Chiaramente, ogni formato ha i propri vantaggi e svantaggi comprare keflex senza ricetta per effettuare un acquisto, non è necessario fornire la prescrizione medica.

Annual report 2008





ST. MICHAEL'S HOUSE ANNUAL REPORT 2008





North East Region Report. . . . . . . . . . . . . 22-27 Chief Executive Officer's Report . . . . . . . . . . 10-11 About St. Michael's House. . . . . . . . . . . . . 12-13 Review of Operations & Financial Summary. . . 46-61 Pursuing his passion. Derek O'Connell, Templeogue Enterprise Art Group.
Eamonn Fitzgerald Chairperson Policy & Planning Committee Salaries Committee Finance Committee Nominations Committee Robert Kirkpatrick Paul LedwidgeChief Executive Officer Director of Psychiatry Executive Officer Executive Officer Regional Director Regional Director Regional Director St. Michael's House North St. Michael's House St. Michael's House South recreational as well as specialised supports for service users who develop Alzheimer's Disease. Services are planned, developed and Chairperson's delivered so that they: reflect the individual needs and choices of service users.
support individuals to develop meaningful relationships, to make a valued contribution and become active members of their community.
empower people to make choices about where they work, live and ST. Michael's House Annual Report provides details and information to service users, families, funding authorities, supporters and advocate for the improvement and development of services.
friends on developments throughout the year and on how funds are cost effective and accountable to service users, families and were allocated and managed. It is with great pleasure that I present funding authorities. St. Michael's House Annual Report 2008.
Our services are accredited by the Council on Quality and Leadership Since our inception in 1955, St. Michael's House has been at the forefront (CQL), an international not-for-profit organisation based in the United States of the development of community-based services for people with an that brings together service providers, professionals and others who have intellectual disability and their families. Service users, parents and families an interest in developing and improving the quality of life for people with are at the heart of how services are governed, planned and delivered. disabilities. In September 2008, the Health Information and Quality A voluntary Board of Directors governs the organisation. Many of the Authority (HIQA) published Draft Standards for Residential Services for members of the Board are parents of a service user. Three of the parents People with Disabilities. The work we are undertaking with CQL ensures are selected from the membership of Regional Parent and Family that we will be able to meet these standards when they come into force. Councils. Parent and Family Councils provide for greater input into how services are planned, developed and delivered. We in St. Michael's House are strongly committed to ensuring that people I would like to welcome new Board Members John Leonard, Eamon Hurley with an intellectual disability are afforded the same opportunities as their and David Fanagan and new Board Sub Committee members Lorna peers to maximise their individual potential and participation in society at Redmond, Aisling Kirkpatrick and John Larney, all of whom were appointed all levels. This requires that we positively promote the contribution that in 2008. They will bring valuable skills and experience to the Board and I people with a disability can make to their communities and when look forward to working with them and all the Board and Committee necessary challenge limitations set by others. It has been acknowledged Members in 2009. that additional supports and services need to be proactively developed and coordinated by Government Departments to support people with disabilities so that they can be full and equal members of society. We Providing services that reflect our core values continues to be a priority consider it vitally important that we take every opportunity to ensure that for us as we expand and develop our services. Today, we provide a the Government follows through on its commitment. During 2008, we comprehensive range of supports and services to over 1,500 service made presentations to Ministers, T.Ds, local authority Councillors, officials users and their families that include clinical, early intervention, education, from Government Departments and the Health Service Executive on the vocational training, employment, residential, respite, social and ongoing and future supports needed by service users and their families.
develop and grow our services. Some of the highlights of the year In keeping with our value of high standards in corporate governance, we included the opening of our new Leisure Centre and Swimming Pool at have highly transparent accounting procedures and policies. A copy of our Belcamp, the development of additional residential and respite services, Annual Report is circulated to all families, funding authorities and the transfer of service users from the hospital setting at Baldoyle to more sponsors and is available online at www.smh.ie. appropriate community-based settings, the introduction of new and innovative clinical programmes and new community and corporate partnerships. At the request of the Health Service Executive, we opened The national review of how disability services are organised and provided our first residential centre outside Dublin in Navan, County Meath, which is announced by the Department of Health and Children is to be welcomed, home to four children.
as it will ensure that the maximum amount of funding made available will be spent on direct service provision. The Health Service Executive is the Towards 2009
primary source of funding for services provided by St. Michael's House. In Work has begun on establishing Service User Councils. In addition, a new 2008, our total income was €96.4m and expenditure for the year was system for involving parents in the development of Unit Service Plans will €96.5m. After transfers to capital reserves, we had a deficit for the year be piloted in 2009. This will involve parents meeting with unit staff and of €445,019. Administrative costs account for six percent of our revenue management to identify the needs within the unit and the service priorities expenditure. We are able to limit these costs by using a shared services model, where departments such as Finance, Human Resources, Communications and Fundraising, Technical Services, Transport, Research We are facing into challenging economic uncertainties in 2009, with no and Information Technology provide supports to the whole organisation definite funding for the development of additional day, respite and rather than being devolved to the three regions. residential services and a cut in our core budget. Regrettably, this means that our ability to respond to requests for emergency residential accommodation and new referrals will be severely curtailed. We have Developing and expanding our services to meet the evolving needs of highlighted to the Government and the Health Service Executive the effect service users and their families is the key priority for the organisation.
this lack of funding will have on service users and families. The Board of These needs and the strategies to address them were identified in our Directors will be working very closely with management to ensure that all Three Year Strategic Plan 2007 – 2009 and include: our services continue to be provided in the most effective and efficient manner and that any savings that we will have to make will be decided on Responding to the crisis in residential and respite care provision so as to have minimum impact on service provision. Developing career and work-life services for adults Designing retirement programmes for older adults I would like to acknowledge the support and commitment of my fellow Identifying and developing new educational programmes Board Members and, on behalf of the Board, thank management and staff Providing Early Services for the increasing number of referrals for all their hard work and dedication to providing services to people with Meeting these challenges can sometimes require making adjustments or a disability. I would like to thank the many friends and volunteers, who so changes to existing services or additional resources from the Health generously give of their time to support our services and fundraising Service Executive. activities and whose support in coming years will be even more crucial. I look forward in 2009 to continuing to work with service users, families Despite the financial restraints in 2008, we were able to continue to and staff to further develop and improve our services.
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children who attend mainstream schools and the relationship between St. Michael's House and the special national schools for which we are Chief Executive Patron.
Adult service users range in age from eighteen years to over seventy Officer's Report years and include the full spectrum of intellectual disabilities, with many also having a physical disability. The ageing process can also result in acquired physical or sensory disabilities, which can be particularly difficult for those with an intellectual disability to adjust to. It is planned to review ASpart of our commitment to providing quality services, we are all adult services with the intention of developing new models of service.
constantly examining and assessing how we respond to the needs This process has started with project EVOLVE undertaking a review of of service users and their families. Currently, over 1,500 service Long-term Training Centres. In early 2009, we will open a new innovative users from birth to older age receive a wide range of supports and support service at Omni Park, Santry. This service along with services at services. Key factors that influence the services and supports we provide Santry Hall will provide graduates from our Training Centre with greater include the age profile of service users, changes in family circumstances, access to community-based training, employment and social greater community-based opportunities for people with an intellectual disability and the need to provide structures for improved family and service user involvement in how services are developed and planned.
Parents and families continue to be the primary source of support and care for service users, but their ability to be able to continue to fulfil this Increasingly, service users and families require a greater diversity of role can be limited by their own advancing age and health problems.
supports and services to respond to their individual needs and Currently, we have 330 service users on our priority residential waiting circumstances, which are coordinated through our individual planning list, of whom 113 are cared for at home by parents over 70 years of age.
process. This process provides us with information, which is used to Our ability to respond to the need for residential services is dependent on inform service development and delivery and identify gaps in services.
funding by the Government through the Health Service Executive. To provide for the needs of service users in crisis, we require funding for Children of school going age are supported through our Inclusive 25 places a year. Education Programme or attend one of our special national schools. The educational environment for pupils with special needs is changing rapidly In 2008, we only received funding to develop 13 new residential places.
with new legislation and the establishment of the National Council For This shortfall in places has consequences not only for those waiting on Special Education. In order to ensure that we are able to maximise the residential places, but also for families who require respite. On average, opportunities that these changes afford service users, a multi-disciplinary 16 respite places out of 37 were used to provide emergency Education Steering Group has been established. Issues being addressed accommodation to service users awaiting a long-term placement. We by the Steering Group include the provision of education for pupils with a have proven that we can respond to the needs of those on our residential dual diagnosis of intellectual disability and autism, developing supports for waiting list, as demonstrated in 2000 and 2001 when we developed 140 new residential places. We currently have 5 residential houses which service areas: new referrals, school leavers, residential services and could be immediately occupied by 26 service users should funding be respite. Regrettably, this may result in us having to place new referrals, school leavers and graduates from our Training Centre on waiting lists and having to put even greater pressure on residential and respite Part of the development of our residential services in 2008 was the services. In addition, the HSE has advised that our core budget for 2009 transfer of four service users from the hospital setting at St. Michael's will be cut by 3%, necessitating ongoing savings of €4.5million. House Baldoyle to Lar Foley House at Donaghmede. Another significant achievement was the expansion of our Independent Living Programme.
One of the highlights of the year was the opening in November of our new We were able to do this by securing social housing through Part Five of Leisure Centre and Swimming Pool. The centre is already becoming the the Planning and Development Act 2000 and working in partnership with hub for social and recreational activity with movie nights, games nights Ballymun Regeneration Limited. We now support 33 service users to live and swimming sessions for mothers and toddlers.
independently. In 2008, accommodation was provided for the first time to couples. It is important to acknowledge the development that this Our Open Training College continues to expand and develop its academic represents in our continuing commitment to promoting equality and programme, attracting an increasing number of students. With over 600 independence for adults with an intellectual disability. students currently enrolled, the College has to date over 2,500 graduates.
