REGISTERED COMPANY NUMBER: 02313902 (EnglaDd And W4le$) REGISTERED CHARITY NUMBER: 700938 REPORT F THE TRUSTEE AN FINANCIAL TATEMENTS DE 31 MARCH 2024 LEN ARIN C A Hunter Limited Statutory Auditors Britannia Chambers 26 George Street St Helens Merseyside WAIO IBZ *ADAYS58Q' 0410912024 COMPANIES HOUSE A17
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T. HELENS & KNOWSLEY CARING ASSOCIATION NTENTS OF THE FINANCIAL STATEMEN FOR THE YEAR ENDED 31 MARCH 2024 Page Report of the Trustees Report of Ihe Independent Auditors 9 to 12 Statement of Financial A¢tivitie$' 13 Balan¢e Sheet 14 Cash Flow Slalement 15 Note$ to th¢ Finan¢ial Statements 16 to 25
T. HELENS & KNOWSLEY CARING ASSOCIATION REGISTERED NUMBER: 02313902 REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024 The truslees who are also directors of the charity for the purposes of the Companies Act 2006, present their report with the financial statements of the charity for the year ended 31 March 2024. The trustees have adopted the provisions of Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Rq)ublic of Ireland (FRS 102) (effective I January 2019). Page I
ST. HELENS & KNOW LEY CARING ASSOCIATI REGI TERED NUMBER: 02313902 REPORT OF THE TRUSTEES FOR THE YEAR E ED 31 MARCH 2024 OWECTIVES AND ACTIVITIES The aims and objectives are considered each year. Dwing this review the trustees have referred to the Charity Commission's guidance on public benefit. Our objextives are set to reflect the ethos of the home. It Is important to us that we maintain and enhance the high standards of excellence in nursing and care throughout the home. The principal activity of the charitsble Company in the year under review w&5 thai of providing accommodation and professional and skilled nursing care for elderly frail residents of Knowsley over the age of18 years, allowing them to end their days with the maximum of dignity, privacy and independence within an environment as near as possible to nonnal home life. The home also provides I I Int¢nnediate Care beds that enable residents to fully recover and leave the home in reasonable health. All the charitys activities focus on the wellbeing of residents staying at the nursing home. There are currently 51 beds split between care of the frail elderly and those requiring intemediate care. The objective of the home is to provide high standards of individualised nursing, residential and interniediate care to the elderly residents of Knowsley. All potential residenls are encouraged where possible to visit and view the home to meet other residents and staff before deciding on their choice of care provider. Relatives and advocates are also encouraged to visit on behalf of their next of kin and are invited to ask questions regarding all aspects of the facilities of the home and the general day to day numing. Potential service users are freely available to view inforniation on the home via our website, the Care Quality Commission's (CQC) website, brochures and our statement of purpose. We have upgraded our cuThent marketing strategy to ensure that we are able to demonstrate the excellent service we provide by using all good marketing streams.The new web51te is functional and we are receiving direct enquiries from it. Our key objectives for the year include: l. To deliver outslanding, person-led care with a kind and compassionaie approach to the residents of Knowsl¢y and surrounding areas. Our goal is to provide the best Quality of Life for people living, dying, working and visiting in the care home so thai people feel safe and valued. 2. To continue to provide a safe, welcoming) nurturing environment where residents are able to develop and grow at their own pace to maximise their potential 50cially, emolionally, physically, intellectually and spiritually. 3. To continue io provide and develop the first class person led and individualised nursing and residential care that we provide for long tern] care residents and intem)ediate care patients of the borough of Knowsley. 4. To continue to work in partnership with Cheshire and Merseyside Inteated Care Board (ICB) and Knowsley Council and maintain r105e links with local Commi55ion¢rs to deliver an I I bed int¢rniediate care and 40 bed frailty care service. 5. To continue to move to a Dementia friendly way of working and support residents to live well with their comorbidities and maintain our EMI Nursing bed status of l O. 6. To accept and understand each individual resident and continue to ensure they are treated with dignity, respect and that the principles of privacy. equality and diversity are maintained. with H.E.A.R.T. values at the centre of care delivery. 7. To maintsin our compliance with the Key Lines of Enquiry (KLOE) rating. with our governing body the CQC (Care Quality Commission). 8. To continue to ensure that we staly at maximum levels and also ensure that all staff are able to enhance and develop their knowledge professionally and personally in order to ensure quality and standards of excellence. 9. To continue with exit interviews for staff that voluntsrily leave the organisation, identifying improvement measure through key perfonnance indicators {KPIs). 10. To continue to maintain 950/0 bed occupancy levels and maintain contracts with the Local Authorities. I l. To continue to maintain and develop policies and procedures as required by Local Authority and Govemment legislation. 12. To continue to develop and maintain quality assurance throughout all aspects of ihe home environment and the care delivered, involving residents and relatives in the guality assurance process. 13. To continue to maintain and develop strong links with the wider community. ensuring co-operation and joint working with other professional providers of health and social care. 14. To improve on Infection Control Inspection, we did achieve Gold status pass 15. To enhance patient and resident experiences through innovation and the use of assistive technology applications. Page 2
