## **Continuing Community Care** 

Registered Charity No. 1204035 

## **Trustees’ Annual Report** 

For the financial year **1 April 2024 – 31 March 2025** Reference: AR25-CIO-REM-11a-1204035-A 

## **1. Reference and Administrative Information** 

**Charity name:** Continuing Community Care **Charity number:** 1204035 **Legal form:** Charitable Incorporated Organisation (CIO) **Governing document:** Constitution **Registered address:** 

1 Coombe House, Coombe Road, Croydon, CR0 5RD 

**Trustees and officers:** 

- Paul Carr — Executive Director / Specialist Rehabilitation Practitioner 

- Councillor Janet Campbell — Chair 

- Leora Zehavi — Vice Chair 

- Steven Sears — Trustee 

- Andrew Carter — Trustee 

- Paul Henry — Trustee 

- David Edwards — Trustee 

There were **no changes to the trustee board** during the reporting period. 

## **2. Structure, Governance and Management** 

Continuing Community Care is a Charitable Incorporated Organisation governed by its constitution. Trustees are responsible for strategic direction, compliance, financial oversight, and safeguarding the charity’s assets and reputation. 

The board meets regularly and delegates operational delivery to the Executive Director, with financial oversight and policy compliance retained by the trustees. Conflicts of interest are declared and recorded in line with the constitution. 

## **3. Objects and Public Benefit** 

## **Charitable Objects** 

The objects of the CIO are: 



- To relieve sickness and poor health amongst people living in Greater London by providing a local rehabilitation centre for clients with long-term mental or physical illness. 

- To assist in the treatment and care of people suffering from long-term mental or physical illness or in need of rehabilitation by providing appropriate facilities, equipment and services not normally provided by local authorities. 

## **Public Benefit** 

Continuing Community Care exists to support people living with long-term physical and mental health conditions who struggle to access suitable rehabilitation services — particularly hydrotherapy — within Croydon and Greater London. 

Croydon currently has no dedicated public hydrotherapy facility. This gap leaves individuals with chronic pain, neurological conditions, post-surgical recovery needs and mobility impairments without effective, accessible rehabilitation options. 

CCC provides specialist warm-water therapy, aquarobics and 1:1 rehabilitation support to improve mobility, manage pain, reduce isolation, and enhance mental wellbeing. The charity’s work reduces reliance on acute services and empowers individuals to manage their conditions more independently. 

## **4. Activities During the Year** 

## **Core services delivered** 

- Hydrotherapy sessions 

- Aquarobics group sessions 

- 1:1 rehabilitation sessions 

- Community support and wellbeing programmes 

## **New services introduced** 

- Women-only aquarobics sessions 

## **Services paused or stopped** 

## **Service Disruption and Operational Challenges (2024–2025)** 

During the 2024–2025 financial year, Continuing Community Care experienced two significant and unavoidable service disruptions related to the hydrotherapy pool facility we hire. Both incidents were outside the charity’s direct operational control but had a material impact on service delivery and on the wellbeing of our clients. 

## **Legionella Contamination and Pool Closure** 

The hydrotherapy pool was closed for a period of approximately five weeks following the identification of _Legionella_ bacteria within the pool system. In accordance with health and 



safety regulations, the facility was immediately closed, fully drained, and subjected to multiple deep-cleaning and disinfection processes until it was confirmed safe for use. 

This prolonged closure resulted in many clients being unable to access their regular hydrotherapy sessions for several weeks. For individuals living with long-term conditions, chronic pain, and mobility limitations, this interruption led to increased discomfort, stiffness, and reduced functional mobility. Trustees recognise the physical and emotional impact this had on clients and acknowledge the frustration and distress caused by the loss of a vital therapeutic service. 

The Trustees monitored the situation closely and maintained communication with the facility operators to ensure that all remedial works were completed to the required safety standards before sessions resumed. 

## **Plant Room Failure and Inappropriate Boiler Installation** 

Later in the year, the hydrotherapy pool was again closed for approximately three weeks due to a failure of the boiler located in the plant room. During investigation works, it was discovered that the boiler previously installed was a domestic-grade unit and was not suitable for the continuous demand of a hydrotherapy pool operating at therapeutic temperatures. 