In 2008, the Higher Education and Training Awards Countil (HETAC) Respite is a very important part of the support services offered to service undertook an Institutional Review of the College. Two new courses in users and their families. On average, we receive 3,500 requests from Applied Management, a BA and a Certificate, were launched by the College.
families for respite annually. Currently, we only have 37 respite places for The range of courses now available appeals not only to staff working in the 1,067 service users, allowing on average 9 nights respite per service user field of disability, but also to those employed in other social care settings. annually. With a number of respite beds constantly occupied by service users awaiting a long-term placement, the average number of respite 2009 will undoubtedly be a challenging year as we face into economic nights available is reduced to six. In practise, fewer service users get uncertainties and reduced funding. We have significantly reduced the cost of breaks, as we have to prioritise service users in crisis. In 2009, we plan to producing St. Michael's House Annual Report 2008, while maintaining the open a new children's respite house at Donabate, County Dublin, and to quality and standard of the report. We will be examining all areas of develop a new model of respite, which will provide family-based breaks. expenditure to achieve similar savings. Our aim, in 2009, is to address reductions in funding by examining how to be more effective and efficient in Our ability to develop additional day, residential and respite services and how we deliver services and only as a last resort place limits on the to expand the range of services we offer to families is dependent on services that can be offered. I know with the ongoing dedication of funding being made available by the Health Service Executive. management and staff that we can meet these challenges and I would like In announcing the 2009 Budget, the Government made no provision for to thank them for their commitment in 2008. I would also like to any additional day, residential or respite services for people with an acknowledge and thank the Board of Directors for their continued support intellectual disability. Should no funds be made available to us for the and I know that together we will continue to advocate at every available development of additional services, this will have implications in four main forum for funding both for the provision and future development of services.
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About St. Michael's House
Founded in 1955 by parents, St. Michael's House has grown to become one of Ireland's largest providers of
community-based services for children and adults with an intellectual disability. Today, we provide a range of
services to over 1,500 people through 160 different locations in the Greater Dublin Area.

At St. Michael's House we offer services that: Our services are accredited by the Council on Quality and Leadership. Based in reflect the individual needs and choices of service users.
the United States, the Council is an international not-for-profit organisation that support individuals to develop meaningful relationships, to make a valued brings together service providers, professionals and others who have an interest contribution and become active members of their community.
in developing and improving the quality of life for people with disabilities. empower people to make choices about where they work, live and socialise. advocate for the improvement and development of services.
Learning Resource Centre & Library
are cost effective and accountable to service users, families and funding The Learning Resource Centre and Library provides an information service for families, service users and staff. Service user, parental and family member involvement is central to how we plan Leisure Centre & Swimming Pool
and deliver our services.
Located at Belcamp, Dublin 17, our Leisure Centre and Swimming Pool wasdesigned to be fully accessible for people with significant intellectual and Services
Clinical, Early Services, Special National Schools, Inclusive Education
Supports, Vocational Training, Adult Day Services, Employment Support,

The Open Training College
Residential Services, Independent Living Supports, Specialised Alzheimer's
The Open Training College provides third-level education and training nationally Service, Respite, Social and Recreational Supports
to staff working in social and disability services.
Developments in 2008
Responding to the crisis in residential care provision. The development of Ireland's first fully accessible Leisure Centre and Currently, there are 330 service users on our priority residential waiting list.
Swimming Pool.
Developing additional respite places and new service models.
Extension of our Independent Living Programme.
We currently have 37 respite places for 1,067 service users.
Transfer of service users from the hospital setting at Baldoyle to a community Designing career and work-life services for adults aged 25 to 49 years.
residential house.
Developing services to meet the changing needs of older adults, including Opening of our first children's residential centre outside Dublin.
Provision of education for pupils with a dual diagnosis of intellectual disability Providing additional Early Service places. On average, we receive nine new referrals a month. The opening of two new community residential houses.
Developing new programmes to support the educational needs and rights of The development of a new children's respite centre at Donabate, Co Dublin.
children with an intellectual disability.
Two new management courses launched by Open Training College.
Ensuring that the organisation continues to develop services to the standard Introduction of new and innovative clinical programmes.
and quality required.
Development of community and corporate partnerships.
In 2009, St. Michael's House along with other disability service providers is facing a reduction in core funding and will receive no funding for the development of additional residential or respite services. St. Michael's House Service Locations Leisure Centre & Swimming Pool
Research & Service Development Department
St. Michael's House
Special National Schools
Staff Training & Development Department
Adult Day Services
Information Technology Department
St. Michael's House North East
Human Resource Department
Learning Resource Centre and Library
RIVER LIFFEY
Open Training College
Cara Alzheimer's Service
Technical Services Department
St. Michael's House South
Today, St. Michael's House provides services to over 1,500 children and adults with an
intellectual disability and their families in 160 locations in the Greater Dublin Area.
REGIONAL HEADQUARTERS
RESIDENTIAL HOUSES
Cara, Alzheimer's Services EARLY SERVICES
SPECIAL NATIONAL SCHOOLS
LINK SERVICES
TRAINING CENTRES
ADULT DAY SERVICES
Solas Support Centre EMPLOYMENT PLACEMENT
St. Canices (63) Inclusive Recruitment LOCAL CENTRES
St. Canices (30) & SWIMMING POOL
One of the highlights of the year was the opening of our new Leisure Centre and Swimming Pool.
Enjoying a family swim. Maeve and Sadhbh McNeill
St. Michael's House ST. Michael's House North provides a service to 602 children and adults with an intellectual disability and their families. The region covers both an urban and rural area that runs from the north inner city, west of the Coolock / Ballymun border and north to Balbriggan and the surrounding north county. Analysis of the population census indicates that St. Michael's House North provides services in one of the fastest growing areas in the country. In 2008, the region received 65 new referrals compared to 35 in 2007.
Responding to the needs of new referrals remains a priority for the region.
This is particularly challenging when funding from the Health Service Executive to develop additional places is limited. The number of young children and their families receiving supports from Early Services continues to grow, with 38 children being referred in 2008 compared to 25 in 2007. The majority of these referrals were made by maternity and children's hospitals. In the absence of funding from the Health Service Executive to develop additional places for these children, they were accommodated within existing services. Support groups and training programmes were developed to provide families with information, peer support and clinical services, maximising the use of resources available. A new children's residential house was opened in Navan County Meath and is home to 4 children. The house is St. Michael's House's first service outside the Dublin region and was developed at the request of the Health Service Executive. Children residing in the house are from the area and attend local schools. Local celebrity and television personality Hector Ó hEochagáin attended at the official ceremony to mark the opening of the house. To improve access to local community social and recreational activities, families and staff are fundraising to purchase a minibus. Increasingly, young children with complex needs are requiring higher levels of support in addition to their day service. The number of requests for respite On average, we receive nine new referrals a month.
and residential services is also increasing. We are currently looking at ways to Deirdre & Jacob McGivney
respond to these needs by developing new and innovative family-based respite programmes as well as social and recreational supports. Our ability to deliver these services is dependent on funding from the Health Service Executive, who has advised us that there will be no additional funds available in 2009.
During 2008, we have had ongoing discussions with the Department of Education and Science regarding the development of a new special national school for children living in the Fingal area. The Department has told us that they are not going ahead with the planned development at Kelly's Bay to replace Skerries Special National School. However, they do intend to develop a special national school for the area and are in the process of identifying a suitable location. The provision of a new school is critical as our existing building is currently operating at full capacity with no room for expansion and cannot meet the needs of children with significant mobility issues or a dual diagnosis of autism and intellectual disability. Currently, these children have to travel to Baldoyle or Cabra to receive an educational service. As there is no definite time frame for the completion of the school, adaptations and additional accommodation were provided at Skerries Special National School.
These provide improved facilities and additional classes on the ground floor.
The provision of educational services to children with a severe or profound intellectual disability in the region is now well established. One of the concerns of parents and staff in making the transfer was the length of the school year offered under the Department of Education and Science. In response to this, a programme of social and recreational activities was developed and offered to families during some of the school holidays. This provided much needed support and gave the children a break from normal school activities. Such was the success of the programme in 2008 that we plan to continue it in 2009.
An increasing number of children with a dual diagnosis of intellectual disability and autism have been referred to the region. An examination of the requirements of these children indicated that their needs could not be appropriately met within our existing educational support services. In response to this, a new special national school was developed, providing an education to 22 pupils. The school is the first in the country providing such a service. Fitness training in partnership with D.C.U. Mark Steele
It is temporarily located in Cabra awaiting approval from the Department of Education and Science for funding to carry out renovations to its permanent location at Foxfield, Kilbarrack. It is planned to develop outreach support services to mainstream schools providing educational supports to pupils with a dual diagnosis of autism and intellectual disability.
Moyle Road Industries training centre for adults has in response to the changing needs and ageing profile of service users developed new models of service and programmes of activities. Included in this programme is a range of social and recreational activities which are open to service users across the organisation. Highlights for the year included a Halloween Fancy Dress Party in the Crowne Plaza Hotel, which was attended by over 400 service users and a talent competition "Who's Got Talent." As 2008's competition was so successful, it is planned to hold 2009's final in the National Concert Hall.
A new adult residential house, Sallowood was opened in 2008 on Santry Lane, providing five new residential places. Adjacent to the house are two independent apartments. Our Independent Living Programme supports residents living in these apartments. The house and apartments were developed in partnership with Ballymun Regeneration Limited and Dublin City Council. Discussions are at an advanced stage to develop another house as part of the redevelopment of the Sillogue area of Ballymun.
Renovations and upgrading of the Glens residential houses continued in 2008 with all but one, Glenmalure, fully renovated. Funding was received through the Dormant Account Fund to renovate Glenealy. These renovations will be completed in early 2009. During the renovations, residents were temporarily accommodated in a rented house in Donabate. Service users at Dublin Road, Swords who have for some time been living in temporary rented accommodation will in 2009 move to a permanent home at Boroimhe, A major challenge facing the region is the development of new models of Published poet. Alexander Pierce
service to meet the changing and evolving needs of adult service users. The diversity of needs reflects the age profile from 18 years to 70 and the range of abilities as well as individual interests. In mid 2009, an organisational review EVOLVE will recommend new models of service for adults attending Long Term Training Centres. The region is aware of the need to assess and review services and supports provided at Local Centres. A significant majority of service users attending Local Centres have a physical disability and or complex medical needs.
The region's Parent and Family Council held a number of general and planning meetings in 2008. The Council, in partnership with the Regional Management Team, is developing a programme of information evenings for families. The development of a Parent and Family Council is a new and exciting initiative for the region and work is ongoing with members of the Council to develop its role and function. We acknowledge the work and commitment of the Council to date. Beachlawn, Bettystown, County Meath, a holiday home available to all centres, has proven to be very popular for day trips and holiday breaks and was constantly in use during 2008. The house is ideally located near local amenities and attractions as well as being fully wheelchair accessible and adapted to meet the needs of service users. The region is responsible for managing St. Michael's House's new Leisure Centre and Swimming Pool. A manager and staff team have been appointed to the Centre. Training has been provided to frontline staff to support service users when using the swimming pool. The Centre is beginning to become a hub for social and recreational activity. Activities at the Centre such as family swimming sessions, mother and toddler groups, aqua aerobics, cinema nights, discos and parties are proving to be very popular. The programme of events will be extended as the seasons change and it is planned to develop outdoor activities such as football, basketball and athletics. The Regional Management Team and staff look forward to working in partnership with service users, parents and family members as we continue to plan and develop services for the region in 2009.
