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Introductionto ServicesThe Congregation of the Brothers of Charity was founded byCanon Peter Joseph Triest, in Ghent, Belgium in 1807. A deeplyspiritual and yet very practical man he inspired his youngcongregation to devote their lives to working with persons whowere disadvantaged or marginalised. The Brothers of Charityopened their first Irish facility for people who experiencedmental health difficulties in Waterford in 1883.Today our Services focus on providing supportto people with an intellectual disability in Irelandthroughout the counties of Clare, Galway,Roscommon, Limerick, Cork, Kerry, Waterford andparts of South Tipperary and Kilkenny. An overalltotal of 8,441 people and their families accessed ourServices in 2019, supported by 4,359 staff (3526.84whole time equivalent). Respecting and promoting thedignity and humanity of each person has always beenthe core value of the Services. The principal object ofthe Brothers of Charity Services Ireland states,‘ Belonging to an internationally active movementand rooted in the values of the Christian Gospels,the Brothers of Charity Services Ireland providequality Services to support people who are in dangerof being marginalised. The Brothers of Charity striveto create opportunities and choices that develop andmaintain connected lives where all are cherished asvalued and equal citizens in our communities.’The Brothers of Charity Services attempt to ensure apersonal response to the wishes, hopes and dreamsof each individual to whom support is provided.8We adopt a person centred approach to servicedelivery, one in which individuals are assisted andsupported by the Services to identify their lifegoals. They are, thereafter, supported to achievethese goals through their individual personalplan. The Services offer service responses in localcommunities, promoting and supporting positiveengagement and interaction between thosewho use our Services and their community, andsupporting them to participate in and be includedin all facets of community life as equal and valuedcitizens. The Services work in partnership withlocal communities, agencies and organisationsto initiate and develop increasingly inclusiveopportunities for, and with, the individuals wesupport.The Brothers of Charity Services in Ireland isa learning organisation whose responses are basedon best practice, and in full recognition of theright of each person to self-determine their ownlife goals and wishes. We listen to those we serveand, subject to resources, endeavour to provideindividuals with high quality supports that bestsuit their wishes and requirements.Brothers of Charity Services Ireland 2019 Annual Report

Brothers of Charity Services Ireland 2019 Annual Report9

StructureBrothers of CharityServices IrelandThe Brothers of Charity Services Ireland is aCompany Limited by Guarantee, and providesServices to people with an Intellectual Disabilityand Autism on behalf of the Congregation of theBrothers of Charity in Ireland. These Services areprovided throughout counties Roscommon, Galway(West Region) Clare, Limerick (soon to merge tobecome the Mid-West Region), Cork & Kerry(Southern Region), and Waterford, Kilkenny, andSouth Tipperary (South East Region). There is oneoverarching Service Level Arrangement between theHSE and BOCSI with individual schedules attachedpertaining to the delivery of Services in each Region.Regions manage their own annual budget receivedmainly from the HSE through the local CommunityHealth Office (CHO).The Brothers of Charity Services adhere toand promote the ethos and principles of theCongregation of the Brothers of Charity in themanagement and delivery of the Services. The corevalues of our Services are the dignity and humanityof each person. In delivering our Service responsesthroughout the country, we are committed to aperson centred approach and aim to provide, inas far as possible, individual supports for people,in order that they may identify and achieve their10personal life goals and live ordinary lives in theircommunities. Our Services are measured using anaccredited quality system - Council for Quality andLeadership (CQL). Our Services are also monitoredand inspected by HIQA.The BOCSI Company is supported by theNational Office which is comprised of the ChiefExecutive Officer, the National Heads of Function(the Head of Finance; Risk and Regulation; HumanResource Management; ICT; Quality, Safety, Training& Advocacy; Procurement); and the PA to the ChiefExecutive Officer. The National Leadership Team ledby the Chief Executive Officer consists of the membersof the National Office and the four Directors ofServices and currently one Service Manager.The Chief Executive Officer reports to the Boardof the Brothers of Charity Services Ireland and is theCompany Secretary. The Chief Executive Officeris responsible for the management and executivefunctions of the Company’s regions through theregional Directors of Services. The NationalLeadership Team supports the Chief ExecutiveOfficer, the National Board and its Committees,National Teams and Working Groups and actsas appropriate as the single point of contact forexternal agencies and bodies.Brothers of Charity Services Ireland 2019 Annual Report

