learning disability | autism | mental healthlearning disability | autism | mental health

Annual review 2013/2014

Mental health employment services staff Greenwich registered care services staff Our Positive Behaviour Support Consultant with Hana, Speech and Language Therapist KCHT

We want to make a difference

Greenwich registered care services staffMental health employment services staff Greenwich registered care services staff

We want to make a difference in people’s lives

Mental health employment services staff

We want to help people get back into work

What’s different in people’s lives?

As a result of the closure of Leytonstone House Hospital in 1994, we supported people to move into homes in the community. To celebrate 20 years since the closure, we held a party for people we support across London and Essex.

Celebrating 20 years since hospital closure Young people took part in National

Citizen Service by organising activities for our Bexley and Greenwich services. They organised photography workshops and a sports day.

National Citizen Service

We raised awareness of mental health and wellbeing at Folkestone Academy’s Health Day for Year 7 and Year 9 students.

Young people target mental health

We believe people should be valued for who they are and live the life they choose. This has been a good year for mcch. We have met people who have got their first job, or who have got back into work again. People are learning new skills to support their independence, and we have invested in new technology and training to support our staff, and those we support.

Behind all these wonderful achievements are our staff and volunteers. This year’s annual review focuses on their good work and how they are making a difference to people’s lives.

You will read about people like Kerry who developed a new mental health specialist service which is moving people from secondary to primary care services. And about a number of our staff being finalists for and winning national awards.

We are pleased that we have so many dedicated staff and volunteers who are making such a big impact. We will also be developing some exciting new services over the coming year.

Ann CookeChairman

Peter ThompsonChief Executive

2000services

people supportedat mcch

We became a registered charity in

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Over 140

What’s different at Carlton?

The new Carlton Centre opened in February 2014. Natalie Crisp helped manage the move from the old building to the new one. Facilities include a computer room, music room, domestic room and art room.

New centre opensNatalie nominated her supervisor, Tracey Butterworth, for placement supervisor of the year. At her graduation ceremony Tracey won the award due to her creative and continued support. She is pictured here with Debbie Sorkin, former Chief Executive of the National Skills Academy for Social Care.

Supervisor of the yearWorking with Words is an enterprise based at the Carlton Centre. We make information easy to understand by using images and writing in plain English. We also run a one-day training course for organisations to give them the skills to make documents easy to understand.

Working with Words

Making positive changes

Natalie joined us while on the National Skills Academy for Social Care’s graduate management trainee scheme. At the end of her placement with us and after completing the scheme, Natalie became Services Co-ordinator of the Carlton Centre, which supports around 90 people with learning disabilities.

“When I started the scheme I could never have imagined overseeing such a large service. My first task was to manage the move to the new building, which was quite challenging.

“Now we are all settled in our new building, I am enjoying managing staff and making positive changes. I have put in place a more structured routine for the service, which has been really positive for the people who access the centre. Our staff seem so much more motivated and we are all working together to make Carlton the best it can be. This job makes me feel as though I’m making a real difference.”

Natalie CrispServices Co-ordinator

We run63 groups

people supportedat Calton

groups go out in the community

We run 3day centres

What’s different in housing?

We were very pleased to win the supported housing award at the National Learning Disabilities Awards 2014. This was for Holly Lodge, our service in Kent for people who present with challenging behaviours. David Holt managed the development of this creative and innovative scheme.

National Learning Disabilities award David will take the lead in transforming

a 150-year-old school in Kent into 7 flats for supported living. These will be for young people aged 18 to 24. There will also be one training flat. This new service will support people to learn the skills they need to live independently and will open in September 2015.

Young person’s service

David is in the planning stages of converting 2 registered care homes into 8 self-contained flats for supported living. The properties will meet Lifetime Homes standards so that they are accessible and adaptable homes for future tenants.

Transforming registered care into supported living

Developing properties that make a difference

We have an experienced housing development team, responsible for maintaining properties, managing tenancies and developing new properties.

For David, his role is simple: to develop existing and new creative properties that meet people’s specific needs. “I love seeing the difference a new development can have on a person’s life. Holly Lodge is a great example of this. Hearing this from a parent is a great feeling and something that I can take to my next project.”

The award-winning Holly Lodge service was built in April 2013. David worked closely with the parents, staff and specialists to design a unique service for people who present with challenging behaviours. As a parent of one of the tenants here, Dr Walker attended regular meetings. “David gave us a clear description of the forward planning and addressed our concerns and ideas as they arose. We look forward to continued good support from David and his team in maintaining the property to a good standard.”

