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Annual Report 2005 - UnitingCare NSW.ACT

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<strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

Ageing<br />

<strong>NSW</strong>.<strong>ACT</strong>


<strong>NSW</strong>.<strong>ACT</strong><br />

Ageing<br />

Contents<br />

02 Mission and Vision<br />

03 Profile<br />

04 Year’s Highlights<br />

06 Chairperson’s <strong>Report</strong><br />

08 Board Members<br />

12 Director’s <strong>Report</strong><br />

14 Residential Care<br />

18 Community Care<br />

22 Chaplaincy and Pastoral Care<br />

24 Our People<br />

26 Volunteers<br />

28 Partnerships<br />

30 New Facilities<br />

32 Finance and Statistics<br />

35 Bequest Fund<br />

36 Senior Staff<br />

37 Regions<br />

38 Captions


Mission and Vision<br />

<strong>Annual</strong> Profile <strong>Report</strong> <strong>2005</strong><br />

<strong>UnitingCare</strong> Ageing provides an extensive range of aged care services across <strong>NSW</strong> and the <strong>ACT</strong>, including high care, low<br />

care, retirement living, community care, day centres, private nursing service and services for disadvantaged, marginalised<br />

and isolated older people.<br />

Residential Care<br />

Clients 4,770<br />

Facilities 92<br />

Budget $275M<br />

Market Share<br />

Nearly 10 per cent of allocated<br />

residential aged care places in <strong>NSW</strong><br />

Community Care<br />

Clients 4,000<br />

Self Care<br />

2,000<br />

We dedicate ourselves to furthering our rich faith-based<br />

tradition of Christian care for the whole person.<br />

Services 72<br />

Budget $27M<br />

Market Share<br />

12 per cent of <strong>NSW</strong> allocated packages<br />

Largest <strong>NSW</strong> provider of Community<br />

Aged Care Packages<br />

Community<br />

4,000<br />

Residential<br />

4,770<br />

Our Vision<br />

Leading our communities in quality Christian care<br />

for older people.<br />

Our Mission<br />

“We strive to care, to connect older people to community,<br />

and to seek ways to prevent loneliness and exclusion.<br />

We are committed to offer lifestyle choice, health<br />

and wellbeing for older Australians.<br />

Those we serve – in their homes and ours – are at<br />

the centre of everything we do.<br />

We dedicate ourselves to furthering our rich faith-based<br />

tradition of Christian care for the whole person, advocacy<br />

and access for the disadvantaged, innovation and leadership.<br />

Our Values<br />

On the basis of Christian values, <strong>UnitingCare</strong> Ageing<br />

commits itself to:<br />

Ministry: Support based on Christian values<br />

Community: Ageing people supported by and cared for<br />

by a whole community<br />

Leadership: Influence through innovation, vision and<br />

responsiveness to change<br />

Viability: Economic sustainability with a focus on ethics,<br />

effectiveness and quality<br />

Stewardship: Thoughtful long-term development of<br />

resources in achieving goals<br />

Social Justice: Advocacy and responsiveness to needs<br />

Empowerment of Staff and Volunteers: We create systems<br />

that give staff the freedom to act and make decisions as<br />

necessary to get the job done. Our care is offered through<br />

people whom we value, support and engage in caring.<br />

Self Care<br />

Clients 2,000<br />

Services<br />

82 Self Care Villages<br />

Budget $30M<br />

Our People<br />

Staff<br />

5,631 or 3,708 (Full Time Equivalent))<br />

Chaplains<br />

30 FTE<br />

Volunteers 1,829<br />

Organisation<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong> Board<br />

Eight Regional Boards<br />

0 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 0


<strong>Annual</strong> Year’s Highlights <strong>Report</strong> <strong>2005</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

2004<br />

<strong>2005</strong><br />

July Official Opening of <strong>UnitingCare</strong> Ageing -<br />

Shoalhaven South Eastern Region<br />

August Development of Strategic Plan 2004-2007<br />

for <strong>UnitingCare</strong> Ageing<br />

September Mayflower Westmead achieved three<br />

year accreditation with full compliance<br />

Western Region<br />

October<br />

November<br />

December<br />

Extension of Elizabeth Gates Nursing Home<br />

and a $30,000 donation from the Elizabeth<br />

Gates Ladies’ Auxiliary Hunter, Central Coast<br />

and New England Region<br />

Completion of $9M Alroy House and<br />

Hostel Hunter, Central Coast and New<br />

England Region<br />

Opening of the re-built Bowden Brae<br />

Gardens at Normanhurst, including 40<br />

new dementia places Ku-ring-gai Region<br />

January<br />

February<br />

<br />

March<br />

Commencement of redevelopment<br />

of 80 places Jarman Hostel North<br />

Coast Region<br />

New Dubbo office opened, delivering vital<br />

community care services Western Region<br />

Establishment of Professional Aged<br />

Care Education Resource (PACER) –<br />

a Registered Training Organisation<br />

Ku-ring-gai Region<br />

Federal Aged Care Minister, Julie Bishop,<br />

officially opens the Hawkesbury Village<br />

Nursing Home Western Region<br />

Federal Health Minister, Mr Tony Abbott<br />

turns the sod for a 130 place aged care<br />

facility at Marion Street, Leichhardt,<br />

including a community centre and 55<br />

April<br />

May<br />

June<br />

Opening of the Greenacre Supported<br />

Housing Program for Homeless Older<br />

People in partnership with the Department<br />

of Health Wesley Mission Region<br />

Launch of “Living with Memory Loss”<br />

program in Ballina North Coast Region<br />

First Strategic Planning workshop<br />

for stakeholders, including the church,<br />

client support groups, senior staff South<br />

Eastern Region<br />

Parramatta Council approve Development<br />

Application for the 96 place aged care<br />

facility and dementia unit at Ermington<br />

Sydney North Region<br />

Appointment of Gillian McFee as Director,<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong><br />

dementia-specific places Sydney Region<br />

Hon Julie Bishop MP, Federal Minister for<br />

Twelve indigenous staff celebrate the<br />

completion of their aged care Certificate<br />

111 studies at Broken Hill Western Region<br />

Ageing celebrates the commencement of<br />

the Cumberland – Prospect Innovative Pool<br />

Program at McCall Gardens Western Region<br />

0 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 0


Chairperson’s <strong>Report</strong><br />

Overview<br />

The mandate of the Board of <strong>UnitingCare</strong> Ageing is the<br />

overall leadership, governance and strategic development<br />

of the Uniting Church’s residential and community aged<br />

care services across <strong>NSW</strong> and the <strong>ACT</strong>. During the past<br />

