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.
9
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.
11
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
25
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
27
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: [email protected] 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: [email protected]
Crotare Ltd. 01 834 8983
Source: http://www.smh.ie/files/ar2008.pdf
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†
„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.