David HoltHead of Technical Services

We work with 36housing partners

We will be building 40 new homes in the next 18 months

What’s different in supporting people?

We hold a yearly event for our managers, like Abi, to share best practice and learning. At this year’s event we talked about how we incorporate our standards into our work. We also came up with new ideas for services and projects, and discussed how technology plays an important role in helping us manage our work.

Your leadership mattersThe Terry Lynch Challenge Cup annual cricket match between our day centres and residential services in Bexley was a huge success this year. It was a closely contested match down to the last ball. Congratulations to the Lynch Mob who won by just one run.

Challenge Cup cricket We have been working with OpenStoryTellers to deliver workshops for our services and to train our staff. StorysharingTM helps people to create accessible stories about themselves, which they can share with other people. People have made a ‘this is my life’ newspaper, photo stories on an iPad with captions and voice-overs, and a box of objects about their achievements.

Telling people's stories

Continually improving

As a registered manager, Abi oversees the smooth running of 2 care homes. He has been working in social care for over 20 years. Even with so much experience, Abi is finding that there is still so much to learn.

All our managers are studying our Your Leadership Matters Institute of Leadership Management level 3 course. “It’s absolutely great. I wondered what I would get out of it at first. Now I see my confidence has grown.”

“I was so used to doing everything myself. Now I’ve learnt that delegating not only helps me, but also the staff. It helps to develop them. I feel that I am more efficient and effective as a manager. This means that the people we support have a much better quality of service. And that’s the best possible outcome.”

Abiola AkinfolarinRegistered Manager

We ran1162training course events

e-learning moduleswere completed

We ran 162 safeguardingof vulnerable adults courses

2523

What’s different at wellbeing centres?

The Basingstoke and Deane Wellbeing Centre supports people with mental health needs to improve their mental wellbeing. Their groups help people to learn new skills, gain confidence, feel less isolated by meeting new friends and get involved in the community.

Supportive groups

Our wellbeing centre in Hart and Rushmoor supports people with mental health needs. Every year the drama group puts on a special performance to over 100 people, to raise awareness of mental health issues.

Creative ways to improve wellbeing In April 2014 we opened a café as a

safe place for people to visit when they need support with their mental health. The café is open at evenings and weekends at the Hart and Rushmoor Wellbeing Centre. Visits to accident and emergency have been reduced as a result of this new service.

Crisis café

Finding the right job

Before joining the Basingstoke and Deane Wellbeing Centre, Dawn had worked within a learning disability service for around 4 years.

“I have always wanted to work in mental health, as there is such a lot of stigma around the subject. The support is very different. Some people are only just experiencing issues with their mental health whilst others are well into their recovery. The centre is very much a lifeline for them. I see people arrive looking quite down, so it’s great to see them leave with a smile on their face.

“As an employment advisor, I help people to apply for work, write their CV and help them prepare for an interview. I meet people who are so nervous at first, but with some encouragement and one-to-one support, their confidence grows. Employment support is only a part of what we do here. We have lots of different groups like depression support, gardening, healthy lifestyles and goal setting.”

Dawn Waugh-BacchusEmployment Advisor

We have

Around 97% of people said their wellbeing and mental health had improved

What’s different in staying safe?

As well as the one-to-one support they give staff, the positive behaviour support team provide regular ongoing training. They also run a 2-day PROACT-SCIPr-UK® specialist training course for relevant staff every year, as well as a refresher course.

Positive behaviour support training Our corporate challenging behaviour

specialist is one of 7 directors of the Kent Challenging Behaviour Network (KCBN). As members of KCBN, we work with similar organisations to share best practice to improve the quality of services for people. We have also given training to schools on behalf of the Challenging Behaviour Foundation.

Sharing best practiceWe opened a new service specifically for people with complex learning disabilities who present with behaviours that may challenge. David Miland is currently working closely with the staff teams to help tenants adapt to their new homes.

Holly Lodge service

Improving quality of life

Our positive behaviour support team provides advice, support and training to staff, to support people who present with challenging behaviours.

David has a degree in Intellectual and Development Disabilities and is now studying for his masters degree in Applied Behaviour Analysis at the School of Psychology at the Tizard Centre.

