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Annual Review 2011/12 - Royal Masonic Benevolent Institution

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The RMBI –<br />

a mark of<br />

distinction<br />

ANNUAL REVIEW <strong>2011</strong>–20<strong>12</strong><br />

Caring for older Freemasons and their dependants for over 160 years


RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


INTRODUCTION | 3<br />

The RMBI seeks to offer high quality care, support and<br />

assistance to older Freemasons and their dependants.<br />

We are committed to ensuring that the individual’s right to<br />

dignity, respect, choice and control over their own lives is<br />

upheld and maintained.<br />

Contents<br />

Introduction 3<br />

Making life better for<br />

our residents 5<br />

A Charity we can be proud of 6<br />

Higher standards of care 9<br />

Improving and tailoring our<br />

services 10<br />

Committed to improving<br />

end-of-life care 13<br />

Aiming for exceptional<br />

standards in person-centred care 14<br />

Our locations 17<br />

Staff development – the key<br />

to improving our services 19<br />

Creating a positive living<br />

environment 20<br />

Introduction<br />

The RMBI offers person-centred care and support to older people living<br />

in our Homes and in the community.<br />

We have 17 Homes throughout England and Wales with over<br />

1,000 residents.<br />

Our Care Advice Team makes over 1,900 visits a year to Freemasons<br />

or their dependants in their own homes, providing advice and support,<br />

to help them continue to live independently and have a good quality<br />

of life.<br />

In this <strong>Annual</strong> <strong>Review</strong> we explain how we have improved our services in<br />

<strong>2011</strong>-<strong>12</strong>, ensuring that they meet not only our internal and regulatory<br />

quality standards but also certain other external standards and accreditation.<br />

We have forged ahead with more staff training in dementia care and endof-life<br />

care, continued with our ambitious programme of re-building and<br />

refurbishing our Homes, and introduced new software systems to reduce<br />

paperwork and free up more staff time. All these developments are<br />

helping to improve the quality of life of the people living in RMBI<br />

Homes, while ensuring that we work as efficiently and cost-effectively<br />

as possible.<br />

Excellent financial results in a<br />

difficult financial environment 22<br />

Help support us 24<br />

RMBI Festivals 25<br />

Securing our future 26<br />

Our Governing Body 27<br />

“<br />

I feel that I’m free to do what<br />

I want to do.”<br />

A resident at Albert Edward Prince of Wales Court, Mid Glamorgan


RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


MESSAGE FROM THE PRESIDENT | 5<br />

Making life better<br />

for our residents<br />

Message from the President<br />

Willie E Shackell, CBE<br />

Once again it is pleasing to report a successful year for the RMBI, with further improvements<br />

to the standard of our accommodation, consolidation in staff training on dementia and<br />

end-of-life care, the piloting of new IT systems for managing residents’ care plans and for<br />

staff management, and a record year for legacy donations. These are all part of our plans<br />

for making life better for our residents and reducing bureaucracy for our staff.<br />

We are now four years into our<br />

five-year plan for upgrading the<br />

Homes and improving fire safety –<br />

a plan that will have cost over £30<br />

million, but one that will put us in<br />

the forefront of care home provision.<br />

By the end of 20<strong>12</strong> the rebuilding of<br />

James Terry Court in Croydon will be<br />

complete and with it we will have 13<br />

flats available for independent living.<br />

We very much hope that Masons<br />

and their dependants will wish to<br />

occupy them as their new home.<br />

Our staff continue to show great<br />

loyalty and commitment to the RMBI<br />

and to the residents. They have<br />

borne the brunt of the upheaval<br />

caused during the modernisation<br />

programme, have embraced the<br />

opportunity for training in dementia<br />

and end-of-life care, and are<br />

adapting well to the new IT systems.<br />

We are most grateful to them all.<br />

The Association of Friends groups<br />

at each of our Homes continue to<br />

enhance the lives of our residents<br />

with many imaginative projects and<br />

ideas. They are an essential element<br />

of the RMBI family and show the<br />

caring side of Freemasonry at<br />

its best.<br />

The central Friends of the RMBI,<br />

through its Honour Roll and <strong>Annual</strong><br />

Ball, regularly provides over £35,000<br />

a year to fund the RMBI holidays<br />

for Annuitants. Our thanks are due<br />

to VWBro Brian de Neut who has<br />

chaired the Association with such<br />

skill for the last three years and is<br />

continuing for a further year.<br />

Donations have held up well this<br />

year with legacies of over £4 million.<br />

Such gifts are so important to<br />

the RMBI and your support in the<br />

future would be much appreciated.<br />

Our annual Festival was another<br />

resounding success this year with<br />

Leicestershire and Rutland achieving<br />

the magnificent total of over<br />

£1.7 million.<br />

Finally, a word of thanks to the<br />

Trustees who have the responsibility<br />

for the future of the RMBI. Their<br />

commitment, insight, knowledge,<br />

advice and experience in their<br />

various fields of expertise are<br />

vital to our work.<br />

Sincere thanks to you all for your<br />

support and generosity.<br />

“<br />

I feel as though<br />

everyone is a<br />

friend.”<br />

A resident at Barford Court, Hove<br />

“<br />

The staff are all<br />

polite and friendly<br />

and help in any<br />

way.”<br />

A resident at Prince George Duke of<br />

Kent Court, Kent


A Charity we<br />

can be proud of<br />

Message from the Chairman<br />

James Newman<br />

The last year has, as ever, been a busy one for the Board of Trustees and all its sub-committees.<br />

The Trustees considered a number of new initiatives as well as ensuring that the finances, care<br />

facilities and services provided by the Charity were robust, compliant and up-to-date.<br />

