to everyone's favourila carols and we all went on lo enjoy a dglioous buffet al the flrsl nomial Christh8s Slaff and Residents, Party frjr a couple of yearsl. Friends of Foothehgy We are lucky enough to a have 8 marvellous group ofvolunt8ers called Friends of Footherby. 'Friends' has its own committe8 WFth approxlmalely 152 members. They organlse and run our annual summr fete our biggest fvnd raiser. they also raise money by holding raffl88 8t Christmas, Easter and other tlmes during the year. Wrth the funds raised from the90 events Friends org8nise and buy anything our reshjents requir&, for 8xamplo', larger it8ms lik8 Pergolas in the grounds. This gxtsnds to Sfnaller items like Indlvldual Christrnas and blrthday gKts, Easter eggs too for all our residents. Fri8nds 8180 organise and fund many of the concerts we hold here at Foolherfey, and they pay for our oulings and fund tr8nsport costs. Slslers Hospitallèrs of th8 Sauod Heart of Jesus CIO 21 Tru•lees' roport 31 De¢embw 2023 ACHIEVEMENTS AND PERFORMANCE (continued) Resldentlal care homes (continued) Footherleymall, Shenstone, Stafft•rd$hlre {contlnuedJ Frf8nds ofFc¥Xherfey (conflnued) Our summer fete finally look Pl￿ in August this year 80 was Ihe first one since 2019. It was adverlised vary well and the bjm out proved lo bg os good as a￿aYS. the weather was lovdy, and our gardens were 0￿8 agakn full of people enloylng tyjr beauuful gardens arKI all our summ8rfete had to offer. Pastoral Coro Our Pastoral Care is integrated In the care we gfve lo our residents lookiro after their health and w8llbeing. Our residents, s￿ritUal needs have been met acwdwg tJtherw*£s r th servicas ofMas$ happ8ning almost daity. The memtr*rs of the pastor81 care team lead by a sislei make sure that each resident is wsiléd by their priest or pastor regular￿ as well as organising their semces. Special emphasis rnade on th8 liturgical times Advent and Lent. Special care is laken regBrding those residents and theirfamllles during the end of life process. We make sure that we we avall8bl& during this prLWS. W8 celebrate the 'Sacrament of th8 Sick, with a small simple service and also on Remembran￿ Sunday. We hokl our own Remembrance Day to honour our residents who have passed away through￿1 the year- Ihls Is a lovely seNice whereby relallvgs are Invited to attend, a candle 13 lit, and a rose is given in m8mory of Ih8ir loved one. Human rnsourc8s Th9 Gentrg has 55 pgmiangnt caie staff and 2 casual M￿berS ofstsff Includlng managemgnl and other non-clinKal stsff. We subcontract our house caraldomest￿ and cal8ring duties lo SCCS, th8y ampk)y 8 kllchen Staff and 1 bank kitchen member of staff and 9 domgstic staff. Duying 2023 wa have had 12 l&aver$ and we h8v8 employed 16 new members of staff. We arg GUTrendy r8cNltSng Senior Nlgm Care As818tants. 8ft6moon Care Assistants and ono Laundry Assistant. We have (tsntlnued wSth our f￿XIble approach to worklng. As such any new employees are contracted for days or nights, and this hos continued to enabi9 0 more flexible approadi to covgring th8 n8c8ssary shifts and to utili$& our human rosour¢8s n￿re 8ff8CtiV8ty. Sisters Hospitallèrs of the sacr8d H8art of Jesus CIO 22 Truslo08' rnPQrt 31 December 2023 ACHIEVEMENTS AND PERFORMANCE {continued) R•sld•ntlal caro l>omos {contlnu8d} FootherleyHall. Shenstone. St4ffordshlr• (ontinuod) Staff ￿￿ning and davglopm9nt We consider training to bo extremely Important and rt is encouraged al all levels. and we are very fortunate as almost all of our slaff are qualifiod to the high Standard requlr8d. We have 8 compr8hensNetrainlng programme Ihatruns thrtrjghouteath yearfor all Mam￿r8 of staff which includos all mandatory courses. These updates exlsung quallflcatlons and also allows for accredited courses and Health & Soryal Care Diploma's to run alongside. Our staff are also regularty trained on the Idenlrty. phllosophy and values of the Institution of the Sisters Hospilallgrs. Thls year we have had the introduction of A￿8$ LMS online tralnlng that covers all mandatory trainlng that can be wmplelèd onllne. Thls covers all members of staff being off8red the necessary training to suii each role. Inspections & other Visits CQC- we had one visit during 2023: Quallty As$urnn¢g- we had h¥0 ￿51t9 during 2023- October & December. Routine Fire Inspections The lafrsl CQC in$peGtion report. dated 10 November 2023. hlghllghted th8 followlrKJ 8re88 for improvement.. Responding effeetivety to risk, this vras in particular $umun(ling those on modthed diots,. Medicine management. this was regardlng PRN las and wh8nl medicines- Systems and pro￿Se8 to safeguard from risk of abuse were rot ahyays effective, thi$ refereed to sonw staff not havtng safeguardiTrJ training in d8te', L&s$ons leamt from wicidents were not 8hvays discussed at staff meetings" Rlsk of recelvlng Incon8i8tsnl care. a98in Ihls ￿ferred lo Somè staff who's training had gxpired.. Not a￿ayS Working to the principles of tho MCA, this p8rticularly referred to not all resldents have had a MCA ass6ssm8nt and Bl assessments wmpleted: and Systems to manage quality and safety were not afrways effective. Sisters Hospitallers of tho $acr8d Heart of J8$u$ CIO 23 Trust••s' r•port 31 Oecemb8r 2023 ACHIEVEMENTS AND PERFORMANCE Iconlinued) Rosldentlal caro homos {continued) FootherfeyHall, Shenstone. Stafford$hlrn fGontinued) Inspections & other Visits (conbnugdj Areas of good outcomes hlghllghl8d in th8 report Included.. People were prO￿ded wlih a variety of food and drink to meet Ihetr needs, as dld th& design. layouL and furnishings- People were trealgd well, thelr d￿nIty was respected, v81ued, and fett118tened to by Staffr. Thare were enLNJgh staff to support poop19. and staff w8rg safely recruitod; People recelved person St Frnncls X•vlerHospttal. A$$ln Foso. Ghana (contlnugd) Don?tions Through the b8nevol8n¢* of some entities, indivKluals and friends thè kh)spital we receNeil several donations. The Coryregation ￿nt￿bUt8 with 0 large amount of money toward the Maternity. Achlgvèmgnts We achieved a sb3nific8nl mI￿tOne by boing upgradgd to a secondary level facilty by NHIA and HeFRA. Thls recognltion Is a leslamentto our commllmentto providSng quallty healthcare. The creatbn of 8 New Paedlalit OPD. allowing u$ to bgtterservg our young patients and thelr families. The daily moinlgnance of the hospltal Invofves a lot of r880urces to make sure the hospital 1$ a safe place to work and look aftef others. We managed to compl&t& the phasè 11 of the Matarnty project. W8y fo￿rd To ￿tinue searchkng for to W ug to equip the M8temty dep￿tr￿￿t A¢qU￿e u11r8-fT￿ern equipment for servirE delNery. Attract or angage othar Specialists, o.g. inlemal physician, To expand spoCio1iz8d $0rvice8. To work on C8pacrty bulkllnG of staff. To improve data management and customer caro. Sisters H08Pttallers of the 8acred Heart of Jesu8 CIO 28 TNstee5' rnport 31 December 2023 ACHIEVEMENTS AND PERFORMANCE Icontinuod) Mls$lons In Afrlca (contlnued) StBenodl¢tMennlRehabRltadon Centre, Alonrovla ST. ￿ll1H{ &y Sl Bénedict Menni Health Centre befongs to the Archd￿)ceS0 of Monrovia and has b88n managed by th8 Slsters Fk)sphaller's of the Sacred Heart of Jesus sknce1966 in Virglnla with orphaned and Phys￿AllY disabl8d chlldTen. The Centre was relocated al Pipeline on the outskirts of Monrovi8 in 1988 the dinic and rehabI￿alon cent&r for thlldren with polio until 2010 when polio was eradicoted. Sl Benedlct Menni Hearth Centre is composed of 2 hfjaith fadlltles: The Cllnl¢'. belongs lo the Archdlocese of Monrovia and managed tythe ￿$te￿ Ho8pltaller af tho Sacred Heart of Jesu8. Mentsl Health Unit.. The Maria Josefa RerAo Step Down Unit is a ward for admission of patients and OPD services. bglor4J$ to and managed by the Sisters H08pi18llers. We cthtinue the healirwJ ministry to the sid( 8￿1 needy as well as restoring and reintsgr8tirv women Ilvkng wllh mental Illness In ts a¢cc*npaWng problems. Th& fa¢ility works urKlgr the umbrolia of the Nallonal Cathollc Heatth Councll (NCHC) and the Is member of the Diocesan Catholic Secretarial {OHSI. Sisters Hospita11&5 of the sacrod Hgart of Josus CIO 29 Trustees, Trport 31 December 2023 ACHIEVEMENTS AND PERFORMANCE {continu8dl Mlsslons In Alr1¢• {contlnued) StBeftedl¢tAlenn1Reha￿.1ft411o￿ Cenlr4 Monrovia (contlnued) The clin￿ offers the following 8ervThs: General OPD and Emergency Care Malwnty Matemal and Chikl Health IMCTI Diagnostic ILab)rat(ryleslirg> Communlc8ble diseases (TB. Leprosy and HIV} Phamoc8Utkal Prevenliix) of motherto child Transmission {PMTCT) AnlkRetroviral Treatment (ART) MenlalHea1th-rnhab￿itst￿ seM¢es for women," Psy¢hoph8rmacobgy Occupational therapy {sewing. baking, beads making. hairdresser, reedle work et¢) Counselllng ActNfties of basic life {p8rsonal hygigne, Settlng up dining table, making of b￿$, cooking, malntalnlng homel Group theraples (recreational therapy, auditi￿1$LEaTr actiwtre81 Cognitive stimulation e.g. relaxation lechniqyes. psychoeducation. health educallon and mu$1¢ therapy. Great siipport contSnues to be recelved from the SSstsrs Hospitallers London {Provincial office) Ama Mennl HOSp￿al of Mondragon Ispalnl, 8nd through th8 proj8ct"W8 Are Llke You". The Centre which has seen five years since its GonceptK)n. retain5 its dlgnity, pride and allegiance to the people of Liberia. The mlsslon. vision and values are always Incorporated Sn the care we give aThJ so the celebration of the feast of our Founding Father was held. Slsters HOsp￿allerS of the sacred Heart of Jesus CIO 30 Trusteos. report 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (rA￿￿nued} Mls$lons In Afrlca I￿n11n￿ed) St 8enedl¢tAlgnnlRehabllltaUon Centre, Monrovla (conllnued) Partne￿hiPS and Collaborations The Ministry of Health the Sisters Hosprt8lkr3 Centre is rgcognis8d as a18ading institution in Mental Health. We began a new ioumey by Gollaboraltng wlth mSF￿lberia to Share obleclfve8 ar slgnifkantly to refer patrents from Iheir ￿hort to be rohAbilitst8d at the Marta Jo$ets R￿￿? uniL Cam Actmty The general servlces provlsKin 8t Ihe Glinic $tsrt8 wlih momlro devotion and ttonlinues to the trkage for ggneral asses5m8nl with lemp6ralure taken and rgwrding. This continues wtth reglstratlon al th6 R¢cord Department and contlnues wlh the consuttalh)n, laboratory. investigations, dlspensary of dn￿, d8tain$ at thg emergancy and dlsLtsrges. There was dalty vaccination of babies under five {5) yoars. Activity Patients seeii 2023 merg8ncy utpalients .095 irths 157 bora ,738 ntal Heath Unlt missions istharg9 ,267 ignts ,653 Ccupar 1.7% P8stDral C8re Ther6 was provision of holistic heaMh care both splrtluol and phy8lc81. There were hrme visits to the aged people whereln they were counselled and accompaniment. Sl$t8rs Hospftallers of tha sacrgd H9art of J88U8 CIO 31 Trustees, report 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (Gontinugd) Mls•lon8 in Afrlc• (continued) stBenedl¢tAlennlR•h4blllt•tlon Centr•, hfonmvla (con*nufjd) Pastor81 Care (condnued) There is a team with sislors and staff assistgd by a FffigsL Thgy thelr actNI1￿$ on a daity ba818: • Momir¥J dovotiorts. Counselling session for clients, famili￿. ond staff. Tralnlng on ¢od¢ of conduct. 