I enjoy learning with my home teacher. Oisin Brett
North East Report REGIONAL HEADQUARTERS
RESIDENTIAL HOUSES
Warrenhouse (4a & 4b) EARLY SERVICES
SPECIAL NATIONAL SCHOOLS
Ferndale Fox's Lane Raheny Respite (1) Raheny Respite (2) ADULT DAY SERVICES
LINK SERVICES
TRAINING CENTRES
LOCAL CENTRES
Castle Industries Middle Third (10a) Northbrook Industries Short-term Training Centre Inclusive Recruitment & SWIMMING POOL
Belcamp
Best friends. Ross Maguire and Patrick Finn at Pope John Paul II N.S. Malahide
St. Michael's House ST. Michael's House North East with its Headquarters at Adare Green, Coolock, offers supports and services to 623 children and adults with an intellectual disability and their families living in Coolock, Artane, Clontarf, Raheny, Howth, Baldoyle, Kilbarrack, Donaghmede and parts of Santry. The region offers a range of services that reflects the diversity of need and goals identified by service users and their families to maximise individuals' participation in their communities.
The region's Parent and Family Council continues to grow and develop. In 2008, they had five meetings and organised a successful Parent and Family Day in April. Presentations on the day included: making a will and establishing trust funds for people with a disability, bereavement and how it can affect people with a disability, managing stress and presentation skills. A presentation was also made on the work of the Council. In addition, the Parent and Family Council held 14 sub-group meetings. One of the primary goals of the Council was to establish a Networking Group to provide peer support for parents. This group was established in November and meets in St. Michael's House Baldoyle on the first Tuesday The region is responsible for managing St. Michael's House's respite services on the northside of the city. In total, there are 32 community- based respite places available. Respite breaks are offered based on the individual needs and circumstances of service users and their families. The need for respite breaks is far greater than the number of places available. Our ability to respond to requests is also curtailed by the use of respite places to provide emergency accommodation to service users in need of a long-term residential placement. On average in 2008, sixteen respite places were used to provide temporary accommodation for these service users. This difficulty will continue in 2009, as the Health Service Executive has made no provision for the development of additional residential places. First home together. Denise Judge & Ronnie Harris
In early 2009, a new children's respite house at Donabate will open, providing six places. The house was part funded by Angel's Quest, a children's charity specialising in the provision of respite services for children with disabilities. Services currently provided at Seatown Road, Swords, will transfer to the new house at Donabate. The house at Seatown has been identified by Fingal County Council for development by the Council and will most likely be subjected to a compulsory purchase order.
The new service at Donabate will include a combination of day and residential respite. The aim of the centre is to provide a fun-filled welcoming environment for children.
In 2008, there were 15 new referrals to the region. Of these, 7 were under five years of age, 5 were between five and eighteen years of age and 3 were aged over eighteen. The primary source of referrals to the region was maternity and children's hospitals, with a number being referred by schools and parents. Early Services continue to work primarily in the child's home, supporting the child and family. The majority of children are supported to attend their local pre-schools, with a small number attending our Young Early Service Programme in Swords, County Dublin. In 2008, the Early Service Team offered parents a number of training programmes including an introduction to St. Michael's House, Lámh sign language programme and preparation for school. There has been a substantial growth in the number of children referred with a dual diagnosis of intellectual disability and autism. In response to this, the Early Service Team ran a parent information and training course for these families and plan to run further programmes in Raheny Special National School continues to be temporarily located at Kish House, Kilbarrack, to allow for the building of a new school. There are ongoing discussions with the Department of Education and Science in Favourite past-time, shopping. Cathy Soden
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relation to a starting date for the development. The school has secured the use of a green area at the rear of Kish House for play and sporting activity. Pupils at Baldoyle Special National School now have an Individual Education Plan, which was developed by teachers, special needs assistants, clinicians and parents. The model of service provided at Santry Hall is being extended and developed, with a new centre due to open in early 2009 at the Omni Centre Santry. The programmes, which are designed on an individual basis, support service users to partake in employment, training and social activities. The new facilities are designed and located to maximise employment opportunities. Subject to funding being made available by the Health Service Executive, it is also planned that the new centre and Santry Hall will provide places for some of the service users due to graduate from the Short-term Training Centre in 2009. The development of residential services is a priority for the region.
Currently, there are 143 service users on the region's priority residential waiting list. Of these, seventeen are in urgent need of a long-term placement and are receiving a high level of support. In 2008, St Brendan's Avenue in Artane was opened, providing residential places for four service users. Two more service users will move into the house in early 2009.
Renovations are under way at Kilfenora, with residents temporally accommodated at Grattan Lodge. We have developed 3 new residential houses: Limetree, Grattan Lodge and Collins Avenue, which can, subject to funding from the Health Service Executive, provide accommodation for up to 18 service users. The first group of children moved from the hospital setting at St. Michael's House Baldoyle to a new community house, the Lar Foley House. A proposal has been made to the Health Service Executive for funding to transfer a further group of service users from the hospital to a community First swim in our new swimming pool. Haile Harton
setting. The long-term plan is that all 38 service users residing at the hospital will move to community-based residential settings. Adult service users at Baldoyle have traditionally not attended a day service. A small number of these service users are now attending one of St. Michael's House's day service or an appropriate service with another organisation. Our Independent Living Programme provides nine service users with support to live in their own apartments with an input from outreach staff.
Support is provided on an individual bases and through group meetings.
At these meetings, common issues are discussed and training offered on a variety of topics, including budgeting, sharing accommodation, homemaking skills as well as providing an opportunity to socialise and organise events. Some of the independent living accommodation was for the first time provided to couples, which is a new development in service provision for St. Michael's House.
Minimising the impact that any reduction in funding may have on services will be a priority for the Regional Management Team and staff. The continuing development of the region's Parent and Family Council as well as beginning work on establishing a Service User's Council will be a focus for 2009. We know that by working in partnership we can continue to plan and develop supports and services that reflect the evolving needs of service users in the region. International champion skier. Cormac Maguire
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REGIONAL HEADQUARTERS
RESIDENTIAL HOUSES
Willowfield Park, Goatstown Willowfield Park, Goatstown Willowfield Park, Goatstown EMPLOYMENT PLACEMENT
Inclusive Recruitment EARLY SERVICES
Willowfield Park, Goatstown SPECIAL NATIONAL SCHOOLS
& SWIMMING POOL
Willowfield Park, Goatstown ADULT DAY SERVICES
TRAINING CENTRES
LOCAL CENTRES
Goatstown Services Templeogue Enterprises Cromwellsfort Leinster Rd Ophaly Lodge Teen Scene cruising on the Liffey Voyager. Philip Kelly, Sam Brett & David Humphreys
St. Michael's House ST. Michael's House South with its regional Headquarters in Goatstown, Dublin 14, provides a range of supports and services to 321 children and adults with an intellectual disability and their families. The region faces a number of ongoing challenges, including the provision of Early Services to an increasing number of new referrals, providing adult places for school leavers and developing additional residential places for children who require very high levels of care and medical support and also for adults who require a permanent residential Early Services are generally the first point of contact for new referrals to the region. In 2008, there were 18 children under the age of six referred to the region. The majority of these were new born babies. In total, Early Services are now provided to thirty-seven families. The focus of Early Services in the region is to plan and deliver services that meet the needs of families and provide support for children's learning and development.
An individual programme plan coordinated by a key worker is devised for each child, which identifies goals and objectives to be worked on. An important part of the service is linking families so that they can share experiences and offer each other support. A "Mother and Toddler" group is held weekly, providing an opportunity for mothers with very young children to meet in a supportive environment and for children to have an opportunity to play. Parents of older children have organised a weekly art and drama group, which meets on Saturday mornings. A number of training programmes were offered to families, teachers and pre-school support workers including: an introduction to St. Michael's House, training in the use of Hanen and Lámh augmentative communication and preparing children for starting school. A "Sibshop" for brothers and sisters of service users aged 8-12 was held, providing them with an opportunity to share their experiences of growing House warming party, Independent Living.
up with a sibling with an intellectual disability. The day was very well Darerca Delaney, Maeve Connolly & Ciara MacNeill
attended and it is planned for it to become an annual event.
Educational supports and services are provided for children of school going age in the region at Grosvenor Road Special National School or through our Inclusive Education Programme, which supports children to attend their local school. One of the difficulties encountered in 2008 was in bringing forward the planned development of a purpose-built special national school at a site in Ballinteer to replace the school at Grosvenor Road. The building at Grosvenor Road is unsuitable as a modern school, as it is a three storey Georgian building, which has restricted access for pupils with limited mobility. The new school is designed to accommodate all children of school going age in the region and would eliminate the need for Grosvenor Road School to be located at two separate locations. The Department of Education and Science had agreed to fund the development of the new school and plans were completed. This now seems to have been put on hold by the Department with no date for the project to start. All pupils graduating from our educational services in 2008 were placed in one of the region's adult centres or in another appropriate service. Given the diversity of need and the age profile of adults in the region, it is quite a challenge to organise services so that they are age and ability appropriate while at the same time close to service users' homes. There are 183 adult service users ranging in age from 18 years to 70. A review was undertaken of the programmes and activities offered in individual day centres. As a result, new programmes were devised to reflect the age profile and interests of service users. Additional staff resources were allocated to Walkinstown Local Centre to implement their new programme plan. In addition, there is an organisation-wide review of services for adults with a particular emphasis on older adults. The region is facing a very serious ongoing residential crisis. Currently, there are 78 service users on the priority residential waiting list, 3 of Having fun. New accessible playground at Baldoyle.
whom are children. In 2008, the Health Service Executive only provided Megan Cleary
31
the region with funding for two additional places. This funding enabled us to complete Ramleh Court, which is now home to five service users. A major development in the region was the completion of two new units at Cromwellsfort Road, providing four low-support residential places and an apartment with independent living for two service users. A partnership agreement with the Board of Management of Lorrequer House, an independent residential home, has resulted in an opportunity whereby two of the vacant places in the home will be filled by service users attending St. Michael's House. The fact that we are unable to respond to the needs of service users for residential places other than when they are in an absolute crisis often due to the death of a final caregiver leads to difficulties within respite services, which are often used to provide long- term emergency accommodation. Two full meetings of the Region's Parent and Family Council were held in 2008 as well as three planning meetings. The Council also organised an Open Day, providing information on the region and St. Michael's House services. During 2008, as part of their Plan for Information and Education Programme, the Council identified the need for information sessions addressing eleven items identified by families. Topics to be covered included: supports for families in crisis, ageing and disability, making a will, legislation relating to disabilities, entitlements, sexuality and young people and issues relating to having a sibling with a disability. Evening and weekend social and recreational supports are an important part of the services we provide and, subject to funding, will continue to develop. Currently, 104 children and adults avail of these supports.