The Committees of the Board – Care,<br />

Investment, Property, and Audit<br />

and Risk – have all contributed to<br />

the development of policies and<br />

implementation programmes, which<br />

the Trustees have supported. These<br />

have helped to ensure that the care<br />

services we provide are the best we<br />

can make them for all our residents<br />

and their relatives.<br />

The Trustees also approved a number<br />

of measures to improve efficiency<br />

in the Homes. A new computerised<br />

staff-rostering system was<br />

successfully introduced (see page 19).<br />

The Trustees have also been keen<br />

to take advantage of better business<br />

and IT systems now available, and<br />

have recently approved a trial of<br />

a system for computerising all<br />

care records in the Homes<br />

(see page 10).<br />

As well as all these initiatives, the<br />

Trustees have approved a Corporate<br />

Plan for 20<strong>12</strong>-13 which ties into<br />

the financial budget and provides<br />

the Trustees with a more robust<br />

mechanism to monitor progress with<br />

the Executive Directors, for more<br />

information see page 26.<br />

The Nominations Committee held<br />

interviews for new Trustees during<br />

the year and I am delighted to<br />

welcome Sir Paul Williams as a<br />

Co-Opted Trustee. I also welcome<br />

Frank Nichol and Ian Newby, who<br />

have joined our Care Committee,<br />

and David Southern who has joined<br />

the Property Committee. All will be<br />

co-opted as Trustees at the AGM<br />

in October. And I welcome Adrian<br />

Webster to the Property Committee,<br />

Keith Knowles to the newly formed<br />

Fundraising Committee, and Simon<br />

White to the Investment Committee.<br />

Sadly, David Seal, who has been<br />

a member of the Investment<br />

Committee for many years, has<br />

decided to retire and I would like to<br />

thank him for all his wise counsel and<br />

astute advice to the Committee.<br />

Our Executive Team, under the able<br />

leadership of David Innes, continues<br />

to deliver a Charity of which we can<br />

all be proud.<br />

Finally, can I thank my fellow Trustees<br />

for all their support and commitment<br />

and especially the President and<br />

Deputy President for ensuring that<br />

our <strong>Masonic</strong> connections continue<br />

to be strong.<br />

“I receive more care than would be<br />

available were I at home. There are<br />

plenty of activities available if I want<br />

to go to them and I enjoy meeting<br />

new people.”<br />

A resident at Queen Elizabeth Court, Llandudno<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


MESSAGE FROM THE CHAIRMAN | 7


RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


CHIEF EXECUTIVE'S REPORT | 9<br />

Higher<br />

standards of care<br />

Chief Executive's report<br />

David Innes<br />

Operationally, the RMBI has had an excellent year during which the overall standard of<br />

care has risen, satisfaction levels have increased and several efficiency measures have been<br />

introduced to keep expenditure under control.<br />

The staff in our Homes have<br />

worked extremely hard to ensure<br />

that we provide the highest possible<br />

standards of person-centred care<br />

and are fully compliant with the<br />

new regulatory framework and best<br />

practice within the sector. In addition,<br />

30 members of staff, including many<br />

Home Managers and their Deputies,<br />

have been undertaking a year-long<br />

Diploma in Person Centred Dementia<br />

Care which will enable us to provide<br />

even more support to the increasingly<br />

large number of residents with a<br />

dementia. Once again, I would like<br />

to acknowledge the commitment<br />

and dedication of all our staff and<br />

volunteers, without whom the RMBI<br />

would not be what it is today.<br />

During the course of the year, Phase<br />

1 of our new Home in the grounds<br />

of James Terry Court in Croydon was<br />

opened (with 48 beds), and Phase 2<br />

(with 28 beds) is scheduled to open<br />

in early 2013. Major refurbishment<br />

works have also been completed<br />

at Connaught Court in York and The<br />

Tithebarn in Liverpool, while similar<br />

projects continue at Prince George<br />

Duke of Kent Court in Kent, and<br />

Shannon Court in Surrey. I am acutely<br />

conscious that the majority of our<br />

residents and staff have had to endure<br />

considerable disruption over the last<br />

few years. However, I know that it<br />

has been worthwhile as our Homes<br />

are much improved in terms of both<br />

facilities and fire safety.<br />

At a national level, there appears to<br />

be little political will to tackle the very<br />

significant funding crisis in the care<br />

sector, and the future of primary care<br />

trusts and GP commissioning is far<br />

from clear. Also, our main regulatory<br />

body, the Care Quality Commission<br />

(CQC), has not been particularly<br />

effective as the regulator and there<br />

have been further very disturbing<br />

revelations, by the BBC’s Panorama<br />

programme, about the CQC’s ability<br />

to monitor services appropriately.<br />

Against this backdrop, the RMBI<br />

has continued to contribute to the<br />

debate on all these issues through<br />

the National Care Forum. We have<br />

also taken part in a number of<br />

seminars and trials to help develop<br />

best practice. Our involvement has<br />

helped to enhance our status as a<br />

leading provider in the sector.<br />

Away from the Homes, we have<br />

expanded our Care Advice Team to<br />

eight members which will enable<br />

them to provide advice and guidance<br />

to even more Masons and their<br />

dependants. The team increasingly<br />

works on behalf of all four Central<br />

<strong>Masonic</strong> Charities and is closely<br />

involved with the Freemasonry<br />

Cares initiative.<br />

Our sheltered housing complexes at<br />

Harewood Court in Hove and Robert<br />

Eliot Court in Cornwall continue to<br />

flourish, and Harry Priestley House<br />

in Doncaster, our home for adults<br />

with learning disabilities, has been<br />

recognised as a centre of excellence.<br />

Looking ahead to 20<strong>12</strong>-13, the<br />

global financial situation continues<br />

to be uncertain, the needs of our<br />

residents will undoubtedly increase,<br />

and maintaining occupancy levels at<br />

our Homes will be very challenging.<br />

However, with the support of our<br />

wonderful Associations of Friends and<br />

the wider <strong>Masonic</strong> community, I see<br />

no reason why the RMBI should not<br />

have another very successful year.<br />

“<br />

What I enjoy most<br />

about living here<br />

is the company,<br />

and the feeling<br />

of security and<br />

safety.”<br />

A resident at Connaught Court, York


Improving and<br />

tailoring our services<br />

In <strong>2011</strong>-<strong>12</strong> our focus was on offering the best possible service to residents with an increasingly<br />

wide range of care needs, while ensuring we were as efficient and cost-effective as possible.<br />

