COMPANY REGISTRATION NUMBER: N1019253
CHARITY REGISTRATION NUMBER: NIC105012
Extra Care for Elderly People Limited
Company Limited by Guarantee
Financial Statements
31 March 2024
Finegan Gibson Ltd
Chartered accountants & statutory auditor
Causeway Tower
9 James Street South
Belfast
BT2 8DN

Extra Care for Elderly People Limited
Company Limited by Guarantee
Flnancial Statements
Year ended 31 March 2024
Page
Trustees, annual report (incorporating the directorfs report)
Independent auditorfs report to the members
15
Statement of financial activities (including income and
expenditure account)
21
Statement of financial position
22
Statement of cash flows
23
Notes to the financial statements
24

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report)
Year ended 31 March 2024
The Ifustees, who are also the directors for the purwses of company law, present thelr rewrt and the
finanual ststements of the charity for the year ermjed 31 March 2024.
Reference and administrative detalls
R8gistered charity name
Extra Care for Elderly P￿pIe Limited
Charlty reglstratlon number
NIC105012
Company rggistration number N1019253
Principal office and registered 1st FI￿r
office
Unil 11b Fenaghy Road
Galgom
Ballymena
BT42 1HW
The trustees
D Jefftey
JFOY
A Bing (ChairpeTson)
C Craig
T Tumer
J Harbison
(ApFM)inted 24 August 20231
(Reshjned 9 January 20241
Company secretary
Asimpson
Auditor
Finegan Gibson Lid
Chartered accountants & stalutcffy auditor
Causeway Tower
9 James Street Soulh
Belfast
8T2 8DN
Bankers
Danske Bank
PO Box 183
Donegall Square West
Belfast
BT16JS
Solicitors
Worthingtons Solicitors
24-38 Gordon Street
Cathedral Quarter
Belfasl
BT12LG

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Dlrector's Report) (conllnu&l)
Year ended 31 March 2024
Slructure. governan¢e and management
Governlng Document
Extra Care for Elderly People Limited is a company limited by guarantee, govempAI by its
Memorandum and Articles of Assock?tion dated 14th Febnjary 1986. as updated. approved and
adopted on 31 st March 2010. The purtx)se of the charity is set out in the ￿lects contained in the
company's memorandum of association as follows".
lal To relieve older and disabled peopte (including those vtho are IC￿ely) by pyoviding appropriate care
Ibl To provide care seN￿S to enable dependent adults and children to continue to INe at home and
to provide support to famity carers.

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporatlng the Directorfs Report) (conunuedj
Year ended 31 March 2024
Structure, govornance and management (eontinued)
Appolntn￿nt of trustees
Extra Care aims to ensure that a wide range of management, adrninistrdtion. financial, legal, research,
health and social care skills and propety expertise are available on the Board of Directors and in the
event of particular expertise being lost due to retirements, individuals with relevant knowled9e are
approached to be co-opted onto the Board and stand for election at the following AGM.
The Board of Directors are also Charity Trustees for the purposes of Charty law. Under the
requirements of the Memorandurn atKI Articles of Association all Directors. other than the chairperson.
retire al the AGM and have the option to put themselves forivard for re-election. At the AGM, the
following directors and comrnittee chaits We￿ elected:
1. Dame Joan Harbison (Chairperson)
2. Andrew Bing (Vice Chairperson)
3. Chris Craig
4. Julie Foy
5. Tim Tumer
Mr D Jeffrey was co-opted to the board on 24th August 2023.
In April 2024 the Chairperson passed away and the Vice Chair took ￿ the role as Chair which was
supported by the other Trustses.
Board & Committees
In 2022. in response to the pressures generated by ongoirrfJ Covid19 pandemic and the smaller board
of Trustees, the charity suspended its normal sub-committee structure during the year. Instead, it
opted for increasing the frequency of full board meetings with an allernating focus on areas usually
addressed by the sub-cornrnittees. This allowed the full board to have greater oversight of the key
issues previously raised within the sub-committees. Specifically, the worf( of the Qualty Assurance
Committee was subsumed into both the board and the monthly Reg 23 meetings.
The Board met on the following dates in the year.
20th April 2023
15th June 2023
24th August 2023
19th October 2023
14th December 2023
15th February 2024
Meetings were a hybrid of in-person and virtual attendance vla Microsoft Teams.
The board also established a committee to deal viith the review of the MonthW Qualty Monitoring
Report {Reg231 under the chairmanship of Andrew Bing. The committee met prior to each Board
Meeting to review these Retx)rts.