“I genuinely enjoy my job. To see someone’s life improve as a result of our work is a great feeling. But it’s not always just down to us. We work together with the individual, staff, families and friends to make positive changes in someone’s life. We also work with other professionals such as Speech and Language Therapists like Hana to help improve communication. Sometimes it’s the small changes that we suggest that can make the biggest impact on someone’s behaviour. But change doesn’t happen overnight. Our goal is to come up with alternative ways of helping someone to get their need met. This could mean changing the way staff approach situations or changing the environment.”

David MilandPositive BehaviourSupport Consultant

We ran 50 training courses about positive behaviour support (including PROACT-SCRIPr-UK®)

What’s different in quality outcomes?

We completed our research into hate crimes against people with autism and learning disabilities. The Living in Fear project group presented the findings at events across Kent, London and Vienna. We also went to the All Parliamentary Group on Autism and Learning Disability at the House of Commons.

Research goes to London and Europe

We recruited people who use our services as quality checkers. Their role is to meet people we support and find out if we are meeting our new standards. Their feedback helps us to improve our services so that they continue to be of high quality.

Checking quality against our standards

As a result of the Living in Fear findings, Rob Marno and the project team are working with Medway Council and Kent Police on the new Jigsaw project. Our work will include delivering awareness training to members of the public and developing guidance for health care staff carrying out annual health checks.

Hate-crime project: next steps

Jigsawproject

Inclusion

Safety Wellbeing

Jigsawproject

Inclusion

Safety Wellbeing

People we support are driving up quality

We regularly check the quality of our services through visits, internal audits and checks by outside organisations. We also survey people we support and their friends and family. All this is helping us to improve the way we work.

Rob recently joined our new team of quality checkers, who are all experts by experience. He meets people we support and checks that our services are meeting our new standards.

“I still get a bit of support at my home from mcch so I know what to look out for. I want to see people enjoying their life. I find this out by chatting to them, which is the best part of my job. I am really interested in their lives and what they have to say. I am pleased that my work is really helping mcch. I do other work, but most of that is just voluntary. It’s nice to get paid for a job that I love.”

Rob MarnoQuality Checker andVolunteer with the Jigsaw project

We have a group of quality checkers who visit our services, and we will be recruiting more

We employ independentauditors to carry out audits in services (covering pharmacy, social care and health and safety)

Each service is audited by our sta�at least 4 times a year

What’s different in mental health?

Aspirations in Folkestone is one of our employment services supporting people with mental health needs. We support people to get paid employment, keep their job if they are signed off sick or struggling due to their mental health, and develop skills to improve confidence and self-esteem.

Employment supportAs part of the International Initiative for Mental Health Leadership exchange and conference, we hosted a visit from the Comcare Trust in New Zealand. We also hosted visits from organisations throughout the year from Canada, South Africa and New Zealand.

International visitorsOur mental health specialists service is a 2-year project, working in partnership with Kent clinical commissioning groups and Kent and Medway Commissioning Support. We have 8 mental health nurses working with us to support people moving from secondary to primary care services.

Mental health specialists

Kerry has worked for us for 20 years and oversees the mental health wellbeing and employment services. She was a finalist at the Laing and Buisson Independent Specialist Care Awards for her work with our mental health specialists. These are trained nurses supporting people to move from secondary to primary care services. They also work with GP surgeries to support patients with mental health needs.

“This is a great project to be part of. It proves that charities like mcch can run this type of service. The team has already supported around 250 people in the last year. So far the majority of people who have been discharged from secondary services have not gone back, which is a great achievement. The nurses are based within mcch services, but also run out of GP surgeries. This has really strengthened our relationships with GPs, which means they are more likely to refer people to our wellbeing and employment services.”

Creative new servicesKerry TurnerSenior Operations Manager

220 people have been supported to stay in work

people have been supported into education and training

112

107

What’s different with our trustees?

John took part in the Prudential Ride London-Surrey race this year, raising money for autism london, a charity in our group. Cycling 100 miles from the Olympic Park to The Mall, John joined thousands of other cyclists raising money for good causes.

Cycling 100 milesAt the event for managers in 2013, John took part in the activities and team-building exercises. John is pictured here at the event with Paralympic wheelchair basketball player Steve Brown.

Getting involvedCongratulations to our trustee Nadra Ahmed OBE for winning the Outstanding Contribution to the Kent Business Community award at the Kent Excellence in Business Awards 2014.