During the year we introduced a<br />

support role for two Care Services<br />

Facilitators. They are helping us to<br />

implement our care strategy, which<br />

focuses on meeting people’s individual<br />

needs, wants and wishes, and to offer<br />

more appropriate care to people with<br />

a dementia and those residents who<br />

need end-of-life care. As a result,<br />

our Homes are able to offer a more<br />

flexible service, and more residents are<br />

able to stay with us even when their<br />

needs become more complex.<br />

We have continued to introduce<br />

cost-effectiveness measures across<br />

our Homes, where possible without<br />

impacting on the quality of the service<br />

we offer. <strong>Review</strong>s of the range of<br />

services we offer – including how<br />

these are delivered, and how much<br />

we charge for the different levels<br />

of care – have been carried out at a<br />

number of our Homes. Our Homes<br />

vary greatly in size, design and layout.<br />

During <strong>2011</strong>-<strong>12</strong> we made more places<br />

available for residents with a dementia<br />

at Barford Court in Hove and Albert<br />

Edward Prince of Wales Court in Mid<br />

Glamorgan, and we introduced a<br />

service for residents with a dementia<br />

at our newly rebuilt James Terry Court<br />

in Croydon. We have also made plans<br />

to change the range of care services<br />

provided at a number of our smaller<br />

Homes, for implementation during<br />

20<strong>12</strong>-13. These include plans to<br />

introduce a specialist dementia service<br />

at The Tithebarn in Liverpool, increase<br />

the number of places at Ecclesholme<br />

in Manchester, and make more<br />

places available for residents with a<br />

dementia at Queen Elizabeth Court in<br />

Llandudno.<br />

Underpinning all of this was the need<br />

to ensure we were compliant with all<br />

the relevant legislation we operate<br />

under. The pattern of inspections<br />

offered by our main regulatory body,<br />

the Care Quality Commission (CQC),<br />

has been variable and sporadic. For<br />

more on how we have dealt with this,<br />

see page 14.<br />

Working closely with Provincial and<br />

Lodge Almoners, our Care Advice<br />

Team continues to offer much-needed<br />

support and advice to those members<br />

of the <strong>Masonic</strong> community who need<br />

some assistance but are not ready to<br />

go into a care home. The team has<br />

now been strengthened with the<br />

creation of an additional 2.5 posts.<br />

During <strong>2011</strong>-<strong>12</strong> we carefully analysed<br />

how we could streamline our paperbased<br />

residents’ care plans (the<br />

records of their care needs). We have<br />

identified a care-specific software<br />

system which we are confident will<br />

greatly help us with this, and will be<br />

running a pilot scheme in three of<br />

our Homes during 20<strong>12</strong>-13 to test<br />

this system in action. Ultimately it is<br />

envisaged that our staff will be freed<br />

up from spending lots of time on<br />

completing paperwork – time that<br />

can be spent with residents, which is<br />

where we want them to be.<br />

“The staff are very<br />

helpful and kind to<br />

me and I love them.”<br />

A resident at Prince Edward Duke of<br />

Kent Court, Essex<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


IMPROVING AND TAILORING OUR SERVICES | 11


RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


IMPROVING END-OF-LIFE CARE | 13<br />

Committed<br />

to improving<br />

end-of-life care<br />

Living through the later stages of life is a sensitive and emotional journey – not only for<br />

the person who is at the end of their life, but also for their family. This is why the RMBI is<br />

committed to doing all we can to improve the quality of the end-of-life care offered in our<br />

Homes, to ensure that our staff offer care which respects residents’ individuality and maintains<br />