ST. HELENS & KN WSLEY CARING A OCIATION GISTERED NUMBER: 02 13902 REPORT OF THE TRUSTEES R THE YEAR END 024 16. To continue to personalise bedrooms for residents and maintain a homely environment through decoration, whilst maintaining a "dementia friendly" environment. 17. To enhance support programme in MindlesS and well-being for the care team. to promote retention and reduce absence and work related stres5. Our Story St. Bartholomews Court has been a charitable nursing home for the elderly residents of Knowsley for 30 years. We have an excellent footprint in demonstrating high standards of care. We currently hold platinum status for the Gold Standards Framework for End of Life Care. We have a firm policy which enables us to create an environment as near as possible to home life with individual's frailty, long temi conditions and illnesses taken into consideration. At St. Bartholomews Court, we follow and promote our values Honesty, Empathy, Achievement, Respect and Teamwork (HEART) which reflects our care delivery within the service. Our Vision To deliver outstanding, person-led care with a kind and compassionate approach to the residents of Knowsley and surrounding areas. Our goal is to provide the best Quality of Life for people livin& dying, working and visiting in the care home so that people feel safe and valued. Our Values Honesty - We will be open and transparent when communicating and careful of how we deliver and receive sensitive infomation. Empathy - We will be carin8, understanding and supportive to our residents, their families and to each other. Achievemenl - We will continue to develop and invest in the business to realise our potential as a team, as individuals and as a charity. Respect - We will be thoughtful and ensure we are always promoting fairness, equality, dignity and autonorny. Teamwork - We will all work tO8ether, foster relationships and work with a multidisciplinary approach in order to achieve ow goals and fulfil our vision. Eihos, Slraiegy and Polleles The focus of our strategy is on the continued development of staff in order that high levels of quality nursing care continue to be provided to ow rcsidcnts and patients. In taking forward our Strategy we aim to ensur¢ that.. l ] Care continues to be reviewed and benchmarked against govemment expected outcomes and standards. 2] Activities and daily living within the home continues to be stimulating and varied for our residents, 3] Co-operation and resource sharing continues with local providers. 4] We wntinue to review and develop in order to promote a positive culture for people centred care. 5] We continue to work and improve communication through shared deKision making with Residents. 6] We currently have a Platinum award for end of life Gold Standard Framework until 2025. Page 3
T. HELENS & KNOW LEY CARING ASSOCIATI TERED NUMBER: 02313902 REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024 STRATEGIC REPORT Acbievem¢Dt and performance Charitable Activities St Bartholomews has continued to maintain its excellent quality of service and this is a great compliment to the Matron and staff that makes the onerous responsibilities of the board tolerable. The home has continued to perforn) at a consistently high standard and h&$ achieved the following: l ] Continued to work in partnership with Cheshire and Merseyside Integrated Care Board and Knowsley Council and also kept close links with local Commissioners to deliver an I I bed intennediate care service. We are meeting ihe new frailty model in the community to avoid the elderly people having to go to hospital. This is a three year contract which lasts until May 2025. 2] Continued to provide and develop the first class personali5ed and individualised nursing and residential care that we provide for long tern] care residents and interniediate care patients of the borough of Knowsley. 3] Continued to ensure that all residents and patients are treated with dignity, respect and that the principles of privacy, equality and diversity are maintained in line with St. Bartholomew's new H.E.A.R.T. value syst¢m, Statement of Purpose and philosophy of care, 4] We have maintained our compliance with the Key Lines of Objectives (KLOE) rating with our goveming body the CQC {Care Quality Commission). We were revi¢wed by CQC (distance b&%ed) and received extremely positive feedback about being well led and responsive due lo the high quality of notificalions. We continu¢ to be proactive with our notifications. 5] Continued to ensure that we staff at maximum levels and also ensure that all staff are able to enhance and develop their knowledge professionally and personally in order to ensure quality and standards of excellence. Training compliance remains high, with the support of training team and this continues to have a positive impact on the service provided. 6] Continued to mainlain 950/0 bed occupancy levels and maintain contracts with the Local Authorilies. 7] Continued to maintain and develop policies and procedures as required by Local Authority and Government legislation. The Business continuity plan is updated. 8] Coniinued to develop and maintain quality assurance throughout all aspects of the home envirorunent and the car¢ delivered, involving residents and relatives in the quality assurance process. 9] Continued to maintain and develop strong links with the wider community, ensuring co-operation and joint working wilh other professional providers of health and social care. We are now utilising social media and modern technology for some services. This has in some cases proved very efficient and speeds up interventions and improved patient oulcornes. l 0] ] Infection Control training is at 98C/¢o and 970/0 compliance. We were awarded Gold during audit in July 2023. Audits are undertaken regularly and hand washing audit and retraining is in situ. I l ] The recruitment programme is ongoing so that a value based approach is part of the process. ensuring that our residents receive care that is compassionate and caring, safe and effective. Currently fully recruited but this is subject to ¢onstant change and review. 12] Our H.E.A.R.T. values are integrated into the ethos of St. Bartholomew's; they are embedded and discussed at training) meetings and supervisions. 13] On 21 st December 2022, we obtained 830/0 in our medicines management assessment and hope to maintain/improv¢ on this during nexl inspection. 14] We achieved Platinum Status in line with Gold Standards Framework (GSF) and were nominated for care home of the year. The sensitive and caring approach to end of lifelpalliative care is embedded within St. Bartholomew's Court and thi5 is reflected by such a strong portfolio and Platinum Accreditation. Accreditation due in 2025, work compiling new portfolio to start this coming year. Investments include fimds held on deposit and also a portfolio of managed funds invested by our advisors in treasury stocks, commodities and corporate bonds. Total income earned from these investments amounts to £6.371 during the year (2023 £4,222). The total value of managed investments has increased during the year by £13,696 to a value of £185,380 (2023 £171,684). In accordance with the agreement with the St Helens and Knowsley Health Authority, the income from our investment funds ha5 been applied to the charitsble company's expendittwe and not retained in the restricted fimd. Page 4