8lhk in$titutbnal id¢n Celebrat￿n of Church and congregational fgasls. Home vists. Human resourGes During the year the Centre has had 7 starteTr and 5 leavws. Student Nurses and 8id-nurses are afflllatgd for the practlcal In both sgrvire dlnkc and mental haallh unit. STAFF MOVEMENTS Newposlings Extts Retirements Rotation sfudenls Total Staff 34 Trainir We consld8rtr81nlng verylmportant to bg able lo dellvergood car9 andp6*￿A￿al devglopment is also ￿ area the we try to encournge. We ￿ganISed InThservke tralnlng In house for staff to Improve ther knowtedge focusing on the dl8ea888 wa treat HIVIAIDS, Tuberculosls, Immunl8atlon, Infeotion Control. and in other area store keepYvJ. Hospitaller Idenlty and Values aThY others. As part of an On￿ng training of professionafs to be Certified as addktion specialTrs( bwo of ￿Jr Yofgssionals were invil>l to partirypate in Ihe programme of substance use and addictton. Wlth the knowledge galned, an echo Iralning w88 oryanked to staff irf 811 categories to share thg knowl8dg8 obtained in sthstance use and addicbon speciarty. sbters Ho8pftallern of the Sacred H6art of Jesus CIO 32 Trust￿$, rnport 31 De¢ember 2023 ACHIEVEMENTSAND PERFORMANCE {wnllnued) Mlsslons In Afrl¢a (eL)ntlnued) StBenedl¢t MonnlReh8bilit*¢ion C•ntre. Alonrovl* (Gontinued) Inspection Superior General. Sor Anabela Cameiro paid a canonical visit lo the Centre in Liberia accGYnp8ny by a gengral Counclllor Sister Blanca Flor Guerrero Catholic Reliof SeThkes Acquaintance Vlshlsupportive Supervision MPCHS Organizalv)n Vtsltatbn and Sup8Nsion Report NACP INatlon81 Control Program Data Control and Assessment MOH VerifKation of GF Assets NLTCP Orgonization Laboratory Assessment lo initiats Malaria Control Program Volunte Volunteers visited the C9nlre lo donate to pallonts 8$ a way 10 Share in $didarity for people INlft￿ suffering Wbth mental Illness. exctusively, women. We abo have annual visbts from vdunteers that Support the Centre malnty from Spaln. Improvements/Achievem8nls There was Improved avaiLgbillty of drug$ for the HIVIAIDS aThJ TB departmonls. Recrultsnenl of staff to the a￿oUnts department. who also serve as management members. A good relalionship is maintained b8lween the cKniG and th& Government Ministry (Ministry of Health). and other organizations. ProvisKJn of the di$tribLrtlon of food lo all those TB d16nts SU￿ssfrI1lY Gompleted Ihelr mèdKation from the TB department. Two members of our staff have taken part In o Ministy of Health training program related to drug use Preven￿on. Defaullets in of TB dients due to non•compliancg to treatsnent reglmes. ITfggular suppty of vacclne8 for Immunkatknn of b8bOès.' Lack OfqUalrf￿d staff for phanmacy, Si8ters Hospllall8rs of the sacred Heart of Je$u$ CIO 33 TrustOe8' rfjport 31 0￿mbar 2023 ACHIEVEMENTS AMD PERFORMANCE (Contin￿1) Mlsslons In Afrfca (conlinued) s¢B¢nedIctM￿nI Rehabllltatlon Centsp. Monrovl• (continued) Challenges (continued) No budget allocated by the Govemment for Mental Heallh: Sligmatization in communitie$ do¢$ nol stop,. and High dollarization. B•nl¢o M•nnlHo$plt•l, Dompf>a40, Gh• St Benito Menni hos￿￿1 is a cathol￿ Hoatth Fxllity ofthe Cathob¢ D￿￿￿@ of Obuasi in the Ashanti reglon of Ghan8. The Facility is under the supervlslon of Slytsrs Hospitallers of the Sacred Heart of Jesus in conjunc1ion wilh the Diocesan Department of Heatth. 11 is also a memberof the Christian Health Association of Ghana (CHAG). under Natbnal Catr)IK Health SO￿¢9 {NCHS). The Hospital stsrted 8s a Health C8ntre and began operalon In June 2￿1. It was upgraded to a ho¥￿tal stslus in Fgbruary 2015 by Health Facility Regulatory AgerKy Ghana {H8fral. The hospital is the (mly one in the dlocese that has ts own Mental Health sermte Unlt and day ￿ftIre for people wilh leaming disab￿￿(188 for chihjren and young •Julls. The facilty has op8rated for the past ts¥o decades. prov•Jing gener81 and spgcialist $eNices to the people In the locality. Our services includ8. Mental H681th and Rehabllltatlon General OPD SprvKes lTrpatient and Emergency Services. Slsters Hospllallws of the Sacred Heart of Jesus CIO 34 Trust••s' report 31 December 2023 ACHIEVEMENTS AND PERFORMANCE (continued) MlssloTh¥ In Afrf¢a {o)ntOnued) enlto MennlHosplts4 Dompoa$4 Ghana (GOntin￿d) Dlagnostic Seryices Matemlty Servi￿8 ReprOd￿t￿e and Chlld Health Servios Phamaeeutical Seryices Water producilon A¢tivity osptt•l Klent & Emergency rya￿nts (Adrr4ssions} cupancy r8t8 ￿￿18rrts urg8ry irths Paticnts seen 2023 67.7 25,23 62 74 ntalHe•llh Utpat￿nts ay Carg 8,52 Pastoralcwe The Pasthl Care remains part ofthg care we ofler. With ts pr8$ence ol a fvlkllme ch8FI8in in the hospital he Is Integraleé in the Care we offer to th& clients. We rthi have pre and post counsdliro for patients who are to undergo surgeries. The provision of a lisl8nSng prtsènce. ￿MpanIOnShIp and support to all clients and Ihelr relat4ves and staff Irrespèctlve of their belioves. Thera are Counselling session8 available for clgnts, farn￿￿ and Staff. These are some of aclNits8S: Monthty ￿lebration of Eucharlst In the hospital premiyes MoTniThJ devotlons in thè Outyaltent dgparknent Home visils to the agod. Sister8 HospitsNers of the 88wd Heart ofJesu$ CIO 35 Tmstegs, rnport 31 Dec8mt*T 2023 ACHIEVEMENTSAND PERFORMANCE Icontinuod) Mlsslons In Afrka {contknL*dl Boftlto Al￿NIHo￿l￿1 Dompwe, Ghana (contlnu8dJ The lolal staff strongth of the hospltsl for the year under Teview was 224. During the yearwe have lost a fow profossionals leaviThJ the country for greener pastures and this has affected our ￿rforManCe. STAFF MOVEK1ENTS wpostings ong SeThice Awd 10& 15 andNational rofnot Trn'ning The fadllty take5 Steps to approve the furlher study Intenticns of as many staff a$ possible. A total of 10 stsff were 8pprove(I for further studies in 2023. The required training was given forthe staff In servlce. In-house traknlng Is c￿gOIng for all level of the stsff ranglng f￿M customer care to Infectlon control. During the y8ar a team from Safecaffj Qu81ity Improvement visited the farility for monitoring purFQS95 W9 havg been havlng subsequent vlslts 88 follow ups. Our Superior Gen8ral, Sor An8bela Cameiro a canonical visit to thè faullty and the communlty of slsters she was accompany by slster Blanca one of the gen8ral councilor thi8 type of visit is don& every slx years. AChieven￿nts We establish various committees to work towards qualty". Th8 number of pres￿berS w85 increosed to reduce the waitirrfj time: and We expandgd the outreach seNSces. Ch8Neng88 Financial chall8ngg$ du& to dolay in ¢lalms payment; Inadequate space for detent￿n and admlsslon of pallents; CompUc8tlons wrfh pregnant women deliv8ring at home,. and Problem of me¢hanizali)n of paramedics, staff. Si8ter8 Hospltallers ofthe $8¢red Heart of Jesus CIO 36 Trustsfr8' rnport 31 De¢ember 2023 VOLVNTEERS Tho chartty counts ￿ a number of voluntsers who 8sslst In the provision of social and recraalional acttvlties (local volunteers} in eath of the Homes. INTERNATIONAL VOLUNTEERS International volunteers are ordinarily crx)rdinated from the Benilo Menni Foundation, the Congrogatlon's non4ovemmgntal organisallon INGOI for intematlonal c¢Foperalron, based in Madrfd, Sp8ln and w8 also attend requests from the UK. Whon the volunteers aro from Ihe UK or other rxsuntrles In Europe goes through our pmwncial 0￿. FINANCIAL REVIEW Results for th• y•ar The resuts for tho year are shown on Ihe statement of financiol activities at page &l. This is the CIO'S first per￿ of aGfjvlty followlng raglslr8tion tho Charity Commission and the transfer offunds from the predecessor charity, Slst8rs Hospitallers of the Sacrgd Heart of Jesus Choritable Trust, which took place on mldnlght on 31 January 2023. As such, there was no income or expenditure, aTrJ no fund balarKes brougm forw8r(l in resp8ct ol the compar8tlve perlod Iwhich spanned from th8 dale of Charlty Commission rggi5tralion (19 ApAI 2022) to 31 Decemb8r 2022). In the year ended to 31 December 2023, the CIO conlinu8d lo b8 domiant in January 2023 untll the funds were tr8nsfeThed at mldnight on 31 Januory 2023. In the y8arto 310ecember 2023 total income before the transferfrom the Sisters HospitalleTS ofth8 Sacred Heart of Jesus Chadtable Trust amounted lo £7.374.441 (2022- £nll). whèreas eX￿rbdrtUre was É6.561,38812022- £nill. With the transfer of the assèts and liobililies from the Slsters Hospitallers of the Sacred Heart of Jesus Charitable Trust al midnight on 31 January 2023, income increased by £31.445.213 lo glve total Income for the year of £38.819.654. The ngt incom8 for the year b6forÈ investment gains and the transfer from the Slsters Hosprt8l￿rS of the Sacred Heart of Jesus Charitable Trust was £813.05312022- net incomg £nill. Investment gain5 totslled £213,245 {2022 - n&t 98ins of £nill. As a consequence of those gains and the transfer from the Charitable Trust, thero was a net IncreoS8 in funds lor net income) in the y8ar of £32,471,51112022- net income of £nill. Invgstm•nt pollcy and pgrfomian The Trustees of the charity wish to invest the portfol50 to provide s retum that malntains Ihe real linflBtion adjusted} value of the Capital. whilst also delfve￿n9 a cash flow of around 3% p8r annum over the longer tèmi. The Trusl88s wk8h to follow a total relum approach and 8re happy to generate Income. Capital or a combination of the tsvo. Sufflclenl liquidity and cash reserves sFK•uld be malnlalned at all times to meet any short or medium-term requirements. Sisters Hospitallors of the sacr6d Haart of Jesus CIO 37 