their dignity.<br />

“<br />

In <strong>2011</strong>-<strong>12</strong>, staff at a number of our<br />

Homes began accredited training on<br />

end-of-life care. Some have obtained<br />

accreditation from the Gold Standards<br />

Framework (a national standard of<br />

care for people nearing the end of<br />

their life), and some have embarked<br />

on other equally prestigious accredited<br />

schemes.<br />

Every person has different needs,<br />

but some worries are common to<br />

most people at the end of their life.<br />

Concerns include fear of abandonment<br />

and fear of being a burden. People at<br />

the end of their life also have concerns<br />

about loss of dignity and loss of<br />

control.<br />

The period at the end of life is<br />

different for each person. The signs<br />

and symptoms people have will vary<br />

as their illness or condition continues,<br />

and each person has unique needs<br />

for information and support. Through<br />

enhanced training and support we<br />

are able to make sure that a person’s<br />

care continues, with the emphasis on<br />

improving their quality of life and that<br />

of their loved ones, and on making the<br />

person comfortable.<br />

The RMBI places a great emphasis on<br />

ensuring that staff are appropriately<br />

trained and equipped to deliver care<br />

that is sensitive to meeting the needs<br />

of the individual and of their family.<br />

Staff are supported to ensure they have<br />

the confidence and know-how to help<br />

residents and their families with the<br />

medical, psychological, social, spiritual<br />

and emotional issues around dying.<br />

Communication about end-of-life<br />

care and decision-making during the<br />

final months of a person’s life is also<br />

important. Research has shown that,<br />

if a person is able to discuss his or her<br />

options for care early on, that person’s<br />

level of stress decreases and their ability<br />

to cope increases. Studies also show<br />

that people prefer an open and honest<br />

discussion about choices for end of life<br />

early on and are more satisfied when<br />

they have this conversation.<br />

Using the good practice methodology<br />

gained through their training, RMBI<br />

staff are enabled to support families<br />

and confidently address any questions<br />

and concerns that family members may<br />

have about the end-of-life care of their<br />

loved one.<br />

The care and<br />

support my mum<br />

and our family have<br />

received at the<br />

Home have been<br />

outstanding and<br />

the true meaning of<br />

humanity, dignity<br />

and compassion<br />

is completely<br />

understood and part<br />

of the being of all<br />

staff there, especially<br />

her carers in these<br />

past few difficult<br />

weeks. Words cannot<br />

possibly express our<br />

heartfelt thanks and<br />

gratitude.”<br />

A relative of a resident at<br />

Prince Michael of Kent Court, Watford


Aiming for<br />

exceptional standards<br />

in person-centred care<br />

Achieving Dementia Care Matters<br />

‘Butterfly Service’ status<br />

The RMBI is committed to making its dementia care service<br />

exceptional, and our substantial investment in dementia care<br />

training for staff over the last three years is now benefiting<br />

the ever-increasing number of people with the condition<br />

who are living in our Homes.<br />

We have been working closely with Dementia Care Matters since 2009, and<br />

with a number of other specialist dementia providers, to deliver our dementia<br />

care training. Dementia Care Matters works with care providers with the aim<br />

of improving the quality of the lived experience for people living in care homes<br />

– not only for those residents living with a dementia, but also for the other<br />

residents living in the same home.<br />

The Butterfly Service status is a nationally recognised kitemark, awarded<br />

by Dementia Care Matters, to identify dementia care homes that are<br />

committed to achieving good quality of life for people living in care homes.<br />

Unannounced visits by trained impartial auditors provide evidence of whether<br />

a care home providing dementia care focuses on the real everyday lived<br />

experience of people in lounges and dining rooms, rather than on policies,<br />

procedures and systems. The audits are carried out using a qualitative<br />

observational tool. Homes that meet level 3 or above achieve the Butterfly<br />

Service status, which means that the Home is demonstrating exceptional<br />

person-centred dementia care.<br />

Geoffrey Dicker House, the dementia support unit at Cornwallis Court in<br />

Suffolk, obtained its Bufferfly Service status in April <strong>2011</strong> and, following a<br />

recent annual audit, their kitemark has been renewed until 31 March 2013.<br />

Prince Edward Duke of Kent Court in Essex was also recently awarded<br />

Butterfly status, in July 20<strong>12</strong>. Over the coming years all RMBI Homes with<br />

a specialist dementia support unit will work towards obtaining the award<br />

and a further five of our Homes are due to be audited between July and<br />

September 20<strong>12</strong>.<br />

Debra Keeling, RMBI’s Deputy Director of Care said, “We have seen excellent<br />

outcomes for the residents from the holistic approach that the Dementia Care<br />

Matters model uses and we look forward to achieving even better results<br />

going forward.”<br />

Quality matters<br />

The pattern of inspections<br />

offered by our main<br />

regulatory body the Care<br />

Quality Commission (CQC)<br />

has been variable and<br />

sporadic. It has therefore<br />

been crucial for the RMBI<br />

to develop its own internal<br />

mechanisms to check and<br />

validate our Homes.<br />

Our new role of Internal Quality and<br />

Compliance Auditor has greatly helped<br />

with this work. All RMBI Homes in<br />

England have been assessed against the<br />

CQC’s 16 essential standards of quality<br />

and safety to establish a baseline of<br />

compliance and to identify areas where<br />

we need to improve. A similar approach<br />

is used for our Homes in Wales.<br />

Various quality measures have also<br />

been introduced, including a rolling<br />

programme of audits, observations and<br />

measurements against quality standards.<br />

This will help to make sure that RMBI<br />

Homes continue to maintain high<br />

standards in the delivery of care,<br />

both now and in the future.<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