year our Board has guided more than 200 residential and<br />

community aged care facilities, which, following a<br />

re-structure, have been grouped into eight Regions. Our<br />

work is complemented by strong and dynamic Regional<br />

Boards, which play a pivotal role in directing service<br />

provision within their local communities.<br />

Strategic Directions<br />

In its first year the <strong>UnitingCare</strong> Ageing Board has been<br />

busy overseeing and reviewing systems associated with<br />

bringing 52 separate Boards of managements into<br />

Regions and a Head Office structure. The Board has been<br />

pleased with the progress made and expresses thanks to<br />

everyone who has been involved in this challenging<br />

process. By year end the Board had become more<br />

focused on strategic issues that will enable us to capture<br />

more clearly the essence of the diversity of services<br />

provided across the <strong>UnitingCare</strong> Ageing network.<br />

In 2004 the Board developed a 2004-2007 Strategic Plan<br />

for <strong>UnitingCare</strong> Ageing, which provides a solid platform<br />

to consolidate and extend our services. Equally important<br />

will be the ongoing appraisal of the Strategic Plan within<br />

the context of industry and government influences and<br />

changing community attitudes about the nature and<br />

availability of aged care services.<br />

Our focus is on sustainable growth, an<br />

appropriate mix of residential and community<br />

services and supporting our staff through<br />

appropriate development programs.<br />

We are keen to broaden our engagement with<br />

community, industry and government stakeholders to<br />

ensure that their needs and requirements are integrated<br />

within our planning for new services. We are cognisant of<br />

a shift in community sentiment away from large<br />

institutions in favour of more flexible and community<br />

housing solutions for aged care services and the<br />

overwhelming preference for community care.<br />

Board<br />

I would like to thank all Board members for their hard<br />

work and support over the past 12 months. In particular, I<br />

wish to pay special tribute to my predecessor, Dr Jan<br />

Herbert, who ably led the Board for most of the year. The<br />

Board appreciated Jan’s insight, vision and considered<br />

approach, and we deeply regret that ill health led to her<br />

resignation as Chairperson and also as a Board member.<br />

We trust that a less hectic lifestyle may assist Jan to<br />

return to better health.<br />

Regional Boards<br />

The Board recognises the value and importance of the<br />

eight Regional Boards and we are keen to work in close<br />

partnership to achieve the strategic objectives of<br />

<strong>UnitingCare</strong> Ageing. Having greater clarity about our<br />

Governance Charter and the roles and responsibilities of<br />

all parts of the organisation will be a priority for us as we<br />

move to the next stage of the Governance review. Early in<br />

the new financial year we will be releasing a draft<br />

document that discusses and hopefully provides more<br />

clarity to these important relationships and sets strategic<br />

directions for the future. Above all, we want to avoid<br />

duplication, increase and enhance internal communication<br />

and ensure that <strong>UnitingCare</strong> Ageing is best positioned to<br />

respond to the rapidly changing aged care sector.<br />

Government Relations<br />

Our relations with all tiers of government have continued<br />

to strengthen. We were pleased to welcome the Federal<br />

Minister for Ageing, the Hon Julie Bishop to several<br />

events. We also acknowledge and thank the Hon Tony<br />

Abbot, Minister for Health, for his interest in <strong>UnitingCare</strong><br />

Ageing. Each Region has also built closer relationships<br />

with local, state and federal government representatives.<br />

Executive<br />

In February <strong>2005</strong> Bruce Alcorn, the foundation Director of<br />

<strong>UnitingCare</strong> Ageing, resigned. I wish to thank Bruce for<br />

his leadership during the development of new processes<br />

and systems associated with the establishment of the<br />

Regional structure. The Board wishes Bruce well in his<br />

new endeavours.<br />

The Board conducted a rigorous selection process across<br />

Australia for Bruce’s successor and was delighted to<br />

appoint Gillian McFee as new Director in June <strong>2005</strong>.<br />

Previously the Regional Director of the Ku-ring-gai<br />

Region, Gillian has been appointed at another critical<br />

phase in the growth of <strong>UnitingCare</strong> Ageing across <strong>NSW</strong><br />

and the <strong>ACT</strong>. We were delighted that an internal<br />

candidate demonstrated the capabilities, qualities and<br />

vision, and we are confident that Gillian’s fresh perspective<br />

will provide new momentum for our organisation.<br />

Staff<br />

I wish to acknowledge and thank our staff who number<br />

more than 5,600. Their work, each day, is the foundation<br />

of the philosophy of <strong>UnitingCare</strong> Ageing. The Board will<br />

be reviewing policies to ensure that we attract and retain<br />

the very best staff. Similarly, I wish to thank our loyal and<br />

expanding volunteer network, whose selfless work is<br />

much appreciated by residents, clients and our staff.<br />

Vision<br />

Quality care is at the heart of what we do – and more<br />

importantly our Christian beliefs inspire the care and<br />

services we provide to older people. Through our aim of<br />

providing the highest quality and innovative care to<br />

older people, we are focused on sustainable growth, an<br />

appropriate mix of residential and community services<br />

and supporting our staff through appropriate<br />

development programs.<br />

Our Christian perspective is both a guiding force and a<br />

differentiator in a sector increasingly dominated by forprofit<br />

providers. We are confident that <strong>UnitingCare</strong><br />

Ageing holds a special place in the aged care sector by<br />

offering a Christian values-based paradigm. Unlike many<br />

competitors our surplus is re-invested directly into new<br />

services, innovative programs and in achieving wider<br />

social policy objectives. Over the next 12 months we will<br />

increasingly focus on the balance between accountable<br />

financial performance and our social policy objectives to<br />

provide new models of care, especially to people on low<br />

income and other areas of special need.<br />

On behalf of the Board, staff and volunteers, I thank the<br />

<strong>NSW</strong> Synod and <strong>UnitingCare</strong> <strong>NSW</strong>.<strong>ACT</strong> for the trust they<br />

place in us. We are confident of setting new industry<br />

benchmarks in the delivery of community and residential<br />

aged care services.<br />

Bruce Rathie<br />

0 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 0


Board <strong>Annual</strong> Members <strong>Report</strong> <strong>2005</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

Bruce Rathie<br />

Isobel Frean<br />

Tricia Ho<br />

Gillian McFee<br />

Company Director<br />

Industry Consultant &<br />

Academic Researcher<br />

Banker<br />

Director, <strong>UnitingCare</strong> Ageing<br />

<strong>NSW</strong>.<strong>ACT</strong><br />

Appointed August 2004<br />

Appointed July 2004<br />

Appointed August 2004<br />

Appointed June <strong>2005</strong><br />

Bruce is a practising Christian with more than 16 years<br />

experience as a director of professional and commercial<br />

enterprises in the private and public sectors. His<br />

educational background includes degrees in law and<br />

commerce, a Master of Business Administration and a<br />

Graduate Diploma in Company Secretarial Practice. Bruce<br />

is also a Fellow of the Australian Institute of Company<br />

Directors, the Australian Institute of Management, and is<br />

a member of Chartered Secretaries Australia and the<br />

Securities Institute.<br />

Bruce is currently the National Executive Director of<br />

the Australian Institute of Management and Chairman<br />

of PolyNovo Biomaterials Pty Ltd. Bruce is also a<br />

director of the ASX listed medical device company<br />

Compumedics Limited.<br />

Michael Fraser<br />

Company Director<br />

Isobel has held senior private and public health sector<br />

positions, which have provided her with highly developed<br />

skills in strategic analysis, business management, policy<br />

development, negotiating, information management,<br />

advocacy and representing stakeholder interests.<br />

She is currently a Visiting Fellow with the Initiative for<br />

e-Health, Faculty of Informatics, University of Wollongong,<br />

where she is enrolled in doctoral studies.<br />

Isobel is a member of Standards Australia’s Health<br />

Informatics Committee IT 14-6-6, responsible for<br />

developing messaging standards to support patient care,<br />

and of the Community Based Health and Patient Care<br />

committees of Health Level Seven (HL7), the international<br />

standards development organisation focusing on health<br />

care messaging standards. Isobel is a board member of<br />

HL7 Australia and the Convenor of the Health Informatics<br />

Society of Australia Aged Care and Healthy Ageing<br />

Special Interest Group.<br />

Tricia is a legal and finance professional with 11 years<br />

experience in legal practice and investment banking and<br />

possesses specialist skills in law, tax, accounting and<br />

finance. She is currently a senior banker with UBS AG<br />

Australia Branch in their capital markets group.<br />

Tricia has a Bachelor of Economics, Bachelor of Laws<br />

(Hons), Master of Laws and Master of Applied Finance.<br />

She is a Fellow of the Taxation Institute of Australia.<br />

Tricia is also a Non-Executive Director of Kincoppal-Rose<br />

Bay School Limited.<br />

She is a member of the Australian Institute of Company<br />

Directors and has completed its Company Directors<br />

Diploma Course.<br />

Darryl Maytom<br />

Health Consultant<br />

Gillian holds a Bachelor of Social Studies (Hons), Master<br />

of Business Administration and a Diploma of Urban and<br />

Regional Studies.<br />

In November 2003 Gillian joined <strong>UnitingCare</strong> Ageing as<br />

Regional Director, Ku-ring-gai Region and successfully<br />

established the new Region and improved the financial<br />

and operating performance of a number of its facilities.<br />

Prior to joining <strong>UnitingCare</strong> Ageing, Gillian held a<br />

number of senior executive positions in the <strong>NSW</strong><br />

Government, including the Premier’s Department,<br />

Department of Community Services and the Department<br />

of Ageing Disability and Home Care.<br />

Gavin Pretorius<br />

Executive Director, Board<br />

of Finance & Property<br />

Appointed August 2004<br />

Michael’s qualifications include a Bachelor of Commerce,<br />

a Certified Practicing Accountant and a Fellow of the<br />

Taxation Institute of Australia.<br />

He currently holds a senior position with The Australian Gas<br />

Light Company (AGL), the country’s largest energy retailer.<br />

Michael has had extensive senior management experience<br />

in commercial, regulatory, trading, sales and marketing,<br />

and property. He is currently Chairman of ActewAGL and<br />

a director of a number of AGL subsidiary companies.<br />

Reverend<br />

Harry Herbert<br />

Executive Director<br />

Rev. Harry Herbert is Executive Director of <strong>UnitingCare</strong><br />

<strong>NSW</strong>.<strong>ACT</strong>. He serves ex officio on the Board of<br />