Tru$te•s' rnport 31 D￿mber 2023 FINANCIAL REVIEW Icontinuedl Investmènt pollcy and performan￿ (continued) To rr￿1 inveslmgnt objective$. the Trustegs have taken a￿￿¢0 from both Coutts and Co and Ralhbone Inv&st￿nI Managemenl Limited. The Trustees have been very satisfied with Coutts 8fKI Co'8 p8rfomi8nce over recent yaars but decided lo splf( thè portfolio wth 8 Second investment manager to mltsgale rlsk and dfverstfy fvnds. Across thelr Communlty Fund and Provln(* Misslon Support Fund the Trustees have a rlsk tolarant attilude to investment risk. They wish to invest in a widèly diversified Investsment portfolKJ to reflect this. However. for the St Teresa's Home Support Fund and HSC Medium Risk Fund they have 8 moderately risk loleranl atlitude. Th8 Trustees wish lo avoid any direct investments in amiamenl manLrfacturing companie8. toba¢Go manufacturing companies or alcoholic drink manufacturing companies and any other companies whose aims are in dire¢l ￿nI11¢1 bwth the objectives of th8 charity. Currenlly the Trustees do not utilize any dislributRJns from th8ir investment porifolios and incom& is reinv&st8d. This poI￿Y will bo regularfy. A long-lem Ilme horfzon Is to be adopted- al least ten year8 and polentl8lly far longer for th9 Community Fund and Province Mission Support Fund. For th8 St Teresa's Home Support Fund and the HSC Med￿m Risk Fund the time horlzon Is a lttle lower- five to eight years. Rose￿5 poll¢y and flnanclal position Funds al the 31 December 2023 amounted to £32,471.511 (2022 - £nill induding 8 tsngible fixed assèts fun(J of £19.698.825 12022 - £nill and the Sisters. r6lirem6nl reserve of £5.000,000 12022 - £nil). A dedsK)n w8s m8de by the Trustees to sepaTate the tangib￿ fixed assets from the general funds of the Charity in recognttion of tha fact that the assets are essential lo the day-lTrday work of the Charity and as such thelr value shoukl not be regarded as funds that would be realisable with ease In order to meet fulure contingencie8. Funds wlll be released on s818 or disposal or depreciation of tangtJl8 fixod assets. The ￿tirement fund ojmprises monies sel aside to provide for the care and support C*f membèrs of tha Slsters of th8 Hospltsl￿rS of the Sacred Ha8rt of Jesus as they grow older. The value of the fund ha5 been caluJ18ted using actuarial prinuples, l)ut the amount e8ignated 1$ r￿straIn￿d by the assets availgble. Funds will be released at Such point as income from pensions. knvgstsm?nts, allocallons from the Centrgs for dut￿$ Pgrfom)ed by Ihg Sisters and (lonalions to the UK communities are less than 8xpetKlitur8 by the UK communlues. Thé Trustees, p)IiGy is for free roservgs to equatg to up to IAvelve months, expenditure. At 31 January 2023. free reseNes amountsd lo £7,772,686 {31 December 2022 - £nlll. equivalent to approxim8t&ly fourteen months, expendlture. ThSs Ss In excess of the desired taryel abov8, and will b8 reviewed by the Trustees in the coming year. &sters Hospitall8rs of tha sacred Heart of J88us CIO 38 Tru8tee$' report 31 De(8mber 2023 FINANCIAL REVIEW (contThiuedl Fundralslng Two of the UK Care Homes have marvellous supporters known as "Frfends of Footherfey Hall. and 'Friends of Sl Augusline's". Those support groups are both thoroughly hands ¢ registered Gharities that klndly cryanlze fundraising events and oullngslacUvl￿eS for our residents. If money is donated to the Care Home for a specrfic asset or ilgm of expondilure from Th8 Friènds or olherwse the charlty vlll ensure it is used for that purpose. The UK Care Homes do little if any proa¢live $8W-fundraising but do regul8rty rece￿8 grfts {largety from appreci8tive rglalive8} and the occaslonal legacy. Employèes in the UK Care Homes are engaged in fundraising for the mlsslon In Affica. Such fundraising has trfftn, and is, enwuraged by the Sislers without plaGing undue pressure on staff lo either partlcipale or donate. Residents are not approached for donations lo the African mission.. families and friend8 however may be engaged by the publidty In the Home or by staff who are partaking. Because proadve fundraising in 2023 remained at a very small scale, tho tharity has not registsred with the Fundralslng Regulator or any simllar body. No extèrnal part￿ are engaged lo fundraise on the charity's behalf. The charfty ha8 no knovAedge of any complain18 about hs Fundralsh)g èctiviti'as. 118 professK)nal in th8 UK is racruilod for 8nd fundraising with making applICat￿nS to grant maklng bodies for prolects In Affica. the Tnjstees ￿11 revassess thgir poSit￿n wtth the Fundrais￿g Regulator. RISK MANAGEMENT In line with Ihe requirements for Trusleas to undertake e risk as8e8sment exerclse and reprt on th8 sam8 in thgir annual report. th8 Trustees have looked al the risks the Congregation, and hence the charlty, cU￿enty faces In the UK and hav8 revièwgd the measure$ already in place or needing to be put In place to daal with them. The Trustees have Ident￿ed ffve main ar88s wh8re risks may occur.. Gov•rnanc• and management4trot•gl¢ The trustees embarked on a 4-yearjourney as port of a Modem188tion Programme that ill be the key drivèr for improvement in many areas. Thls systematic framework has been intended lo fft with the mlsslon and values of the charty. Alongside this, the provinee's six-year plan to address 51rategic issues with a view to keoping alive th8 charism of hosprtality, long-term suslainabilty and the relevance ofthe seNces provided have all been taken into account In the M￿deMISa￿0n Progromme. The Annual Plans Con￿nUe lo be evaluated onnually in each C8nlre. Op•raflonal Through monitoring by the Care Qualty Commlsslon, and our own Quality Assur8rKe Audtts, we strfve to remain relevant to the people we servg. Sisters Hospilall8rs of th8 sac¥8d Heart of J8sus CIO 39 Truslees. roport 31 December 2023 RISK MANAGEMENT l¢ontinued} Finaneial The financial reporting pn)ce5s ha5 been adapted in 2021 and 2022 remalns in place and is working well. Annual budget and monthly reportiThJ systems are rtgorously m8naged and the annual audft of the accounts 8s81sts us to ensure tho1 proper financral cA)ntrol8 are in place. In oddibon, we oarry out intemal audits of the financg and administration functions in our UK Cenlr8s. R¢putatlon•l A full empkjyee and Sisters, training programme is maintained to ensure that our reputation as a care provld8r gfves confkjence to the public. Laws, rogulatlons, ￿ternal and gnvlronmont We strive to malntain the standards expected by the Charity Commlsslon, th8 Care Quality Commission and other re9ulatory bodle8. Th9 key risks for the charlty. as idgntsfied by the Trustees. are deScri￿d below togelh8r wrth the principal ways in which they are mitigated. The Trustees conslder they have established 8ff6cllve systems of monllorlng and control to mot￿al8 the Idenlrfied rfsks-. Op9ralionalty the tharty works with vulnerable groups indudiny the eklerty. The Trustees reco9nise the absolule necessty of ensurfng the prolectlon and safety of all th086 that Ihe charity se￿88. This mans th8t members engaged in any ministy In th& UK and all those who Work or volunteer for the charity and wotl( with vulnerable adutts musl obtain d8arance from the Dlsclosure and Bathng SBTViCè (DBSI. The Trustees are committed fully to implementing the Standards and policies ofthe Cathollc Safeguarding standards Agen￿ ICSSA}. as well as foll¢)w the diredves of the Rellgious Life S8faguarding S8rvica{RLSSI and comptying with the ca￿ Quality Commission and oth8r regulatory bodies in order to att8in safeguarding starKlards that meèt expectations. In regard to safeguarding. the Trustees have worked cbsety with the Care Quality Commission and other h¢alth and social sgrwce bodies to attain the roquirfjd standard5 of monitoring and ¢Dntrol to miligale safeguarding risks rewoccurrfng In 8ny of the Homes. Common trends and rlsks Identmed across the three services. and a150 reflected in CQC insp8CtkJn r8POrts, include staff training, naw $t8ff Inductions, sU￿rvIsIOnS and appraisals, PRN laS￿￿eded) medi¢tne management, modNled diets, sharing le￿on6 amed, MCA and Bl assessments, care plannlng. Infeclion Fwention. and overal govemance. Sisters Hospitall8rs of th8 Sacred Heart of Jesus CIO 40 TNst•o8' rgport 31 December 2023 RISK MANAGEMENT Iconlinuedl Improvement Summary: staff tralning cornpllance has greatly Improved w(th the Inlr¢ducllon of a new system that offers reaktime reporting for managers and g¢)vemanco staff, along with automatèd reminders for duè courses. The staff induction program was updated in 2023 to bo more US&r-f￿endIY and 18 now regularly audited by HR and Complian￿ teams. Supervi8lons are 804A (x)mpli8nt, with appraisals al 70%, and rew)rts are regulaty wovided to managers to ensure consistency. Medicine management is generally good. though the handling of PRN medicines needed improvement. A revised PRN protocol and lemplale hav& been implernenled to ensurg Safar management. ShortralLs in managlng modrfied diets. especially in Shenslon9, have been addre88ed through extemal training. bringlng the IK)me Inlo compllance. An analysis of the age profil8 of the members of the Congregation sh¢yws that the average age on 31 December 2023 was 71.28 years. The Trustees are awarè that th8r8 is both a moral andlggal obIkJa￿0n to care for th6 okler membors. None of the members have resource8 of their own as all earnings, penslons and other income have begn donated to the charlty under a Gift A'd compliant Deod of Covenant. As the aga profile in¢rease8, so too does the no￿ lo provide car8 for the members. Key elements ofthe management of this risk are= lal ensuring that the charty has the available financial resources to finan￿ thL8 care both now and in the years ahead ty s&tting aside assets in a designalad fund. Ihfr value of Ythrch has bean based on actuarlal principles: and Ibl ensuring that processes are in place lo review regularfythe mlnistries and needs of individuol membgrs encouraglng thos8 who need il lo take on less demanding ministiies and for klentfying those who nead extra care and hdp. The charty donates Cha￿1¥ble fijnds in support of Ils mlsslonary work in Africa. Th8 majority of donalons sent overseas are to fvnd projects admln18t8r8d ¢Jlrectty by members of the Congregation. Wheth8r or not tho funds are used here in the UK or overseas, the Trustees a￿layS ensl1￿ that they