AIMING FOR EXCEPTIONAL STANDARDS | 15


14<br />

4<br />

13<br />

16<br />

7<br />

6<br />

5<br />

10<br />

1<br />

3<br />

17<br />

9<br />

15<br />

<strong>12</strong><br />

8<br />

2<br />

11<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


Our locations | 17<br />

Our locations<br />

1<br />

Albert Edward Prince of<br />

Wales Court, Mid Glamorgan<br />

Tel: 01656 785311<br />

Email: albertedward@rmbi.org.uk<br />

9 17<br />

Lord Harris Court,<br />

Zetland Court,<br />

Berkshire<br />

Bournemouth<br />

Tel: 01189 787496<br />

Tel: 0<strong>12</strong>02 769169<br />

Email: lordharris@rmbi.org.uk<br />

Email: zetland@rmbi.org.uk<br />

2<br />

Barford Court,<br />

Hove<br />

Tel: 0<strong>12</strong>73 777736<br />

Email: barford@rmbi.org.uk<br />

3<br />

Cadogan Court,<br />

Exeter<br />

Tel: 01392 251436<br />

Email: cadogancourt@rmbi.org.uk<br />

4<br />

Connaught Court,<br />

York<br />

Tel: 01904 626238<br />

Email: connaught@rmbi.org.uk<br />

10<br />

Prince Edward Duke of Kent<br />

Court, Essex<br />

Tel: 01376 345534<br />

Email: stistedhall@rmbi.org.uk<br />

11<br />

Prince George Duke of Kent<br />

Court, Kent<br />

Tel: 020 8467 0081<br />

Email: pgdokcourt@rmbi.org.uk<br />

<strong>12</strong><br />

Prince Michael of Kent Court,<br />

Watford<br />

Tel: 01923 234780<br />

Email: princemichael@rmbi.org.uk<br />

Harewood Court, Hove<br />

Tel: 0<strong>12</strong>73 739515<br />

Harewood Court has sheltered<br />

apartments for sale. To find out<br />

more, please contact our selling<br />

agents, Parsons Son & Basley,<br />

on 0<strong>12</strong>73 326171.<br />

Harry Priestley House,<br />

Doncaster<br />

Tel: 01405 814777<br />

Managed on behalf of <strong>Masonic</strong> Care<br />

Limited by the RMBI, this Home<br />

accommodates a small group of<br />

adults with learning disabilities.<br />

5<br />

Cornwallis Court,<br />

Suffolk<br />

Tel: 0<strong>12</strong>84 768028<br />

Email: cornwalliscourt@rmbi.org.uk<br />

6<br />

Devonshire Court,<br />

Leicester<br />

Tel: 01162 714171<br />

Email: devonshire@rmbi.org.uk<br />

7<br />

Ecclesholme,<br />

Manchester<br />

Tel: 0161 788 9517<br />

Email: eccleshm@rmbi.org.uk<br />

13<br />

Queen Elizabeth Court,<br />

Llandudno<br />

Tel: 01492 877276<br />

Email: queenelizabeth@rmbi.org.uk<br />

14<br />

Scarbrough Court,<br />

Northumberland<br />

Tel: 01670 7<strong>12</strong>215<br />

Email: scarbrough@rmbi.org.uk<br />

15<br />

Shannon Court,<br />

Surrey<br />

Tel: 01428 604833<br />

Email: shannon@rmbi.org.uk<br />

8 16<br />

James Terry Court,<br />

The Tithebarn,<br />

Croydon<br />

Liverpool<br />

Tel: 020 8688 1745<br />

Tel: 0151 924 3683<br />

Email: jamesterry@rmbi.org.uk Email: tithebarn@rmbi.org.uk<br />

Robert Eliot Court, Cornwall<br />

Tel: 01726 75349<br />

Robert Eliot Court provides sheltered<br />

housing on a leasehold scheme. To<br />

find out more, please contact the<br />

Scheme Manager Jenny Pappin on<br />

01726 75349.<br />

“<br />

I am content and<br />

feel secure here.<br />

Everyone is very<br />

kind and there is<br />

always someone<br />

to pass the time of<br />

day with.”<br />

A resident at Shannon Court, Surrey


RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


STAFF DEVELOPMENT | 19<br />

Staff development –<br />

the key to improving<br />

our services<br />

We have continued to invest in the development of our staff, and to expand and promote the<br />

provision of person-centred care services. Leadership in this cultural change is driven by the<br />

Homes’ Management Teams who have embarked on the accredited Diploma in Person Centred<br />

Care. Every RMBI Home now has at least one member of the staff team either qualified in or<br />

working towards this Diploma.<br />

In all our Homes, every member<br />

of staff has completed foundation<br />

learning in providing person-centred<br />

care. The interactive sessions involved<br />

in this facilitate discussion and debate<br />

through examples and understanding<br />

of people who experience care<br />

services. Through follow-on<br />

participative staff meetings, staff<br />

are encouraged to be actively<br />

involved in the design and delivery<br />

of local care practices to meet the<br />

needs of the individuals living at<br />

their particular Home.<br />

The learning and development of<br />

our staff on a wider scale remains<br />

our key focus. A review of learning<br />

and development commissioned by<br />

the RMBI in <strong>2011</strong>-<strong>12</strong> highlighted<br />

the need for staff training in an<br />

ever-growing range of topics,<br />

indicating that support for the local<br />

Management Teams could be better.<br />

The review also recommended the<br />

introduction of an Assistant Director,<br />

Learning and Development, and this<br />

appointment has now been made.<br />

This role will provide expertise to<br />

ensure that appropriate learning<br />

strategies are designed and then<br />

delivered consistently throughout<br />

all our Homes.<br />

Attracting and retaining a competent,<br />

stable workforce are vital, and during<br />

the year we have overhauled our<br />

recruitment and selection methods,<br />

and candidates for all vacancies are<br />

identified and selected on the basis of<br />

their qualities and competencies and<br />

potential abilities. Once they are in<br />

post, we support their development<br />

and ensure they enjoy their time<br />

with us, and annual staff turnover<br />

at the RMBI is <strong>12</strong>%. Although this<br />

represents a slight increase compared<br />

with the previous year, it is well below<br />

the overall staff turnover rate for the<br />

care sector of 22%.<br />

Historically, the RMBI has retained<br />

a large amount of manual<br />

administrative work related to staff.<br />

Following the launch of Snowdrop<br />

(an HR staff database system) some<br />

years ago, we are planning to expand<br />

and upgrade the system to ensure<br />

this continues to handle staff<br />

records efficiently.<br />

Further automation has been<br />

undertaken this year in respect<br />

of processing information about<br />

staff attendance. Two Homes took<br />

part in a trial of Kronos, a time<br />

and attendance system. This was<br />

enormously successful and we<br />

achieved about a 75% saving in<br />

time spent on administration and<br />

management approval systems,<br />

while improving the accuracy of<br />

information on working hours,<br />

and therefore pay data, for salary<br />

processing. Kronos was introduced to<br />

all our Homes during 20<strong>12</strong>. We plan<br />

to introduce additional functions to<br />

the system so that all staff data and<br />

information on working hours can<br />

be transferred electronically across<br />

multiple staff computer systems. This<br />

will eliminate multiple data entry and<br />

therefore further reduce time spent<br />

on administration.<br />

Snowdrop and Kronos provide analysis<br />

tools to optimise staffing levels, and<br />

also provide valuable information<br />

on staff trends for both internal and<br />

external benchmarking.<br />

“There is always<br />

somebody around<br />

if I need them.”<br />

A resident at Devonshire Court,<br />

Leicester


Creating a positive<br />

living environment<br />

Age-related changes and impairments can make it more difficult for people to understand and<br />

navigate the built environment. Sensory, mobility or cognitive impairments, and sometimes<br />

a combination of these, can affect a person’s functioning, behaviour, independence, and<br />