ST. HELENS & KNOWSLEY CAIUNG ASSOCIATION REGI TERED NUMBER: 02313902 REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2 24 STRATEGIC REPORT Financial review The statement of financial activities shows a deficit for the year of £(43,852) (2023.. deficit of £(31,321) resulting in a reserves balanrx carried forward of £428,555 (2023 £472,407). Expenditur¢ has remained within budgeted expectations. Funding from the Mersey Care Integrated Care Board (ICB) and the Metropolitan Borough Council for 2024r25 has beeh secured to provide the resources to enable St Bartholomews to continue its activities. As in previous years the level of funding from the Mersey Care Integrated Care Board (ICB) needs to be kept under review to ensure that all necessary expenditure is met in the current year. Money was agreed for the budget 2024125. Investm¢ot polley Under the Memorandum and Arti¢les of Association, the ¢haritable company has the power to make any investment that the directors see fit. The directors under the guidance of their investment advisors have decided io invest in treasury stocks, corporate l)onds and Commodities thus meeting their requirements for security alli¢d to a provision of income. In accordance with the agreement with the St Helens & Knowsley Health Authority, the income from our investment fimds amounting to £6,371 (2023 £4,222> has been applied to the charitable company's expenditure and not retained in the restricted fund. Reserves The charity holds restricted and unrestricted funds. Reserves are required to support the continuation of the charitable company's objectives in the short temi, and the current level of reserves is f¢lt lo be adequate. The level of reserves is 5ubje¢t to review by the board of trustees regularly throughout the year. Fulurt plans The board of directors, matron and staff inlend to continue their current strategies of maintaining the home's position in a competitive market by continuing to provide high quality accommodation and personalised professional nursing and residential ¢are. Maintaining quality and excellence is the constant aim whilst ensuring that the residents are at the forefront of all developments. We plan to continue to enhance patient and resident experiences through innovation and the use of assistive technolo8y applications. We also plan to augment a support programme in continued professional development for all team members, to promote retention and reduce absence and work related stress. The seven Company Directors continue to support with the charitable objectives of th¢ association. The matron and senior staff will continue to review standards and quality to ensure that care remains appropriat¢ and sensitive to the residents, needs. We would like to continu¢ to be accredited with Platinum Status withkn lh¢ Gold Standards Framework, due for reaccreditation in 2025. We would like to focus on recruitment and retention of the carelnurskng teams in this highly competitive industry. Wages are being reviewed and should the budget allow, continue with living wage. this will demonstrate investment in our teams and make the work force feel valued for the difficult roles they undertake. This has been supported previously by fee uplifts from the ICB and Knowsley Council. Our fvture plans are financed from fee income and we aim to maintain an equitable balance ensuring that residents benefit from high quality pro-active care, whilst at the same time ensuring that a sound infrastructure and financial base are preserved for the future. Page 5
T. HELENS & KNOWSLEY CARIN IATI REGISTERED NUMBER: 023.13 02 REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2 24 STRUCTURE, GOVERNANCE AND MANAGEMENT The charitable company is constituted as a company limited by guarantee and having no shareholders, it is governed by its Memorandum & Articles of Association. The directors who served during the year and up to the date of this report are listed on page l. The board has the power to appoint additional trustees as it considers fit to do so. No director has any beneficial interest in the charitable company and in the event of the charitable company being wound up members are required to contribute an amount not exceeding £1. All directors give their services voluntarily and are familiar with the practical work undertaken by the charity. Board meetings are held quarterly to manage its affairs. Th¢ day-to-day management of the home is delegated to the matron who reports regularly to the directors. The matron is responsible for the daily overall running of the home, Lmdertaking the key leadership role, which includes overseeing staffing, quality assurance, bed management, liaising with Local and Government Authorities. health and safety. staff training, policies and procedures and ¢nswing that the home nS to target with expenditure. The Matron is supported in this role by the Deputy Matron. The board of directors has the power to fill any vacancies arising during the year. Any new directors are invited to attend rneettngs with the chairn)an and the secretary to familiarise themselves wilh the charity and the context within which it operates. The induction process includes providing them with a copy of the latest financial statements and a corporate governance framework and trusiee pa¢k. Areas ¢overed would include the obligations and responsibilities of becoming director, a review of the charitable companys governing document and the ¢urr¢nt financial position. The directors actively review the major risks that the charitsble company faces on a regular basis and believe that maintaining reserves at current levels, combined with an annual review of the controls over key financial systems. will provide sufficient resources in the event of adverse condilions. The directors have also examined other operational and business risks faced by the charitsble company and confiTm that they have established systems to mitigate the significant risks. REFERENCE AND ADMINISTRATIVE DETAILS Registered Company number 02313902 {England and Wales) Registered Charity number 700938 Reglslered otTi¢¢ St Bartholomews Court Nursing Home Woodfield Roby Huyton Merseyside L36 4PJ Trustees B A Handley N J Myers Chairperson J M P Scragg M Twist M Worden J Macdonald G L Crawley Page 6