Outstanding contribution

Kent Messenger Group/KEiBA

Volunteers go the extra mile

Our volunteer trustees play an important role. They make sure we run the organisation well and continue to do so.

John has been on our board for nearly 8 years and is the Chairman of autism london. He also chairs the mcch Operations and Business Development Committee.

“I love being a part of mcch. I like to see people being able to enjoy their lives and much of that is down to the hard work and dedication of our staff.”

John has had a busy year volunteering his time. “I recently helped out at the Commonwealth Games in Glasgow, which was a great experience. But nothing quite beats cycling 100 miles in the rain, raising money for mcch! At least the rain diverted all attention from the pain I felt!”

John MacCabeTrustee

10 trustees sit on the mcch boardautism london joined mcch in

committees report to the board5 1994

What’s different in fundraising?

Thanks to: Gallagher, ICOM, Fire Action, Denmark & White, Santander Foundation UK, Gullands, and all our individual fundraisers who worked so hard to raise money for us during the year.

We would like to thank the 7 daring fundraisers who raised almost £3,000 for us by doing a tandem skydive at 10,000 feet.

Fundraising reaches new heights Santander Foundation UK gave us

a grant of £9,975 to buy 25 iPads for the people we support. The tablets are improving the skills, confidence and communication of people we support. Suzanne is able to speak to her brother Stephen through Skype twice a week, thanks to the iPad.

iPads in servicesMany of our fundraisers have taken part in organised events throughout the year. These included assault courses, skydives, 100-mile bike rides and superhero runs. They raised over £9,000 for us and autism london, which has funded sports, exercise and sensory projects in our services.

Assault course

2014 2013£ thousands £ thousands

Fixed assets 18,801 19,498Investments 5,000 2,000Current assets 9,145 10,794Current liabilities (4,756) (5,010)Other assets/(liabilities) 91 (1,421)Net assets 28,281 25,861

Restricted reserves 12,610 13,624Designated reserves 6,803 7,233Other reserves 8,868 5,004Total funds 28,281 25,861

Summary of income by type of service

Summary of expenditure by type of service

keyn Registered caren Respiten Supported livingn Community supportn Social enterprisesn Employment servicesn Engagement servicesn Property onlyn Other

keyn Registered caren Respiten Supported livingn Community supportn Social enterprisesn Employment servicesn Engagement servicesn Property only

Total income: £38,657,000

Total expenditure: £36,505,000

Due to the challenging economic climate that continues to put pressure on our income, caused by cuts in public sector spending, our group income in 2013/2014 was slightly lower than the previous year. We have continued to make sure that we control costs and this has led to a slight increase in the reported surplus for the year. Our financial position remains strong, which is reflected in the increase in the net assets as shown in the summary balance sheet. Our income and expenditure is shown in the charts across the page according to the types of services we provide.

Our finances

Summary of group balance sheets

Notes on the balance sheet

Fixed assets: This includes properties and equipment, but does not include some properties where ownership is passed back to the original owners when the contract ends. Investments: This is cash held in fixed-rate deposit accounts with terms longer than 12 months. Current assets: These have reduced due to the higher level of investments made. Restricted reserves: This is money received for specific purposes, including legacies and properties with restrictions on their use. Designated reserves: This is money tied up in fixed assets or set aside for other purposes. Other reserves: This is for our ongoing development. This figure has increased due to tighter control over expenditure.

learning disability | autism | mental health

Annual review 2013/2014

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mcch One Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT

01622 722400

www.mcch.org.uk

mcch is a registered charity (number 1156486) and a company limited by guarantee (registered in England and Wales number 8971493).Printed on 100% recycled paper

Trustees:Ann Cooke ChairmanPhilip Sayer Vice-ChairmanColin Mills TreasurerNadra Ahmed OBEJohn MacCabeRobert MaslinskiPhil MillerKultar NayyarAngela SlavenRay Wilkinson

Directors: Peter Thompson Chief ExecutiveDebbie Bankole-Williams Executive Director of Finance and ITDavid Hall Executive Director of People and PerformanceAlex Seery Executive Director of Operations and Business DevelopmentRichard Webb Executive Director of Housing and DevelopmentJane Bailey Operations Director for Bexley, Bromley and GreenwichKaren Reed Operations Director for the South-EastJacky Hammond Operations Director for Mental Health, Autism, Employment, Enterprises and Engagement