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report) fcontlnuedj
Year ended 31 March 2024
Structure, govemance and management (eontsnued)
Members of the Company
The following irmjivlduals are members of the Chartty as at the date of this report:
1. Andrew Bing (Chairperson)
2. Chris Crag
3. Julie Foy
4. David Jeffrey (Appointed 24th August 2023)
5. Tim Tumer
Trustee induction and trainlng
New trustees are recruited using an OFEn recruitment pro￿5S. Vacancies are advertised across social
media and through relevant umbrella bodies and membership organisations.
Applicants are then short-listed before being interviewed by a panel induding current trustees and the
Managing DireL#or.
Newly appointed trustees have Meetings with the chairperson. Managing Director and senior
management team and are provided with detailed information relatiro to the organisation. its stratsgic
plan, annual operational plan, annual budgeL poli￿eS and prccedures.
Each new trustee is provided with a New Trustses IrKluction Handbook during the induction process.
Some Trustees attended staff meetings and accompanied care workers as they visited seNice users.
Arrangements for setting pay and remuneration of key management personnel
In the absence of the Finance Committee, the senior management team provided the board wtth
recommendations to set pay and remuneration to key management personnel. office staff and to care
staff as part of the annual bLKlgeting cycle using any benchmarks. parameters or criteria they feel are
appropriate to reward and motivate while showing restraint and delivering on the tharitable goals of
the organisation.
Organisation
At the date of this report. there are FIVE Twstees on the board. The directors are also the Charity
Trustees and come from a wtde range of backgrounds and professional and working experience Ihal
are relevanl to the work of the Charity arKI the board'5 role in overseeing this work and setting
dlrection.
The day-to4ay responsibility for leading the organiSat￿n,$ w(￿k and delivering on its strategy rests
with the senior management team comprising of"
Managing Director
Director of Finance and Facilities

Extra Care for Elderly People Limited
Company Llmltcd by Guarantee
Trustees. Annual Report (Incorporating the Directorfs Report) (¢ont1R￿dj
Year ended 31 March 2024
Structure, governance and management (continued)
Related parties
Extra Care is operating for the public benefit and the Trustees are acting in the interests of their
Charity and not for private benefit. Related party transactions involving Trustees or slaff are
considered incidenlal as it would have been applied for through the NHS and assigned in the same
way as all other beneficiaries. All Trustse5 are requir￿￿ to declare any conflict of interest at the
beginning of each meeting.
Risk management
A risk managem8nt structure identrfies and scores the significant risks to the delivery of the objectives
of the Charity along a matrix of likelihood and impact. The risk matrix is used as the risk register for
the organisation and is rewewed on a quartedy basis to detect and report any movement in risk as a
result of intemal perfomiance or extemal events. An organisational risk register is in place and
available as a shared online resource to the entire board of Trustees. Throughout Ihe year the
register updates are delegated to Ihe appropriate member of the Senior Leadership Team and
updates approved at a full board meeting.
Gtven the size of the compary and the relatively small head Offi￿ function. an intemal audit function is
not considered necessary. Any risk posed by the absence of an intemal audit fvndion is balanced by
the oversight provided by the Trustees and the annual extemal audit.
Objectives and activities
Extra Care continues to posttion itself in a signrficant portion of the care at home market in Northern
Ireland working in four trust areas and providing a countrywide assisted peritoneal dialysis setvice
(APD}. As the longest established care at home charity and ￿lebrating its 90th anniversary in 2025.
Exlra Care's history is unique, the charity strives to ensure that it will continue to play a significant
role in in the future.
Over 608 people have been able to continue to Itve at home alone or alongsKle their families b￿ause
of Extra Care's support. The age of people supported ranges from adults of 30 years old to over 100
years old. The organisation employs over 160 care workers rximarity on substantive ensuring that they
can have the work-life balance that those they for choose.

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report) (conllnuedj
Year ended 31 March 2024
Objectives and actlvftles (contlnuedj
Princlpal Actlvity
The principal activty of the company during the year is the provision of care for people of all ages in
their own homes and providing support for their carers. The core services provided by Extra Care
across Northem Ireland generally fall into the following ¢￿teg￿les. _
Domiciliary Supp¢Jrt - designed to assist very highly dependent people either to remain in their
own homes or to return home from hospital or residential care. Care is provided by care workers
on a regular basis to help the service user with personal care tssks.
Waking Night Help Services and Mobile Night sery1￿S - desigrEd to respond to the neeits of
service users through the ovemight FerK)d.
APD is an innovattve option for treatrnent of patients with end-stage renal failure in their homes.
This therapy involves patEnts being treat￿ with APD in their homes. with daily attendance of a
health care assistant to perfonn a large part of the dialysis-relaled work.