T. HELEN LEY ARING ASSOCIATION TERED NUMBER: 02313902 REPORT OF THE TRU TEES R THE YEAR ENDED 31 MARCH 2024 REFERENCE AND ADMINISTRATIVE DETAILS Company Secretary M Twist Senlor Statutory Audltor Denis Ruane Auditors C A Hunter Limited Statutory Auditors Britannia Chambers 26 George Street St Helens Merseyside WAIO IBZ Senior M4nagement Mrs E. Allison (Matron) Mr M. Dutton (Deputy Matron) Bankers Nat. West. Bank Plc. PO Box 25 5 Onnskirk Street St. Helens Merseyside WAIO IDR Investment Advisors Fidelity Internaiional Beech Gale Millfield Lane Lower Kingswood Tadworth Surrey KT20 6RP STATEMENT OF TRUSTEES. RESPONSIBILITIES The tnjstees (who are also the directors of St. Helens & Knowsley Caring Association for the purposes of cornpany law) are responsible for preparing the Report of the Truslees and th¢ financial statements in accordance with applicable law and United Kingdom AountIng Standards (United Kingdom Generally Accepted Accounting Practice). Page 7
ST. HELEN & KNOWSL Y CARIN ASSOCIATI REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2024 STATEMENT OF TRUSTEES, RESPONSIBILITIES- continued Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the stste of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing those financial statements. the trustees are required ¢0 select suitable accounting policies and then apply them consistently observe the methods and principles in the Charity SORP; make judgements and estimates that are reasonable and prudent; State whether applicable accountin8 Standards have been followed, subjec¢ to any material departures disclosed and explained in the financial Stsiernents; prepare the finartcial statements on the 80in8 concern basis unless it is inappropriate to presume that the ¢haritsble company will continue in business. The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitsble company and to enable them to ensure thai the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. In so far as the trustees are aware.. there is no relevant audit infomiation of which the charitable company's auditors are unawar¢; and the trustees have taken all steps that they ought to have taken lo make themselves aware of any relevant audit infomation and io establish that the auditors are aware of that infomiation. AUDITORS The audttors. C A Hunter Limited. will be proposed for re-appointment at the forthcoming Annual General Meeting. Report of on.,..... stees, incorporating a strategic report, approved by order of the board of trustees. as the company directors, .i.ql'.Y.&o.L*........... and signed on ihe board's behalf by: M Twist - Trustee Page 8
REPORT OF THE INDEPENDENT AUDITORS TO THE MEMBERS OF ST. HELENS & KNOWSL Y CAIUNC AS IATION Opinion We have audited the financial statements of St. Helens & Knowsley Caring Association (the 'charitable company) for the year ended 31 March 2024 which comprise the Statement of Financial Activities, the Balance SheeL the Cash Flow Statement and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework thai has been applied in their preparation is applicable law and United Kingdom Accounting Standards (Uniled Kingdom Generally Accepted Arxounting Practice). In our opinion the financial statements.. give a true and fair view of the state of the charitsble company's affairs as at 31 March 2024 and of its incoming resources and application of resources. including its income and expenditure, for the year then ended; have been properly prepared in accordance with United Kingdom Generally Accepted A¢¢ounting Practice. and have been prepared in accordance with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with International SLqndards on Auditing (UK) (ISAS (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors, responsibilities for the audit of the financial slatements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to ow audit of the financial statements in the UK, including th¢ FRC'S Eihical Stsndard, and we have fulfilled our other ethical responsibilities in accordance with th¢se requirements, We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Cooclusions relating to going eoneern In auditing the financial statements, we have concluded that the trustees, use of the going concern basis of accounting in th¢ Preparation of the financial statements is appropriate. Based on the work we have perfornied, we have not identified any material uncertainties relating to events or ¢onditions that. individually or collectively, may cast significant doubt on the charithble company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the trustees with respect to going concem are d¢s¢rib¢d in the relevant seciions of this report. Olher information The trustees are responsible for the other infonnation. The other information comprises the infomiation included in the Annual Report, other than the financial statements and our Report of the Independent Auditors thereon. Our opinion on the financial statements does not cover the other inforniation and, except to the extent otherwise explicitly stated in our report, we do not express any fom of assuranrx Conclusion thereon. In connection with our audit of the financial statements. our responsibility is to read the other inforniation and, in doing so, consider whether the other inforniation is materially incon5lStent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to deterniine whether this gives rise to a material misstatement in the financial statements thernselv¢s. If, based on the work we have perforn]ed, we conclude that there is a material misstatement of this other InfoThatio we are required to report that fact. We have nothing to report in this regard. Opinions OD other mallers prescrlbed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit; the inforniation given in the Report of the Trustees for the financial year for which the financial statements are prepared 1$ consistent with the financial statements. and the Report of the Trustees has been prepared in accordance with applicable legal requirements. Pa8e 9