<strong>UnitingCare</strong> Ageing, which is one of the three Service<br />

Group Boards of <strong>UnitingCare</strong> <strong>NSW</strong>.<strong>ACT</strong>. He has held his<br />

current position since 1986 and was previously a parish<br />

minister in the Uniting and Congregational churches.<br />

He also serves as Chair of the <strong>NSW</strong> Government’s Social<br />

Justice Reference Group and the Casino Community Benefit<br />

Fund and is a member of the Board of the Legal Aid<br />

Commission of <strong>NSW</strong>, and a member of the Operations<br />

Review Committee of the Independent Commission<br />

Against Corruption.<br />

Appointed March <strong>2005</strong><br />

Darryl Maytom is a health consultant, and is well known<br />

for his work in the management of private hospitals<br />

and his contribution to the private hospital and aged<br />

care industry.<br />

Darryl is a former Chairman of the Australian Private<br />

Hospitals Association and also Chairman of the<br />

Australian Council on Health Care Standards.<br />

In his 20 year career in health care, Darryl Maytom has<br />

held various senior positions including Operations<br />

Director of a large 11 hospital group with 1,050 places in<br />

five states of Australia. He has held other similar positions<br />

and has acted as advisor to others, including<br />

appointments in Thailand, Dubai and Bangladesh.<br />

Appointed August 2004<br />

Born in South Africa, Gavin migrated to Australia in 1991.<br />

His qualifications include a Bachelor of Commerce,<br />

Master of Accounting, and Master of Business<br />

Administration, and Graduate Diplomas in Applied<br />

Finance & Investment and Company Secretarial Practice.<br />

Gavin is an Associate of Australian CPA and an Associate<br />

of the Securities Institute of Australia.<br />

Gavin’s management experience in the finance,<br />

investment and property industries have included State<br />

Street Australia, Perpetual Funds Management and AMP.<br />

Prior to joining the <strong>NSW</strong> Synod he was the CFO at Grand<br />

United Friendly Society Ltd, which included management<br />

of private health insurance, investment products, property<br />

investments, rehabilitation case management and<br />

retirement villages, including high and low care facilities.<br />

0 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 0


Board Members<br />

Stuart Uhlhorn<br />

Industry Executive<br />

Anita Westera<br />

Senior Public Servant<br />

Appointed August 2003<br />

Stuart holds a Bachelor of Economics, a Diploma in<br />

Financial Management, is a Fellow of Australian Institute<br />

of Company Directors and a Fellow of CPA Australia.<br />

He is currently a senior executive with Insurance Australia<br />

Group, with responsibility for Corporate Services and<br />

Group Alliances.<br />

Stuart has had previous directorships within the<br />

Brambles Europe Executive Board (1990–97) and Rail<br />

Fleet Services Pty Ltd and Joint Venture Board Thiess<br />

Infraco Pty Ltd from 1999–2001. He is also on the board<br />

of <strong>UnitingCare</strong> <strong>NSW</strong>.<strong>ACT</strong>.<br />

Appointed August 2004<br />

Anita, a registered nurse, has a strong background in<br />

aged care and public policy and has worked in key policy<br />

and management roles within Commonwealth and <strong>NSW</strong><br />

public service agencies.<br />

Her career has largely focused on aged care policies and<br />

programs, including the National and <strong>NSW</strong> Action Plans<br />

on Dementia, work on the final report of the Inquiry into<br />

Aged Care (1997) for the <strong>NSW</strong> Legislative Council Standing<br />

Committee on Social Issues, and advisor to the former<br />

<strong>NSW</strong> Minister for Ageing.<br />

Anita is a member of Annandale Uniting Church.<br />

10 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 11


Director’s <strong>Report</strong><br />

Overview<br />

I am pleased to have been appointed Director of<br />

<strong>UnitingCare</strong> Ageing and I thank the Board for its<br />

confidence in me. <strong>UnitingCare</strong> Ageing is entering an<br />

exciting period of further enhancement of its residential<br />

and community services across <strong>NSW</strong> and the <strong>ACT</strong>.<br />

Both <strong>UnitingCare</strong> Ageing and the broader aged care<br />

sector have undergone significant change in recent<br />

years. Commonwealth Government policy, for example,<br />

has resulted in significant structural change to the<br />

industry with increased emphasis on community care<br />

services and a much stronger emphasis on quality. We<br />

welcome this focus on providing the highest level of care<br />

to residents and clients. <strong>UnitingCare</strong> Ageing has also<br />

created a new unified organisation to make our services<br />

more efficient and to gain the benefits of leveraging off<br />

being the largest single provider of aged and community<br />

care services in <strong>NSW</strong> and the <strong>ACT</strong>.<br />

Client expectations<br />

Most older people and their families prefer community<br />

care in their own homes. Not dissimilar to many aged<br />

care providers, our approach has been largely to build<br />

residential facilities and endeavour to satisfy client needs<br />

through this model of care. Increasingly this is changing<br />

and now 40 per cent of our services are in community<br />

care. Debates around separating accommodation from<br />

care means we need to look at more flexible ways of<br />

delivering community care into a range of adaptable<br />

housing settings.<br />

Increasingly we will focus on outcomes of<br />

health, well-being and lifestyle for our clients.<br />

Their needs will be at the centre of all we do.<br />

New organisational design<br />

We have a new organisation designed around eight<br />

Regions. Changes are being made to our head office<br />

enabling it to have a more strategic presence in<br />

supporting the <strong>UnitingCare</strong> Ageing Board in defining,<br />

strategy, and setting and monitoring performance<br />

targets across a range of areas.<br />

One of our priorities is developing a more cohesive<br />

<strong>UnitingCare</strong> Ageing, which is able to both initiate new<br />

ideas and respond better to the needs of our stakeholders,<br />

including the increasingly regulated environment in<br />

which we operate. Competitive factors, also, are<br />

influencing the positioning of <strong>UnitingCare</strong> Ageing.<br />

Accordingly, we strive to bring together our business<br />

functions and to generate information that fosters a<br />

spirit of continuous improvement. We will build a<br />

stronger strategic capacity through new common<br />

management information systems and this will provide<br />

accurate, timely and relevant data about our services<br />

and trends in care.<br />

Some challenges<br />

Over the next 12 months some of my priorities will include<br />

growing a greater sense of unity across <strong>UnitingCare</strong> Ageing<br />

so that we all, in time, relate positively to a “<strong>UnitingCare</strong><br />

Ageing Way”. We will focus on a values-driven approach<br />

to our management, which is shared by all staff through,<br />

for example, a common set of values, mission and vision.<br />

We will continue to provide excellent residential care<br />

services whilst we further develop and increase our<br />

involvement in community care services. In accordance<br />

with the general community move away from institutional<br />

care, we will offer innovative ways for older people to<br />

remain in their own homes and to receive the community<br />

care support they need.<br />

This trend in caring for older people in their homes may<br />

generate a policy debate as to who pays for this new<br />

service model. <strong>UnitingCare</strong> Ageing will work with<br />

government to move towards an adaptable housing<br />

model, which is closer to peoples own homes and give<br />

them more choice.<br />

Capital Works<br />

<strong>UnitingCare</strong> Ageing is committed to a major building<br />

works program. Our current asset-base is extensive and<br />

well located geographically, but in some areas it is in need<br />

of renewal. <strong>UnitingCare</strong> Ageing has projected that more<br />

than $1.2B in capital enhancements and replacements<br />

may be required over the next ten years. A large part of<br />

this is required to meet the Commonwealth Government’s<br />

2008 Aged Care Certification processes. However, we also<br />

need to implement this in a wider context of changing<br />

community expectations. We are committed not only to<br />

bringing our entire asset base up to the highest level, but<br />

exceeding regulatory requirements.<br />

In terms of financial sustainability a Strategic Property<br />

Plan for <strong>NSW</strong> and the <strong>ACT</strong> is being developed. Each<br />