Through the groups friendships are formed and activities are agreed upon by the members and include discos, going to the cinema, bowling, shopping and dining out. Some minor adjustments were made to the Region's Head Office at Helping out, Community Living. Vaun Coyle
Goatstown to facilitate improved access for service users and families for clinical appointments. Rooms have been renovated so that all appointments can now be provided on the ground floor.
Templeogue Enterprises have initiated a new community action programme aimed at increasing service users' involvement in the local community and the local communities' involvement in the unit. Service users are availing more frequently of community-based educational opportunities at Crumlin College of Further Education and the Enterprise Centre Terenure and are volunteering with Tallaght Meals on Wheels and the ISPCA Rathfarnham. A number of community groups are also linked into the centre, including Foróige Youth Club and Harold's Cross Musical Society. Twenty-eight of the sixty-eight service users have employment in the local community.
2009 will present us with many challenges, as we respond to a reduction in our funding allocation from the Health Service Executive. The focus for the Regional Management Team and staff will be to ensure the continuity of supports and services. Through working in partnership with service users, families and funding authorities we aim to minimise the impact of any reduction on services and will continue to promote and advocate for improvements and developments in services. "Well done, brother," launch of the Friends Forever Magazine.
Caoimhe, Cian & Donal O'Connor
33
Research and Service Development . . . . . . . . . . 36 Learning Resource Centre and Library. . . . . . . . . 37 Human Resource Department . . . . . . . . . . . . . 38 Staff Training and Development . . . . . . . . . . . . 40 Communication and Fundraising. . . . . . . . . . . . 42 St. Michael's House family day at Dublin Zoo. Laura and Ronan Furlong
Research and Service Development St. Michael's House fosters and encourages service-based research and evidence-based service developments. Staff across the organisation are engaged in research, either as part of their professional development, or as part of a specific higher degree.
In 2008, the Department started a process of review to reflect changes that have taken place both nationally and internationally in service-based research. This review process will continue in 2009 and, where possible, partnerships in research and development will be explored.
The Department worked on and supported the following projects: The coordination of a national clinical audit of the National Intellectual Disability Database on behalf of the Health Research Board.
A prospective study of grief and bereavement in people with intellectual disabilities with the Centre for Disability Studies at University College Dublin (UCD).
A research project looking at the service needs of older adults with intellectual disabilities is being carried out in collaboration with UCD. A study looking at the dental health of service users attending St. Michael's House A study on the palliative care needs of adults with intellectual disabilities Dissemination of research findings is an essential part of the research process. St. Michael's House staff have had papers published in both national and international peer reviewed research journals. In addition, the Department presented a number of papers at the World Congress of the International Association for the Scientific Study of Intellectual Disabilities (IASSID), which took place in Cape Town, South Africa, August 2008. At this meeting, the acting Director of Research, Dr Philip Dodd was elected to the council of IASSID.
Our new home, Lar Foley House.
Pierce Delamere & Michael Stokes

Learning Resource Centre & LibraryThe Learning Resource Centre and Library based at Ballymun with two branches, one at Adare Green, Coolock, and one at Willowfield Park, Goatstown, provides an information service for families, service users and staff. The centre has over 3,500 books and subscribes to 140 journals on the subject of intellectual disability and related disciplines with a facility to borrow books from the British Library, Trinity College and access to journal articles from all healthcare libraries in the country. Service users, family members and staff can borrow up to three books for a period of three weeks. Each library has a designated e-learning section with a wide range of educational software specifically designed for children and adults with an intellectual disability.
Branch libraries have 500 of the most popular books and journals, the internet and online access to St. Michael's House's library catalogue. Developments in 2008 included
544 new books were added to the libraries catalogue on the recommendation of service users, family members and staff.
Funding was provided by the Open Training College to purchase additional copies of key course texts.
A review was carried out of the Reference Section to ensure that all material is relevant and up to date. St. Michael's House Newsletter highlighted the range of books available at the library.
Improvements in the e-learning section including additional software and Idaal.com website was re-designed and now allows access to full text database such as Psychological and Behavioural Sciences Collection, Medline, Cinahl, PsychoINFO and A-Z journal title list. Library users can now receive an automatic alert on recently published articles in their field of interest.
In 2008, the Library was visited over 6,200 times and 1,850 books were Visting the Learning Resource Centre & Library.
Ken Lyons and his daughter Katie
37
Human Resource DepartmentThe Human Resources Department supports management and staff by providing best practice leadership, advice and professional expertise in all aspects of human resource policies and procedures, change management and staff recruitment. St. Michael's House employs 1,730 staff representing 70 grades and professions across 160 different locations.
Our recruitment process is based on a competency-based assessment, with key competencies developed for all our main grades. Staff involved in recruitment have all been trained in the use of such assessments.
Based on the success of this, we plan to extend this process to the recruitment of all grades of staff.
During 2008, a staff turnover of 8% was achieved, reflecting our position as an employer of preference. This is below average for health services.
A new recruitment strategy was introduced to respond to changes in the employment market. Vacancies are now advertised directly on St. Michael's House website, resulting in significant savings in the cost associated with recruitment.
An Employee Handbook was issued to all staff containing a selection of key policies and procedures. Management have been trained in the implementation of these policies and copies of the policies and related forms can be downloaded from our intranet site. A new Career Development Programme for Social Care Workers was developed in partnership with the Institute of Technology Blanchardstown.
New employees are assigned an experienced staff member as a mentor for a period of three months to support them in their role and provide guidance and information on working in the field of disability. We continue to offer placements to students from the College's Social Care Programme.
An extensive programme to manage absenteeism was introduced Learning new words. Darren Breen with
following discussions and agreement between management, staff and Laura Fingleton, Speech & Language Therapist
unions. This has resulted in an absenteeism rate of 5.4% for 2008. Information TechnologyThe Information Technology Department develops and maintains systems that are used to support the management, planning and development of services and to disseminate information throughout the organisation in real time. In the main, information in relation to supports and services, administration and management systems is gathered, transferred and stored electronically and is available to all staff as appropriate. Systems developed in 2008 include: A new online Individual Planning Website, providing staff with access to knowledge-based articles. The site also allows staff to post questions, engage in dialogue with colleagues and have access to suggestions and guidance from the Training Department.
A medical cardex system, which contains information on individual service user's medication. The new system allows medical personnel to update changes in prescriptions online and eliminates the need to duplicate the information in day and residential settings.
A management system for gathering and collating information on service user's Individual Plan and goals. This information is used to plan and develop services and is available online to management and unit staff.
Programmes designed to gather and collate information on a number of management functions including fire drills, accidents and incidents, staff travel, unit expenditure, staff training.
Modifications to Client Information Systems to allow online updates, making the system more efficient and ensuring greater accuracy.
Financial Planning Programmes that allow the Accounts Department to respond to changes in staffing profiles and provide accurate costs in real The network supporting the transfer of information was completely upgraded, making it more efficient, allowing for expansion and greater traffic throughout the organisation. Looking forward to retirement. John Lawlor
39
Staff Training & DevelopmentStaff training and development continues to be a priority for the organisation. During 2008, the following areas were identified and appropriate training provided: Mandatory in-service courses that ensured all centres met their legal requirements in terms of health and safety. A new course in the Management of Challenging Behaviour was delivered in partnership with The University of Stirling, Scotland.
Training for managers and training officers on the Council on Quality and Leadership quality system.
Competency-based recruitment techniques for staff involved in staff Orientation courses for new staff teams.
A course on cooking healthy meals and developing healthy eating plans was run in conjunction with the National College of Catering. Diversity awareness training for staff working in multi-cultural environments.
Disability awareness training for students attending Institute of Technology Blanchardstown Social Care Course. St. Michael's House has an ongoing relationship with Right to Live in Egypt and The First Step in Georgia. Both of theses organisations are committed to developing community-based services for people with an intellectual disability. The Training Department provides consultancy and training for staff working in these organisations.
In conjunction with the Information Technology Department, an intranet web page was developed, through which staff can share information and ideas regarding supporting service users achieve their personal goals.
Managers now have access online to staff training records and can book training for their staff using this system.
During 2008, forty-eight staff were supported to participate in third level training courses through the Open Training College and Clinical and Enjoying the sunshine at Cara.
management staff were supported to attend third-level institutions, and Nessa Houlihan and James Greene
participated in relevant conferences and seminars.
Transport DepartmentTransport is an integral part of the support services provided by St. Michael's House to service users and their families. In total, 104 buses are maintained by the Transport Department, giving us one of the largest fleets of accessible buses in the country. In 2008, 460 service users were transported daily from home to their day unit. Individual units also use buses to support social and recreational activities for service users, with many of these activities taking place in the evening and at Under contract to Bus Éireann, transport is provided to pupils with a severe to profound disabilities attending St. Michael's House special national schools.
Drivers and escorts are trained in first aid, use of safety equipment, back care, on managing challenging behaviour and communication. Training is also provided on the needs of individual service users. Safety on buses is one of the main priorities for the Transport Department. All buses are fitted with lap and diagonal seat belts, with four point anchors provided for wheelchairs and independent safety belts provided for service users travelling in wheelchairs. Challenges facing the Transport Department include responding to the need to provide transport to an increasing number of service users travelling in wheelchairs. Wheelchairs can take up the same space normally allocated to three seated passengers. Consequently, we require additional buses to meet the needs of these service users. In addition, as service users age with decreased mobility, they are less able to use public transport systems and are increasingly requesting transport. Our Graduating from Advocacy and Leadership course at
ability to respond to this need is subject to funding being made available by the Health Service Executive. To date, the majority of our buses have D.C.U. Eddie Hyland, Mary Timbs, Tara Leech,
been purchased through fundraising.
