Aboriginal Elders & Community Care Services

Annual Report 2015-2016

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Shirley Peisley

Deputy Chairperson

About our Board Members

Harry HarunBoard member since 2011 and Chairperson for the last 3 years. Harry has worked for many Aboriginal programs and organisations and is currently a supervisor with the state government working with Aboriginal children at risk. Harry has also been on Boards of other Aboriginal organisations and recently completed an advanced governance training course through the Australian Institute of Company Directors.

Shirley Peisley AMBoard member since 2009 and Deputy Chairperson for the last 5 years. Aunty Shirley has a long and proud history of working for the Aboriginal community of South Australia, both in employment and volunteering her time for membership of various Boards. Among Aunty Shirley’s passions is the acknowledgment and recognition of Aboriginal women as Patron of the Gladys Elphick Awards.

Vicki HolmesBoard member since 2013 and Treasurer for the last 3 years. For over 30 years, Vicki has worked for the Aboriginal community and is currently the Chief Executive Officer of Nunkuwarrin Yunti. Vicki brings a wealth of knowledge and experience relating to governance, management and Aboriginal community health.

Greg SinclairBoard member since 2008 as a community representative. Greg has a long and proud history of working for the Aboriginal community of South Australia, both in employment and volunteering his time for membership of various Boards.

Janice RigneyBoard member since 2014 as a community representative. Aunty Janice has a long and proud history of working for the Aboriginal community of South Australia, both in employment and volunteering her time for membership of various Boards.

Cath McGeeBoard member since 2014, seconded for her knowledge and expertise in ageing and disability service provision. Cath has many years’ experience working in senior management positions with the state government and was responsible for the administration of the HACC program across SA for many years.

Board Members

Harry HarunChairperson

Greg SinclairVicki HolmesTreasurer

Janice Rigney

Shirley PeisleyDeputy Chairperson

Cath McGee

Aboriginal Elders & Community Care ServicesAnnual Report 2015-2016

ContentsChairperson Report ............................................. 4

Chief Executive Officer Report ............................ 5

Adelaide Commonwealth Home Support Program & Home Care Packages Report ................................................. 7

Aboriginal Elders Village Report ......................... 8

Community Visitors Scheme Report ................... 9

Corporate Services Report ................................. 10

Financial Report ................................................. 12

Auditor Report .................................................... 14

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Chairperson ReportHarry Harun | Chairperson

It is with great pride that I provide this Chairperson’s report for 2015/16.

The Aged Care Reforms continue to roll out across the aged care sector and the Board are very pleased with our organisation’s response to implementing the reforms while continuing to deliver high quality services to our community.

We are proud to offer a wide range of aged care services from basic low level supports through to high level and complex services.

The planning and policy develovpment that the Board has undertaken in recent years places the organisation in a good position to adapt and manage change.

The updating of our strategic plan provides a sound foundation to lead the organisation through the ever-changing sector in which we operate and look at other potential opportunities.

The Board meets every month and continues to participate in governance training to ensure that we operate to the highest standard.

Where necessary, the advice of consultants and legal opinion is obtained to ensure we are compliant and meeting all legal obligations. We are pleased that the organisation has had another sound financial performance for the year.

Board members have participated in the quality reviews for both the Aboriginal Elders Village and Community programs and have been proud of the outcomes received by the organisation.

The Board has a very good relationship with the management team and is pleased to see the good teamwork and morale that exists within the organisation.

It is important for me to thank my fellow Board members for their time, energy and support. The Board have committed to stay on and support the staff through this extended period of change.

I would also like to acknowledge the valuable work that all our staff perform on a daily basis in making the lives of our Elders better and the commitment shown to our organisation.

We need to acknowledge the support of the Australian Government, Department of Health, for their on-going funding support to our organisation.

This year we celebrated 20 years of service to our community and we look forward to the next twenty years.

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Chief Executive Officer ReportGraham Aitken | Chief Executive Officer

It is with pleasure that I present my sixth Annual Report and I am happy to see the number of Elders receiving our services continuing to grow.

Our organisation is unique and is one of less than fifty across Australia that delivers the full continuum of aged care services and supports from;

• Low level Commonwealth Home Support Program• Home Care Packages, and• Residential Aged Care

In addition, we are able to offer our Elders the support of visitors from our Community Visitor Scheme.