Region has been given an opportunity to submit their<br />

priorities and preferences for future capital works. We will<br />

assess these requests for alignment with our strategy<br />

and on the basis of need, sustainability and a resource<br />

allocation policy that reflects the wider social justice<br />

perspective of <strong>UnitingCare</strong>.<br />

Quality<br />

We will strive to develop a consistent way of measuring<br />

quality, acknowledging the differences in the type and<br />

measurement of our residential, community and self care<br />

services. Our people – staff and volunteers – are crucial to<br />

the ongoing work of <strong>UnitingCare</strong> Ageing. We will capitalise<br />

on our size to develop a <strong>UnitingCare</strong> Ageing workforce<br />

strategy and introduce innovative projects to attract<br />

more staff including customised learning and development<br />

projects. One of our aspirations is for <strong>UnitingCare</strong> Ageing<br />

to become an employer of choice in the aged care sector.<br />

Pastoral Care<br />

Pastoral Care – a core feature of our Christian faith –<br />

remains a foundation of our services. From our chaplains<br />

through to staff and volunteers we will continue to<br />

echo the Gospel messages of care and love for our<br />

neighbours. Increasingly, we will focus on outcomes of<br />

health, wellbeing and lifestyle for our clients. Their needs<br />

will be at the centre of all we do.<br />

Future<br />

As mentioned in the Chairperson’s <strong>Report</strong>, the Board will<br />

be releasing a discussion paper on our strategic directions<br />

for <strong>UnitingCare</strong> Ageing in early October <strong>2005</strong>. We seek<br />

feedback from Regional Boards, staff and other people<br />

involved with <strong>UnitingCare</strong>, as we lay down a strong<br />

foundation for the expansion of <strong>UnitingCare</strong> Ageing<br />

over the next decade.<br />

Gillian McFee<br />

12 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 13


Residential Care<br />

<strong>UnitingCare</strong> Ageing is looking at synergies between its<br />

residential facilities and community care programs.<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong> currently operates 92<br />

residential aged care facilities, which provide care for<br />

almost 5,000 residents. These facilities are located across<br />

metropolitan Sydney, rural <strong>NSW</strong> and in the <strong>ACT</strong>. In many<br />

cases they include respite care and palliative care provision,<br />

and in some cases, dementia specific facilities. We are<br />

positioned to receive full building certification for our<br />

facilities in <strong>2005</strong>.<br />

The nature of residential care is changing, with shorter stays<br />

in high care facilities, due to clients entering residential<br />

care at older ages and mostly from acute hospitals.<br />

Increasingly <strong>UnitingCare</strong> Ageing is looking at synergies<br />

between its residential facilities and community care<br />

programs. The South-Eastern Region, for example, has<br />

developed a Master concept for Lake View at Shellharbour<br />

– a 100 place aged care facility that will augment the self<br />

care facilities on that site.<br />

Another example of integration is Goonellabah Village at<br />

Lismore, which provides a high level of support and care<br />

that bridges the gap between community and residential<br />

hostel/nursing home care.<br />

During the year work commenced on the redevelopment<br />

of Jarman Hostel, a 79 place, $13M three stage<br />

redevelopment of the North Coast Region’s oldest facility.<br />

Stage one was completed in July <strong>2005</strong>. A significant<br />

factor in this redevelopment project was that no residents<br />

were displaced and every effort was made to minimise<br />

disruption to everyday life within the hostel during the<br />

construction period.<br />

14 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 15


Residential Care<br />

Across <strong>UnitingCare</strong> Ageing there are examples of<br />

innovation in residential care. The implementation of<br />

the ‘Eden’ alternative at Mirinjundi in the <strong>ACT</strong> has fostered<br />