The issue was resolved through the installation of a new industrial-grade boiler, appropriately specified for hydrotherapy use. This replacement has significantly improved system reliability and resilience and is expected to reduce the risk of similar failures in the future. 

## **Trustee Reflection** 

These incidents reinforced the Trustees’ concerns regarding reliance on ageing and externally managed facilities for critical therapeutic services. They have directly informed the charity’s long-term strategic objective to secure and develop a purpose-built, fully compliant hydrotherapy and rehabilitation centre, where Continuing Community Care can exercise full operational oversight, ensure higher standards of reliability, and safeguard continuity of care for clients. 

Despite these challenges, the charity remained committed to supporting clients, communicating openly, and resuming services as safely and swiftly as possible once access was restored. 

## **Scale of activity** 

- 12 x 30-minute Aqua Therapy sessions per week 

- • 7 x 45-minute Aquarobics sessions per week 

- 2 x 1-hour 1:1 rehabilitation session per week 

- Approximately **140 active clients** 

- No waiting list during the year 

## **5. Achievements and Impact** 

## **Key achievements** 



- Supported approximately 140 individuals living with chronic illness, disability and post-surgical rehabilitation needs. 

- Expanded access by introducing women-only aquarobics sessions. 

- Maintained high attendance and client retention despite limited pool availability. 

- Provided continuity of care for clients unable to access hydrotherapy beyond shortterm courses. 

## **Impact evidence** 

Clients report improvements in: 

- Joint mobility and flexibility 

- Pain reduction and stiffness management 

- Balance, coordination and confidence 

- Mental wellbeing and reduced isolation 

Client feedback consistently highlights: 

- The therapeutic value of warm-water exercise compared to standard pools 

- • The importance of social connection and peer support 

- Reduced reliance on pain medication for some clients 

## **Selected anonymised case examples** 

- Individuals with arthritis, rheumatoid conditions and post-surgical recovery reported improved function and reduced stiffness following ongoing hydrotherapy. 

- Clients with neurological conditions such as Parkinson’s disease and cerebral palsy benefited from improved balance, strength and coordination. 

- Clients with chronic pain conditions such as fibromyalgia and hypermobility experienced reduced pain flare-ups and improved tolerance for daily activities. 

- Clients recovering from joint replacements reported smoother rehabilitation outcomes when hydrotherapy was incorporated. 

## **6. Strategy and Future Plans** 

## **Long-term vision** 

CCC exists to establish Croydon’s first fully accessible rehabilitation centre, including a dedicated hydrotherapy pool, treatment rooms, wellness services and community support facilities. 

## **Priorities for the coming year** 

- Secure land or a building for conversion into a rehabilitation centre 

- Raise £250,000 through donations, grants and fundraising 

- Deliver six major fundraising events 

- Maintain and prioritise hydrotherapy services for individuals with long-term conditions 



## **Key challenges** 

- Securing suitable premises 

- Reliance on external pool hire at high cost 

- Funding volatility 

- Capacity constraints as a small charity 

## **7. Financial Review** 

## **Summary** 

- **Total income:** £69,064 

- **Total expenditure:** £50,687 

- **Operating surplus:** £18,377 

- **Reserves carried forward:** £23,411 

Main income sources include hydrotherapy fees, donations, and fundraising activities. The largest cost area is pool hire, totalling approximately £24,550 per year. 

The surplus was retained to strengthen reserves and support future capital development planning. 

(Accounts source: Profit & Loss Statement 2024/25) 

## **8. Risk Management** 

The trustees actively manage the following risks: 

- **Reliance on a single facility:** mitigated through ongoing negotiations and exploration of new premises. 

- **Funding volatility:** mitigated through diversified income streams and regular grant applications. 

- **Safeguarding risk:** mitigated through regular policy review and staff training. 

- **Staffing capacity:** mitigated through use of freelance practitioners to retain flexibility. 