REPORT OF THE INDEPENDENT A DIT T. HELEN & KNOWSLEY CARIN TO THE MEMBERS OF IATIO Matters on whith we are required to report by exception In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audil we have not identified ntsterial misstatements in the Report of the Trustees. We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in our opinion: adequate accounting records have not been kept or Teturns adequate for our audit have not been received from branches not visited by us- or the financial sthtements are not in agreement with th¢ accounting records and returns. or certain disclosures of trustees, remuneration specified by law are not made; or we have not received all the infomiation and explanations we require for our audit. Respoosibilltles of trustees As explained more fijlly in the Statement of Trustees, Responsibilities, the trustees (who are also the dire¢tOTS of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such intemal control as the trustees determin¢ is necessary to enable the preparation of financial ststements that are free from material misstatement, whether due to fraud or error. In preparing the fmancial statements, the trustees are responsible for assessing the charitable company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the irustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so. Page 10
REPORT OF THE INDEPENDENT AUDITORS TO THE MEMBERS OF ST. HELENS & KNOWSLEY CARING A OCIATION Our responsibilitie5 for the audit of the financial statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatemenl, whether due to fraud or eor, and to issue a Report of the Independent Auditors that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee thal an audit conducted in aordanCe with ISAS (UK) will always detect a material misstatement when ii exists. Misstaiements can arise from fraud or error and are ¢onsidered material if. individually or in the aggregate, they could reasonably be expected to influenrx the economic decisions of users taken on the basis of these financial statements. The extent to which our procedures are capable of detecting irregularities. including fraud is detailed below". Our approach to identifying and assessing the risks of material misstatement in respect of irregularities. including fraud and nonrycompliance with laws and regulation4 was as follows: we have ensured that the engagement team collectively had the appropriate competenc¢. capabilities and skills to identify or recognise non-compliance with applicable laws and regulations: we identified the laws and regulations applicable to the charitsble company through discussions with senior managers and the trustees, and from our commercial knowledge aT]d experience of the industy sector. and the relevant laws and regulations have been ¢ommunicat¢d within the audit team throughout the Course of our work: we focused on specific laws and regulations whi¢h we considered may have a direct material effect on the financial statements or the operations of the charitable company. including the Companies Act 2006, the Charities SORP, the Care Quality Commission, employinent, health and safety legislation. and we assessed the extent of compliance with the laws and regulations identified above through making enquiries of managemeni and inspecting legal correspondence. We assessed the susceptibility of the charitable companls financial statements to material misstatement. including obtaining an understanding of how fraud might occw, by: making enquiries of management and trustees as to where they considered there was susceptibility to fraud, their knowledge of actual. suspected and alleged fraud. and - considering the internal controls in place to mitigate risks of fraud and non-compliance with laws and regulations. To address the risk of fraud through management bias and Oveide of Controls, we: - perfornied analytical procedures to identify any unusual or unexpected relationships. lested joumal entries to identify unusual transactions; assessed whether judgements and assumptions made in detern)ining the accounting estimates were indi¢ative of potential bias; and - investigated the rdtionale behind signtficant or unusual transactions. In response to the risk of irregularities and non-compliance with laws and regulations, w¢ designed procedures which included, but were not limited to: - agreeing financial statement disclosures to underlying supporting documentation; - reviewing management reporting processes to the board of trustees. - enquiring of management as to actual and potential litigation and claims. and Page 11
REPORT OF THE INDEPENDENT AUDITORS TO THE MEMBERS OF T. HELENS & KNOWSL Y CARIN IATION reviewing Corresponden with the Charity Commission, the Care Quality Commission, Companies House and other relevant regulators. There are inherent limitations in our audit procedures described above. The more removed that laws and regulations are from financial transactions, the less likely it is that we would become aware of non-compliance. Auditing standards also limit the audit procedures required to identify non-compliance with laws and regulations to enquiry of the trustees and other management and the inspection of regulatory and legal Co¢SpOndenCe, if any. Material misstatements thai arise due to fraud can be harder to detect than those that arise from error as they may involve deliberate concealment or collusion. A fijrther description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at www.frc.org.uldauditorsresponsibilities. This description fonns part of our Report of the Independent Auditors. Use of our report This report is made solely to the charitable company's members, as a body. in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitsble company's members those matters we are required to state to them in an auditors, report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the Charitable cornpany's members as a body. for our audit work. for this report, or for the opinions we have fonned. Denis Ruane (Senior Statutory Auditor) for and on behalf of C A Hunter Limited ststutory Auditors Britannia Chambers 26 George Street St Helens Merseyside WAIO IBZ Page 12