a different way of delivering care, based on a social<br />

model. <strong>UnitingCare</strong> Ageing has been a pilot with the<br />

Commonwealth Government in the development of the<br />

Nurse Practitioner Model. In August 2004, a staff member,<br />

Tamra Macleod, received a scholarship to study the<br />

Master of Nurse Practitioner course at the University of<br />

Canberra, and to participate in the pilot Aged Care Nurse<br />

Practitioner Project, which was a joint initiative between<br />

the Commonwealth Government and <strong>ACT</strong> Health.<br />

In July <strong>2005</strong> Tamara began participating in a National<br />

evaluation of Nurse Practitioners in Aged Care. Under the<br />

program, a Nurse Practitioner is accredited to initiate<br />

diagnostic investigations, to prescribe medications and<br />

to make limited referrals under approved clinical<br />

guidelines. <strong>UnitingCare</strong> Ageing is keen for other nurses<br />

to also participate in this unique Australian project.<br />

In Sydney, Parramatta Council approved a Development<br />

Application for a 96 place aged care facility at Ermington,<br />

which will include a special purpose dementia wing.<br />

Construction commenced in June <strong>2005</strong> and the new<br />

facility is expected to be completed by Christmas 2006.<br />

Wesley Mission Region has plans underway for the<br />

redevelopment of its facilities at Sylvannia and<br />

Carlingford. A refurbishment of the Charles Woodward<br />

facility at Smithfield, included a rose garden and BBQ.<br />

Similarly, the final stages of redevelopment of R J<br />

Williams lodge, at Glebe included the redevelopment of<br />

the foyer which accommodates disadvantaged people<br />

We were pleased that Annesley House, a low-care facility<br />

in Sydney’s inner west dedicated to people living with a<br />

mental illness, won a finalist’s certificate in the Residential<br />

Care Team Award at the 2004 Aged and Community<br />

Services Industry Awards.<br />

<strong>UnitingCare</strong> Ageing is<br />

participating in the national<br />

Nurse Practitioners<br />

pilot scheme.<br />

16 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 17


Community Care<br />

Our services include day programs that help people adjust to<br />

their situation while remaining in their own homes.<br />

During the year <strong>UnitingCare</strong> Ageing Wesley Mission<br />

Region gained eight new HACS programs – which are<br />

jointly funded by the State and Federal governments.<br />

These programs included a dementia day, shopping trips,<br />

respite programs and dementia monitoring support.<br />

A new Dementia Day Centre was also established at<br />

Tuggerah on the Central Coast.<br />

<strong>UnitingCare</strong> Ageing Western Region expanded its<br />

Community Service Programs in Dubbo, Broken Hill and<br />

Wagga Wagga and is a major participant in the innovative<br />

pool program established by Federal Government, which<br />

aims to care for older people with an intellectual disability<br />

in a community setting.<br />

The Hunter, Central Coast and New England Region,<br />

which has 50 per cent of clients in community care,<br />

established a comprehensive men’s health program for<br />

isolated men in the Hunter Valley. Further north, a Living<br />

with Memory Loss program has been established by<br />

the North Coast Region at Ballina, funded by Alzheimer’s<br />

Australia and the Commonwealth Department of Health<br />

and Ageing.<br />

Other community activities include Men’s Shed. Sydney<br />

North Region initiated Men’s Shed in Australia with a<br />

program at Lane Cove in 2001, in conjunction with Lane<br />

Cove Council and supported by Royal North Shore<br />

Hospital. The program assists older men by providing<br />

them with an opportunity to interact and socialise and to<br />

work with their hands.<br />

This year Sydney North Region has mentored the<br />

formation of a Men’s Shed program at Forestville in<br />

conjunction with Forestville RSL and the Lions Club,<br />

which will be operated by the Ku-ring-gai Region; at<br />

North Sydney, North Sydney Rotary and North Sydney<br />

Council are supporting a Men’s Shed which is due to<br />

open in October <strong>2005</strong>. Sydney North Region also<br />

operates a Men’s Shed program at Bowral in conjunction<br />

with the Bowral Uniting Church and Wingecarribee<br />

Men’s Health Association.<br />

The community’s increasing preference for communitybased<br />

care and programs is reflected in the 40 per cent<br />

of clients of <strong>UnitingCare</strong> Ageing who are being serviced<br />

through a broad range of community care programs.<br />

Many of these programs reflect our social justice paradigm<br />

and focus on the needs of the isolated, homeless and<br />

people living with specific healthcare needs. We are<br />

particularly concerned to support frail older people with<br />

early memory loss and severe dementia as well as people<br />

living with mental illnesses. Many of these services are<br />

day programs and involve our staff and volunteers helping<br />

people to adjust to their situation while remaining in<br />

their own homes.<br />

Our community care services cover the full continuum<br />

of care and include independent living units (ILU’s),<br />

community aged care packages (CACP) extended assisted<br />

care in the home (EACH), and home and community care<br />

services (HACC).<br />

18 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 19


Community Care<br />

<strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

Concern about the rising<br />

incidence of suicide, especially<br />

amongst men, has led to<br />

<strong>UnitingCare</strong> Ageing mentoring<br />

men’s support groups in<br />

various parts of <strong>NSW</strong>.<br />

In May <strong>2005</strong> The Manly-based community project, Time<br />

Banks, was launched in Australia. The project is a joint<br />

initiative of Sydney North Region and In My Father’s<br />

House. Time Banks Australia is a cashless bartering<br />

system, whereby volunteers receive credits for time they<br />

spend visiting and supporting members of the community.<br />

The credits may then be exchanged for services from<br />

individuals or participating organisations. The scheme<br />

promotes community involvement and volunteer<br />

participation, and most importantly enables older<br />

people who wish to stay in their homes to do so.<br />

Our community outreach programs include<br />

homelessness programs, research on depression and<br />

alzheimer’s. A new service initiative has commenced in<br />

the Ku-ring-gai Region called ‘The Ku-ring-gai Way’.<br />

<strong>UnitingCare</strong> Ageing has extended its partnership and<br />

links with the Australian Chinese Community with a<br />

purpose built unit at Lynvale Nursing Home, following a<br />

Memorandum of Understanding between the President<br />

of Australian Chinese Community Association of <strong>NSW</strong>,<br />

Sydney North and Ku-ring-gai Regions.<br />

20 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 21


Chaplaincy and Pastoral Care<br />

A key difference between <strong>UnitingCare</strong> Ageing and the forprofit<br />

sector providers is our pastoral care and community<br />

outreach programs.<br />

Our Christian beliefs and pastoral care approach underpin<br />

the services provided by <strong>UnitingCare</strong> Ageing. We are<br />

privileged to be able to work with older people who<br />

deserve recognition for their life achievements and<br />

service to the community.<br />

A key difference between <strong>UnitingCare</strong> Ageing and other<br />

aged care providers, is our pastoral care and community<br />

outreach to support older people. Across <strong>NSW</strong> and the<br />

<strong>ACT</strong> more than 50 people are employed on a part or<br />

full-time basis to provide pastoral care and chaplaincy<br />

services, ably supported by numerous volunteers.<br />

Some of the priorities during the year have been an<br />

enhanced focus on the importance of chaplains for both<br />

residents and staff and integrated pastoral care programs<br />

that foster pastoral care with other faiths.<br />

On the North Coast, for example, chaplains in collaboration<br />

with an integrated therapy team have devised and<br />

distributed a “Comfort Kit” to all residential facilities.<br />

These comprise an assortment of items that can be used<br />

by residents, relatives and friends to provide comfort and<br />

support for residents in times of special need.<br />

We have expanded our Pastoral Care Training programs<br />

and brought together staff from across various Regions, and<br />

also from external organisations, to discuss their experiences.<br />

In July 2004 the formation of a Pastoral Care and Chaplaincy<br />

Leadership Group brought together the Chaplaincy Coordinators<br />

(or equivalent) from each of the eight Regions.<br />

This Group identified a large number of issues relating to<br />

pastoral care, chaplaincy and mission that needed to be<br />

addressed, and developed an on-going “Work Program” to<br />

prioritise the issues in accordance with the <strong>UnitingCare</strong><br />

Ageing Strategic Plan 2004 - 2007.<br />

One of committee’s main achievements was the<br />

Development of a Pastoral Care and Chaplaincy Policy for<br />

<strong>UnitingCare</strong> Ageing. The Policy defines “pastoral care” and<br />

“chaplaincy” and sets out the following principles that<br />

apply within <strong>UnitingCare</strong> Ageing:<br />

• <strong>UnitingCare</strong> Ageing is committed to offering pastoral<br />

care and chaplaincy to residents, clients, families,<br />

volunteers and staff, as an expression of its holistic<br />

care for people.<br />

• <strong>UnitingCare</strong> Ageing recognises that people have<br />

emotional, spiritual, religious, sexual, psychological<br />

and other needs, and that people can be assisted<br />

through listening, pastoral conversation, pastoral<br />

counselling, advocacy, and liturgical services.<br />

• <strong>UnitingCare</strong> Ageing requires each Regional Aged Care<br />

Board to recognise the importance of pastoral care<br />

and chaplaincy in the holistic approach to care, as<br />

informed by the Christian gospel.<br />

The provision of pastoral care and chaplaincy services<br />

will therefore be an essential component of all existing<br />

facilities and services, and will be included in the<br />

planning for all new activities.<br />

The Pastoral Care and Chaplaincy Leadership Group<br />

organised several Network Days in November 2004 and<br />

May <strong>2005</strong> for people engaged in providing pastoral care<br />

and chaplaincy services.<br />

We look forward to the appointment of a Director<br />

of Ministry and Mission to ensure that policies, practices<br />

and directions continue to be sound, both ethically<br />

and theologically. Plans are also well underway for<br />

the 6th National Ecumenical Aged Care Chaplains’<br />

Conference to be held in October <strong>2005</strong>, sponsored<br />

by <strong>UnitingCare</strong> Ageing.<br />

22 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 23


Our People<br />

We are committed to attracting, developing, rewarding and<br />

retaining skilled and passionate staff.<br />

The staff employed by <strong>UnitingCare</strong> Ageing are motivated<br />

by the personal reward and strong sense of ‘caring’<br />

culture. Each day our staff show genuine identification<br />

with and respect for older people. To deliver quality care<br />

<strong>UnitingCare</strong> Ageing is committed to attracting, engaging,<br />

developing, rewarding and retaining people who are<br />

skilled at what they do, passionate about caring for older<br />

people, and who are committed to our Mission.<br />

A consistent set of Human Resources policies has been<br />

developed by the Human Resources Leadership Group<br />

and implementation across Regions has commenced. As<br />

part of the CommIT project, investigations into the<br />

selection of a new Human Resources, Rostering and<br />

Payroll system are almost complete. Regions have begun<br />

work on introducing new ‘person centred’ staffing models<br />

based around teams of care staff trained in Certificate III<br />

and IV with appropriate training in medication management.<br />

Professional development days are regularly held across<br />

<strong>NSW</strong> and the <strong>ACT</strong>. During the year the Ku-ring-gai Region<br />

established the Professional Aged Care Education<br />

Resource (PACER) – a Registered Training Organisation.<br />

PACER is our second RTO – the other being operated by<br />

Wesley Mission Region.<br />

In the Hunter, a detailed consultative process across the<br />

Region’s facilities resulted in the introduction of new<br />

systems and more education and training programs for<br />

staff. In recognition of the importance of people the<br />

Hunter, Central Coast and New England Region appointed<br />

a Director of People Development. In several other Regions,<br />

such as Sydney and Western, an Employee of the Month<br />

program has been established. Across the organisation<br />

the focus in 2006 will be on increased professional<br />

development opportunities and introducing common<br />

systems and procedures.<br />

Total Staff Numbers<br />

Region Under 20 21-30 31-40 41-50 Over 51 Total<br />

Hunter, Central Coast and New England 14 124 214 377 379 1,108<br />

Ku-ring-gai 66 85 87 165 208 611<br />

South-Eastern 41 125 141 286 282 875<br />

Sydney 10 63 92 177 194 536<br />

Sydney North 32 119 92 128 157 528<br />

North Coast 3 42 61 136 89 331<br />

Wesley Mission 22 74 76 112 135 419<br />

Western 40 148 227 341 467 1,223<br />

TOTALS 228 780 990 1,722 1,911 5,631<br />

Full Time Equivalent <strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong><br />