## **9. Safeguarding, Equality and Compliance** 

- Safeguarding policy reviewed December 2025 — in place and active 

- Health & Safety policy reviewed December 2025 — in place 

- Data protection policy reviewed December 2025 — GDPR compliant 

- CCC is committed to equality, diversity and inclusion and does not tolerate discrimination, harassment or exclusion in any form. 

## **10. Significant Events and Context** 



During the year the charity withdrew from negotiations with Croydon Bowling & Sports Club over a potential land lease after professional valuation advice indicated the proposed lease cost was not financially viable. 

Limited pool availability due to other commercial hirers continues to restrict session capacity and highlights the need for CCC’s own facility. 

## **Declaration** 

The trustees confirm that this report has been prepared in accordance with the Charities Act 2011 and the CIO Regulations 2012. 

Signed on behalf of the trustees: 

Chair of Trustees 

Date: 



## **Profit & Loss** 

## Continuing Community Care 

Accounting Year 2024/25 

||**Debit**|**Credit**|
|---|---|---|
|**Turnover**||**69,064**|
|Sales||11,853|
|Hydrotherapy Sessions||25,065|
|Donations and legacies S01||2,059|
|Charitable activities S02||23,116|
|Other trading activities S03||6,970|
|**_add_ Other Income**||**0**|
|Interest Received||0|
|**_less_ Cost of Sales**|**20,237**||
|Cost of Sales|4,217||
|Materials|21||
|Subcontractor Costs|15,999||
|**Gross Profit**||**48,827**|
|**_less_ Administration Expenses**|**30,449**||
|Equipment|1,422||
|Raising funds S08|1,027||
|Charitable activities S09|596||
|Pool Hire|24,550||
|Computer Software|189||
|Computer Hardware|315||
|Office Equipment|79||
|Printing|374||
|Stationery|45||
|Miscellaneous|22||
|Auto Expenses|502||
|Advertising and Promotion|20||
|Legal and Professional Fees|240||
|Postage|25||
|Subscriptions|158||



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||Bank/Finance Charges|264||
|---|---|---|---|
||Insurance|624||
|**Operating Profit**|||**£18,377**|
|_less_ **Drawings**|||**£0**|
|_less_ **Profit & Loss journal entries**|||**£0**|
|**Retained Profit this period:**|||**£18,377**|
|**Retained Profit brought forward:**|||**£5,034**|
|**Distributable Reserves / Retained Profit carried forward:**|||**£23,411**|



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## **Profit & Loss** 

## Continuing Community Care 

Accounting Year 2024/25 

||**Debit**|**Credit**|
|---|---|---|
|**Turnover**||**69,064**|
|Sales||11,853|
|Hydrotherapy Sessions||25,065|
|Donations and legacies S01||2,059|
|Charitable activities S02||23,116|
|Other trading activities S03||6,970|
|**_add_ Other Income**||**0**|
|Interest Received||0|
|**_less_ Cost of Sales**|**20,237**||
|Cost of Sales|4,217||
|Materials|21||
|Subcontractor Costs|15,999||
|**Gross Profit**||**48,827**|
|**_less_ Administration Expenses**|**30,449**||
|Equipment|1,422||
|Raising funds S08|1,027||
|Charitable activities S09|596||
|Pool Hire|24,550||
|Computer Software|189||
|Computer Hardware|315||
|Office Equipment|79||
|Printing|374||
|Stationery|45||
|Miscellaneous|22||
|Auto Expenses|502||
|Advertising and Promotion|20||
|Legal and Professional Fees|240||
|Postage|25||
|Subscriptions|158||



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||Bank/Finance Charges|264||
|---|---|---|---|
||Insurance|624||
|**Operating Profit**|||**£18,377**|
|_less_ **Drawings**|||**£0**|
|_less_ **Profit & Loss journal entries**|||**£0**|
|**Retained Profit this period:**|||**£18,377**|
|**Retained Profit brought forward:**|||**£5,034**|
|**Distributable Reserves / Retained Profit carried forward:**|||**£23,411**|



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