ST. HELENS & KNOW LEY CARING A OCIATION STATEMENT OF FINANCIAL ACTIVITIES NCORPORATING AN INC ME AND EXPENDITURE ACCOUN FOR THE YEAR ENDED 31 MARCH 2 24 31.3.24 Total funds 31.3.23 Total funds Unrestricted fimd Restricted funds Notes INCOME AND ENDOWMENTS FROM Donations and legacies 624 624 1.983 Cbgritable aelivities Nursing home 1.869,633 762.886 2,632,519 2.410.997 Investment income 6,371 6.371 4,222 Total 1,876,628 762,886 2,639.514 2,417.202 EXPENDITURE ON Cbarltable aetlvltles Nursing home 1.927,038 762,886 2,689,924 2,431.271 Net gains/(losses) on investments 6,558 6,558 (17,252) NET INCOMEI(EXPENDITURE) (50,410) 6,558 (43,852) (31,321) RECONCILIATION OF FUNDS Total funds broughi fonvard 241,671 230.736 472.407 503,728 TOTAL FUNDS CARRIED FORWARD 191.261 237,294 428,555 472,407 The notes forni part of these fmancial ststements Page 13
LE ow LEY CARIN SSOCIATI ALANCE SHEE JI MARCH 2024 31.3.24 Totsl funds 31.3.23 Total fimds Unrestricted fimd Restricted funds Notes FIXED ASSETS Tangible assets 12 638,103 638,103 663,594 CURRENT ASSETS Stocks Debtors Investhients Cash at bank and in hand 13 14 15 2.931 86,176 2.931 86,176 185,380 650,190 3,313 62.180 171,684 700,381 185,380 51.914 598,276 687,383 237,294 924,677 937.558 CREDITORS Amounts falling due within one year 16 (134,225) (134,225) (128,745) NET CURRE ASSETS 553,158 237,294 790,452 808.813 TOTAL ASSETS LESS CURRENT LIABILITIES 1,191,261 237,294 1,428,555 ,472.407 CREDITORS Amounts falling due after more than one year ( 1.000.000) ( 1,000,000) (1,000,000) NET ASSETS 191,261 237,294 428,555 472,407 FUNDS Unrestricted funds Restricted funds 20 191,261 237,294 241,671 230,736 TOTAL FUNDS 428,555 472,407 The financial statements were approved by the Board of Trustees and authorised for issue on and were sign¢d on its behalf by: N TY_erS i- Trustee The notes fom) part of these fmancial ststements Page 14
ST. HELENS & KN LEY CAIUNG ASSOCIATION CASH FL TATEMENT YEAR EIYDED IMAR 31.3.24 31.3.23 Notes Cash flows from operating aetlvllles Cash generated from operations Changes in investments 23 (44,737) (3.315) 55,101 9,335 Net cash (used in)Iprovided by operating activitie5 {48,052) 64,436 Cash flows from IDvestlDg actlvltles Purchase of tangible fixed assets Sale of fixed asset investments Interest received (4,688) (3.822) 6,371 (9,238) 4.222 Net cash used in investing activities (2,139) (5,016) Change in eash and ea$h equlvalents in the reporting perlod Cash and eash equivileots gt tbe beginDing of the reporting period (50,191) 59,420 700,381 640,961 Cash and ush equivAl¢nts #t the end of th¢ reportlng perlod 650,190 700,381 The notes forni part of these financial statements Page 15
T. HELENS & KNOWSLEY CARIN ASSOCIATION NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ACCOUNTING POLICIES Basis of preparing the financial statemenls The financial statements of the charitable company, which is a public benefit entity under FRS 102. have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting and Reporting by Charities.. Statement of Recommended Practice applicable lo charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective l January 2019}', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in ihe UK and Republic of Ireland, and the Companies A¢t 2006. The financial statements have been prepared under the historical cost convention. The charity continues to adapt to current ¢ir¢umslan¢es and the trustees consider that it is well placed io maintain the high standards of care within the home and has sufyicient financial resources to meet the ongoing challenges within the care sector. On this basis the trustees consider that the chartity is a going con¢¢rn for a period of at least twelve months from the date the fmancial statements are authorised for use. Ineome All income is recOlSed in the Statement of Financial A¢tivities on¢e the charity has entitlement to the fimds, it is probable that the income will be rtteived and the amount can be measured reliably. Expendllure Liabiliti¢s are re¢ognised as expenditure as soon as there is a legal or constructive obligation cornrnitting the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cosi related io the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources. Allocalion and apportionment of costs Management and administration costs of the Charity relate to the costs of running meetings, audit fees and statutory mpliance, and includes any costs which can not be specifically allocated to another direct expenditure classification. Tangible fixed assels Depreciation is provided at the following annual rate in order to write each asset over its estimated useful economic life:. Freehold Propety Fixtures, Fittings & Equipment Soft Furnishings & Bed Linen 20/0 on cost 200/0 reducing balance not provided for, but expenditure treated on the replacement basis through the Statement of Financial Activities. Stocks Stocks are valued at the lower of cost and net realisable value, after making due allowance for obsolete and slow moving Items. Taxatlon The charity is exempt from corporation lax on its charitsble activities. Fund accountRng Unrestricted funds can be used in acmrdance with th¢ charitsble objectives at the discretion of the trustees. The restricted funds relate to the Investment Revaluation Fund and Patient Amenities. The balance on these fid$ rnay only be used for the future welfar¢ of residents and staff. Page 16 continued...
ST. HELENS & KNOWSLEY CAIUNG ASSOCIATION NOTE TO THE FINANCIAL STATEMENTS- continued R TH AR END ARCH 2 ACCOUNTING POLICIES - continued Pension costs and other post-retirement benefits The charitable company operates a defined contribution pension scheme. Contributions payable to the charitable company's pension scheme are charged to the Ststement of Financial Activities in the period to which they relate. The Charity offers a stskeholder pension scheme lo all employees (defined contribution scheme). The assets of the scheme are held separately from the charity in an independently administered fund. The Charity makes employer contributions on the employees, behalf. Gov¢rnment grant$ Government grants are recognised on the accruals model and are measured ai the fair value of the amount receivable. DONATIONS AND LECACIES 31.3.24 Total funds 31.3.23 Total funds Unrestricted funds Restricted funds Donations 624 624 1,983 INVESTMENT INCOME 31.3.24 Total funds 31.3.23 Total funds Unrestricted funds Restricted ds Investment Income 6,371 6,371 4,222 INCOME FROM CHARITABLE ACTIVITIES 31.3.24 31.3.23 Activity Primary Care Trust Grant Nwsing home A¢wmmodation fees Nursing home Daycare fees Nursing home Workforce development grant Nursing home 762,886 ,856,283 13,350 728,581 1,643,739 16,650 22,027 2.632,519 2.410,997 Page 17 continued...