Region Full Time Part Time Casual Total<br />

Hunter, Central Coast and New England 156 742 256 1,154<br />

Ku-ring-gai 90 173 25 288<br />

North Coast 79 132 21 232<br />

South East 170 296 82 548<br />

Sydney 57 251 44 352<br />

Sydney North 86 138 36 260<br />

Wesley Mission 65 164 16 245<br />

Western 74 401 154 629<br />

TOTALS 777 2297 634 3,708<br />

24 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 25


Volunteers<br />

We are fortunate to have many people who generously<br />

volunteer their time and skills.<br />

More than 1,800 volunteers are integral to the caring<br />

service provided by <strong>UnitingCare</strong> Ageing across <strong>NSW</strong> and<br />

the <strong>ACT</strong>. In both community and residential programs,<br />

volunteers provide an extra friendly face and support to<br />

our residents and clients through pastoral visitation, bus<br />

& car driving, handyperson and tutoring, receptionist and<br />

shop assistant duties, and providing entertaintment. All<br />

of these activities are much appreciated by residents,<br />

clients and staff.<br />

In an age regarded as ‘time poor’ and where volunteers<br />

are in high demand, <strong>UnitingCare</strong> Ageing is fortunate to<br />

have people so generous with their time and skills.<br />

Volunteers may be members of local congregations who<br />

have links with a specific aged care service, relatives of<br />

our residents, or citizens who seek to make a contribution to<br />

their local community through <strong>UnitingCare</strong> Ageing.<br />

In recognition of their contributions, each Region of<br />

<strong>UnitingCare</strong> Ageing organises various appreciation<br />

events, which often coincide with Volunteers Awareness<br />

Week and Christmas.<br />

During the year several Regions including Wesley<br />

Mission, Ku-ring-gai and Hunter, Central Coast and New<br />

England, appointed Volunteer Co-ordinators to manage<br />

the involvement of their volunteers. In March Wesley<br />

Mission’s volunteer policy was adopted across the<br />

<strong>UnitingCare</strong> Ageing network, and incorporated into<br />

our Human Resource management policies .<br />

Volunteers<br />

Hunter, Central Coast and New England 300<br />

Ku-ring-gai 173<br />

North Coast 91<br />

South Eastern 594<br />

Sydney 14<br />

Sydney North 90<br />

Wesley Mission 418<br />

Western 149<br />

TOTAL 1,829<br />

26 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 27


Partnerships<br />

Collaborative approaches across the Uniting Church include<br />

chaplaincy and pastoral care, day care centres and governance.<br />

Uniting Church<br />

During the year <strong>UnitingCare</strong> Ageing has increased its<br />

missional links with congregations and presbyteries of<br />

the Uniting Church by providing financial, administrative<br />

and management support to a range of programs and<br />

activities, including child care centres, community<br />

groups, chaplaincy and pastoral care and governance.<br />

At Newcastle and Lismore, for example, buildings and<br />

resources are made available to presbyteries and church<br />

committees, which enhances fellowship and co-operation<br />

between the presbyteries and <strong>UnitingCare</strong> Ageing.<br />

At Penrith, <strong>UnitingCare</strong> Ageing and Unifam Counselling<br />

and Mediation are now co-located.<br />

<strong>UnitingCare</strong> Ageing has taken management of McDonald<br />

Homes at Eastwood and Dee Why, which provide<br />

accommodation for disadvantaged older people.<br />

In Sydney’s east, Edina aged care services and Waverley<br />

War Memorial Hospital have embarked on a Joint<br />

Master Plan for the Campus redevelopment of that site.<br />

The new Campus seeks to integrate residential aged care<br />

and community services.<br />

Other Christian churches and faiths<br />

Ecumenical worship services are held at numerous<br />

facilities each week. Visiting clergy from the Uniting<br />

Church and other denominations lead services, thus<br />

maintaining their faith communities’ connection with<br />

members now in our care and who find it difficult, or<br />

impossible, to go to their home church.<br />

A ‘National Day of Thanksgiving’ celebration at Lismore<br />

involved large banners throughout the town and<br />

culminated with a non-denominational service. This<br />

year’s event focused on Health and Education and was<br />

an opportunity to recognise the efforts of countless<br />

numbers of people who serve their communities.<br />

Health and Aged Care Providers<br />

<strong>UnitingCare</strong> Ageing has strong relations with other<br />

health care providers, especially faith-based or<br />

community-operators. In Sydney, we are undertaking<br />

joint programs with St Luke’s Darlinghurst and have also<br />

established close links with Carers <strong>NSW</strong>. In the Hunter,<br />

<strong>UnitingCare</strong> Ageing and the Alzheimer’s Association are<br />

examining the location of the association’s resource unit<br />

and day centre adjacent to our Hamiliton aged care<br />

facility. On the North Coast we have entered into an<br />

agreement with St Vincent’s Hospital Lismore to manage<br />

some services on behalf of the <strong>NSW</strong> Department of<br />

Ageing Disability and Home Care.<br />

Joint Ventures<br />

<strong>UnitingCare</strong> Ageing has Joint Ventures with universities,<br />

community organisations and other health care providers.<br />

A joint venture with the Marco Polo community group will<br />

result in additional high care and low care facilities at<br />

Bateman’s Bay.<br />

Universities<br />

<strong>UnitingCare</strong> Ageing is an accredited placement provider<br />

for student nurses specialising in aged care. Our aim to<br />

fully understand the complex challenges of older people<br />

and to integrate models of care with latest clinical<br />

research has also led to partnerships with Charles Sturt,<br />

Newcastle, University of Technology, Southern Cross and<br />

Wollongong universities.<br />

The South Eastern Region, in conjunction with the<br />

University of Wollongong, has recently completed a<br />

research project examining barriers to the implementation<br />

of technology in aged care. The two organisations are<br />

also finalising a Memorandum of Understanding, which<br />

in formalising an ongoing partnership, will consider<br />

initiatives including aged care research projects, conjoint<br />

appointments of senior regional staff and the designation<br />

of <strong>UnitingCare</strong> nursing homes as teaching facilities.<br />

Concern about the rising incidence of suicide, especially<br />

among isolated men in rural settings is being addressed<br />

through a Suicide Prevention Program between the<br />

Hunter, New England and Central Coast Region and the<br />

University of Newcastle. Through this joint program,<br />

<strong>UnitingCare</strong> Ageing has established and is mentoring<br />

men’s support groups in the Hunter Valley with the aim<br />

of identifying and breaking down isolation factors. With<br />

the assistance of Newcastle University students, the<br />

Wellbeing of Older Men Project produced an informative<br />

resource publication for the development of men’s<br />

health information events. Also in the Hunter,<br />

<strong>UnitingCare</strong> Ageing has awarded a nursing scholarship<br />

to a staff member to study at the University of Newcastle.<br />

<strong>UnitingCare</strong> Ageing’s North Coast Region, in conjunction<br />

with Southern Cross University (SCU), is researching the<br />

cognitive effects of aromatherapy on people with<br />

dementia living in residential care facilities. During the<br />

year, several Goonellabah village residents participated in<br />

a health and wellbeing survey with a SCU student.<br />

Wesley Gardens and Kari Court facilities in the Ku-ring-gai<br />

Region and Centre for Ageing and Pastoral Studies at<br />

Charles Sturt University are nearing completion of a<br />

major research study, ‘Finding meaning in the experience<br />

of memory loss: the place of spiritual reminiscence work’.<br />

The report is due for release in late <strong>2005</strong>. Wesley Gardens<br />

and Bowden Brae are also involved in a Dementia<br />

Mapping research project with the University of<br />

Technology, Sydney.<br />

28 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 29


New Facilities<br />

At 30 June <strong>2005</strong> <strong>UnitingCare</strong> Ageing had more than $100M<br />

in capital work projects in development.<br />

New facilities completed during the year<br />

Bowden Brae, Normanhurst 100 place high-care and low-care dementia facility $17M<br />

Hawkesbury Village, Richmond 70 place high care facility $8M<br />

Elizabeth Gates Nursing Home and Alroy<br />

House, Singleton 59 place extension $12M<br />

Springwood Nursing Home 20 place dementia specific extension $4M<br />

Unanderra Facility 108 place high care facility including palliative care $15M<br />

TOTAL: $56M<br />

Hunter Region accepted a tender to build a $20M,<br />

100 place greenfields facility at Wallsend, Newcastle<br />

to replace Courtman Hall Hostel and Wesley Lodge<br />

Nursing Home.<br />

A business case has been developed for a Central Coast<br />

Strategy, which proposes the replacement of Nareen<br />

Gardens Nursing Home and the rebuilding of Nareen<br />

Gardens Hostel and associated infrastructure.<br />

Major construction projects in progress:<br />

• $10M Nunyara, Peakhurst, a 74 place high care, high<br />

dementia facility, due for completion in October <strong>2005</strong><br />

• $13M three phase redevelopment of the 79 place<br />

Jarman Hostel at Lismore<br />

• $27M 130 place Ageing in Place facility at Marion<br />

Street, Leichhardt, including community centre and<br />

55 dementia-specific places – opens in early 2007<br />

• $13M 63 place nursing home for Quong Tart for<br />

Chinese community at Ashfield<br />

• $17M 96 place aged care facility including a purpose<br />

built dementia wing at Ermington<br />

• $20M Lake Road Newcastle - New 120 place Ageing<br />

in Place facility.<br />

The first stage of the Jarman Hostel redevelopment was<br />

completed in July <strong>2005</strong>. A significant factor in this<br />

redevelopment project was that no residents were<br />

displaced during the extensive construction period.<br />

Residents previously shared ensuite arrangements and<br />

lived in a sprawling old building. The new facility provides<br />

spacious rooms with private ensuites, dining and<br />

entertainment facilities, a chapel, and beautiful views.<br />

Proposed developments:<br />

• Master Planning of Lake View at Shellharbour<br />

• Final design stages for a new low care facility in<br />

Weston, <strong>ACT</strong><br />

• Proposed redevelopment of facilities at Sylvania<br />

and Carlingford<br />

• Yamba Hostel extension 15 place dementia specific<br />

extension to 40 place existing hostel. This locality is in<br />

an area of great need of aged care services with over<br />

40 people currently on the waiting list for the<br />

existing hostel.<br />

Many other projects are at the conceptual or planning<br />

stages and will come within the Strategic Property Plan<br />

for <strong>UnitingCare</strong> Ageing.<br />

30 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 31


Finance and Statistics<br />

The financial year ending 30 June <strong>2005</strong> was a period of<br />

consolidation for <strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong>, with the<br />