ultimately their quality of life.<br />

Our challenge over the years has<br />

been to design ‘enabling’ buildings<br />

for our Homes. We base them on the<br />

needs of the people who will live in<br />

them – buildings that will allow them<br />

the freedom and confidence to use<br />

their abilities to the fullest extent in<br />

all things from the mundane to the<br />

creative. At the same time we have<br />

to keep them safe from dangers<br />

such as falls.<br />

We have incorporated the learning<br />

and guidance from the industry to<br />

create in our Homes positive living<br />

environments which are dementiafriendly.<br />

For example, our design<br />

features include: the use of contrast<br />

which plays a vital role in signposting<br />

different areas in the Home; use of<br />

different lighting levels; and the use<br />

of memory prompts such as pictures<br />

or familiar objects to help with<br />

orientation and to aid memory in<br />

day-to-day living.<br />

Fire upgrade works have been carried<br />

out to bring the Homes up-to-date<br />

with the most modern standards.<br />

Lifts have been replaced and some<br />

new ones have been installed to<br />

improve overall access and ease of<br />

movement around the Homes. We<br />

have also embarked on refurbishing<br />

corridors and many of our communal<br />

areas. Bathroom renovations have<br />

been carried out, and in many cases<br />

en-suite facilities have been created<br />

within bedrooms.<br />

We have also carried out extensive<br />

work to create positive outdoor spaces<br />

through the introduction of ‘sensory<br />

gardens’ which have beneficial effects<br />

on people’s well being. Colours,<br />

shapes, plants, vegetables and special<br />

textures and features have been<br />

introduced to help create innovative<br />

and stimulating environments for all<br />

the five senses.<br />

“I really enjoy<br />

the homely<br />

surroundings and<br />

the independence<br />

that I can have.”<br />

A resident at Lord Harris Court,<br />

Berkshire<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


POSITIVE LIVING ENVIRONMENTS | 21


Excellent financial results<br />

in a difficult financial<br />

environment Treasurer's report<br />

I am pleased to report that the RMBI delivered excellent<br />

financial results during <strong>2011</strong>-<strong>12</strong> in a very difficult financial<br />

environment. The operating efficiency of our Homes<br />

improved, charity income increased substantially, and<br />

our capital improvement and maintenance programme<br />

continued as planned.<br />

“<br />

The staff and<br />

residents make a<br />

happy and caring<br />

environment.<br />

One has ‘space<br />

to be alone’ if<br />

you wish it but<br />

companionship is<br />

always available.”<br />

A resident at Zetland Court,<br />

Bournemouth<br />

Our Homes performed well as our<br />

investments in property, systems and<br />

training began to bear fruit. Despite<br />

receiving no increase in funding from<br />

local authorities and primary care<br />

trusts, RMBI fee income was up by<br />

£1.3 million (4%) as we increased<br />

the number of rooms available<br />

and maintained high occupancy<br />

levels. The Homes’ operating costs<br />

decreased significantly due to our<br />

efforts to improve staff planning and<br />

scheduling. This not only saves money,<br />

but also results in more consistent and<br />

high-quality care for our residents.<br />

Total income rose to £40.4 million<br />

in <strong>2011</strong>-<strong>12</strong>, an increase of 6%. In<br />

particular, there was a significant<br />

increase in legacy income totalling<br />

£4.4 million. Donations held up well,<br />

totalling £2.5 million. This includes<br />

a £180,000 grant received from the<br />

<strong>Masonic</strong> Samaritan Fund for the<br />

purchase of hoists and disability aids.<br />

We are thankful for the continued<br />

generosity of the <strong>Masonic</strong> community,<br />

which remains remarkably resilient in<br />

the face of difficult economic times.<br />

<strong>2011</strong>-<strong>12</strong> marked the third year of<br />

our capital improvement and<br />

maintenance programme, and the<br />

RMBI invested a further £13.1 million<br />

in our operating infrastructure.<br />

While the largest single project is the<br />

rebuilding of James Terry Court in<br />

Croydon, major investments were also<br />

made in several of our other Homes.<br />

We are on track to complete this<br />

programme next year.<br />

These capital expenditures were<br />

funded by drawing on our investment<br />

portfolio which, as a result, decreased<br />

to £37.6 million. Withdrawals have<br />

now ceased and our current cash<br />

balance should be sufficient to fund<br />

capital expenditures in 20<strong>12</strong>-13.<br />

Looking ahead, the care sector<br />

and the RMBI will continue to face<br />

a challenging environment, and<br />

Government funding levels are<br />

unlikely to increase. In response,<br />

the RMBI will endeavour to further<br />

improve operating efficiency, maintain<br />

a strong balance sheet and, as always,<br />

we will rely on the tremendous<br />

support of the <strong>Masonic</strong> community.<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


