Annual Report 2005 - UnitingCare NSW.ACT
Annual Report 2005 - UnitingCare NSW.ACT
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 />
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<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 />
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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 />
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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>