This year, our financial income reduced slightly due to funds we received for case management, assessment and client care coordination being redirected by the Department of Health to the new My Aged Care service system.

Our organisational structure continues to be refined to assist us accommodate changes and growth in the services we deliver.

Aged Care ReformsThrough our previous annual reports, newsletters and other opportunities, we have informed Elders about the Australian Government’s Aged Care Reforms which have been implemented due to Australia’s growing population of older people and the challenges facing the aged care sector.

The reforms seek to create a better aged care service system to give older people more choice, more control and easier access to a full range of services.

The Australian Government has established the “My Aged Care” website to assist older people, their families and service provider’s deal with the Aged Care Reforms and access services.

The Aged Care Reforms and changes will continue to be implemented by the Department of Health through to the year 2018 and we have successfully managed and implemented the changes to date.

Home Care PackagesIn 2014, we became an “Approved Provider” of aged care services meaning we can deliver the higher level care of Home Care Packages.

Our organisation was also successful in obtaining 17 Home Care Packages from the 2014 Aged Care Approvals Round and we have been transitioning Elders from the lower level care services to the higher level Home Care Packages.

These Packages are “Consumer Directed Care” meaning Elders have a budget and more choice about the types of services they receive under the Package. Elders also receive a monthly statement about the services they have purchased.

Graham Aitken | Chief Executive Officer

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The feedback we receive from Elders who are on Home Care Packages is very positive as they are able to make decisions and have choices about how their Home Care Package is used.

Our Home Care Packages program will increase to nearly 50 early in the new financial year as we take over the management of the Home Care Packages previously managed by Bene’ (formerly Italian Benevolent Foundation).

In February 2017, Home Care Packages will be allocated to individuals and will be fully portable. We look forward to this change as we believe more Elders will be able to access Home Care Packages and will be able to choose which service provider they would like to assist them with the Package.

Accountability RequirementsOur organisation is required to meet many Commonwealth, State and Local Government laws, rules and regulations and the terms and conditions of our funding and I am pleased to confirm that all our reporting requirements are up to date.

All our programs are subject to Quality Reviews and I am also pleased to advise that we have received positive results from our quality reviews.

We are also required to submit regular financial reports to our funding bodies and due to our good financial management processes, have achieved a sound end of year financial result. The independent financial audit details contained in this annual report confirms the financial performance which has been received without qualifications.

Future Growth OpportunitiesThe Board and the management team have worked together in the development of a strategic plan to look at what we are doing now and where we want to be in the future by identifying some further growth opportunities for the organisation.

We were successful with our “tender’ to deliver Commonwealth Home Support Program services on the APY Lands and our services will commence 1 July 2016.

We are also investigating options to support other Aboriginal aged care organisations.

We will also look to expand our Community Visitor Scheme which will enable us to provide more visitors for Elders at the Aboriginal Elders Village and for Elders living the community who may live alone and/or be socially isolated.

We remain on the “Preferred Panel” of disability service providers for Disability SA and will monitor future opportunities, especially through individualised budgets and the National Disability Insurance Scheme.

Acknowledgements and Thank YouI would like to acknowledge our staff that I am very proud of and who demonstrate and show commitment to our Elders and to the organisation.

I would also like to acknowledge the Board members who volunteer their time and provide me with support and give the organisation clear directions on how we operate and where we want to be in the future.

Our organisation has established many partnerships and linkages and I would like to acknowledge those organisations that work with us in a changing and complex service system environment.

I look forward to the new financial year with confidence and enthusiasm as we continue to grow and improve our organisation in meeting the needs of our Elders and the wider Aboriginal community.

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Adelaide Commonwealth Home Support Program and Home Care Packages ReportTina Summers | Client Services Manager

Aboriginal Community Care SA’s programs has seen another busy year with many changes from My Aged Care referrals, to increased Home Care Packages and ongoing expansion of Elders taking up services with ACCSA.

Commonwealth Home Support Program (CHSP) – we have mentioned the Aged Care Reforms previously and that in 2015 all referrals for CHSP services will come through the My Aged Care (MAC) system. Although this system has had its challenges ACCSA has managed this well with staff supporting many Elders to navigate their way through this process.