EXCELLENT FINANCIAL RESULTS | 23<br />

All figures are in millions<br />

CHARITY INCOME<br />

£1.3<br />

£0.5<br />

£2.7 £2.5<br />

£2.2<br />

2010-11<br />

£1.8<br />

£4.4<br />

<strong>2011</strong>-<strong>12</strong><br />

£1.6<br />

<strong>Masonic</strong> donations<br />

£2.7m<br />

<strong>Masonic</strong> donations<br />

£2.5m<br />

Investments<br />

£1.8m<br />

Investments<br />

£1.6m<br />

Legacies<br />

£2.2m<br />

Legacies<br />

£4.4m<br />

Miscellaneous<br />

£1.3m<br />

Miscellaneous<br />

£0.5m<br />

TOTAL<br />

£8.0m<br />

TOTAL<br />

£9.0m<br />

CHARITABLE EXPENDITURE<br />

£0.4<br />

£0.6 £0.5<br />

£0.4<br />

£0.9<br />

2010-11<br />

£0.9<br />

<strong>2011</strong>-<strong>12</strong><br />

£3.8<br />

£3.4<br />

Charitable support<br />

£3.8m<br />

Charitable support<br />

£3.4m<br />

Central care<br />

£0.9m<br />

Central care<br />

£0.9m<br />

Governance<br />

£0.6m<br />

Governance<br />

£0.5m<br />

Fundraising<br />

£0.4m<br />

Fundraising<br />

£0.4m<br />

TOTAL<br />

£5.7m<br />

TOTAL<br />

£5.2m<br />

CASH AND OTHER ASSETS<br />

£<strong>12</strong> £18.1<br />

£56.1 £63.3<br />

£50.1 £37.6<br />

2010-11 <strong>2011</strong>-<strong>12</strong><br />

Care Homes and property<br />

£56.1m<br />

Care Homes and property<br />

£63.3m<br />

Investments<br />

£50.1m<br />

Investments<br />

£37.6m<br />

Net current assets<br />

£<strong>12</strong>.0m<br />

Net current assets<br />

£18.1m<br />

TOTAL<br />

£118.2m<br />

TOTAL<br />

£119.0m


Help support us<br />

As a charity, we rely on the generosity and kindness of others<br />

to enable us to go on caring for our residents. Here are three<br />

examples from <strong>2011</strong>-<strong>12</strong> of how your support has made a<br />

difference.<br />

• George Watson was a resident at Zetland Court, Bournemouth until his<br />

death in 2005. His sister Mabel Sleight was so impressed with the care<br />

George received that she remembered us in her will. Last year Mabel<br />

bequeathed £175,000 to be used by Zetland Court for the care of<br />

its residents.<br />

• Many Lodges that are based close to our Homes like to ‘adopt’ their<br />

local Home. Springfield Lodge No 6052 has supported their local Home,<br />

James Terry Court in Croydon, to the tune of £100,000 over the past few<br />

years. This money has helped provide enhanced facilities for residents<br />

at the Home.<br />

• The ability to hear and therefore take part in activities and events held in<br />

our Homes is very important for many of our residents. The Provincial Grand<br />

Lodge of Hertfordshire donated £3,000 towards the costs of upgrading the<br />

sound equipment at Prince Michael of Kent Court in Watford.<br />

Although we appreciate receiving donations for specific uses, general<br />

donations are equally important as they help with the everyday costs of<br />

running our Homes.<br />

There are several ways in<br />

which you can support<br />

the RMBI.<br />

• By cheque, CAF or KKL charity<br />

voucher, or via a Lodge/Chapter<br />

Relief Chest blue voucher.<br />

• By debit or credit card,<br />

using the RMBI website at<br />

www.rmbi.org.uk or calling us<br />

on 020 7596 2400.<br />

• If you are passing by our head<br />

office, we would be happy to<br />

take a cash donation.<br />

• By text message, texting<br />

‘RMBI11’ and the amount you<br />

wish to donate (up to £10).<br />

• You can even sell items on eBay<br />

and donate some or all of the<br />

proceeds to the RMBI.<br />

Leave a legacy<br />

“I like living here<br />

because there is<br />

so much to do –<br />

play games, music<br />

and lots more.”<br />

A resident at Ecclesholme,<br />

Manchester<br />

Leaving a gift in your will is also<br />

an effective way of showing you<br />

care, and helps make sure the<br />

RMBI has the funds to continue its<br />

work. For further information on<br />

how you can leave a gift in your<br />

will to the RMBI, please contact<br />

us. You can also download our<br />

free booklet – A guide to leaving a<br />

gift to the RMBI in your will – from<br />

the RMBI website.<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


HELP SUPPORT US | 25<br />

RMBI Festivals<br />

Every year the RMBI needs charitable support to the value of around £5 million in order<br />

to carry out its work. Much of this amount comes from the funds raised by RMBI Festivals<br />

each year.<br />

We rely on the money from Festivals to<br />

support people who are unable to pay<br />

their full care fees. For example, they may<br />

have run out of personal savings, or they<br />

may receive local authority support which<br />

covers only part of the total cost of their<br />

care and the RMBI needs to make up the<br />

shortfall. The RMBI helps around 400<br />

older Freemasons and their dependants<br />

in this way and the valuable support<br />

from the Festival Scheme ensures that<br />

we are able to continue to do so.<br />

The Festival of Leicestershire and Rutland<br />

was launched in November 2006 with<br />

a target of £1.5 million. The committee<br />

for the Festival decided that the best<br />

way to achieve the target was to work<br />

with the 72 lodges in the Province and<br />

aim to raise £64 per member (including<br />

Gift Aid). An Events Committee was also<br />

established to coordinate the fundraising<br />

events programme.<br />

A variety of events were organised,<br />

including raffles, craft fairs, golfing<br />

events, sale of Festival jewels and ties,<br />

sporting events and the notable bike<br />

rides undertaken by the bikers in the<br />

Province ‘Long Way Home’ which<br />

raised over £8,000. Also, Brethren<br />

were encouraged to save 20p pieces in<br />

Smartie tubes and this initiative raised<br />

the considerable sum of £45,972.<br />

The Festival’s concluding event<br />

was a banquet held at the King<br />

Power Stadium, home of Leicester<br />

City Football Club. The event was<br />

attended by the Lord Lieutenant<br />

of Leicestershire, the Chair of<br />

Leicestershire County Council, the<br />

High Sheriff of Rutland, the outgoing<br />

Lord Mayor of Leicester and the Chief<br />

Executives of two local hospices –<br />

LOROS and Rainbows. A thoroughly<br />

enjoyable evening was had by all.<br />

Guests of honour also included:<br />

the Deputy Grand Master,<br />

Jonathan Spence and his wife;<br />

and Willie Shackell, the President<br />

of the RMBI.<br />

There was entertainment from<br />

the Chanterelles Choir and the<br />

evening was concluded when<br />

David Innes, Chief Executive of the<br />

RMBI, announced the magnificent<br />

Festival total of £1,700,850 – a<br />

truly superb fundraising effort by<br />

the Brethren of the Province of<br />

Leicestershire and Rutland.<br />

The RMBI is extremely grateful to<br />

the Province of Leicestershire and<br />

Rutland for all the generous support<br />

of the 20<strong>12</strong> Festival, which will enable<br />

the Charity to continue and develop<br />

its important work.<br />

From left to right: VW Bro. Willie Shackell CBE, President of the RMBI: W Bro. Peter Kinder, PDepGSwdB, Assistant Provincial<br />

Grand Master of Leicestershire and Rutland: RW Bro. Jonathan Spence, Deputy Grand Master: RW Bro. David Hagger,<br />

Provincial Grand Master for Leicestershire and Rutland and VW Bro. James Buckle, PGSwdB, Deputy Provincial Grand Master<br />

of Leicestershire and Rutland.