OrganisationalChart 2019BoardChiefExecutiveOfficerDirector ofServiceMid-WestDirectorof ServiceSouth EastMid-westManagementTeam Clare &LimerickSouth EastManagementTeam Waterford& TipperaryNationalHeads ofFunctionRegionalFunctions andNational TeamsNationalAdvocacyCouncilDirectorof ServiceSouthernSouthernManagementTeam Cork& KerrryDirectorof ServiceWestWestManagementTeam Roscommon& GalwayThe Directors of Service are the direct line managers to their regional management teams. The light blue linein the chart above represents the relationship between the National Heads of Function and the correspondingRegional Functions and relevant National Teams.Board Membership 2019 and Board CommitteesBrothers of Charity Services Ireland CLGBro. A.T. Hassett (Chair)Bro. J. O’SheaMs. M. AllenMr. J. DelahuntyMr. J. HayesMr. P. McGinleyMr. K. Brennan (ret July 2020)Bro. N. CorcoranMs. A GeraghtyMr. J. BarryMs. G. LarkinMichael Hennessy (CEO) - Company SecretaryBrothers of Charity Services Ireland 2019 Annual Report11

Board CommitteesNominations CommitteeThere are currently five committees in compliancewith the Code of Practice for the Governance ofState Bodies. Each Committee acts in accordancewith its Terms of Reference, which are agreed by theBoard, and reports to the Board.Appointed by the Board, the main objective of theNominations Committee of the Brothers of CharityServices is to oversee the arrangements for selectionand rotation of members of the Board of the BOCSI.Remuneration CommitteeAudit CommitteeAppointed by the Board, the main objective of theAudit Committee of the Brothers of Charity ServicesIreland is to support the Board in fulfilling its functionby providing independent and timely advice to theBoard on areas within its remit. It will ensure thatthere is full control over the income, expenditure andassets of the BOCSI and ensure that all of its resourcesare used effectively in fulfilling its responsibilities.Quality and Safeguarding CommitteeAppointed by the Board, the main objective ofthe Quality and Safeguarding Committee of theBOCSI is to support the Board to fulfil its functionby providing independent and timely advice to theBoard on areas within its remit, to ensure that clearand effective Quality and Safeguarding Managementsystems are in place, and that the welfare of thosewho use the Services is safeguarded.12Appointed by the Board the main objective of theRemuneration Committee of the BOCSI is to overseethe employment practices of the BOCSI and ensurethat they comply with the Public Sector Pay Policy.Risk Management CommitteeAppointed by the Board, the main objective of theRisk Management Committee of the BOCSI is tosupport the Board to fulfil its function by providingindependent and timely advice to the Board on areaswithin its remit, to ensure that clear and effectiveRisk Management systems are in place, and that thewelfare of those who are supported by the Servicesand our Staff is safeguarded.Brothers of Charity Services Ireland 2019 Annual Report

Approach to Service ProvisionA General Overview of the Brothersof Charity Services in IrelandThe BOCSI endeavours to offer Services in localcommunities, promoting and supporting positiveengagement and interaction between those who useour Services and their community, and supportingthem to participate in, and be included in, all facetsof community life as equal and valued citizens.We work in partnership with local communities,agencies and organisations to initiate and developincreasingly inclusive opportunities for, and with,the people who are supported by the BOCSI.We offer a range of comprehensive day,residential, respite and multidisciplinary supportsand services to adults and children with autismor an intellectual disability, and their families. Weare committed to a person-centred individualisedapproach in our service responses.Services include: Early Assessment Intervention Development and Pre-School Services Health Related Support Services Educational Services Residential Care Day Activation for Children and Adults Vocational Preparation Advocacy Support Supported Living Arrangements Personal Development TrainingBrothers of Charity Services Ireland 2019 Annual Report Family and Sibling Support Supported Employment Home Support Host Families Crisis Intervention Respite Services Services for Children and Adults with Autism Staff Training and Development Pastoral Care S upport of Elderly Persons with IntellectualDisability Community School Age Support, and Integrated Leisure Activities.We work in partnership with Brothers of CharityHousing Associations, mainstream HousingAssociations and local authorities in the provision ofappropriate residential accommodation.Energy EfficiencyThe BOCSI is required to report energy efficiencydata to the Sustainable Energy Agency Ireland(SEAI) annually. The BOCSI target is the sameas all Public Bodies in Ireland which is that wemust achieve an energy saving of 33% from ourbaseline by 2020. The BOCSI Energy PerformanceIndicators are showing a 33.8% better than baseline performance and a 1.2% better efficiency thanthe target for 2020.13