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report) (contlnu
Year ended 31 March 2024
Achievernents and perforniance
This year Extra Care delivered over 175.000 hours of care across the 5 Trust areas.
Service Users by Type of Care Provided
APD
Dementia Team
Elderly Team
Learning Disability Team • Mental Health Team
Physical Diiability Team

Extra Care for Elderly People Limited
Company Llmited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report) {￿ntIn￿odj
Year ended 31 March 2024
Achievements and performance feonlinuÈd)
Hours Delivered by Commissioning Body
5.53
0.37 /•
6.250/.
Private Clients _ 0.09 %

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees, Annual Report (Incorporating the Directorfs Report) [￿RI1￿U0dJ
Year ended 31 March 2024
Achlevements and perforniance (continued)
Hours Delivered by Geographic Area
APD
Antrim
Ballyclare
Ballymena
Belfast
Carrick
Cookstown
Larne
Magherafelt
Newry
Newtownabbey • Whitehead

Extra Care for Elderly People Limited
Company Llmltod by Guarant••
Trustees. Annual Report (Incorporating the Directorfs Report) (¢ontlnu¢rfJ
Year ended 31 March 2024
Achievements and performance (conllnuedj
Care
delivered to
608 service
users
Over 750,000
miles travelled
by care
workers
Extra Care
iii
Over 225
people
employed
175,000 hours of
care provided
10

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees, Annual Report (Incorporating the Directorfs Report) (conllnu¢dJ
Year ended 31 March 2024
Financial review
The 2023124 year continued to be very challerong for Ihe charity. The abilty to delNer care is wholly
dependent on the ability to provide sufficient slaff to deliver those care hours and the company
continued to struggle to recrutt staff in large enough number5 to grow the business. As a result. the
hours declined during the year.
In response to the declining income stream and increasing cash flow tKessures. the charty went
through a major re-structuring process in the Autumn of 2022 and has c(￿tinUed to re-structure as the
opportunity has arisen. The new structure and reduced operating costs will place the charity in a more
secure position in future years. Cashflow projections show a marginally positive result but are
conditional on an increase in the regional rate offered by health trusts that is in excess of the statlrtory
increase in wages arising from the National Minimum Wage and the thanges in National Insurance.
In 2023124 the Charity earned ir￿orne of £3,276.460 (2023: £3,820.472) from its charitable activities,
the largest source of which was the Northem Health and Soo81 Care Trust. In June 2018 the Charity
acquired Lucas Exchange11. an inveslment property located adjacent to the head office in Antrim. The
income from rentals in the year was £89,444 (2023: £189,922). A further £272 was eamed from
investrnents.
The charity also received donations of £751 (2023". 165.641) bringing the total income for the year to
£3.366,92712023: £4.177.401).
Expendf(ure on charitable activibes amounted to £3,666.257 (2023: £4.367.581).
A tolal of £93.48612023.' £58.709) was paid out in interest on an overdraft converted from a propety
loan during the year, the Original purpose of which wa5 the purchase of an investment property.
Before unrealised lo&ses on investments. the charity made a net deficti of £299.330.
The charity inCur￿d an a¢tuwial loss on the Northem Ireland Chartbes Pension Scheme amounting to
£94,832 (2023: £3,905 gain).
In the prior year Ihe chartty listed the property for sale on the open market with a view to Using the
proceeds to setue the overdraft secured upon it.
The value of the propety has subsequently revrevalued in the accounts to refleci the sale price agreed
of £1.43m, giving rise to an unrealised loss on revaluation of £70.000 (2023: £300.000). The sale
completed post year end on 19th April 2024.
After the revaluation. the net movement in funds for the year is a deficit of£464,162 (2023.. £493,716).
The deficit brings the Chartws total unrestricted reserves to a net liability Postknon of £160,003 {2023:
£797,875 surplus) of which £1,484,1C6 is represented by fixed assets including £1,430,000 12023..
£1,500,000) of investment property.
11