are fulty brfefed about and familiar with the work of a pot9ntial radplènt offund8, that fiJnds are transferred via bank transfer, that proof 0fre￿IPl is obtained alld that, wherever possible (and a￿ayS in ihe case of monies sent overseas), a full written report of h¢)w the monles have been utlllsed and applied is obtained from the reupignL One of the charitys principal a￿et cLq$ses comprisas listed inv8slments, the value of which is dependent on movernènts tn UK and wodd stock markets. The Investments are managed by reputable investmgnt managers who adhere lo a policy agreed by the Trustees. The Trustees plan to meet each year wlh th8 investment managots and th• managerfs perfcThance and that of portfolio are monitored. The inv88tmenl strategy i8 assassed regularfy to ensur9 It r8malns appropdate to the charflV8 ne￿$ - both now and in the future. Sisters Hospttallers of ihe sacred Heart of Jesu$ ¢10 41 Trustees, report 31 Dec*mber 2023 RISK MANAGEMENT (continued) A significant part of th8 chariV$ income is from residents, funded li part or In Who￿ by local govemment or othgr publlc bodles at a level that 19 suffldent to cover the cost of valued care provlslon. The Trustees are rnlndful of thelonsion aTrJ reputalKJnal issue this )3es.' the charity wants to put the indivh4u81 resident 8nd thelr needs as Ihe number one priorhy. yet the Trustges have a duty trj act In the best interests of all bengftclades by maintainlng sufflclent income. The Trustees remaln close to all thg UK Homtss so that the charitls approach can be both personal and well ccffislderetl in temis of publlc bonefft. GOVERNANCE, STrUCTURE AND MANAGEMENT Gov•rn*nc• In temi$ of Canon Law. the Congrggation of Sistsrs Ho$FitaNw5 ofthe Sacred Heart ofJesus L8 govemed at Intemational level by the Superlor General and her Council in Rome. They are eleGted every six yeaTr 8t a General Chapter, by r8presentalives of the Congregalknn from around the world. Tha Engfish Province is govemed by the Provincial and her Council who are etecled by representatives of thg members of the English Provfince. The Suwior General is required to mak8 8 canonlcal visit at least once every six y*ars. as well as the Provinci￿. The Provincial ensure5 that centres are wsited on a reguL4r basis throughout her term of office to ensure Ihgt the Pe￿1* who use the s8￿ce are belng adequatoty 8UPPOrted. Structur• and m*n•g•m•nt r•portlng Slsler PAarla Lourdes 8anz Slster Encamaclon Aguayo Sist•T Tom•u d• ￿ Torro The Trusl88s are ultlmotoly Tesponsibl8 for the polldés, advttb6 and assets of thg Gharfty. They moet atloast six tim&$ a year to rgviow devolopmgnts with r8gard to the charity or its acllvilles and make any Impe￿￿t decisions. When necessary, the Trustees s88k adwcé and support from the charity$ professional advi$6rs. including propaty consultants, inveslmenl m8nag8rs, solicfcors Bnd accountants. Th& day-to4ay manag8m8nl of thè charfty's activlil88, and the implem8ntstion of kK)licie8, 18 delegated to the approprk9te mombèr8 of tho ccryregalion or Senior Management Team. Sisters HosprialloTS of thè sacred H&art of Jgsus CIO 42 Trusteos. rgport 31 Do¢emb&r 2023 GOVERNANCE, STRUCTURE AND MANAGEMENT Icontinuedl Siructurn and man•goment reportSng (Gonlniued) In 2023 the Engllsh Province comprfsed 45 sisters ¥tho lived as part of six communf(ies. One community home is $itualed in each of Staffordshira. London. Surrey. and Llberia, as well as tsyo in Ghan8. Eath UK communty provides care seNSces lo one of the charitys rggislered Care Homes. In Affica. wa offor care and supp)rtto the sick and the ne&ly in hospitals. health care centre$ and day centres for P8OFle with mental ill￿56. Each communlty has a Locèl Supericf appolnted by 1he Provincial. The Local Superior is reswnslble for Ihe needs and car& of the Sisters in her Gommunity and she lialses regularfy th the pro￿￿¢101. The Local Superior, where applicable, works cb$6ly wlth the Registar Manager of the servlce. ensuring that the ethos of the Congregation remains part of Ihe evgryday runnlng of the Centre. The charity has a Provincial Management Team that meet at ￿8st six limes a year and Gomwtses the Trustees. the Managing Directc*, Head of Quality and Compliance, Head of F1Than￿, Human Rgsourcgs Manager 8nd Buslness Support Manager. Thls group is accountable lo the Trustees but works towards promoting a harmonious and conslstenl appllcatlon of procedures and polictos acrosg the Province. Each Centre has its own Local Management Team consistlng of Sl8t8rs and co-workers in posts of responsibilty th8t monltor day-to￿aY management and application of the plans for the Cgntres. The charfty us88 a consistent fomiat to complete the annual Strateg￿ plan for eath of tho Cenlres. This folh)ws th& guldolines of the Cor4Jregalion and it is a good tool for evalualing and improving our annual planning process in ord&r to achieve the charills objectives. Key managemènt povsonnel The Trustees (including thg Provlnclal and Provlnclal Bursar) consider that they togeth6rN￿th the Provincial Management Team compri50 the key managemerFt of the charity in Charge of directSng and wnlrolling. running and operatlng the charlty on a daY-t￿daY basi$. Al Twslees are members of Ihe Congregatlon and whilst their living and personal expens&8 are bome by the charity, they re¢eNe no remuneration ty reimbursement of expens8s in oonnection with thelr dutles 88 Trustees. Th& pay of all the employees reviewed annualty by the TNstses. Pay is normally increas8d In accordance wtth average eamings. In view of the nature of operations of the Care Homes and the nBtKJnal shortage of care hom6 managers and oare stsff. the Trustees benchmark pay ratos against pay levels in other similar tharltabl& car8 homes. Tho remun8ration benGhmart( Is based on publlshed pay grades for managers. care and administrativg staff bul lak6s Sn to account additional responsibllilies to ensure Ihat the renwneralion paid is fair and not out of lin8 with that paid for similar roles. Sisters Hospilallers of the sacred Heart of Jesus CIO 43 Tru8te88' report 31 Decembgr 2023 GOVERNANCE, STRUCTURE AND MANAGEMENT Icontinuedl Truslee8' re$ponslbllltle8 gtatsment Th8 Trustses are responslble tor preparing the Truytees. report and a0￿Unts in 8ccordan(* th appli¢abl8 law and Unilod Kingdom Accounting Standar(Is Iuniled Kingdom G8n8ralty Accepted Accounllng Practthl. Tho law applicable to charities in Er¥Jland and Wales rgquirgs th8 TnJstegS to prepare unts for each financial year which give a true and fair view of the stats of affairs of lh• charty and of the income and expendItU￿ of the charity for that perfc*Y. In preparlng these acwunts, thg Tru$199s aro required to: sew suitabl8 accounting policios and than apply them con$islondy. observè the mèthods and prfnclples In the Aceounling and Reporfng by Charibes.. Statement of Recommended PraGti¢e appIl￿ble to charfties preparing th8 accounts in accordanca with Financial Reporting Standard applicabb in the United Kingdom and RepublK of Ireland {FRS 102)., make judgements and estimates that are rgasonabl? and prudent. Stale whether applicÈble United lfjngdom Accounting Stsndards have been followed. sublect to any materlal departurès disclosed aThJ explalned in the a¢ttJunts,' and prepare ihe accounts on the going concem basis unkss it is in8ppropri8te lo presume that the tharity will Continue in cperation. The Trustees are re$p)nsible for keeplng proper accounting records that dSscloso with reasonabl8 accuracy at anytime Iheflnanclal poslllon of the charmy and enable them to ensure that the accounts compty with the Chorfdes Act 2011, 8ppliGable Chority (Accounts and Report$) Regulations and the prO￿610n$ of Ihe charws trust deed. Thoy are also r06ponsiblo for safeguarding the assets of the charfty and hence for tsklng reasonable steps for thg prevention and detection of fraud and other irregularities. Working with othor oryanisations The charlty works wlth other organk8atlon8 includlng: Local ALrthodty Soclal Seryke8 Depathents; Lc¢al Primary Care Trusts and GPS" Lctal Care ASs￿￿allons.' and Local dioceses and parishes. Sisters Hospitallers of the sacred Heart of Jesus CIO 44 Trusteos, report 31 December 2023 EMPLOYEES. MEMBERS OF THE CONGREGATION AND VOLUNTEERS The Trustees wish lo record thelr reccgnIt￿n of the profession81ism and commitment of all their staff and individual members of the Congregation. Their dedlcation 8nd positwe approach ar6 grealy apprgcialed. We have a reduced number of Volunteers that retumed after Cowd-19. They are degply valued by the charity at large as they provlde tt)at added support of accompanying residents, assisting in activities, driving, and fundraising. Slsters In Enoland undertake 8 varietyof roles deponding upon theirage and phystcal abilili8S. Some have roles in management and others und&rtakè sncillary roles fhat give carers more time for their sknll8d $oThices. A small number of Sisters aro themselves Sn rgcelpl of care. In Afrlca all the Sisters have sperjffc roles and duties. In Africa. b￿aUSe volunteering Is largdy from professionals overseas. this whole aspecl Is far more formal and prograrnmes are prepared acccffdlng to the requirement and the indivKluals' qualficatlons and the regulation8 of the Country. This is often in coordination with thg Benedlct Mennl Foundauon. Approved by th8 Tru818es and signed on their bghaif by.. Sister Marla Lourdes Sanz, Chair of Trustees Approved on: Sisters Hospltallors of the sacred H8art of J8$us CIO 45 Indopbndont audttof8 report 31 December 2023 IndeP￿dent audltoVs r•port to tho TruBtseB of Si•tets Hospitallers ofth• Sacrod Hoart of J•sus CIO Oplnlon We have audited thg accounts of the Sistsr3 H08Pitaller3 of the Sacred Heart of J88Us CIO lthe'charity'l forthe year ended 31 December 2023 whlch comprise the statement offin8nc181 activiiies, the balance sheet. the statem8nts of cash flows principal 8ccounling policles and the notes lo thfj accounts. The financial reporting framework that has been applied in their preparatK)n 18 aP￿1¢3b19 law and Unil8d Kingdom Accounting Standards. inc4Jding Financial Reporting Standard 102'The Financlal Reporting Standard 8ppIic8ble in the UK and Republl of Ireland. (United Kingdom G&nerally Acceptsd Accounting Practice). In our opinion, Ih8 accounts: give a true and fair viaw of thg slate of tha chartty's