Joe Carolan & Joey Cunningham
41
Communication & FundraisingThe aim of the Communication & Fundraising Department is to positively promote and raise the public profile of the work of St. Michael's House and the contribution people with an intellectual disability can make to their communities. It is also responsible for raising funds and for promoting the organisation as a charity of choice for both individual and corporate In 2008, significant coverage was achieved in local and national media on developments and services provided by St. Michael's House. Our charity partnership with Dublin's Q102 Radio station was continued, providing us with a positive platform to promote fundraising activities and highlight relevant developments. St. Michael's House quarterly newsletter and Annual Report was distributed to 4,500 homes, offices, local and national politicians and Government Bodies. We also used information booklets, press releases and our internet site www.smh.ie to provide up-to-date information on developments within St. Michael's House and the field of intellectual In 2008, fundraising campaigns raised €1.08m (of this €87,000 wasdeferred for expenditure in 2009). Our annual events included two golf classics, an art exhibition, raffles, church gate collections, flag days and sport events. We also launched a number of new campaigns, most notably "Bring a Book, Buy a Book" in partnership with World Book Day. New charity partnerships were formed with Leisureplex, The Hartford and Dublin City University, providing us with much needed support.
We would like to acknowledge and thank the many friends and volunteers, who so generously gave of their time to support our services and Football training with the F.A.I.
fundraising activities. We look forward to working with you in 2009.
Technical ServicesThe Technical Services Department based in the Dublin Industrial Estate, Glasnevin, is responsible for sourcing, renovating and maintaining all centres and administration buildings. During 2008, work was completed on our new Leisure Centre and Swimming Pool. The Department was responsible for the project management including: coordinating the design, tendering and contracting for the building of the Centre. The Centre was completed on time, opening in November 2008.
The Department is responsible for liaising with Local Authorities in relation to securing capital grants for the development of residential houses and acquiring accommodation under Part V of the Planning and Development Act 2000-2006 Social and Affordable Housing Programme. Accommodation provided under the Act is generally used to develop our Independent Living Programme. In 2008, work was completed on the first residential project built in partnership with Ballymun Regeneration Limited (BRL). Sallowood comprises of a community-based residential house and two independent apartments.
Discussions are at an advanced stage with BRL in relation to the development of a community house in the Sillogue area of Ballymun.
There are ongoing discussions with the Department of Education and Science regarding the funding of new school buildings to replace St. Michael's House special national schools at Raheny and Rathgar and for the renovations at Foxfield. The Department of Education and Science have set no specific date for the commencement of these projects.
Projects completed in 2008 include the development of new community residential and respite houses as well as the refurbishment of existing day centres and residential houses. Should revenue funding be made available for additional residential places, we will be able to respond positively, as we are in the process of developing five new residential houses, which when completed, will provide accommodation for 25 service users. Work has been completed at our new Training Centre at Santry which, subject to funding, St. Patrick's Day celebrations at Baldoyle.
can provide sufficient places for graduates from our special national schools and Short-term Training Centre.
43
Open Training CollegeThe college has historically focused on providing courses specifically designed and structured to reflect the needs of staff working in the area of disability, but with the introduction of two new courses a BA and Certificate in Applied Management (Non-profit/Human Services) is now attracting students working in a wide range of social service settings.
With just over 2,500 students having participated in courses to date and with over 600 students currently enrolled, the College continues to expand.
Established in 1992, the Open Training College provides training
Established in 1992, the Open T
In November, the College held its annual Conferring of Awards ceremony in the for staff working in disability services and social care settings
for staff working in disability ser
Concert Hall at the RDS, Dublin. Five hundred and fifty guests, staff and throughout Ireland. The College is a division of
students attended the event to celebrate the achievements of the 131 St. Michael's House, offering a range of courses up to honours
graduates, the largest number of students to date.
degree level. It provides students with an opportunity to acquire
degree level. It provides students with an oppor
qualifications on a part-time basis through distance education,
qualifications on a par
In 2008, the College successfully completed an Institutional Review by the workshops, tutorials and e-learning, enabling them to acquire new
Higher Education and Training Awards Council. The aim of the review was to skills and keep up to date with international best practice.
assess the overall quality and training of the programmes provided and to ensure that the College was managed and governed in accordance with the COURSES AV
COURSES A AIL
national framework of qualifications. Honours BA in Applied Social Studies (Disability)
BA Ordinary in Applied Social Studies (Disability)
BA Ordinar
A college newsletter was developed for distributions to students, staff and BA Ordinary in Applied Management
BA Ordinar
associated organisations. The newsletter is distributed by e-mail and can also be downloaded from the College's new website www.opentrainingcollege.com.
Higher Certificate Applied Management
Higher Cer
The College's Foundation Diploma in Training and Education in Supported Employment is now delivered under licence by the Northern Ireland Union of Certificate in Applied
Management
tificate in Applied
Supported Employment. Currently, there are 30 students availing of this course.
Foundation Diploma in T
raining and Education in
oundation Diploma in T
The contract for managing the delivery of Lámh, an augmentative Diploma in Training and Education in Suppor
Diploma in T
raining and Education in Suppor
communication sign language system for people with an intellectual disability, Health Service Skills
Health Ser
was awarded to the College. The College organises the delivery of Lámh Understanding and Managing Conflict in the Wo
Understanding and Managing Conflict in the W rkplace
Training Programmes throughout Ireland.
The Forum on Essential Management Skills
OTC, Willowfield P
ark, Goatstown, Dublin 14. T
C, Willowfield P
el: 2990580
ark, Goatstown, Dublin 14. T
Library facilities at the College have been improved by provision of access to EBSCO an online library. Through EBSCO students and staff have access to a Website: www
ebsite: www
wide range of reference databases, journals and books.
Family-centred Early Services. Aoibhe & Niamh Murphy
Review of Operations & Financial Summary Independent Auditors' Statement to the Members . . . . . 54 Consolidated Income and Expenditure Account. . . . . . 55 Consolidated Balance Sheet. . . . . . . . . . . . . . . 56 Analysis of Expenditure by Service Type . . . . . . . . . 58 Analysis of Expenditure by Region . . . . . . . . . . . . 59 Analysis of Capital Expenditure . . . . . . . . . . . . . . 60 Staff Whole Time Equivalent Numbers . . . . . . . . . . 61 Review of Operations Year end 31 December 2008 The deficit for the year after transfers to capital reserves was €445,019 St. Michael's House provides community-based supports and services to (2007 €505,516).
children and adults with an intellectual disability and their families.
Income for the year grew by 8.3% from €89.1 million to €96.4million. This Legal Status
growth in income includes €1.16 million for the development of additional St. Michael's House is a company limited by guarantee not having a share residential, day and respite services. capital. The organisation and its activities have been granted charitable status by the Revenue Commissioners. All activity and income is applied solely towards the Established in 1955 by parents, St. Michael's House has grown to become one provision of services and supports for people with an intellectual disability.
of Ireland's largest providers of services and supports to people with anintellectual disability. Parental involvement in the governance of the organisation St. Michael's House Registration Number 27628 at all levels continues to be a core value of the organisation. As of 31 Charity Registration Number December 2008, the Board comprises of 17 members, many of whom areparents of service users. Directors are appointed to ensure a sufficiently wide and relevant mix of backgrounds, skills and experience to provide strong and St Michael's House Housing Association Ltd. Registration No. 432718 effective leadership and control of the organisation. Charity Registration Number St Michael's House Leisure Complex Ltd. Registration No. 457866 The Board is committed to the highest standard of corporate governance and is Northbrook Industries Ltd. Registration No. 87772 responsible for the direction and control of the organisation. It is accountable to Board of Directors
members and has a range of matters specifically reserved for decision by theBoard including: corporate governance, setting strategy, approving major Maurice Bracken, Chairperson policies, risk management and control, financial controls, approval of Marjorie Soden, Chairperson Salaries Committee procurement procedures and disposal and acquisition of major assets. The Maurice Redmond, Chairperson Policy & Planning Committee Chairman sets the agenda for each Board meeting. Executive Management David Hughes, Chairperson Finance Committee attend Board meetings and make regular presentations. Eamonn Fitzgerald, Chairperson Compliance and Nominations CommitteeLarry Kane An individual must be a member of St. Michael's House prior to being elected to Robert Kirkpatrick the Board. The only exception to this rule is for Parents and Family Councils' Representative Directors. The Board appoints all new Directors.
John Leonard appointed February 08Eamon Hurley appointed December 08 Directors receive induction training on Corporate Governance at the Institute of David Fanagan appointed December 08 Public Administration. Courses are designed and delivered to meet the specificneeds of St. Michael's House. Registered Office
St. Michael's House, Prospect Hall, Willowfield Park, Goatstown, Dublin 14.
A Code of Conduct for Directors outlines the responsibility of each Director tothe organisation and includes procedures for dealing with any potential conflict of interest, which may arise between their responsibilities as Directors and their In the opinion of the Directors, the financial results for the year are satisfactory. outside interests.
47
Directors are non-executive and do not receive any remuneration for the services assists the Board in developing an overall strategic plan for the organisation, they provide to the organisation.
initiating new policies and examining major plans and programmes. TheCommittee also monitors the implementation of plans and policies to ensure that The Board is satisfied that it is meeting its duties and obligations set out in the they are achieving the desired outcomes.
organisation's Corporate Governance Policy.
Committee members The Board had ten scheduled meetings in 2008. In addition, Board Members Maurice Redmond (Chair), Teresa McDonnell, Marie Therese Mooney, regularly attend Board Sub-committee meetings.
Jim CuddyEx-Officio Maurice Bracken (Board Chairman). Salaries Committee Finance Committee On behalf of the Board of Directors, the Committee determines the remuneration The Committee acts as a focal point for communication on financial matters and other terms and conditions of the Chief Executive Officer and senior between the Board of Directors, external and internal auditors and management.
management. It also reviews significant developments in industrial relations andconsiders industrial relations policies to ensure that the organisation's strategy is The Committee assists the Board in fulfilling its responsibilities by: providing an consistent with the achievement of the business plan of St. Michael's House.
independent review of financial reporting, satisfying themselves as to theeffectiveness of the organisation's budgetary controls, internal controls and as Committee members to the sufficiency of the internal and external audits and setting the Marjorie Soden (Chair), David Hughes, Eamonn Fitzgerald, Maurice Redmond organisation's Banking Policy.
Ex-Officio Maurice Bracken (Board Chairman).
Committee membersDavid Hughes (Chair), Eamonn Fitzgerald, Robert Kirkpatrick, Parent and Family Councils
John Leonard, David Fanagan, Breda Dunne, Larry Kane, Laura Redmond Parent and Family Councils provide parents and families with a formal structure (appointed November 08) to have an input into how services are planned and developed. Councils work Ex-Officio Maurice Bracken (Board Chairman).
closely with their Regional Director and Regional Management Team to plan anddevelop services.