This year ACCSA has received 47 MAC referrals for clients across the Adelaide metro area. Currently ACCSA has 272 clients on the CHSP taking up a range of our services including Domestic Assistance, Social Support, Yard Maintenance and Transport to medical appointments. Our coordinators continue to provide a high level of advocacy and support to all Elders.

Home Care Packages (HCP) – ACCSA continues to provide a high level of support to our clients on Packages. In addition to the 17 packages granted in early 2015, we received another 27 packages through a transfer from Bene Aged Care ranging from level 2 through to level 4 Packages.

Elders on our Packages have truly taken to the consumer directed care model of service that ACCSA offers and managing their services to meet their needs as they see fit. Elders on Packages continue to receive detailed monthly statement clearly outlining where their money is being spent in a very transparent manner.

Due to our increased Packages in HCP we saw some staff changes with two coordinators moving to manage HCP Elders and a new coordinator employed to manage our Northern CHSP Elders. We also have additional administration/reception support.

Social Program – Elders continue to support our exercise program with the swimming program in Woodville moving to a new pool in Findon. We also trialed a dietitian program at Woodville Adelaide Exercise Program. This program was held every 3 weeks after the class to provide healthy eating, cooking advice and options.

Our special Elders lunch events still remain a popular day and are well attended. The Easter lunch was a great day, with music by Les Sumner and an appearance from Easter Bunny.

“ You’re really good for mum, you do

a lot of things for her and she talks

about you in a really good way”

“Thank you for everything that you

are doing, I wish you were here I

would give you a hug and a kiss”

“My family is really happy and

they feel that I am well supported

by Aboriginal Community Care”

Client said about the last

social event.

“I was feeling lonely so it was

great to see every one and

catch up”

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Aboriginal Elders Village ReportJenny Wissell | Site Manager

Clare Pietsch | Clinical Care Manager

It has been another busy and exciting year at the Elders Village.

The quality review team revisited for an assessment contact review to reassess 2 key result areas being care planning and lifestyle and noted the ongoing continuous improvement in both areas therefore retaining our 100% compliance.

Elders Village, SAAS and Northern Health Network entered into a partnership to deliver palliative care services in a RACF. Elders Village was one of 20 services across Australia to receive funding from Queensland Institute of Technology for this project. The focus of our project was communication pathways. At the completion of the project Elders Village was chosen as one of four spotlight services due to the great outcomes and success of the project.

The leisure and lifestyle program has developed throughout the year. The introduction of fortnightly fun Fridays where there is a theme for each event and fancy dress is encouraged has seen an increase in resident participation and a reduction in behavioural issues. Residents have been on several outings throughout the year. The men’s and women’s groups have continued through the year to provide culturally specific activities for the male and female residents. Art and craft activities continue weekly. Students from Wiltja school have been visiting on a fortnightly basis to teach the residents skills in using computers and ipads.

Students from Swallowcliffe school continue to visit and several residents visit the school for activities withthe students.

All client records are now stored electronically which has shown an increase in quality and quantity of resident progress note recording.

Several groups of social work students from Uni SA & Flinders Uni have visited the Elders Village as part of their studies related to services to Aboriginal and Torres Strait Islander groups. The feedback has been extremely positive which has led to several other training organisations requesting the Elders Village to host student visits.

The management team were nominated for the excellence in person centred care at the annual Nursing and Midwifery awards and reached the finalist stage.

Physio services continue twice weekly.

Podiatrist visits continue fortnightly.

More volunteers have commenced visits with the Elders and several residents now have a volunteer visiting weekly or fortnightly. This has enhanced the emotional wellbeing of the Elders who enjoy the visits.

Family member thanked everyone at the Village

for the care that staff have shown his mum

and their family. “your professionalism

impressed them greatly”

Received from the education

supervisor, School of Social Work Flinders

University “Thanks so much for taking

the time out to meet with our students. Site visits and speaking to

agency staff makes such a difference

to their learning, it is so much more

valuable than reading a text book!

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Community Visitors Scheme ReportJanine Haynes | CVS Coordinator

The Community Visitors Scheme (CVS) of Aboriginal Community Care SA has increased its services to Aboriginal Elders over the past 12 months. Over the last 12 months it has regularly serviced 4 aged care facilities, most of the visits in aged care facilities are still on a one to one basis totaling 100; however, visits also for HCP recipients has now commenced with 2 clients. Group visits have now increased to 41; this is mainly in the Aboriginal Elders Village at Davoren Park.