T. HELEN WSLEY CARIN ASSOCIATION NOTES TO THE FINANCIAL STATEMENTS- eontlnued FOR THE YEAR ENDED 31 MARCH 2024 CHARITABLE ACTIVITIES COSTS Support costs (see note 6) Direct Costs Totsls Nursing home 2,500,795 189.129 2,689.924 SUPPORT COSTS Inforniation technology Management Finance Nursing home 157231 1,827 19,706 Governance costs Other Totals Nursing home 4,965 5,400 189,129 NET INCOMEI(EXPENDITURE) Net incomel(expendiiure) 1$ slated after Chargin(crediting). 31.3.24 31.3.23 Auditors, remuneration Depreciation - owned assets 5,400 30.179 5,280 30,780 TRUSTEES, REMUNERATION AND BENEFITS There were no trustees, remuneration or other benefits for the year ended 31 March 2024 nor for the year ended 31 March 2023. Trustee$, expenses There were no trustees, expenses paid for the year ended 31 March 2024 nor for the year ended 31 March 2023. STAFF COSTS 31.3.24 31.3.23 Wages and salaries Social security Costs Other pension costs 1,889,900 146,259 39,863 1,690.266 121,452 32,991 2,076,022 1,844,709 Page 18 continued...
ST. HELENS & KNOWSLEY CARtNG ASSOCIATION NOTES TO THE FINANCIAL STATEMENTS- eontinued FOR THE YEAR ENDED 31 MARCH 2024 STAFF COSTS - eontinued The average monthly number of employees during the year was as follows: 31.3.24 31.3.23 Administration Nursing Ancillary 62 18 18 86 88 The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was: 31.3.24 31.3.23 £60,001- £70,000 On occasions it is found necessary to supplement Nursing staff by hiring nurses through an external Agency. During the year under review the costs involved were £73.532 (2023.. £43,855) which is included in Staff Costs. io. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES Unrestricted fund Restricled funds Total funds INCOME AND ENDOWMENTS FROM Donations and legacies ,983 1,983 Charitable 4ctivitie5 Nursing home ,682,416 728,581 2,410,997 Investment income 4,222 4,222 Total ,688,621 728,581 2,417,202 EXPENDITURE ON Charitable aelivill¢$ Nursing home 1,702.690 728,581 2.431.271 Net gainsl(losses) on investments (17,252) (17,252) NET INCOMEI(EXPENDJTURE) (14,069) (17,252) (31,321) RECONCILIATION OF FUNDS Total funds brought forward 255,740 247,988 503.728 TOTAL FUNDS CARRtED FORWARD 241,671 230,736 472,407 Page 19 continued...
T. HELENS & KNOWSLEY CARtNG ASSOCIATION NOTES TO THE FINANCIAL STATEMENTS- continued FOR THE YEAR ENDED 31 MARCH 2024 GA TNS AND LOSSES ON IIWESTMENT ASSETS Gains on investments recogni5ed in the SOFA amounted to £6,558 {2023 loss of £17,252). This balance consists of a realised loss of £3,822 (2023 loss of £9,238) on assets disposed in the year and an increase in the market value of investments totalling £1 0,380 (2023 value fall £8.014). 12. TANGIBLE FIXED ASSETS Fixtures and fittings . Freehold property Plant and machinery Totals COST At l April 2023 Additions 1.153,939 368,378 4.688 12.097 1,534,414 4,688 At 31 March 2024 ,153,939 373.066 12,097 1,539,102 DEPRECIA TION At l April 2023 Charge for year 535,027 23,079 335,793 7,100 870,820 30,179 At 31 March 2024 558,106 342,893 900,999 NET BOOK VALUE At 31 March 2024 595.833 30,173 12,097 638.103 At 31 March 2023 618,912 32,585 12.097 663.594 13. STOCKS 31.3.24 31.3.23 Stocks 2.931 3,313 14. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 31.3.24 31,3.23 Trade debtors Prepayments 63,657 22,519 44,519 17,661 86.176 62,180 Pag¢ 20 continued...
ST. HELENS & KNOWSLEY CARING ASSOCIATION NOTES TO THE FINANCIAL STATEMENTS- eontinued FOR THE YEAR ENDED 31 MARCH 2024 15. CURRENT ASSET INVESTMENTS Market value at l April 2023 Additions at Cost Disposals at markth value Loss on disposals Movement in rash deposit$ Change in market value 171,684 237,019 (220,440) (3,822) (9.441) 10,380 185.380 Market value at 31 March 2024 A detailed summary of the total current asset investments as at 31 March 2024 is as follows: Bonds Equities Cash on deposit 185.380 TOTAL CURRENT ASSET INVESTMENTS 185,380 16. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 31.3.24 31.3.23 Accrued expenses 134,225 128,745 17. CREDITORS. AMOUNTS FALLING DUE AFTER MORE THAN ONE YEAR 31.3.24 31.3.23 Other loans (see note 18) 1,000,000 1,000,000 18. LOAJYS An analysis of the maturity of loans is given below: 31.3.24 31.3.23 AmounLg falling due in more than five year5.. Repayable otherwise than by instalments: Other loans more 5yrs non-inst 1,000,000 1,000,000 Page21 Continued...