Compliance and Nominations Committee Under St. Michael's House's Articles of Association, each Council nominates two The Committee assists the Board in ensuring that the membership of the Board of its members for selection to the Board of Directors. Of the six members has the appropriate skills, knowledge and experience to carry out the duties of nominated three are selected to join the Board for a three-year period. In 2007, the Board and is compliant with relevant legislation, regulations and codes of the members selected were Bernadette Perry, St. Michael's House North East, conduct. It reviews the organisation's insurance strategy and policies and Breda Dunne, St. Michael's House South and Teresa McDonnell, St. Michael's procedures in relation to data security and that there is effective succession House North.
planning for the Board and senior management. In 2008, work commenced on the establishment of three Regional Service User Committee members Eamonn Fitzgerald (Chair), Bernadette Perry, John Costello, Jim Daly, Eamon Hurley, Brendan Goldsmith, Maride Woods, Aisling Kirkpatrick (appointed August 08), John Larney (appointed November 08) Key elements of internal control systems include: Ex-Officio Maurice Bracken (Board Chairman).
Financial reports are presented monthly by management to the Board of Directors and the Finance Committee.
Policy and Planning Committee Detailed revenue, cash flow, capital and working capital budgets are Working closely with senior management, the Policy and Planning Committee prepared annually and are reviewed and approved by the Board. Actual results are compared regularly against these budgets and appropriate action Based in the United States, the Council is an international not-for-profit initiated where necessary.
organisation that brings together service providers, professionals and others Organisational structures are in place with clear operating and reporting who have an interest in developing and improving the quality of life for people procedures, lines of responsibility, authorisation limits, segregation of duties with disabilities. and delegated authority.
Under the organisation's Notifiable Events Internal Reporting Document and Procedure, the Board is advised of all serious risks or events in relation to Staff salary scales are in line with the Department of Health and Children service users, finance, human resources, infrastructure and legislation.
Consolidated Salary Scales.
Regular independent internal audits are carried out by PriceWaterhouseCoopers Internal Audit Services to identify, evaluate, and assess the effectiveness of key controls in place in order to provide St. Michael's House is an approved agency of the Nominated Health Agencies management and the Finance Committee with independent assurance over Superannuation Scheme. In addition the Voluntary Hospitals Superannuation the operation of controls.
Scheme is operated for former employees of St. Mary's Hospital Baldoyle. External auditors, Deloitte & Touche, report to the Directors on any significant control issues identified, arising from their work as auditors.
Major capital projects require the approval of the Board and are closely St. Michael's House provides a range of specialist supports and services to monitored by the Finance Committee.
1,500 children and adults with an intellectual disability and their family through Monthly Integrated Management Reports are provided to the 160 community-based centres throughout the Greater Dublin Area.
Health Service Executive.
Services and supports provided include: Clinical, Early Services, Special National Real time online information is made available to regions, departments and Schools, Inclusive Education Supports, Vocational Training, Adult Day Services, units showing their actual expenditure against agreed budgets, which are Employment Support, Residential Services, Independent Living Supports, regularly reviewed.
Specialised Alzheimer's Service, Respite, Social and Recreational Supports.
Comprehensive Data Security Policies and Procedures are in place.
All staff recruited to St. Michael's House are subject to mandatory vetting and The Directors are satisfied with the operational performance during 2008 and clearance through the Garda Central Vetting Office.
would like to thank management and staff for their support and dedication to the A copy of the Annual Report is sent to all families, funding authorities and development and delivery of services to service users and their families.
staff and is also published on our website www.smh.ie.
St. Michael's House is committed to delivering a quality service that: Quality Assurance
reflect the individual needs and choices of service users.
In November 2007, the Council on Quality and Leadership awarded a further support individuals to develop meaningful relationships, to make a valued two-year accreditation with no conditions to St. Michael's House.
contribution and become active members of their community.
empower people to make choices about where they work, live and socialise A team from the Council was assigned to assess the services provided by advocate for the improvement and development of services. St. Michael's House and spent a week meeting with randomly selected service are cost effective and accountable to service users, families and funding users and families. The focus of the assessment was to measure outcomes for service users and families, the supports they receive from St. Michael's House All service users have an Individual Programme Plan based on goals identified by and their quality of life. the service user and their family, which is used as the basis for the supports and The Council also assessed how the organisation is governed and managed. Of services they receive. Collectively, these Individual Programme Plans are used to particular interest to the Council was the level of input and participation that inform the nature and type of supports and services that are provided or need to service users and families had in the running of the organisation and the ability be developed to meet the needs of individual service users.
of the organisation to respond to the needs of individual service users. 49
A key principle informing our management structure is that where possible those Open Training College
making decisions regarding services, either at the individual or group level, are Established in 1992, the Open Training College is a division of St. Michael's as close to service users and their families as possible.
House and provides training and education programmes up to honours degreelevel to staff working nationally in disability and social services. Higher Education Service users, parents and family members are encouraged and supported to and Training Awards Council (HETAC), Further Education and Training Awards be actively involved at all levels in the development, management and delivery of Council (FETAC) and the National University of Ireland Galway accredits courses provided at the College. The College has successfully completed an Institutional The organisation has its Headquarters at Ballymun Road, Ballymun, Dublin 9.
Review as required by HETAC.
Responsibility for the development and management of the organisation as awhole rests with the Executive Management Team, which includes the Chief Research and Service Development
Executive Officer, the Deputy Chief Executive Officer (Administration), the Deputy St. Michael's House Research and Service Development Department is Chief Executive Officer (Services), the Director of Psychiatry and the three responsible for supporting the organisation in developing services according to Regional Directors.
best international practice and for promoting and supporting research in the fieldof disability among staff.
Services provided by St. Michael's House are delivered through three regions,St. Michael's House North, North East and South. Each region provides servicesand supports to up to 600 service users and their families. Library and Learning Resource Centre
Open to service users, families and staff, the Library and Learning Resource
Centre has an extensive range of books and journals relating to the field of
disability and allied areas. A section of the Centre contains popular fiction books St. Michael's House Housing Association Ltd.
that have been specially edited for people with an intellectual disability.
St. Michael's House Housing Association Ltd. (Company Registration 432718,CHY17776) is responsible for managing and maintaining residential properties The Centre has a dedicated e-learning facility, which is specifically designed for funded under Part V of the Planning and Development Act 2000-2006 Social and service users providing accessible computers for those with physical disabilities Affordable Housing Programme and for issuing tenants with Tenancy along with a range of educational software designed for people with an Directors: Maurice Bracken, Noel Dillon, Jim McKeon, David Hughes and In addition, there are two branch libraries one at St. Michael's House, Willowfield Park, Goatstown, and one at St. Michael's House, Adare Green, Coolock. St. Michael's House Leisure Complex Ltd.
Future Plans for the Development of Services
St. Michael's House Leisure Complex Ltd. The Policy and Planning Committee of the Board of Directors have developed a (Company Registration 457866) is responsible for managing our new Leisure Three Year Strategic Plan (2007-2009). The plan details what service users and Centre and Swimming Pool at Belcamp, Dublin 17.
their families require and outlines the service developments that will need to takeplace in order to respond to these needs. Directors: Maurice Bracken, David Hughes, Larry Kane, Paul Ledwidge, Jim McKeon and John Birthistle.
The greatest challenge facing the organisation is to provide sufficient residentialservices for those on our waiting list. At the end of 2008, there were 330 Northbrook Industries Ltd.
service users urgently awaiting residential services. In the 2009 Budget Northbrook Industries Ltd (Company Registration 87772) provides a range of announcement by Government, there was no provision nationally for additional support services for adults with an intellectual disability.
residential places. Once the Health Service Executive makes funding available we Directors: Maurice Redmond, Paul Ledwidge and Noel Dillon.
believe that the organisation has the capacity to meet this challenge.
Additional Day Services need to be developed to accommodate new referrals Developments to the Safety Management System in 2008 include: and for service users transferring from services funded by the Department of The appointment of two Board Members as Health and Safety Directors Education and Science to services funded by the Health Service Executive. In A Health and Safety Audit was carried out in all centres. announcing the 2009 Budget, the Government made no provision nationally for Awareness raising campaigns on various aspects of Health and Safety were the development of these services. run throughout the year using newsletters, intranet and competitions.
The election of two additional staff safety representatives.
Subject to funding from the Health Service Executive, the Board is committed to Bi-monthly meetings were held of the Health and Safety Committee, which continually developing services that can respond to the changing needs of includes staff and management representation from across the three service users and their families and will continue to promote and support Regions to discuss organisational safety issues.
equality of access to educational, training, employment, social and recreational Comprehensive analysis of accident statistical information is now prepared opportunities for people with an intellectual disability.
for senior and regional management on a regular basis.
St. Michael's House is affiliated to the following organisations: The Board believe that they have employed accounting personnel with The National Federation of Voluntary Bodies appropriate expertise and provided adequate resources to the financial function Irish Council for Social Housing to ensure compliance with St. Michael's House's obligation to keep proper Irish Charities Tax Reform Group books of accounts. The books of accounts are held at St. Michael's House, Disability Federation of Ireland Headquarters, Ballymun Road, Dublin 9.
Inclusion Ireland Health and Safety
St. Michael's House does not make donations to political parties.
St. Michael's House is committed to ensuring the health and safety of serviceusers, staff and members of the public. Under the Safety, Health and Welfare at Work Act 2005, General Applications Regulations 2007 and associated PriceWaterhouseCoopers Internal Audit Services.
Legislation, our Safety Management System is integrated with our services anddetailed in the organisational Safety Statement, which is in place along with site-specific Safety Statements in all centres. Deloitte & Touche, Chartered Accountants and Registered Auditors.
Under the organisation's Safety Statement staff have responsiblity to report all health and safety matters. Safety Representatives form an active part of the Gore and Grimes Solicitors.
Safety Management System, taking employee representations on staff healthand safety matters through the forum of the Safety Committee. The welfare of services users, staff and members of the public is safeguardedthrough a system of risk assessments. These assessments evaluate activitiesand identify the controls necessary to manage any identified risk. Theorganisation's Health and Safety Manager supports line management in carryingout this function.
51
Accounting Policies Basis of Preparation
basis and is stated net of direct expenses incurred in raising that income.
The financial statements have been prepared in accordance with A significant proportion of fundraising and donations income, determined accounting standards generally accepted in Ireland and Irish statute by the Board, is designated for capital purposes and is credited to a comprising the Companies Acts, 1963 to 2006 and the European capital expenditure reserve. Funds raised for specific capital projects and Communities (Companies: Group Accounts) Regulations 1992. Accounting not spent at year end are deferred to match the related expenditure in the standards generally accepted in Ireland in preparing financial statements following year. Where fundraising income is designated for revenue based giving a true and fair view are those published by the Institute of expenditure, the income is credited to the income and expenditure Chartered Accountants in Ireland and issued by the Accounting Standards account and matched with the related revenue expenditure.