affairs as at 31 Dgcembgr 2023 and of Its Ineorning resources and applicali¢)n of resources forthe year then ended,. have been properly prepared In accordanc8 wlth Unoted Kingdom Generally Accepted Accounting Practice,. arKI have been prepared in èccordance with the requirements of the Charities Act 2011. Basls for oplnlon W9 conducted our audlt in acc￿￿a￿te wrth Intemalional Standards on Audttir)g IUKI IISAS IUKII and applleable law. Our responsibilities under those stand8rds ar8 furiher described in the audrtorfs responsibiltties fcf the of the accounts sectlon of our report. We are independent of tha charity in accordance with the ethical requirements that are relevant lo our audil of the accounts In the UK, Induding the FRC'S Elhical Standard, and we have fulh'lled our other ethical responsibilities in pocor(lance wflh these requlrements. We believe that the audit evidenca w8 have obtainod is sufficient and appropriate lo provide a basis fot our opinion. ConcJu$lons ralatSng to golng concorTr In auditing the accounts, wg have concluded that the Iruslees, use of the g￿ng concom basis of accounting in the preparation of Ihe accounts is appropriate. Based on the work we have performed, we have not identif￿d any material unortainlies re18ting lo events or corKlitions IhaL individualty or coll8cb'v8ly, may cast significant doubt on the charity's ability to contlnue as a wlng concem for a perlod of at least ￿1ve months from when thg accounts are aulhorlse(I for issue. Our responsibilities and the re$p)n5ibilthes of the trustees r8sp8Ct io going concem are descrlbed Sn Ihe ral8v8nt sèctions of this report. Oth•r Inforn)•tio The other 1nf0mia￿0n eA)mprises the infomation included in Ihe Annual Report And Accounts, other than the accounts and our audilorfs report thereon. The tfuslees are responsible for the othar infomiation contained within the annual report. Our oplnlon on the accounts dogs not cover the other Infom8tlon and we do not express Bny fomi ofas$uran￿ conclusion thereon. Sistars Hospilall8rs of the sacred Heart of Jesus CIO 46 Indep￿dent audltorfs rnport 31 December 2023 Oth•r Snforn)atlon {condnued) Our rasponsibllily is to read thg 0th8r infc*mall￿ and, In dolng 80, conslder whether the other information Is materially inconsistent with th8 accounts or our knovAodge obtained in the course ofthe audll orotharwise appears lo be materially misstated. Ilwe idenlfy such malerFal inconsisloncie8 OT apparent mat8rial missLitemenl8, we ar8 requlred lo deletrni￿ whether Ihrd g￿e8 rbe to a material ml$stal8moTrt in the accounts thems91ves. If, based on Iha wo we have perfomied, we conclude that there ts a matsrfal mlsstatement of this othsr information, we are requlred to report that fact. We have nothing to reFQrt In this regard. Matters on whlch ￿ arn requlred lo report by eX￿PIlo￿ In the light of the knowfedge and understsnding of the charity and Its environment oblalnod in the course of the audlt. we have not identffied m*rial misstatements In the trustees, report We have nothing lo report in resp&t of the folb)wing mattèrs in relation to which the Charfties (Accounts and Reports) Regulations 2008 requires us to reFK•rt lo you if, In our opinN)n.' the Inf￿rnatiOn given in the truste85' report 1$ inconsistsnt in any malerr81 respect with thg accounts., or sufficient occounling records hava not bgen kept or thg accounts are not in agreement wtlh the accounting records. or we have not r8ceN8d all the Inf￿rnatIon and explanations we requlre for our audlt. Re8ponslblINl￿ of twstoes As explained more fully in the trustees, re8pon8ibillies Statement sel out on pages 44 and 45. the trustees are responsible for the preparation of the accounts and for being satisfied that they glve 8 true and falr vlew, and for such intemal control as th& trustees delemine is necg$sary to enable preparation of accounts that are free from malerlal misstatemen( whelher due to fraud or error. In preparfng the o¢wunts. the trustees ore responslble for assessing the charity's ability to continue a5 a golng concern, disdosing, a8 appllcablè. matters related to going concem and uslng the golng concem basis of accounlino unlgss the truste8s elther intend lo Ilquldate the charfty or lo cease operations. or have no realistic allernative but to do so. Auditorfs ro$ponslbllltle$ for tho audlt of th• accounts We have been appointed as auditor under section 144 of the Charlties Atl 2011 anty report in accordance with the Act and relevant regUla￿onS m8de or having effect thar8und8r. Our d)J&ctives are to obt￿n reasonable assurance about wh8lher the accounts as a wholè are free from material misstatemenL wh8ther du6 to fraud or error. and to Issue an auditor's report that includes our opinion. Reasonable assurance 1$ a high 18vel of assur8n¢e. bul is not a guarantee that an audit conducleA tn &cordanc& with ISAS IUKI wll always detect material mlsslatement when it exK8ts. Sisters H05pilallors of the sacred Heart of Jgsus CIO 47 Indep•nd•nt audllorfs report 31 December 2023 AudltoV$ r9sponslbllltlo$ lor the audtt of lh• accounts Iconlinued) Mlsstatements can arise from fraud or error and ara considerod material rf, individually or in the aggregat8, they could reasonably be expected lo lnffiuen￿ the economlc dedslons of Users tskgn on the basis of these accounts. Irregularities. including fraud, 8re instances of nonacompliance ￿th laws and regulations. We d88ign procedure8 in line our responsitilili88, ouUin8d 8bov8, to delecl material misstatsmonts in respect of Irregularllles. Includir¥J fraud. The extent to vthich ¢)ur proGgduTe5 are capable of dele(aing I￿egUlarl11e5. including fraud 1$ detai19d bg10w. Our approach to identifying and assessing the risks of matsrial misstalernenl in respect of irregUlar￿eS, including fraud and non-compllance with laws and regulations. was as follows: • Th8 8ngag8ment director ensured that the engagen￿nt team collectively had Ihg approwiate competence. capabilitie5 and skllls lo idenlfy or r￿gnIse nonwcomplian wilh applicable laws and regulallons., • Wè idgntlfiad the 18WS 8nd regulations applicaNe to the charty through discussions wbth management and from our knowledge and experience oftha charity 8ectOT', • We frKused on $pecifK laws and regulallons whlch we consldered may have a direct malerfal gffgct on th6 accounts or the activities of the tharily. Thgsg inclv(Jed bul worg not limited to the Charfties Act 2011, A￿Unting and R¥porting by Charities.. Statement of Recommended Practice applicable to charllies prep8rfng their accounts in accordance vlth the Flnanclal Reporting Standard apph'oablo to the Unitgd KSngiknrn and Republic of I￿land IFRS 102).. and • We assessed the exlent of (x)mpliance with the laws and regulatlons identified above through making enqulrles with management and those Charged with governance and r8Vi8w of minulos of Trustees, meetings. We assess8d th8 susceptibillty of the charfly's finandal statements to materfal mL8statemen( induding obtaining an understandlng of how fraué might o¢cui, by.. Making enquiries of management and those charged with governance as to where they considered there was susceptibility to fraud, their knowledge of actual, suspected and aNeged fraud,. and • Consldgrlng the Intemal controls In placè io mlligale rfsks of fraud and non-compliance wilh laws and regulations. To address the risk of fraud Ihrough management blas and override of Controls. we". Pgrfomied analytical procedures lo klenllfy any unusual or unexp￿ted relationships; Reviewed pjumal entri&s to identify unusual transaction5.' Assessed whether judgements and assumptitrfts madè in delermining the accounting eslimales were indicativ8 of pot8ntial bias., and InVeS￿gated the rat￿na￿ behind signlflcanl ￿ unusual Ir8n8actlon8. Sisters Hospitallers of the sacred Heart of Jg$u$ CIO 48 Ind•pond•nt auditor s report 31 Decembgr 2023 Auditorf• responjibilities for th• audtt of tho aGGDunts Icontinugd) In response to 1he rlsk of Irregularities and non-compliance wllh laws and reguLgtknns, we dgsSgngd prwedures whlch Included, but wer8 not Ilmttsd to: Agreeing financial stslement disdosur8s lo underfying supporting documentation: Reviewing the mlnutes of meetings of Trustee8' meetings: and Enquiring of management and repr8sentstive3 of th059 Ghargod wlh govemanGe a$ to actual and potential litigat¥Jn and claims. Thgre aro inh8rgnt Ilmitalions in our 8udil procedures descriL*d above. The more removed that laws and regulations are from financial transactions, the less likely it is that we would become aware of norts-compliance. Auditing stsndards also limitlhe audit procedures requSred lo Idenllfy non-compliance with law8 and wUlat￿n$ to énquiry of the trustees and other management and the inspection of regL￿atory and18gal correspond8n¢o, rf any. Material misstatements that arise due lo fra￿￿ can be harder to detect than th¢)8e that arfse from err￿ as they m8y involve dellberate C(￿￿¢alMent or collusion. A further dacription of our responsibilrti8s for Ihe audit of tho accounts is localod on the Fnancial Reportin9 Council's website al vAfft.fr¢.org.uklaudilorsresponsibilitles. This descriptK)n foms part of our auditorfs report. Us• of our report This report is mad8 solely to the charmy's tru8te88, as a body, in accord8nc8 with Part 4 of the Char6tSes (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so IhBt we might stale to the charity's trustees Ihose matters we 8re required to slate to th8m In an auditorfs repcrt and for no other purpose. To the fullèst èxtent p8rmitt8tl by law, we do not accept or assume responslbiltyto anyone other than th¢ ¢hty and the Charity's trust89$ as 8 body. for our audit work. for this report. or for th8 oplnlons we have f(Ymed. Buzzacott LLP Stafulory Auditor 130 Wood Slroet London EC2V 6DL Date: 22 October 2024 Buzzacott LLP is eligible lo act as an audllor In temis of sed￿n 1212 of the Comp#nies Art 2006 Sisters Hospitallers of the sacred Heart of Jesus CIO 49 slatement of flnanclal actfvitles Year ended 31 DeC￿ber 2023 Y•ar•ndwJ 31 tl•Mmb•r 2023 Po1iodfr¢m 19Apfjllo 31 De[￿b￿2022 R8sMcted funds nds furKIi ndi fund IMEomBfrorn.' Donaiths. gr￿rts and In¥e8tmentsend intsre¥t ¢￿ta￿e adMll85 . Residenti41￿￿ txrefees Oth* 5L¥Jrco¥ . Sundry 127.484 127A14 #37.$12 937.612 14J97 7.374441 14397 7,374441 Trwthfiym the &Bter6 HoSpttal￿r%vfthts 8*Jèd Heart ofJB5UB chBrtt8b￿ T￿￿1 (Chw re¥gtraih)n numbsr. 