In addition through the work of the CVS Coordinator, Aboriginal cultural activities have been introduced and encouraged in some mainstream facilities in order to reconnect Aboriginal residents to their community.

One visitor has been with the scheme since it began. She continues to display an outstanding dedication to the resident she visits on a weekly basis. The resident is the only Aboriginal resident of a mainstream aged care facility. One Aboriginal male resident diagnosed with schizophrenia had refused to make any eye contact with female staff at a facility; he was non talkative; he deliberately isolated himself from others in the home during meals and would not socialize. He was successfully matched with an older Aboriginal male visitor and as a result he has now become more social and interactive.

The CVS is mutually rewarding for both client and volunteer visitor. A visitor may have never had any previous interaction with and Aboriginal person and would like to learn about the culture, or he/she may themselves be lonely but still sufficiently mobile and want someone to talk to on a regular basis. Residents and visitors with similar interests, beliefs, hobbies are matched accordingly.

The benefits to Elders in facilities is evidenced by their improved interaction with the visitors, other residents and staff. They appear happier, more content, engage in conversation more and express an interest in what is happening around them. Training/information sessions are made available to the visitors.

The CVS is being reviewed in the new year and we look forward to participating in the review and continuing to provide visitors to our Elders.

Resident attended the Royal Show and stated

“I really enjoyed the day thank you to my visitor for looking after me. I

put away some money each week for it.”

Cynthia Ofner (second in charge) from

Regency Green stated the Community Visitors

Scheme is valued and one resident in particular is always saying “When is the Coordinator coming

back again”

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Corporate Services Report Adam Hooper | Chief Operating Officer

The considerable amount of change in our sector continues at a rapid rate and this year has been no exception. Focusing on the operational qualities that ensure we are both commercially viable and culturally appropriate has been a major focus for the corporate services team.

With the ACCSA Board concentrating on leveraging the strengths of the past, while focusing on the frameworks for the future a rapid acceleration in our operational structure and systems was required to keep pace.

Changes to funding and services structures early in the year lead to a period of dynamic change in our operational and services models. Like many in our sector, these changes represented enormous opportunities for us to realign our operational models to ensure our relevance and viability for the future.

Corporate HubWhile no part of our operation was exempt to change, a renewed level of commercial reality was required to ensure the most efficient, sustainable and value for money framework was in place to carry us forward. Common aspects of our human resource, administration, finance, and quality and risk management, together with innovation and opportunity development were centralised into the ACCSA Corporate Hub. Specialised portfolios of responsibility were created and these roles provide efficient expert support to our whole business with costs being shared for these resources resulting in lower levels of expenditure.

Commonwealth Home Support ProgramImplementing the Department of Health’s changes to the Home and Community Care program to the new Commonwealth Home Support Program again required an intense level of dynamic change to ensure high quality service provision, within the newly developed framework and funding reporting accountabilities. We faced the unavoidable task of restructuring our workforce and while it is never easy saying goodbye to loyal staff, we were able to build a sustainable foundation for the future, while communicating with our Elders at all times.

Home Care PackagesOur application to be accredited as an approved aged care provider saw us become one of only approximately 45 aged care providers nationwide providing a full continuum of aged care services. Our approved provider status enabled Home Care Packages previously awarded to us in the previous Aged Care Approval Round (ACAR) to be provided to Elders needing a higher level of in home and community aged care services than the CHSP could provide.

“I would like to express my thanks

and gratitude for your support and

assistance during my recent trip to Pipalyatjara and Kalka for

Mrs Kunmanara Paddy’s funeral. I

appreciated the hospitality that

you provided to Dr Duncan McFetridge

MP and myself, and also the access to the

Family Centre as a meeting place while

we waited for the commencement of the

funeral service.”

Hon. Kyam Maher MLC

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Implementing a truly consumer directed level of care came naturally to our organisation and also to our Elders. Adopting the principles of self-determination we built from the ground up a culturally specific Home Care Package framework that complies with all levels of accountability and regulatory standards. This was tested early through our Quality Agency accreditation in January – where both our Commonwealth Home Support Program and Home Care Package Program were found to be 100% compliant to the outcomes expected of us.