Capital Grants Reserve
Basis of Accounting
Government grants specifically received for capital purposes are credited The financial statements have been prepared on the historical cost basis to the capital grants reserve. This reserve is amortised over the expected of accounting except investments.
useful lives of the assets to which it relates.
Capital Expenditure Reserve/European Social Fund
The consolidated financial statements comprise the financial statements of the company and its subsidiaries made up to the same accounting date.
Income and grants designated for capital purposes, excluding Government Grants dealt with above, are credited to the Capital Expenditure Reserve. The Capital Expenditure Reserve is amortised over a Revenue grants received and amounts receivable within one year of the period of 20 years and the European Social Fund grant reserve is balance sheet date in respect of the accounting period are taken to the amortised over a period of 40 or 10 years, as appropriate.
income and expenditure account.
Income - Sales
Negative goodwill represents the difference between the cost of Sales are accounted for using the accruals basis of accounting.
businesses acquired and the aggregate of the fair values of their identifiable net assets at the date of acquisition. Negative goodwill is Income - Fundraising
amortised to the Income and Expenditure account in equal annual Fundraising and donations income is accounted for on a cash receipts instalments over its expected useful life.
Fixed Assests and Depreciation
Fixed assets are stated in the balance sheet at cost less accumulated Nominated Health Agencies and Voluntary Hospitals Superannuation depreciation and, in the case of assets donated in kind, at the best Schemes are in operation for the employees of St. Michael's House and estimate of cost at the date of receipt less accumulated depreciation.
St. Mary's Hospital, Baldoyle. No provision has been made in respect of Depreciation is provided so as to write off the cost of fixed assets over the benefits payable under the scheme as the liability is underwritten by their expected useful lives using the straight line method of accounting.
the Minister for Health and Children.
The expected useful lives of the various classes of assets are as follows: Contributions from the employees who are members of the scheme are credited to the income and expenditure account when received. Pension Freehold and long leasehold property payments under the scheme are charged to the income and expenditure Furniture, equipment and computers account when paid.
A half year's charge for depreciation is made in the year of acquisition Assets held under finance leases are capitalised at the estimated present and year of disposal.
value of future minimum lease payments which is derived by discounting at the interest rate implicit in each lease. The related liability is stated net Construction in Progress
of lease rentals already paid.
Construction in progress is shown at cost. Cost includes all directly attributable costs, including purchase price, bank and legal fees, Interest on finance leases is charged to the income and expenditure architects' fees, surveyors' and engineers' fees.
account so as to produce a constant periodic rate of charge on the remaining balance of the obligation under each lease.
No depreciation is provided in respect of construction in progress. Upon completion of construction the properties are transferred to property.
Operating lease costs are charged to the income and expenditure account as incurred.
Stocks are valued at the lower of cost and net realisable value. Cost is calculated using the first-in, first-out method.
The investments are stated at cost less amounts written off and represent the directors valuation thereof.
53
Deloitte & ToucheChartered Accountants &Registered Auditors Independent Auditors' Statement to the Members of St. Michael's House We have examined the summary financial statements of St. Michael's House (comprising the consolidated income and expenditure account andconsolidated balance sheet) set out on pages 55 and 56 of the St. Michael's House Annual Report 2008. This statement is made solely to the company's members, as a body. Our audit work has been undertaken so that we might state to the company'smembers those matters we are required to state to them in this auditors' statement and for no other purpose. To the fullest extent permitted by law,we do not accept or assume responsibility to anyone other than the company and the company's members as a body, for our audit work, for thisstatement, or for the opinions we have formed.
Respective responsibilities of directors and auditors
The directors are responsible for preparing St. Michael's House Annual Report 2008. Our responsibility is to report to you our opinion on theconsistency of the summary financial statements contained within St. Michael's House Annual Report 2008 with the full consolidated financialstatements and directors' report. We also read the other information contained in St. Michael's House Annual Report 2008 and consider theimplications for our statement if we become aware of any apparent misstatements within it or material inconsistencies with the summary financialstatements.
Basis of opinion
We conducted our work in accordance with Bulletin 1999/6 ‘The auditor's statement on the summary financial statement' issued by the Auditing Practices Board. In our opinion the summary financial statements are consistent with the full consolidated financial statements and directors' report of St. Michael's House for the year ended 31 December 2008.
Deloitte & ToucheChartered Accountants and Registered AuditorsDublin Consolidated Income and Expenditure Account Year End 31 December 2008 € ('000)
('000)
Goodwill Amortisation Surplus on Ordinary Activities Less:Transfer to Capital Reserves (Deficit) for Year 55
Consolidated Balance Sheet as at 31 December 2008 € ('000) € ('000)
€ ('000) € ('000)
Fixed Assets
Intangible Assets Grants Receivable and Prepayments Current Liabilities (Amounts falling due within 1 year)
Creditors and Accruals Lease Obligation - short-term portion Term Loans - short-term portion Net Current Liabilities
Creditors (Amounts falling due after more than 1 year)
Lease Obligation - long-term portion Term Loans - long-term portion Capital Expenditure Reserve Revenue Reserve Deficit
€ ('000)
€ ('000)
Health Service Executive Other State Agencies Other Income
Pension Contributions Grants Amortisation 57
Analysis of Expenditure by Service Type 2008 € ('000)
€ ('000)
Training & Employment Maintenance of Centres Ancillary Services Transport of Clients Analysis of Expenditure by Region 2008 Shared North
€ ('000)
€ ('000)
€ ('000)
€ ('000)
€ ('000)
– – – 5,971 Training & Employment Maintenance of Centres Ancillary Services Transport of Clients 59
Analysis of Capital Expenditure € ('000)
€ ('000)
Capital Expenditure
Furniture and Fittings
Source of Funds
Health Service Executive
Funds from operations Staff Whole Time Equivalent Numbers 31 December 2008 Training & Employment Ancillary Services Transport of Clients Maintenance of Centres 61
St. Michael's House Units ST. MICHAEL'S HOUSE HEADQUARTERS
Seantrabh, Swords Road, Dublin 9.
Ballymun Road, Dublin 9.
The Bungalow, Seatown Road, Swords, Co. Dublin.
Email: info@smh.ie Website:www.smh.ie
ADULT DAY SERVICES
Belcamp, Belcamp Lane, Dublin 5.
ST. MICHAEL'S HOUSE NORTH
Ballygall, Mother of Divine Grace, Ferndale Road, D 11.
Chanel College, Coolock Village, Dublin 5.
Ballymun Road, Dublin 9.
Ballymun Road, 83 Ballymun Rd, Dublin 9.
Breaffy House, Strand Rd., Portmarnock, Co. Dublin.
Boroimhe, 2 Boroimhe Williows, Swords, Co. Dublin.
Cabra Road, 75 New Cabra Road, Phibsboro, Dublin 7.
Ballymun Road, Dublin 9.
Clew Bay, 31 Clune Road, Finglas, Dublin 11.
YES Project, 43 Forest Boulevard, Rivervalley, Swords.
Donabate, Portrane Road, Co. Dublin.
Elmwood, 36 Elmwood Park, Swords, Co. Dublin.
SPECIAL NATIONAL SCHOOLS
Glenamoy, Ballymun Road, Dublin 9.
Ballymun Road, Dublin 9.
Glenanaar, Ballymun Road, Dublin 9.
New School, Ballymun Rd., Dublin 9.
Glencorry, Ballymun Road, Dublin 9.
Skerries, Hacketstown, Co. Dublin.
Glencree, Ballymun Road, Dublin 9.
Foxfield, St. Joseph's School for the Deaf, Navan Rd, D7.
Glenealy, Ballymun Road, Dublin 9.
Glenmalure, Ballymun Road, Dublin 9.
Glenveagh, Ballymun Road, Dublin 9.
Willowfield Park, Goatstown.
Lark Cottage, Balamastone, New Rd., Donabate, Co. Dublin. 8958517
Longlands, 20 Longlands, Swords, Co. Dublin.
Abhainn, Ballymun Road, Dublin 9.
Malahide Road, 23 Malahide Road, Fairview, Dublin 3.
Ballymun Local Centre, Ballymun Road, Dublin 9.
Park View, Watters Lane, Commons Rd., Navan,
Dublin Road, 59 Dublin Road, Swords, Co. Dublin.
Co. Meath.
046 9072587 046 9060923
Mellows Road, 31 Mellows Rd., Finglas, Dublin 11.
Rathbeale Road, 49 Rathbeale Road, Swords, Co. Dublin.
Oaklands, 30 Oaklands Ave., Swords, Co. Dublin.
Sallowood, 40 Sallowood View, Santry Lane, Dublin 9.
ST. MICHAEL'S HOUSE NORTH EAST
St. Canice's Road, 63 St. Canice's Road, Glasnevin, D 11.
St. Canice's Road, 30 St. Canice's Road, Glasnevin, D 11.
Adare Green, Coolock, Dublin 5.
The Willows, Rathbeale Road, Swords, Co. Dublin.
Woodview, Swords Rd. Santry, Dublin 9.
Adare Green, Coolock, Dublin 5.
Community Support, Northbrock Industries, Unit 1a,
IDA Indus. Est., Santry, Dublin 9.
Adare Green, Coolock, Dublin 5.
SPECIAL NATIONAL SCHOOL
Cara, Alzheimer's Unit, Belcamp Lane, D5.
Raheny SNS, Kish House, Greendale Rd, Kilbarrick, D5.
Baldoyle SNS, College Street, Baldoyle, Dulblin 13.
Beachlawn, Golflinks Road, Mornington, Co. Meath.
041 9887284
Coolfin, Swords Road, Santry, Dublin 9.
Donabate, Portrane Road, Co. Dublin.
Willowfield Park, Goatstown.
Seatown, Seatown Road, Swords, Co. Dublin.
ADULT DAY SERVICES
LINK SUPPORT
Raheny, Grange Park Grove, Raheny, Dublin 5.
Ballymun Road, Dublin 9.
Scoil. Eithne, Glenayle Road, Edenmore, Dublin 5.
Scoil. Iosagain, Greendale Rd., Kilbarrack, Dublin 5.
Charles Street, 52 Nth. Great Charles St., Dublin 1.
Moyle Rd., Unit 22, Dub.Ind.Est., Glasnevin, Dublin 11.
Solas Support Centre, Ballymun Road, Dublin 9.