LE WSLEY CARIN ASSOCIATI NOTES TO THE FINANCIAL STATEMENTS- continued FOR THE YEAR ENDED 31 MARCH 2024 19. SECURED DEBTS The following secured debts are included within creditors: 31.3.24 31.3.23 Other loans 1,000,000 1,000,000 The mortgage is secured by a legal charge on the freehold property in favour of The NHS Commi55Roning Board, but will not b¢ due unless the Charity Geases to operate or ihe building is sold. 20. MOVEMENT IN FUNDS Net movement in funds At 31.3.24 At 1.4.23 Unrestricted fund$ General fund 241,671 (50,410) 191,261 Restrlcted funds Revaluation fund Patient Amenities 24,443 206,293 6,559 (i) 31,002 206.292 230,736 6.558 237.294 TOTAL FUNDS 472,407 (43,852) 428,555 Net movement in fimds, included in the above are as follows: Incoming resources Resources expended Gains and losses Movement in funds Unrestrieted fund$ General fund 1,876,628 (1,927.038) (50,410) Restricted funds Revaluation fund Patient Ameniti¢s 6,558 6,559 (i) 762,885 (762,886) 762,886 (762,886) 6,558 6.558 TOTAL FUNDS 2,639,514 (2,689,924) 6,558 (43,852) Page 22 ontinu...
ST. HELENS & KNOWSLEY CARIN ASSOCIATI NOTES TO THE FINANCIAL STATEMENTS- tontin R THE YEAR ENDED 31 MARCH 2024 20. MOVEMENT IN FUNDS- CODtinued Comparatives for movement in funds Net movement in funds At 31.3.23 At 1.4.22 Unrestricted funds General fund 255,740 (14,069) 241,671 Restricted ndS Revaluation fund Patient Amenilies 41,695 206,293 (17,252) 24.443 206.293 247,988 (17,252) 230,736 TOTAL FUNDS 503,728 (31,321) 472,407 Comparative net movement in funds. included in the al)ove are as follow$; Incoming resources Resources expended Gains and losses Movement in funds Unrestricted funds General fund 1,688,621 (1,702,690) (14,069) Restrieled funds Revaluation fijnd Paiient Amenitie5 (17,252) (17,252) 728,581 (728,581) 728,581 (728,581) (17,252) (17,252) TOTAL FUNDS 2,417,202 (2,431,271) (17.252) (31,321) A Current year 12 months and prior year 12 months combined position is as follows". Net movement in fimds At 31.3.24 At 1.4.22 Unrestrleted fund$ General fund 255,740 (64,479) 191.261 Restrieted fund$ Revaluation fimd Patient Amenities 41,695 206,293 (10.693) (i) 31.002 206,292 247,988 (10,694) 237294 TOTAL FUNDS 503.728 (75.173) 428,555 Page 23 continued...
ST. HELEN & KNOWSLEY CARING ASSOCIATION NOTES TO THE FINANCIAL STATEMENTS - c R THE YEAR ENDED 31 MARCH 2024 ntinued 20. MOVEMENT IN FUNDS- continued A current year 12 months and prior year 12 months combined net movement in fimds, included in the above ar¢ &s follows: Incoming resources Resources expended Gains and losses Movement in funds Unreslritted funds General fwid 3,565,249 {3,629,728) (64.479) Restritted funds Revaluation fund Patient Amenities (10,694) (10,693) (i) 1,491.466 (1.491,467) 1,491,467 (1,491.467) (10,694) (10,694) TOTAL FUNDS 5,056,716 (5,121,195) (10,694) {75,173) 21. CONTINCENT LIABILITIES Interest and capital on the mortgage with the NHS Commissioning Board will not be due unless the Charity ceases to operate or the building is sold. 22. RELATED PARTY DISCLOSUIiES There were no related party transactions for the year ended 31 March 2024. 23, RECONCILIATION OF NET EXPENDITURE TO NET CASH FLOW FROM OPERATING ACTIVITIES 31.3.24 31.3.23 Net expenditure for the reporting period (as per the Statement of FiDaneial Aetivities) Adjustments for: Depreciation charges (Gainylosses on investrnents Interest received Decrease/(increase) in stocks (Increase)Idecrease in debtors Increasel(decrease) in creditors (43,852) (31,321) 30,178 {6,558) (6,371) 382 (23,996) 5,480 30,781 17,252 (4,222) (500) 99,740 (56,629) Net cash (used In)Iprovlded by operatlons (44,737) 55,101 24. AI¥4ALYSIS OF CHANGES IN NET DEBT At 1.4.23 Cash flow At 31.3.24 Net eash Cash at bank and in hand 700,381 (50,191) 650,190 Page 24 continued...
ST. HELEN & KNOWSLEY ARING A CIATION NOTES TO THE FINANCIAL STATEMENTS- tontlnued FOR THE YEAR ENDED 31 MARCH 2024 24. ANALYSIS OF CHANGES IN NET DEBT - continued 700,381 (50,191) 650,190 Liquid resources Deposits included in cash Current asset investments 171,684 13,696 185.380 171,684 13,696 185,380 Debt Debts falling due after l year (1,000,000) (1,000.000) (1,000,000) (1,000,000) TotAI (127,935) (36,495) (164,430) 25. DEFERRED INCOME Deferred income comprises grant income received in advance relating to services provided during the year ending 31 March 2025. Balance as at l April 2023 Amount released to incoming resources Amount deferred in year Balance as at 31 March 2024 23,043 (23.043) Page 25