APY Lands—ImplementationWith our tender for the APY Lands – Commonwealth Home Support Program being successful, we set forward in January 2016 to create a transition in plan that would enable complete operational capability come 1st July 2016. This was without exception one of the most enormous tasks our organisation has undertaken. With over 100 Elders seeking services across 5 communities in one of the most remote areas of Australia, a very targeted and comprehensive team approach was required.

The logistics of operating in such a remote setting are still in many ways very daunting, however we have been fortunate enough to attract to our organisation many talented and passionate people to support us. These staff represent some of the most resilient people I have ever met and as can be appreciated, their ability to problem solve and come up with great solutions is second to none. As we often say, the nearest department/hardware store is not exactly around the corner.

Our transition in plan was more than 100 pages long and included some innovative solutions to service and operational delivery. We still get comments on the way that we solved complex communication and computer problems. Ferrying our new computer platform out to each community in the back of a ute, one at a time as the weather had almost closed off the roads.

The implementation of our plan, including all logistics of establishing staff, systems and services came together with our new team ready to commence day one.

Continuous ImprovementAs with most aged and community service providers, we continue to learn, grow, innovate and be challenged by the changes in our sector. The corporate services team members all come from different walks of life, with different personal and business experiences and provide an amalgam of skills and experience. We continually challenge the norm and genuinely enjoy seeking ways to build sustainability, improve services and ensure our operation is representing value for money.

The focus for 2016/17 is exciting, with our Board continually looking for ways to innovate and grow.

I speak for all of the corporate services team in saying we are truly excited about the future and look forward to providing the operational support to ensure our success for the long term.

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Income 2016 2015

$ $

Government Subsidies 3,857,759 4,147,394

Resident Contribution 633,349 408,002

Sundry Income 31,171 240,285

Total Income 4,522,279 4,795,681

Expenditure

Employee Expenses 3,025,744 3,339,617

Consultancy 74,048 39,076

Cleaning 39,340 44,350

Depreciation 128,919 151,374

Food Supplies 141,595 149,159

Gas & Electricity 79,134 50,842

Insurance 44,431 42,939

Motor Vehicles 165,948 144,625

Printing & Stationery 11,820 14,454

Purchased Services 394,048 325,491

Rent & Rates 117,793 111,216

Repairs & Maintenance 79,170 63,052

Other expenses from ordinary activities 240,088 264,098

Total Expenditure 4,542,078 4,740,293

Operating Surplus (Deficit) (19,799) 55,388

Net Profit (19,799) 55,388

AECCS Financial Report 2015/2016Simplified Statement of Financial Performance and Financial Position for the year ended 30 June 2016

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Assets 2016 2015

$ $

Building 722,440 739,536

Cash 833,975 783,869

Plant & Equipment 178,896 216,033

Motor Vehicles 2,809 11,460

Prepayments & Debtors - 41,465 - 29,008

Total Assets 1,696,655 1,721,890

Liabilities

Creditors & Accruals 163,920 205,095

Resident Funds -

Provisions 319,434 283,695

Total Liabilities 483,354 488,790

Leaving what the organisation has built up over the years

Reserves 1,213,301 1,233,100

AECCS Financial Report 2015/2016

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AEV Residents Committee

AEV Clinical Care Manager

Admin Assistant Receptionist

Personal Care Workers

Laundry Workers

Aboriginal Liason Officer

Enrolled Nurses

Cleaners

Food Services Assistants

Leisure & Lifestyle

Coordinator

Maintenance & Grounds

Worker

AEV Site Manager

CVS Coordinator

AECCS Organisational Chart

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Board of Management

Chief Executive Officer

Chief Operating Officer Client Advisory Group

Client Services CoordinatorsOffice Trainee

Community Support Workers

Community Programs

Coordinator

Home Care CoordinatorsFinance Officer Client Services

Coordinators

Administration Officer

Community Support Workers

Administration Trainee

People & Culture

Advisor (TBA)

Business Support Manager

Client Services Manager Adelaide

Finance & Admin Manager

Quality & Risk Manager

Clients Service APY

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www.aboriginalccsa.org.au

Home Care67 Henley Beach Road, Mile End SA 5031t: (08) 8346 9155f: (08) 8346 9766e: homecare@aboriginalccsa.org.au

Elders Village2 Oldford Street, Davoren Park SA 5113t: (08) 8287 1454f: (08) 8287 1580e: eldersvillage@aboriginalccsa.org.au