2556PS1 Total Incom• 18 31.44S213 36￿19.654 JIA4S,*$ 34819,654 EXp•bmI￿v• ￿. R8Lsityfur¥J5 . Irwestmern Managementfws 17.120 17.120 . ProwKin 0fregid￿￿9l8n￿ .. Qpw8bon ot¢ar8 W)es . &JppJrtofmernbor5 ofthe Coryrng811 . GRrt5 ard donation T•t&l •XpthTrd￿r? 6,314205 314205 1412S5 141253 6.661J88 •.B61.388 Invmkn•ntq￿ry$ Not￿IDsOn knv8str￿rt888éts 32,258218 213245 52.￿.2¢8 213.145 Il•t In¢•m•forth• and n•t mLw•m•nt bn•A 5 32A71,511 32A71,511 RqconclllotloTr Oll￿d5 Total lunds bTrJughlfun¥7rd al 1 Jarojary 2tr23 T(Wfvnds¢8rfed 8131 31471.511 32.4n,511 AJI r8¢cgnisod gains and10s8es are included In the above ststement of flnanciol activiti8S. with effeclfrom mldnlght on 31 January 2023, the actfvrtles, assets and Ilabl1￿leS of the Slsters HospMa119fS of the Sacred Heart of Jesus Charitable Trust (Charity Registration Number. 255695} were Iransferrod as a going concem inlo the CIO Isee note 18). The CIO was domant from the date of In¢orpor8lt•n (l.e. 19 ￿ri1 2022) untll 31 January 2023 inclusive. The CIO'S adiv1l6s commenced on 1 F9trxu8ry 2023. All of the CIO'S activiDes dgdved from continuiro operations during the year to 31 Decembor 2023. Sister8 Hospitallers of the sacred Heart of Jesus CIO 50 Balan¢• sh••t 31 December 2023 2023 2023 2022 2022 Ncle8 Fixed ass•ts Tangible assets Invostsywnls 19.6K825 8.679,210 28,378.035 Currènt a*s•ts Debtors Short te￿ d8posits Cash at bank and in hand io 2111.488 2,469.972 1,982.637 4663.097 Ll•bllltl•$ credffto￿.' amounts fAlllng duè within on8 yezr 11 1S69,6211 N•t curr•rrt a8sets Tot•1 n•t a•￿￿ 4,093,476 32,471,511 Th• funds of thè eharlty Income funds: Unrestrid8d fvnds . G•nèral fund . Tangible fixed assets fvnd . D8svJnatsd fund5 7,772,686 19.698.825 5,000,000 32,471,511 12 13 )proved by th6 Tru8te8s and signed on their b8half by.. Sister M4ri8 Lourdoy Swo, Ctw of Tn￿1008 Approved on: Sisters Hospitallers of the sacred Heart of Jesus CIO $1 Slatemont of cash flows Year to 31 December 2023 Y••rto 31 19April to 31 2023 2022 C•$h fl4)vn from op•ratlng •¢ll¥lth¥: Nat ca8h FW41d8d by oper8tiry activffj88 87•,240 Cuh IIM from InYg•tlrry •¢tfvilS•¥'. Dividends and interest fffjm irNesfvn15 Purcha88 of t￿9￿ble ftt8d a8$0ts Proceeds frDrn the di*posal r4 Purchastr tsf inv8StmBnts Trznsl*rn10 SIN￿t lam depcrfit5 Il•t%a8h umd In In¥•6ting adiviti•8 294.94 1182A231 1A62.067 {1,763.9731 12A69,9721 I2.￿,353) Chango ltt ahd a•h •4uivthlDnts irt the p•rlod 11.789,1131 Ca¥h and ¢uh •qthialgnt• 8t 1 janu￿ 2023 Chorqo In ca8h and ￿8h ¢ww81gnts duo to ox¢lwngo r￿¢m￿ 9.217 Cash arrtl Gash equNafenL5￿￿fvred from ts &stW5 H05pit81￿r5Off tho Sacred HeartofJasus charit8￿0 Tnjst ICh8rity lewtrati￿ Nmb8r 2556951 1800,145 h Ind M•h •qulvihrts 4131 Dewllb•r 2023 1020249 Notes to the ststemtnt of ctsh flows for th• y•ar to 31 D•umb•r 2023 A Reconclllatlon of not Income for the yoar to not ¢a8h flows from operatlng actlvltlos Y•ar to 31 19 April lo 31 Doc•mb•r Decenl) 2023 2D22 Not Incomg lorth• perfod la8 p•rlhe statemontof fln8nclal advltl8$1 Adiujtsnents for". Transfer to the Sjsters H08ptt8l￿CIlh8 Sacrod Ha8rtofJ•su8 CIO Ichfirfty regLqtr8tion numbor. 11986571 De￿8￿a￿On char Gal￿ on tho th%p05a and T•vakJatkn ol IrN•stm8 FOrtr￿n exth8ng8 wn8 and interest rrom Inve8tm8nts t)Bcre95B h debtors Incre88é In cr8dilo N•t ¢ash provld•d by operntlw a¢lSvltl 32A71.511 131,4453131 275,303 1213gW (921n 1294,9481 20.8 14167 870240 Anatysis of net d•bt Yèar to 31 19 to 31 2023 2022 Ca$h 8tbank and In hand CA$h hdd ty InveBtsnont m￿￿r$ Total ¢￿h cash equSval•nts 1.982.637 37,612 2.020,249 Short lem deF￿￿ts Total r￿t￿•bI 2h69,972 4MPO.221 SÉsters Hospitellers otlhe $a¢red Heart of Jesu8 CIO 52 Prfncipal accounting policies 31 December 2023 The prin¢ipal a￿Unting Poli￿e$ adoplgd, judgements and key sources of estimation uncertainly in the preparation of the accounts are lald out below. BasiB of preparation These accounts have been prepared for the year to 31 December 2023 with eompaTaUve informatlon provlded in respect to the ￿￿O¢j from Incorporatlon on 19 Aprll 2022 10 31 D8cembgr 2022. The accounts have been prepared under the hl8torfcal cost convention with items recognl88d at cost or Iransactbn v81ue unless Otherwise staled In the relevant accounung policias balcru or th8 not8S to th8se ￿coUnt8. The ￿CoUnts have been prepared in accordance wmh Accounting and Reporting by Charities.. Ststsmenl of Recommended Pr¥lice applicable to charibes preparrThJ their 8ccounts in 8ccordanee with the Financtal Rapotting St8ndard Applicable in the United Kingdom Republic of Ireland (Charities SORP FRS 1021, the Finanaal Reporbng Standard appNcable in tho UK and Rowbli¢ of Ireland IFRS 102) and the Charrties Ad 2011. The charlty consthut88 a publlc benefit enffity as defined ty FRS 102. The accounts are presented in stgrting and are rounded to the nearest pound. Critical a¢¢ountlng •stimates and arèas of judg•m¢nt Prepara￿On of the accounts requlres the TNsl8es and management lo make signlffc8nl judgements and 8s1imales. Thg itams in the accounts where these judgements and estlmates have been made include: • the useful econom￿ lives altribu18d to iangibl8 fixed as8ets Us￿1 to determlne the annual depreuation tharge: • the provislon requlrgd for any b8d or dwbtful debts which has been detemiined folk)wing an assessment of the likelihood of r8COV8ry of long-standir@ debts by managemerrt; • the assumptlons adopted by the Trust99$ and management In detemiiniThJ the valu8 of any desvdnations rèquired from the charity's general unrestricted fund: and * the assumptions mode in rel8¢ion lo future income and expenditure flows for the purposes of assessing golng ¢¢￿¢ern. Sisters Hospitallers of the $acr8d Heart of J8sus CIO S3 Prfn¢lpal accountlng pollcle8 31 Decemb8r 2023 AS￿5$mOnt of golng fy>n¢om The Trnslees have assessed whether the use of the going concem assumption is appropriate in PTeparing these accounts. The Trustees h8v¢ mode Ihis assessment in respgct to a period of one year from the date of approval of Ih88e accounts. The Truslees of the ¢harlty have concluded that there are no matarial uncertainties relatgd to events or conditions that may cast signrficanl doubt on the abtlity ofthe ¢harily lo contlnue as a going concem. The Trustees are of the opinion that the ch8rity will have guffiGient res(xirce8 to moel its Ilabllltles 8$ they fall duo. The mostsignfficant aroa8 ofjudgament that affect items in the a¢￿￿nts ore detalled above. With regard to the next accounting period, the year ending 31 December 2024. the most signrficant areas that affect the carylng valua of the assets held by the charty are the ￿Ve1 of investment relum and tho performance of the inveslmenl markets (see the investment policy and the ri8k management sections of the Trustees, report for mor8 Informolk)n)- S¢opg The accounts indude all the aclivilios and net assets of Sisters of Hospitallers of the Sacred Heart of Jesus CIO {the Congregation) in England. The accounts do not Include the activities and assets of thg Congregation overseas as Ihosg are controlled by the Congregation. not the charws Trustees. Income rgcognltlon Income is recognisgd in the period in which the charity has enlillement to the income. the arnunl of Income can be measured rellabty, 8n¢J tt Is pr(*)able that the ino)me wlll be rgcelved. Income ￿mPriseS donations and legacies. investment income. Interest receivable. fees recelvable from the provlslon of care lo the residents of the caie Iv)me and sundry Sncome. Donations, including the pensions of individual religious re￿Ived under Gift Aid or deed of covenanL and grants are rèwnised when the charity has confirmallon of both the amount and settlement date. In the gvent of donations andlor grants pledged but not recoivgd. the amount is a¢cruod for where the recglpt is ￿nSIde￿d probabl8. In the event that a donation or gTant Os subject to conditions that requlre 8 ￿Ve1 of perfomiance before the chailty Is entided to th8 funds, the InGomg15 dèferred and not recogni%ad untll ellher Ihoso Conditions are fvlly mel, OT the fulfilment of those Cond￿On$ 1$ wholly ￿￿thIn the control of the charity and tt Is probable that those condltions wlll be fijffilled in the reporting period. In 8coordan¢e ￿th the Charities SORP FRS 102 voluntèer tSme ks not recognised. L8gaci8s are included in the statement of financial actwitw the tharity Is enthled lo the legacy. the executors have established that there are sufficlent Surplus assets in the estate to pay the legacy. and any con￿￿On$ attachod lo the1ogaGy arg within the Conlrd of the charity. Slstsrs Hospttallers of the sacred Heart of Jesus CIO 54 Prlnclpal accounting po11¢10s 31 December 2023 Income recognttlon (continued} Enlltlemenl Is taken as the eadlgr of th& date on which &Slher: the charlty Is aware th81 probate has been granted, the estate has been finalised and nolthcation has been made by the exe¢ulor to the Gharity that a dlstribution wlll be maée, or when a distribution is received from the gstale. Recdpt of alggacy, In whole or In part, L8 only consléered probable when the amount can be measured reliably and th8 charity has begn notified of the 8X8CUtorf5 intention to make a distribution. Where legacSes have been nollfled to the charty, or the charfty Is aware of Ihe granlng of probate. but the criteria for income recognitKJn have not been mel. then the legacy is treated as a contingent asset and disclosed rf rnal8rial. In Ihe event that the gift is in the form of an asset other than cash or a financial asset traded on a recognSsed stock exchange, recognitlon is subject to the value of the gift being reliably megsurable with a degree of reasonablo accuracy and lh8 titlg of the asset hawng boing Iransferred to the Charity. Dr￿dendS are recognised onc8 the dividend has been declared and notsficalion has been received of the dividend due- this is normally upon notrfication by tha investmont manager. Intere81 on fvnds hold on deposit ￿ included vthen receivable and the amount Gan be measured rellably by the cha￿ty.. Ihls Is nomialiy upon notrficalKJn of the interest paid or payable by the bank. Fees denved from the provision of care lo the residents of the care homes are recognised as income b8sed on the period to Wh￿ the residency relate$. Grants and other incomo T8￿[vOble in relation to Cowd-19, Including