Securing<br />

our future<br />

The key themes for 20<strong>12</strong>-13 are: to complete the many initiatives we have been working on<br />

over the last few years; to ensure we have clear and deliverable plans for the next few years;<br />

and to work closely with the other Central <strong>Masonic</strong> Charities for the benefit of Freemasonry.<br />

Strategic priorities<br />

The Board of Trustees has approved<br />

a Corporate Plan for 20<strong>12</strong>-13 and<br />

many of the details of the Plan are<br />

presented in this annual review.<br />

The Plan outlines the strategic<br />

context in which the charity operates<br />

and summarises the key work strands<br />

that will be undertaken within the<br />

RMBI under each of the following<br />

four strategic priorities.<br />

• Improving care standards<br />

The current major transition to<br />

person-centred care, the extensive<br />

staff training programme for<br />

dementia care and the investment<br />

in end-of-life awareness should all<br />

be largely completed by 2013. In<br />

20<strong>12</strong>-13 we also need to identify<br />

and develop other new initiatives,<br />

such as day care, for the RMBI to<br />

implement in 2013-15.<br />

• Increasing operational efficiency<br />

Social care funding is under<br />

enormous pressure and research<br />

shows that spending on older<br />

people’s social care in England has<br />

fallen short even of maintaining<br />

the inadequate levels of provision<br />

that were in place when the<br />

Coalition came to power. Our<br />

objective is to offer a range of<br />

services that are care-effective<br />

and cost-efficient.<br />

• Developing the workforce<br />

During the course of the year we<br />

will be formulating a competencybased<br />

Home management<br />

development programme. The<br />

aim of this initiative is to help<br />

Home Managers, Deputy Home<br />

Managers and selected other<br />

individuals further develop<br />

the skills needed to lead and<br />

manage a multi-million pound<br />

care-home business in today’s<br />

care environment. In addition, a<br />

comprehensive staff recognition<br />

scheme is to be developed to<br />

supplement the current awards<br />

for long service.<br />

• Creating 21st century facilities<br />

20<strong>12</strong>-13 will be the penultimate<br />

year of our major capital works<br />

programme, with large projects<br />

continuing at James Terry Court in<br />

Croydon, Prince George Duke of<br />

Kent Court in Kent and Shannon<br />

Court in Surrey. In addition, a<br />

number of smaller projects are to<br />

be carried out over the next twelve<br />

months including a dementia<br />

extension at Cadogan Court in<br />

Exeter and repairs to the roof at<br />

Prince Michael of Kent Court in<br />

Watford.<br />

20<strong>12</strong>-13 will be another<br />

challenging but rewarding year<br />

for the RMBI as several major<br />

initiatives are scheduled to be<br />

concluded, and by early 2013 we<br />

should be in a much stronger<br />

position as a care provider. It is<br />

likely that the care sector will<br />

continue to evolve in the coming<br />

years and the <strong>Masonic</strong> community<br />

is also changing. The RMBI must be<br />

prepared for the challenges that lie<br />

ahead and be ready to meet new<br />

requirements as they emerge.<br />

“I like to keep my<br />

independence but<br />

also know I can<br />

rely on aid at<br />

any time.”<br />

A resident at The Tithebarn, Liverpool<br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>


Our Governing Body<br />

| 27<br />

Grand President<br />

HRH The Duke of Kent, KG, GCMG, GCVO, ADC<br />

Deputy Grand Presidents<br />

Peter G Lowndes<br />

Jonathan Spence<br />

David Williamson<br />

Grand Vice Presidents<br />

Derek Buswell<br />

Peter Cornish<br />

Dr Alan Davison<br />

John Moore<br />

Russell Race<br />

Brian Smith<br />

Dennis Vine<br />

Roland J Wade<br />

President<br />

Willie Shackell, CBE<br />

Deputy President<br />

Chris Caine<br />

Treasurer<br />

Randall Marks<br />

Trustees<br />

James Newman, Chairman<br />

John Edgcumbe<br />

Ken Howe<br />

Sylvia Quayle<br />

Sushil Radia<br />

Dr John Reuther<br />

Mark Smith<br />

David Watson<br />

Co-opted Trustees<br />

Dennis Vine<br />

Jonathan Weiss<br />

Sir Paul Williams<br />

Dr Mac Speake<br />

The Management Team<br />

Chief Executive<br />

David Innes<br />

Executive Director of Care<br />

Operations<br />

Kevin Harris<br />

Executive Director of Finance<br />

Chris Head<br />

Director of Properties<br />

Andrew White<br />

Director of Human Resources<br />

Jo Ashton


For more information about any of the RMBI’s services contact:<br />

<strong>Royal</strong> <strong>Masonic</strong> <strong>Benevolent</strong> <strong>Institution</strong><br />

60 Great Queen Street<br />

London WC2B 5AZ<br />

Tel: 020 7596 2400<br />

Fax: 020 7404 0724<br />

E-mail: enquiries@rmbi.org.uk<br />

www.rmbi.org.uk<br />

Registered charity 207360 | A review of the period April <strong>2011</strong> to March 20<strong>12</strong> | Published in October 20<strong>12</strong><br />

RMBI ANNUAL REVIEW <strong>2011</strong>–<strong>12</strong>

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