creation of eight Regions and a head office to manage an<br />

organisation whose annual turnover now exceeds $350M.<br />

Operationally, there were a number of issues pertaining<br />

to the organisational structure that required considerable<br />

managerial investment of time and resources, such as<br />

ensuring compliance with the new Commonwealth<br />

Government building standards for fire safety and lifestyle.<br />

A review of major capital works identified a projected<br />

$1.2B needs to be expended over the next ten years<br />

to ensure our residential aged care facilities meet with<br />

Commonwealth and community expectations. While<br />

this is a challenge, financially <strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<br />

<strong>ACT</strong> is well placed to meet that commitment. It is further<br />

estimated than an additional $400M will be required to<br />

develop new aged care services to meet demographic<br />

changes within our population. These plans are under<br />

Consolidated Financial Performance Summary (unaudited) 2004/05<br />

review alongside new strategic directions that align with<br />

the new organisational structure.<br />

New residential services completed during the year<br />

included the Hawkesbury Nursing Home and extensions<br />

to Springwood Nursing Home. A number of existing site<br />

redevelopments and significant capital programs are<br />

underway or planned for completion in <strong>2005</strong>-2006.<br />

The operational financial performance of our residential<br />

care services (high and low care) fell by 37 per cent<br />

compared with the result in 2003-2004. This reduction<br />

was influenced strongly by substantial nurses’ award<br />

increases that were not commensurate with government<br />

subsidy movements. Community Care Packages, on the<br />

other hand, improved their operating performance by<br />

18 per cent. Overall, the consolidated operating result<br />

fell by 28 per cent, whilst the total result (before<br />

adjustments) increased by 12 per cent on 2003-2004.<br />

$’000 Residential Retirement CACP/EACH Other TOTAL Previous<br />

Village Community 2004/05 Year<br />

Operating Income 207,261 9,999 20,070 12,087 249,418 230,429<br />

Operating Expense 202,897 10,134 17,429 12,067 242,537 220,928<br />

OPERATING RESULT 4,364 (135) 2,641 20 6,881 9,501<br />

Non-Operating Result 16,571 4,983 (93) 703 22,164 16,342<br />

TOTAL RESULT 20,935 4,848 2,548 723 29,045 25,843<br />

Grants ($3,500 bed grant) and 18,540 27 77 2,622 21,268 (3,364)<br />

extra-ordinary items (IFRS adj)<br />

ADJUSTED TOTAL RESULT 39,475 4,875 2,625 3,345 50,313 22,479<br />

EBITDA % (based on Total result) 13% 22% 13% 9% 13% 10%<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong> places/clients by Aged Care Planning Region<br />

Region High Care Low Care CACP/ EACH OTHER C’TY Total<br />

<strong>ACT</strong> 94 94 55 32 275<br />

Central Coast 100 201 120 420 841<br />

Central West 83 97 47 383 610<br />

FN Coast 323 174 42 55 594<br />

Hunter 230 296 127 316 969<br />

Illawarra 215 224 45 55 539<br />

Inner West 361 445 265 410 1,481<br />

MN Coast 25 25<br />

Nepean 77 289 305 671<br />

New England 60 30 67 42 199<br />

Nthn Sydney 661 739 212 187 1,799<br />

Orana F/West 47 47<br />

Riv/Murray<br />

SE Sydney 138 502 179 124 943<br />

SW Sydney 143 30 9 182<br />

Sth Highlands<br />

W Sydney 167 241 182 245 835<br />

TOTAL 2,509 3,475 1,443 2,583 10,010<br />

<strong>UnitingCare</strong> Ageing also operates three Commonwealth Carelink Centres.<br />

Consolidated Statement of Financial Position (unaudited) 2004/05<br />

2003/04 $000 2004/05 $000<br />

Accumulated Funds 381,184 441,598<br />

Cash/Investments 218,256 251,137<br />

Net Fixed Assets 646,148 660,666<br />

Other Assets 73,67 95,511<br />

TOTAL ASSETS 938,074 1,007,314<br />

2003/04 $000 2004/05 $000<br />

Resident Loan Liabilities 474,908 509,271<br />

Synod Loans 21,107 4,132<br />

Other Liabilities 60,875 52,313<br />

Total Liabilities 556,890 565,716<br />

NET ASSETS 381,184 441,598<br />

32 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 33


Statistics<br />

Bequest <strong>Annual</strong> <strong>Report</strong> Fund <strong>2005</strong><br />

50<br />

40<br />

1997/1998 2004/<strong>2005</strong><br />

Nursing Home Resident Classification Scale (RCS) Change in Dependency 1997/1998 - 2004/<strong>2005</strong><br />

<strong>UnitingCare</strong> Ageing Nsw.act Bequests Fund Grants: 2004-<strong>2005</strong> Financial Year<br />

Purpose/Region<br />

Amount<br />

Centre for Healthy Ageing, Bondi Sydney Region $50,120<br />

Annesley House, Sydney – Emergency Funding for Clothes and Shoes Sydney Region $25,000<br />

Seniors’ Week Ball Sydney Region $30,000<br />

Family Carers Awareness Training in partnership with Carers <strong>NSW</strong> Sydney Region $44,200<br />

%<br />

30<br />

20<br />

10<br />

Expansion of the Eden Alternative program across Mirinjani’s services in the <strong>ACT</strong> South Eastern Region $31,500<br />

Nursing scholarships of up to $10,000 per annum at Newcastle (1), Wollongong (2) and Southern Cross (1)<br />

Universities Hunter, Central Coast & New England Region; South Eastern Region; North Coast Region $40,000<br />

TOTAL $220,820<br />

0<br />

Cat 1 Cat 2 Cat 3<br />

Cat 4 Cat 5<br />

Highest<br />

Degree of Care Dependency<br />

Lowest<br />

Hostel Resident Classification Scale (RCS) Change in Dependency 1997/1998 - 2004/<strong>2005</strong><br />

50<br />

40<br />

%<br />

30<br />

20<br />

10<br />

0<br />

Cat 1 Cat 2 Cat 3 Cat 4 Cat 5 Cat 6 Cat 7 Cat 8<br />

Highest<br />

Degree of Care Dependency<br />

Lowest<br />

34 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 35


<strong>Annual</strong> Senior Staff <strong>Report</strong> <strong>2005</strong> Regions <strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