income from the Coronavirus Job Retention Scheme Coronavlrus Job R6t8nlion Schème, Is credited to the ststement of financial actmlies once Ihe charity 1$ entitled to the funding and when the amounl ￿Ge1VebIe has been quantsfied. Sorvl¢•s provld•d by mombèrn of th• Congrogatlon For the pu￿0$e$ of these accounts, no value has been pL4eed on administrallve and other services provided by the members of the Congregation. Ex￿ndIt￿ra rn¢ognltlon and the ba$1$ of apportlonlng Costs Liabilities are recognised as expenditure as goon as there Is 8 legal or construdve obltgalion committing the ¢h8rily lo make a payment lo a third poty. it is probable that B transfor of 8conomic b&nofits will bo requlred In settlement and the amount of the obligation can b6 measured rellably. All expendltur8 Is accounted for on an accruals basi$. All expenses are alkncaled to I applicablo expenditure h8adings. The majority of eynditura 1$ directly attributablg and any apportionment betsveen headings 15 negligib￿. The classfficalion btheen 8cliviti8s is as follows.. Expendllure on raising fijnds Comprises invostrnenl manag8m8nt f80s. Sist8rs Hospitall8rs of thè sacred Haart of Jesus CIO 55 Prinelpal accovntlng pollcles 31 December 2023 Exp•ndltur• r•¢ognilion and the b￿15 of apportlonlng costs (Gcrfnugd) Expendlture on charhable 8CtNities includes all co$1$ associated wth furthering the ch8riL7ble purposes of the charity through th& provlslon of its charltable actNities. Such costs includo: Q Expendlture on the support of members of the Congregalion and their ministry. Such exp8ndilure enables the members to Carry out the work of charity in th argas of the advancement of the Roman Calhdic faith, thg provisKJn of residential and nurslng eare. and the rolief of poverty. O Expgnditure incurred In the prO￿510n of reSIden￿al and nurslng car8 faclltl88 for the Idedy al the charws ffjsidential and care homgs. Q Grants and donations relate, In the maln, to the Support of Ihe Congregation's own work ovgrse8$ and the support of other Roman Catholic charitabl8 organisations. Q Govem8n¢e costs whlch Comprise the costs involvlng the publK accountsbllity of the charity {includiro audlt costs} and costs in respect lo its compliance wlh regulation and good practice. All expenditure can b8 attrlbLrtad directly to the above categories and hence there has been no appOrt￿nment bgNveen hgadlngs. Penslon eosts Conlribulons In respect of deflned cont￿b￿lI0n ￿nsIon schemes and contributions lo group pension plan are charged to the statement of flnancial actNitlgs in the period in which they are payable lo the scheme. The charity hos no IK9bility beyond making tts contribLrtions and paying 8(¥098 tho d8dudon8 for the employe88' contributions. Tangibh fix•d a$$ot$ All assets coslng more than £1,000 and with an expected u88ful exceedlng one ytar are capitalised. • Fraohold land and buihji￿s Freehold L9nd and bulldirKJs comprisè the ¢harity'$ care homes. Those held by the charity's pre￿￿$$9r Charity and transferred on 31 January 2023 are slated 8t 8 trustees, valuab'on made on that dale based on market value for existing use. This valuation is now deamed to be cost. Addttlons slnce 1 February 2023 are ststed al ￿81. Such buildings are depreciated over a fifty-year on a stralghl Ilne basls. Freehold land Ès not d8preciat8d. • Mèdical and surgical 8quipm8nt Expenditure on the puri*ase a￿j repla¢xment of medlcal tsurgul equlpmBnt is capitalised and depreclated over a fve year period on a straight lin8 basis. • Flant. fixtures. fittNigs and office equipment Expondilure on the purthase and repLw￿rnent of planL f￿￿re8, fitiings and office equipment Is caprtali38d and dopreciated ovor a fNe to tsn year peri￿ on a stra￿ht Ilne basis. Sisters Hosprtallets of th8 $¥r8d Heart of J8sus CIO 56 Prln¢lyl a¢Gounting polici88 31 De¢ember 2023 Tanglblg flx•d a$s•ts Iconlinued} • Motor vehlcles Motorv8hicles are capilalised and depreclated over 8 four year perlod. on 8 str8Sght line basis. in order lo wrlte off the cost of each vehicle over Its estimatèd useful bfe, H•rltage assets The charity owns a number of artefacts and paintings that have nol been valued for the purposes ol the$0 aGcounts on th6 grounds that Infomiation regarding the Gost or valuation of such assets cannot be obtained al a ￿51 comm8nsur21e with tho benofit to the users of the accounts and tts the Gharity. In the main. these ortefocts and paintings are of a rellglous nature and the Trustoes consider that their owne¥ship is consislenl with the principal charitable owecllve of the ¢harity of advanclng the Roman Catholic farth. Many of these assets h8ve been given or Wueathèd lo the chartty and il is the Inten￿On of the Trustees that such assets wll be held indefinilety. Investments Listed inveslm8nts are a fom of baglc financlal instrument and are In4tl81ty recognlsed at their transa¢li¢￿ value and subsequently measured al theirfair value as at the balance sheet dale uslng the closlng quoted market prke. The ¢harity does not acqulr6 pul option$. derivatives orother corrplex flnanGial in$lruments. As nDt8d Above the main form offinancial risk faced by the charity is that ofvolalility in equlty markets and Investrnenl Ma￿ets due to wider economic conditions, the altitude of Investors to knveslment risk. and changes in s8nliment conc4ming equlties and within partlcular sectors or sub sectors. Reallsed gains {or losses) on investsnent assets are calculated as the dlfference beiween disposal pro￿ed$ their op8ning carying wa￿e LY their purchase value M acgulrgd subsequent to the fir8t day of the finanual perlod. Unrealised gains ONJ losw are calculated as the difference be￿08n the falr value atthe period end ané thelr c8rrylng value al that date. Realised and unrealised investmonl gains {or losses) are combined in the stalemgnl of financial advities and are Gredf(ed (ordebiled} In the period in which they arise. D•btors Debtors are reeognised at Ihelr settlemènt amount,18ss any provision for noTrrecoverability. Prepayments are valued at the arnount prepaid. They have been d13counled lo the present V81ue of the future cash receipt where such discounting is material. Cash at bank and In hand Cayh at bank and in hond repre8enl8 such aecounts and Instruments that arg available on demand or have 8 maturrty of less than three months from the date of acquisition. Deposits for more than three months but less than one year have beertr disclosed as short term depostis. Cash Pla￿ cm deF*)8it for more than one year Is disclosed as a fixed asset investrnent. Slster8 Hospitallers of th8 sacred Heart of Jesus CIO SI Prln¢lpal accountlng pollcles 31 December 2023 Crodltors and provlslons Creditors and provlsions 8r8 recc4Jnised when there Is an obliga￿on at the balance sheet date as a resuM of a past event, it is probable that a transfer of economic benefrt will be roquired in $etU8m8nl, ané the amount of the settlement can be ostimaled reliabty. Creditors and provlslons are reco9ni58d at the amount the charity anliclpates It wlll pay to sewe the debt. They have been disGounled to the pr959nt va￿e of luture &i$h paymènt where such discounting is material. Forelgn curroncle$ As$9ts and liabiliknfrs in foreign Gurrencigs are translatod into sterfing at the rates of exchange ruling at the balance sheet dale. Transactions in foreign currewes are translated Into sterling al the rat8 of exchang& runng at the dats of the tr8nsadon. Excharo8 differen¢e$ are taken into aGGount in arriving at the ng1 movement in fvnds. Fund $truC￿r9 Designatsd funds comprise monie8 set aside OLrt of unrestricted funds for specif￿ future purposes or projects. The tangiblg flxed assets fund comprises the net book value of charlty's tangible fL¥ed assets, the existence of which is fundam8nlal to the charity being able to p8rfom ils charitable work and ther8by achieve its oh8rilable objectives. The value represented bySL assets should not be fegarded, therefor6, as r8alisabl8. General funds represent Ihtsse monies which are freely available for application towards achieving any charitable purpose that falLs within the charity's charitable object8. L￿$0$ Rentals app￿cable to operating k8ases where substsnti81ty all of the b8n8fits and rlsks of ¢Jwnership rèmain wth the lessor are charged to tho $tslement of financlal 8Ctfvitlas on a straight-lne basis over the term of the lease. Sisters Hospitallers of the sacThJ Heart of J88U8 CIO 58 Notes to the accounts 31 Decemb8r 2023 Income from donallons. grants and l•ga¢l•s Pérknd 19 AptS1 to 31 Dtcèmbor 2Q22 Y••r•nd•d 31 D•cemb•r2D23 Un- Un- T•141 wtd¢ied R¢sirthd lund• thJnd8 Totsl fund8 lunds fvnd• Don8U(￿s and gffls cl IndWu81 rollghx$ wohftyj uThJgr glft alj w deed o10)ve￿I 120,178 127.484 120.178 127.484 2 In¢om¢ from Inv￿tM￿ts and Interest rbyj frtyn 19 ￿ri1t0 31 Derqrnber 2022 Yo•r•hd•d 31 D•c•rnlxr2023 Ur Total restricted Reslrfcted fvnds funds rn8trktsd R•strlct•d funds lunds Total nds Inccthefrom Ksled inytslmènts Bank intereet r8cafv8Lla 263.783 31.165 2•4.948 263,783 31,165 2P4.948 Expendlture on charllabk a¢tiviti•s: Opgration of care home8 Pl￿•￿1r(M 19*￿thI to 31 D*￿ts¢r 2022 YMi•thd•d 31 O•c•rnbor 202¥ Total y8strict8d Reslri¢ted fvnd• fiJnd$ funds fund8 fvnds Stsff costs Inote61 Prarrrfsès ce Care ly¥￿are Dapre￿a￿On Govomance co8ts188o note41 Olher operofjw i>)Bts 3,645.192 fj93,108 1,17r,7n 275.303 36.219 4B6.555 314205 3.645.192 893.108 1,177.m 275,303 36.269 486,5SS 314205 Governance costs Y•thr Perbdfram •nd•d 31 19WI to 31 2023 Auditorf$ fe•$ . Cwrent year . Prfory¢ .100 8.169 Slstgrs Hospltalers of the 8acred Heart of Josus CIO $9 Notes to th accounts 31 December 2023 Net lexpènditure} Income for the period Th18 is slated after charging Icr8diiing): Yw P•rfod frcrfn •rMl•d 31 19 W'l to 31 2023 staff costs Inots 61 Depracklon Inot8 81 F￿e19n exchawe gz4n5 Jdllorfs rornunfjrnoon . 5t8hJtUy8uthE stN*tt-cutttnl ye8r . 