Annual Review 2011/12 - Royal Masonic Benevolent Institution
Annual Review 2011/12 - Royal Masonic Benevolent Institution
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>