New South Wales<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong><br />

Regional Directors<br />

Director<br />

Gillian McFee<br />

Director of Care Services, Policy and Planning<br />

Lynn May<br />

Director of People, Learning and Culture<br />

Sam Galluccio<br />

Hunter, Central Coast and New England<br />

Ken White<br />

Ku-ring-gai<br />

Phil West (Acting)<br />

North Coast<br />

Anne Leeson<br />

HUNTER, CENTRAL COAST<br />

AND NEW ENGLAND<br />

NORTH COAST<br />

Chief Financial Officer<br />

Wayne Newell<br />

South-Eastern<br />

Marisa Mastrioanni<br />

WESTERN<br />

Manager, Policies and Programs<br />

Ed McNamara<br />

Sydney<br />

Paul McMahon<br />

Manager, Property<br />

Andrew Morgan<br />

Sydney North<br />

Ivan Armstrong<br />

Wesley<br />

Elizabeth Orr<br />

Sydney<br />

Western<br />

Terry Mudie<br />

SOUTH EASTERN<br />

KU-RING-GAI<br />

SYDNEY NORTH<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong><br />

Level 5, 222 Pitt Street,<br />

Sydney <strong>NSW</strong> 2000<br />

T: 02 8267 4278 F: 02 9267 4842<br />

Hunter, Central Coast & New England Region<br />

7 Myall Road,<br />

Garden Suburb <strong>NSW</strong> 2289<br />

T: 02 4943 6077 F: 02 4942 2019<br />

Ku-ring-gai Region<br />

Wesley Gardens Aged Care, 2b Morgan Road,<br />

Belrose <strong>NSW</strong> 2085<br />

T: 02 9975 9301 F: 02 9975 9396<br />

North Coast Region<br />

Rous Road,<br />

Goonellabah <strong>NSW</strong> 2480<br />

T: 02 6624 6333 F: 02 6624 6334<br />

South Eastern Region<br />

Suite 7, Level 3, 87-89 Market Street,<br />

Wollongong <strong>NSW</strong> 2500<br />

T: 02 4253 6536 F: 02 4253 6537<br />

<strong>ACT</strong><br />

Sydney Region<br />

1 Wetherill Street,<br />

Leichhardt <strong>NSW</strong> 2040<br />

T: 02 9568 8000 F: 02 9568 8097<br />

Sydney North Region<br />

4 Chapman Avenue,<br />

Chatswood <strong>NSW</strong> 2067<br />

T: 02 9468 5900 F: 02 9468 5990<br />

Wesley Mission Region<br />

Wesley Mission Offices, Level 4, 220 Pitt Street,<br />

Sydney <strong>NSW</strong> 2000<br />

T: 02 9263 5495 F: 02 9264 9542<br />

Western Region<br />

Level 1/ 83 Henry Street,<br />

Penrith <strong>NSW</strong> 2750<br />

T: 02 4723 9400 F: 02 4721 4622<br />

SYDNEY<br />

36 <strong>UnitingCare</strong> Ageing <strong>Annual</strong> Repor t <strong>2005</strong> 37


Captions<br />

<strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

Cover<br />

Contents<br />

Marilyn Jolly (Executive Manager of Care, Sydney North Region) and Elly Winter (Self Care resident and<br />

volunteer at Wesley Heights) enjoying the view and a joke at Wesley Heights, Manly.<br />

Evelyn White enjoying a game of bowls at Bankstown.<br />

02 With our Christian focus, <strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong> offers pastoral care as part of our residential<br />

care services.<br />

04 left Lauris Biggs, the first resident at Hawkesbury Village’s new 70-bed nursing home at Richmond shows her<br />

new room to Federal Aged Care Minister, Julie Bishop.<br />

04 top Regional Director Ken White, Hunter Presbytery Chairperson Rev Dr Don Evans, Hunter Chaplain Rev<br />

Graeme Dark, Service Manager Julie Norris,Singleton Mayor Fred Harvison, Chairperson Elizabeth Iles,<br />

Harry Herbert, Elizabeth Gates resident Max Crofts, Alroy House resident Sylvie Smith at the official<br />

opening of the new Alroy House and the extension to Elizabeth Gates Nursing Home, Singleton on<br />

April 15 <strong>2005</strong>.<br />

04 bottom Federal Member for Macquarie Kerry Bartlett cutting the ceremonial ribbon to open the new 20-bed<br />

dementia unit, an extension to the Nursing Home at <strong>UnitingCare</strong> Springwood.<br />

05 Bowden Brae Retirement Village Hostel, Normanhurst.<br />

10 St Columbus Lane Cove.<br />

11 May O’Neil, a resident at Wirreanda at West Pennant Hills, enjoying a game of pool.<br />

14 Independence, mobility and relaxation - patrons enjoy the therapeutic benefits of hydrotherapy at the<br />

purpose built facility within the <strong>UnitingCare</strong> Ageing Goonellabah complex Lismore.<br />

15 With an emphasis in caring for the ‘whole person’, physical, spiritual and emotional, the chapel at<br />

Wirreanda, West Pennant Hills provides an opportunity for residents to fulfil their spiritual needs.<br />

16 Model train enthusiast Dick Ferguson with his impressive setup at Bowden Brae.<br />

17 top Volunteer Joanne Stewart playing scrabble with resident Mary Caldwell from the Nareen Gardens Hostel,<br />

Bateau Bay.<br />

17 bottom Mrs Chan enjoying a game of Bingo in the South Wing of Wesley Gardens.<br />

18 top Centre for Healthy Ageing trainer Gus Soler Estrada and Emma Greig.<br />

18 bottom A resident enjoying her garden at Northaven Retirement Village.<br />

19 Staff from the Blue Nurses embody the ministry of the Uniting Church.<br />

20 top A personal touch from a caring staff member.<br />

20 bottom Homecare worker walking with a client.<br />

21 top Sue Munir and Joyce Carlill enjoying the garden at Bankstown.<br />

21 bottom Resident keeping her computer skills up to date in her unit at Northaven Retirement Village.<br />

22 Quiet time for reflection and prayer. The stained glass windows at <strong>UnitingCare</strong> Caroona Kalina Nursing Home<br />

(Lismore) celebrate the beauty and diversity of the North Coast Region from the mountains to the sea.<br />

23 top Central Coast Chaplain Rev Heather Coombes with residents Dorothy Faulkner and George Lovegrove<br />

from the Nareen Gardens Hostel, Bateau Bay.<br />

23 bottom Real friendships and real care are what makes <strong>UnitingCare</strong> Ageing special. Registered Nurse, Peter De<br />

Heer and resident, Ethel Gault of <strong>UnitingCare</strong> Caroona Marima Nursing Home, enjoy a quite chat.<br />

24 Wendy Munro, Carol Watson, Julie Williams, Anne Morris all Community Carers with ‘Uniting to Care’.<br />

25 Bowden Brae nurse taking a stroll in the lovely gardens with the company of two residents.<br />

26 Mrs Florence Humphrey assisted by nurse, Marcia Hall, at a residents’ computer club at Gerringong.<br />

27 left Fay Bevan (Recreation Officer) and Jennifer Williams (Self Care Resident) at the piano, Wesley Heights, Manly.<br />

27 top Miriam Watsford (Co-ordinator, Jacaranda Day Care at Warriewood) and Lewis Marton (day care client)<br />

sharing a good book.<br />

27 bottom Alice Luton with cat Trixie Bell, St. Columbas Retirement Centre, Lane Cove. <br />

28 This church, Miraga at Broken Hill, has been converted to a Day Centre, an open plan space used as a<br />

meeting place for older people, including Aboriginal elders.<br />

29 A nurse provides care in the home.<br />

30 The beautiful aviary and grounds of Bowden Brae are a special joy to the residents.<br />

31 top Work continues on the $12 million <strong>UnitingCare</strong> Caroona Jarman Hostel redevelopment project. Stage 1<br />

has been completed and occupied with Stage 2 now commenced and project due for completion by<br />

January 2007.<br />

31 bottom l/r Leichhardt’s future model and current construction.<br />

35 Elsy Brammesan, Diversional Therapy Co-ordinator (centre), showing residents Mrs Vera Roberts (left) and<br />

Mrs Stammers (right) how to make greeting cards at Wirreanda, West Pennant Hills.<br />

36 Senior Staff: (standing) Marisa Mastrioanni, Phil West, Terry Mudie, Paul McMahon, Elizabeth Orr, Ivan<br />

Armstrong, (seated) Ken White, Gillian McFee, Anne Leeson.<br />

39 Mary Campbell, Ernie Lyneham, Joyce Campbell, Gwenyth Hindmarsh playing croquet at Gerringong.<br />

38<br />

<strong>Annual</strong> Repor t <strong>2005</strong> 39


<strong>Annual</strong> <strong>Report</strong> <strong>2005</strong><br />

Project Management<br />

Damian J. Gleeson<br />

Design<br />

Equation Corporate Design<br />

Photography<br />

Ute Wegmann<br />

Printing<br />

The Quality Group<br />

Publisher<br />

<strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong><br />

Published<br />

November <strong>2005</strong><br />

Internet<br />

www.unitingcareageing.com.au<br />

More copies of this report may be obtained from <strong>UnitingCare</strong> Ageing <strong>NSW</strong>.<strong>ACT</strong><br />

T: 8267 4372 or elizabethm@nsw.uca.org.au


Ageing<br />

<strong>NSW</strong>.<strong>ACT</strong>

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