Cill Bharrog, St. Benedict's Resource Centre,
Riverside, Belcamp Lane, Dublin 5.
Swans Nest Road, Kilbarrack, Dublin 5.
Work Options, 22 Green St., Dublin 7.
Cluain Aoibhinn, 356 Howth Road, Dublin 5.
Enterprise L.C., Bunratty Drive, Coolock, Dublin 5.
Inclusive Recruitment, 22 Green St., Dublin 7.
Grangemore, 16 Grangemore Pk., Raheny, Dublin 5.
Grangemore Flat, 16 Grangemore Pk., Raheny, Dublin 5.
LIBRARY AND LEARNING RESOURCE CENTRE
Kilbarrack, 27 Kilbarrack Road, Dublin 5.
Ballymun Road, Ballymun, Dublin 9.
Kilmore, 132 Kilmore Road, Dublin 5.
Raheny Road, 87 Raheny Road, Dublin 5.
Warren House Road L.C., 4 Warren House Rd., Baldoyle,
Dublin 13.
63
Abbeyfield, 44 Abbeyfield, Killester, Dublin 5.
Warrenhouse Road, 21 Warrenhouse Road, Baldoyle, D13.
Ardbeg 46 Ardbeg Pk. Artane, Dublin 5.
Warrenhouse Rd, 4A & 4B, Warrenhouse Road, Baldoyle, D13.
Ardmore, 49 Ardmore Crescent, Artane, Dublin 5.
Willowpark, 28 Willowpark Cresent, Glasnevin, Dublin 9.
Avondale, 20A Pinewood Crescent, Dublin 11.
Baldoyle, College Street, Baldoyle, Dublin 13.
Beauvale, 88 Beauvale Park, Artane, Dublin 5.
Community Support , Northbrock Industries, Unit 1a,
Bettystown, 1 Bettystown Avenue, Raheny, Dublin 5.
IDA Indus. Est., Santry, Dublin 9.
Bettystown, 1A Bettystown Avenue, Raheny, Dublin 5.
Binneadair, 300 Howth Rd. Dublin 5.
Cill Caisce, 13 Brookwood Rise, Artane, Dublin 5.
Del Val, 2, Del Val Ave., Sutton, Dublin 13.
Ferndale, 20 Pinewood Crescent, Dublin 5.
Raheny Respite 1, Rear Raheny SNS, Raheny Rd, Dublin 5. 8329032
Fox's Lane, 13 Fox's Lane, Raheny, Dublin 5.
Raheny Respite 2, Rear Raheny SNS, Raheny Rd. Dublin 5. 8329121
Garvagh, Railway Ave., Sutton, Dublin 13.
Grangemore, 29 Grangemore Rise, Donaghmede, Dublin 13. 8471482
LINK SUPPORT
Hazlewood, 15 Pinewood Drive, Glasnevin.
Ballymun Road, Dublin 9.
Kilbarrack Road, 30 Kilbarrack Road, Dublin 5.
Kilfenora, 16 Kilfenora Dr., Donaghmede, Dublin 13.
Lar Foley House, 73 Grange Road, Donaghmede, Dublin 5.
Castle Ind., Unit 36 Malahide Rd. Ind. Park D17.
La Verna, 356 Howth Road, Killester, Dublin 5.
Northbrook Industries, Unit 1A, IDA Ind. Est., Santry, D9.
Lorcan Avenue, 133 Lorcan Avenue, Santry, Dublin 9.
Omni Employment Training Services, Unit 304, Omni Park,
Middle Third, 10 Middle Third, Killester, Dublin 5.
Swords Road, Santry.
Middle Third, 10a Middle Third, Killester, Dublin 5.
Santry Hall, Unit 10A, Santry Industrial Est., Dublin 9.
Newbrook 108 Newbrook Avenue, Donaghmede, Dublin 13. 8471554
Short-Term Training Centre, Adare Green, Coolock, D 5. 8770527/526
Ratheanna, 22 St. Margaret's Avenue, Raheny, Dublin 5.
Riverside Belcamp Lane, Belcamp, Dublin 13.
LIBRARY AND LEARNING RESOURCE CENTRE
Rosetree, Oscar Traynor Road, Coolock, Dublin 5.
Adare Green, Coolock, Dublin 5.
Sabhaile, Grangepark Grove, Raheny, Dublin 5.
Sarto Rise, 7 Sarto Rise, Bayside, Sutton, Dublin 13
Seana Cill, 47 St. Brendans Ave., Coolock, Dublin 5.
Shanowen 275 Swords Road, Santry Dublin 9.
St. Bridget's Rd, 29 St. Bridget's Road, Dublin 5.
The Beeches, Beech House, Donaghmede, Dublin 13.
ST. MICHAEL'S HOUSE SOUTH
Community Support , Northbrock Industries, Unit 1a,
Willowfield Pk, Goatstown, Dublin 14.
IDA Indus. Est., Santry, Dublin 9.
Ailesbury, 4 Ailesbury Lawn, Dundrum, Dublin 14.
Willowfield Park, Goatstown, Dublin 14.
Brittas Bay, Old Coastguard Road, Co. Wicklow.
Link, Willowfield Pk, Goatstown, Dublin 14.
Willowfield Park, Goatstown, Dublin 14.
SPECIAL NATIONAL SCHOOL
Goatstown Services,Willowfield Park, Goatstown, Dublin 14. 2960177
17 Grosvenor Road, Rathgar, Dublin 6.
Templeogue Enterprises, Templeogue Road, D 6.
Ballinteer, Our Lady's NS, Broadford Rise, D16.
SOUTHSIDE SUPPORT SERVICES
Willowfield Pk, Goatstown, Dublin 14.
Willowfield Park, Goatstown.
LIBRARY AND LEARNING RESOURCE CENTRE
ADULT DAY SERVICES
Willowfield Pk, Goatstown, Dublin 14.
St. Raphaela's School, Upr. Kilmacud Rd, Co. Dublin.
ST. MICHAEL'S HOUSE LEISURE CENTRE & SWIMMING POOL
Bon Accord, 49 Beaumont Ave., Churchtown, Dublin 14.
Belcamp Lane (N32) Belcamp, Dublin 13.
Cromwellsfort Road , 18 Cromwellsfort Road, Walkinstown,
Dublin 12.
ST. MICHAEL'S HOUSE SHARED SERVICES
Ophaly Lodge, Rosemount Estate, Dundrum, Dublin 14.
Communicatons Ballymun, Rd, Dublin 11.
The Mews, 104A Leinster Rd., Rathmines, Dublin 6.
Finance & Accounts Ballymun, Rd, Dublin 11.
Fundraising Dept., Willowfield Pk., Goatstown, D4.
Human Resource Department Ballymun, Rd, D 11.
Glendoher Road, 16 Glendoher Road, Rathfarnham D 16.
Information Technology Ballymun, Rd, Dublin 11.
Kennington, 54 Kennington Rd., Templeogue, Dublin 6W.
Library & Learning Resource Centre, Ballymun Rd, D 9.
Marley Court, 84 Marley Court Sth., Rathfarnham, D 16.
Open Training College,Willowfield Pk., Goatstown, D14.
Ramleh, 4 Ramleh Close, Miltown, Dublin 6.
Research & Service Development, Ballymun Road, D9.
Rossmore, 26 Rossmore Crescent, Templeogue, Dublin 6W.
Stores Dept, Unit 89D, Dublin Ind Est, Lagan Road, D11.
The Pines, 36 Taney Rise, Goatstown, Dublin 14.
St. Michael's House Housing Ass. Ballymun Rd, D11.
Whitehall Lodge, 29 Whitehall Rd, Churchtown, Dublin 14. 2989031
Technical Services,Unit 89D,Dublin Ind Est, Lagan Rd. D11. 8303163
Willowglade, 15 Willowfield Pk., Goatstown Dublin14.
Training Dept., Ballymun Road, Dublin 9.
Transport Dept., Unit 89D, Dublin Ind. Est., Lagan Rd. D11. 8308567
65
Launching "Bring A Book - Buy A Book" at Dublin's Q102. Liam Coburn, Sarah-Kate Breen & Amanda Brunker
Best job ever, Hickey's Pharmacy Make-Up counter. Dorothy McKay
St. Michael's House, Ballymun Road, Ballymun, Dublin 9. Tel: 884 0200 Website: www.smh.ie Email: info@smh.ie Crotare Ltd. 01 834 8983

Source: http://www.smh.ie/files/ar2008.pdf

Doi:10.1016/s0140-6736(11)61873-4

Adjuvant capecitabine and oxaliplatin for gastric cancer after D2 gastrectomy (CLASSIC): a phase 3 open-label, randomised controlled trial Yung-Jue Bang*, Young-Woo Kim, Han-Kwang Yang, Hyun Cheol Chung, Young-Kyu Park, Kyung Hee Lee, Keun-Wook Lee, Yong Ho Kim, Sang-Ik Noh, Jae Yong Cho, Young Jae Mok, Yeul Hong Kim, Jiafu Ji, Ta-Sen Yeh, Peter Button, Florin Sirzén, Sung Hoon Noh*, for the CLASSIC trial investigators†

Pressegespräch itb-therapie, bonn, 13

„Gemeinsam Schicksale bewältigen" SelbstHilfeVerband - FORUM GEHIRN e.V. Bundesverband für Menschen mit erworbenen Hirnschädigungen und deren Angehörige Die Spastik – beeinträchtigt erheblich die Lebensqualität Was können wir leisten, um die Beeinträchtigung und Schmerzen zu verringern? Im Jahr 2000 verunfallte mein Sohn, erlitt dabei ein schweres Schädel-Hirn-Trauma (SHT) und fiel zunächst ins Wachkoma. Auf der Intensivstation (Phase A des neurologischen Phasenmodells) konnte sein Leben gerettet werden. Der Zufall ermöglichte es mir, bereits in Phase B, der neurologischen Frührehabilitation, täglich viele Stunden bei meinem Sohn zu sein, bis meine Frau und ich ihn schließlich nach Hause nehmen konnten. Die Versorgung und Betreuung zu Hause ist für SHT-PatientInnen mit Abstand die beste Variante. Sie ermöglicht ihnen die maximale Teilhabe am Leben, denn sie sind zwar krank, gehören aber nicht ins Bett, und gerade die Stimulation durch den Lebensalltag führt auch immer wieder zu Schüben von Neuroplastizität, das heißt zum Wiedererwerb verloren gegangener Fähigkeiten dadurch, dass andere Teile des Gehirns die Funktion der Geschädigten übernehmen können. So wird die Lebensqualität des Betroffenen, individuell betrachtet, wesentlich erhöht.