5tatUW 8udt8ervlc8s-prfc¢y68r 3,645,192 27S303 19217) 31,57B 4691 6 Staff costs and rgmunoration of koy managgmenl pgrs¢)nn•l Y• •nd•d 31 Pthomjfrom 1YApAllo31 2423 2Q22 W8g8s and salth88 Soclal securfty costs p*￿￿￿ CA)5ts 2.852,185 234,260 12S,872 3512.317 432,875 3,645,1#2 staff and othgrr The average number of employees in the wriod was as follows.. Yew PBrfwJfrun •nd•d 31 19Aprfl to $1 2022 PrUv￿kn of re51den￿#1 anrf swvk•5 151 The hlgh agency $taff costs refiect tho nation81 shortage of qualffiod nursing and care staff. One employee earned between £80.001 an(J £90,000 during the Peri￿ {including t8X8ble b8n8ffts but excluding employ6r pensi)n contribulionsl during the period Iparfod to 31 Decemb8r 2022- none), and one employee eamed bth88n £60.001 and £70, during th persod (including tsxable beneffits but excluding employer pension contributions) durfng th8 rfod Iperh)d to 31 December 2022- none). The key management personnel of the charity in charge of directing and controlling, running and operating the charty on a day to day basis comprlse the Trustees Ilncludlng the Provlnclal and the ProvSnclal Bursar) and the Conlres. Management Team. The total remuneration {indu¢Jing taxab￿ beneffts, employer's pension contributions. and èmployels Social sacurity costs) of the key management personnèl forthe perlod was £342,882 IperKid to 31 Dgcomber 2022- £nill. Slsters Hospila110rs of Ihg sacred H8art of Jèsus CIO 10 Note4 to the accounts 31 December 2023 Staft costs and rnmunoratlon of koy man*g•ment per8onMI (continued} A8 members of th8 Congregation, the living and personal exp8nses of the Trustses were bome by th8 charity, bul they received no remuneration or reimbursement of expenses in onnectlon with their duties as Trustees during the period {period lo 31 December 2022 - £nill. 7 Taxatlon The Slslers Hospltallers of the Sacr8d H88rt of Jèsus CIO is a regisl8red Charity and. therefore. is not liable to income Lix or corporation lax on in¢omg or gains d&rived from ils harilable adrvities. as they fall wilhin the v8rlous exempllons avallable to registered charlties. 8 Tangibl• ass•ts Planl. Fr8thokJ wop*ty Medk%l and •n¢ 8urgl¢al irr¢¥Ov￿￿nts eqL4pvnert v£hk￿5 Tota C*t or In￿111¢)￿ Al 1 J•)u￿ 2023 Trdmf0rfr￿Tr tho Sb5ter5 of S8(xed Hwartof Jpsus Cbarrtab￿Tn￿t (Charty reglstraNM nurnbef.. 25W51 AdditiDnB At 31 Decwrthr20fJ 1g.eoB,596 101,234 19,706,830 165,264 11,221 176.485 1.777.035 69.968 1,B47.003 32,895 21,$10.S 182.423 21.763.013 31695 At 1 JarrtJEry 2023 Trnr*tsrfrom Ihtr Si&terg HoBptslknrs orb* Smd Flg8rtof Jo&￿ Charlablg Trust (Charlty r•9lstrathn numbr. 2558>51 Ch*gé for peitd At31 tlecernberW43 149.210 10.434 159,644 I.6￿.580 81213 1.688.193 32.695 275,303 2.064.188 183,656 32,695 N•t bookYalu•• At 31 Dec*mbor2023 19,$23,174 16,841 154810 19,698,828 At Sl Decembei 2022 The historical cost of the frgehokjlond and buiSJings included 8Lk)ve al valuation cannot be ascertalned wmh accuracy. As permlttèd undèr FRS 102. the charity has adopted 8 policy of not revaluing tangible fL¥ed a5S8ts held for tho charity's usg. The deemed Cost of freehold property is based on a trustees, valuatlon made on the date the assets were transferred from the prede￿$Sor charity. It is likeTy that there arg material drff8ronc8s bah¥a8n the opan market valuas of th8 charity's land and bulldlngs and their book values. These arlse from the specialised naturè of som propertles and the effects of inflation. The amountof such differenrEs cannot be ascertained wilhoul incurring significant costs, which. in th8 opinton of trusla&s. is not juslrfiad in t8mis ofthe benefft to the users of the accounts. Sisters Hospmallers of the sacred Heart of Jesus CIO 61 Notes to the a¢¢ounts 31 DeGember 2023 T•nglbl• flxod a$$ots Iwntinued) Herftage 88sets The charity ownèd a number of artefacts and palntings that have not bg8n valued for the pu￿$8$ of th8s8 accounts. In the main. these artefacts and p81nllngs are of a religious nallife and the Trustees conslder that their ownershlp is consistent with the principal charitabl8 oblgctive of th8 charity of advandng the Roman Catholic faith. Many of these assets have been given or bequealhod to the charity and it is the Inten￿On of the Trusteès that such assets wlll be held Indeflnltely. W￿h effect from mldnlghi on 31 January 2023, Ihe heritage assets tran$ferred lo the suGcossor charity. 9 Flx•d ass•t In￿stments Y•ar PBriDdfr(m •nd•d 31 19Wlto31 2023 2022 Llsfgd Inv•stm•nts At 1 January 2023 Trnnsferfrom tho Sk4tera Hxpltalw801tho Sttrthy HtartLYJ88us Charf1*4trTn ICtsrtyre¥gts8Uon Nmb•r. 2556951 Addffior* at cost Di5pos* prrxeeds real￿ad unredl8ed g81 Fe* Imwk•tl v8luÈ 88 at31 0￿8Mber 2023 8,128A47 1,763.973 ,461Wi 213245 8,641.S98 Caih h•ld by Inv•Jbn•nt rninag•N fDr rnlnv••lm•ht 37A12 .679210 Cost dlsted invesbnerts 8t 31 D￿rnb￿2023 7,883328 Llsled investments held at 31 D8cemb8r 2023 compdsad thè following.. 2023 Unrtisedfunds . Fhed In¢fjr98t-UK . Fixed intérest-Cfveraé88 Equili88- UK . EwlllBS-ov£rs•as 181556 61%￿0 3,451410 4ZJ3,331 155A20 ,641,597 All li$led invoslmonts ware dealt in ¢Jn a recognised stock exchange. Sister3 Hospitsllers of the sacred Heart of Jesus CIO 62 Notes to the a¢Munts 31 December 2023 Flxed a¥s•t inv•*tm•nl• (continued) At 31 Decernber 2023. listed Investments Included the followir4J Individual ￿)ldIngS d88med matgrlal wh8n compared wlth Ihg overall rxjrtfolio valu8tbn {Includlng cashl 88 at that date: 2023 Market 2023 value of P•rc•ntago hokllng ot portlo&o Holdlng Rathbone Unlt Trust Mgt Coro Activ8 Incc*ne & Growth lrtome Fund Rathbone Unit Trust Mgt Cfft Inveslm8rrt Furwj for Charities Coutts UK Equty Index Fund 2,833J56 2,690,350 536305 33.IIY• 31.1% 6.2% 10 D•btors C8rn homè laes Prepayments Olher debtors 144234 50,801 14453 11 Cr•dilors.' amounts falllThg du• within ono yaar 2023 2022 Ewse ctedttor8 Accrug1¥ Soclal $eoJstygnd ¢*h¢rtaxes Othor crndrtors Includhg f68& In advance 141.982 178,489 1S1254 569.621 12 Tanglble flxed agsets fund •nd•d 31 f9 Aprl to 31 202J At 1 Jarwjary 2023 Tfar6ferfrom the SBter8 HcépKaI￿s eftht Satrtsd Hèart ofJ8SU5 CharIta￿e Trnsi ICh8dty ￿￿$tratIon AL￿￿. 2556951 lo genoial fvnd BI1￿￿0 a131 Decembor 2023 19.￿¢46 1207,0211 19.698,825 Tho tanglble flxed assets funtf r8prèsenled the nel book v81ug of tho charlty's tanglble fixed assets. A decSsion was made lo separalg this fund from tho 98n8ral funds of the charity in recognltion of the fact that the 065gls are gssenlial to the day-lo-day work of the charlty and as such their value shoukl not bè regarded as resoNos avaikable to finance charitable actNilie8. Sisters Hospitaller5 of tho sacred Heart of Josus CIO 83 Notss 10 th• aGcounts 31 December 2023 13 D•slgnat•d fvnd- r•tlr•m•nt fund Year Pwkxlfrom 31 19 Awril to31 Doc4fflb•r Decerthr 202J 2022 At 1 January 2023 Transferfrorn the Sisters HOspitar￿ ofthe Sacred kl88rt of J8SU8 Charlt*le Trust Icharfty rO8tf81ion nLwnbbr. 2551951 New de¥1gnatK￿s at 31 De¢¢mber2023 5.QQO.000 5.000.000 The retirement fvnd comprised monies sel a$Kle to provKle for the care and 5UPPOrt of mernbern of the Sisters of the H08pilallers of the Sacred Heart of Jesus as they grT)W older. The value of the fvnd has been calculated using icbjèrfal prlndples bLrt the amount designated Is constrained by the assets available. 14 Analysis of net assets betw•en funds Vnr•thctsd ful￿8 Tanglb 31 neral fund Retirement fvnd Rutritt•d fvnds 2023 Tot41 nd Tanatble a888ts Inv￿Ments Net CLYr6nl assets 19,894825 19,698.825 8,879,210 4.V5t3,476 32.471.511 3,679.210 4093,476 7,771M6 S.000,ODO 19,698,82S S,000,ODO Twwlb 31 Oeurnber G8fteAI 8&5eEs R8luBrneFJt R•slrfct8d 2022 T8nWg fiXed&￿$￿ts IM6slmtrnts Slsters HospTtallers of th6 sacred Heart of Jesus CIO 64 Note$ to thè accounts 31 December 2023 14 Analysls of not a¥¥•ts bgtwgon funds (continued) The total unrealised gains 8s at 31 D8c8mb9r 2023 constitute movomonts on revaluation. Those in respect l0118ted Inve81ments are as follows: Y•Hr •nd•d 31 Perfud Irom 19 ￿nIt0 31 2023 20 Unr•a118•d In¢lud•d ab￿.. On115ted Inwostments 75i370 Rqtondllawon Offf￿¥•m6nts In q•ln8 Unre8lk8ed gaw* at l January 2023 rransferfrom the Hojpitallers of lh8 S8cr& HeartofJ•5us ChwIt8￿6 T￿tst (Chatity reL¥stration n￿)ber 2556951 Add.. Movem8nt kn th& ￿[k￿l 551051 2116,519 758.370 Total unr•aW 9a11￿ at 31 Doe•m￿r202$ 758,370 As ststed in note 8 abova, th& historic cost of the charity'$ freehold land and buildings prop8rti8s cannot be ascertained wtth accuracy. The cumulative unreallsed gains on the fvnctlonal property. therefore, cannot be quarrtrfiad and so cannot be disdosed accuratdy. 15 Lease ¢ommltm•nts At 31 Dacember 2023 the charity had tolal future minimum lease p8ymènts under non- cancellabl8 operatlng leoses for office equipment as follows.- 2023 2022 Amount8 payab Wthln on¢ y6ar Afterone butythn fve years . Alt8rfv¢ ygarB 20,221 75.913 16 Ultimate control The charity, whiL* is con$tltuted as a CIO, wa5 controlked throughout the period by the Engllsh Province ofthe Sistors Hosphallers of the Sacred Heart of Jesus by virtue oflh8 f8Ct that the Provinual Supeiror of the Provlnc& appoints the Trustees. The Province does not hold any assets, incur IlabilOtie$ or enter inlo any transactions in its own right. Assets and 1Sabllltlas of the Province in ErKJlond are vested in the Trust￿ of the charmy, who undertake all transactrons 8nt8r8d into in th8 course of the Provlnce's charitable activities. 17 Ralated party transactlons As members of the Congregali)n, no Iruslee has resource$ of her own as all eamings. pensions and other income havo been donated to the charfty under a Gift Aid compllant Deed of Covenant. During th8 year. the total amount Ilonated ty the Irusteo$ to the charity was £13,011. Sistsrs Hospltallgrs of the sacred Heart of Je8U8 CIO 65 Notes to tho a¢￿Unts 31 Dec8mb8r 2023 17 R•laled path tr*n¥*ctions {conlinuad) Ther6 were no other related party trans8don8 dudng the perfod ended 31 Decembèr 2023 (ygar ended 31 January 2023- none). 18 Transfer of activities, assgts and liabiliti8¥ With effect from midnight 31 January 2023, the activttles. assets and Ilabilitiè$ of the Sisters Hospitallers of the Sacred Hèart of Jesus Charitable Tru$l, a Charitable Trust registsred Wtth the Charlty Commission {Charity R8gi$tration Number. 2556951. were transfèrred lo tho CIO. The net a$sels at ihat date comprised. 2023 Tangible fixed wet - Cost . Depreciation 21.580.590 11.788,8851 19,791,705 8318,887 231.370 3.707,705 {504,4541 31A45.213 Fixed asset investrnenis Debtors Cash and cash equivalents Cr*litor3'. arnounts dug wlthln one ye The assets and liabilities were represonted by the followlng funds: 2023 Unreslricied funds . General fund5 . Design8ted fvndg . Tanglbl• fLx•d a5s•ts 6.653,508 5.000,000 19.791,705 31845.213 Sisters HoSpItal￿r8 of the sacfed Heart of Jesu$ CIO 66