Extra Care for Elderly People Limited
Company Llmltod by Guarantaa
Trustees. Annual Report (Incorporating the Director's Report) (conlinu•d)
Year ended 31 March 2024
Flnancial revlew (¢ortbnued)
Investmentpowers and policy
Under the Mernorandum and Articles of Asscciation. Extra Care has the power to invest in any way
the Trustees wish. A specific investment policy is in place. The overall objectives of the investment
policy are to enable the Charity to carry out its purposes consistently year by year with due and proper
consideration for future needs and the maintenance of, and rf possible, enhancement of the value of
the invested funds while they are retained. Both capi￿1 and incc*me may be used at any lime for the
furtherance of the Chariws aims.
ReseThes policy
The reserves policy wll manage the level of unrestricted reserves in line with the requirements of
Extra Care and best practice within the sector and is proportional to the scale and complexity of the
organisation's affairs. This reserves policy states the purpose of holding the reserves and provides the
public and existing and potential funders wrth a clear explanatL)n of the reserves held. A new reserves
policy was adopted by the Trustees in early 2019.
Cash reserves are needed to bridge the timing gap beiween spending and receiving of income and to
cover unplanned temporary shortfalls in income should they arise. Holding adequate reseNes
safeguards th8 provision of c)ur services in the event of unexpeded signfficarrt financial pressures.
The Trustees consider that the ideal level of cash reseNes would be three months, expenditure. For
the year ended 31 March 2024 the figure would be £917k.
On 31st March 2024 the Charitys balance sheet shows net liabilities of £160.003. This ￿cludeS
tangible fixed assets of £54,106 and an inveslment rxoperty of £1.430,000. It also includes an
overdraft of £1.95Tn wtthin ShOrt-te￿ credttors which wll be repaid on completion of the sale of the
investment propety, the circufflstances of which are set out in greater detail within note 28 of the
accounts.
This falls short of the Trustee5' target reserves and in response, actions are being tsken to address
the reduced liquidity of the charity including a sale of its investment propety. Greater detsil of the
Trustees, assessment of going concem is contained within note 28 of the accounts.
12

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report) (contlnuedj
Year ended 31 March 2024
Plans for future periods
2023124 continued to be a period of extreme pressure bwthin the Health and Social Care rna￿et and
has been exacerbated by the impact of the global pandemic. Pre*xisting financial pressures from
National Living Wage, pension auto-enrolment and travel time continued lo mount on all providers and
pressure on commissioners from continuing ￿ntral and national govemment decreases in real terms
funding shows no svjn of lessening.
The social care sector has particularly suffered frorn a lack of staff since the pandemic. Since March
2020 at the beginning of the pandemic. the number of care workers employed within the Charity has
fallen by over 35% from 233 Care Workers to 144. making it difficult for the charity to continue to
deliver care at the same level as before. The impact has been a drop in the hours delivered from
5,500 to 3,300. This reduction in hours has had a significant impact on the Charty's financial results
and cash flow and the charity has. on occasions. needed the suppcrt of tts bank in the form of a
short-tem overdraft facility.
In response to the declining income Stream and increasing cash flow pr8S5ures, the Charity went
through a re-structuring process aThJ fvrther Signifi￿nt measures were laken in the post balan￿ sheet
period and the charity continues to seek to reduce its operating costs to place the Charity in a more
secure position in fuiure years.
Trustees. responsibilities statement
The trustees, who are also directors for the purposes of company law, are responsib￿ for preparing
the trustees, report and the financial statements in accordance with applicable law and United
Kingdom Accounting Standards (United Kingdom GeneralEy AC￿pted Accounting Practice).
Company law requires th8 charity trustees to prepare financial statements for each year which gtve a
true and fair view of the state of affairs of the charitable company and the incoming resources and
application of resources. including the income and expenditure. for that period.
In preparing these financial statements, the trustees are required to:
select sulta￿e accounting wI￿leS and then apply them consistently,
observe the methods and prirKiples in the applicable Charities SORP:
make judgments and accounting estimates Ihat are reasonable and prudent:
prepare the financial statements on the going C￿nCern basis unless it is inappropriate to presume
that the charity will continue in business.
The t￿Stee5 are responsible for keeping adequate accountiThJ records that a￿ sufficient to show and
explain the charity's transactions and disclose with reasonable accuracy at any time the financial
position of the charity and enable them to ensure that the financial statements comply with the
Companies Act 2006. They are 8Sso responsible for safeguarding the assets of the charity and hence
for taking reasonable steps for the prevention and detection of fraud arKI other irregularities.
13

Extra Care for Elderly People Limited
Company Limited by Guarantee
Trustees. Annual Report (Incorporating the Director's Report) [￿All￿1u8dj
Year ended 31 March 2024
Audltor
Eath of the persons who is a bustee at the date of approval of this report confims that:
so far as they are aware. there ￿ no relevant audit information of whlch the charitys auditor is
unaware,. and
they have laken all steps that they ought lo have tsken as a trustee to make themselve5 aware of
any relevant audit infomiation and to establish that the charitys auditor is aware of that
information.
Small company provisions
This report has been prepared in accordance with the provisions applicable to companies entitled to
the small companies exemption.
The trustees, annual report was approved on 14 January 2025 arnl signed on behalf of the board of
trustees by..
ABing(
Trustee
airperson)
14