Energy StatementThe Brothers of Charity Services Ireland isdedicated to implementing energy efficient practicesthroughout its Services.We are committed to: Reporting our energy efficiency data to the SEAIannually Continual improvement in reducing our energyusage Compliance with all environmental and relatedlegislation Communication of our energy statement andenergy programme to all our staff and those whoare supported by our Services, and Ensuring our suppliers and contractors are awareof our energy programme.Compliance RequirementsTo date the BOCSI is required to comply with and/or report on the following annually. The Health Act 2004 Health and Social Care Professionals Act 2005 Comhairle Act and (Amendment) Act 2004(Advocacy) The Disability Act 2005 Companies Registration Authority (AnnualAudited Accounts & Governance) Children First in Disability Services 2011 New Directions 2015 The Assisted Decision-Making (Capacity) Act 2015 The Charities Regulatory Authority Annual Compliance Statement to the HSE (ServiceLevel Arrangement): Governance outlining the current Governancearrangements of the Board Internal Codes of Governance Risk Management14 Remuneration F inance C apital Assets Taxation P rocurement R elated Companies and any subsidiaries etc. Staff Absenteeism report to the HSE W hole Time Equivalent report Q uarterly Accounts returns, and People who use our Services number returns T he Code of Practice for the Governance for StateBodies S afeguarding Children: Policy and Standards forthe Catholic Church in Ireland 2016 H ealth Research Board (National IntellectualDisability Database). T he Health & Safety Authority - Audits T he Freedom of Information Act 2014 - FOIStatistical Returns and compliance with the ModelPublication Scheme D ata Protection Act 2018 & GDPR T he Office of the Ombudsman T he Information Commissioners Office T he Data Protection Commissioner S ustainable Energy Authority of Ireland (SEAI)Monitoring and Reporting S tate Claims Agency - National IncidentManagement System (NIMS) I ncident and Accidents are required to be notifiedto the HSE Safeguarding Team C QL (Council for Quality & Leadership) - qualitymark E ducation for Persons with Special EducationNeeds Act 2004 E thics in Public Office Act 1995 B OCSI Ethos and Compliance with best practicePolicies and Procedures and GuidelinesBrothers of Charity Services Ireland 2019 Annual Report

Irish Council for Social Housing & the Departmentof the Environment HSE Governance and Financial Audits Standards in Public Office Act 2001 The Governance Code for Voluntary andCommunity Organisations The Charities Code of Governance (from 2021) The Comptroller and Auditor General - Financialand Governance Audits Fundraising GuidelinesThis list is not exhaustive but identifies the mostrelevant legislative compliance requirements, all ofwhich require some form of reporting and audit.The BOCSI endeavour to meet all compliancerequirements annually.Brothers of Charity Services Ireland 2019 Annual Report15

Report from each Service RegionBrothers of Charity Services IrelandMid-West Region – LimerickReport from the Director of Service Norma BaggeIt is a welcome opportunity to look back on 2019for this Annual Report and take time to reflect onall that has been achieved by the BOCSI LimerickRegion over the course of the last 12 months. Itis also an opportunity to recognise the advancesmade through our adult and children services aswell as highlighting the ongoing challenges beingexperienced in respect of supporting an ageingpopulation with changing needs as well as agrowing demand for services for children in a highlyfinancially constrained environment.In this regard Advocacy continues to build fromstrength to strength within the Limerick Services.While the Community Advocacy structure is strongand stable and well supported there are challengeswith embedding a similar structure in Services thatare congregated and who support individuals withmore profound needs. In order to shine a light onthe circumstances of individuals living in one ofthese centres a “non-instructive” advocacy storywas developed by the Advocacy group and sharedwith all governance levels of the BOCSI as well asthe HSE at both local and national level. This wasa significant exercise as it highlighted, in very realterms, the living circumstances of individuals whohave no voice and whose service needs to changeand transform in order to meet their needs in linewith our Ethos, Government regulations and qualitystandards. The Limerick Advocacy group alsopresented at the National Advocacy conference inWaterford and were actively involved in progressingthe requirement for WIFI in all homes and daycentres run by BOCSI Limerick during the year.Linked to this advocacy piece a submission wasmade to the HSE during 2019 in respect of a planto partly de-congregate our campus in Bawnmore,in line with the HSE policy on Time to Move onfrom Congregated Settings. This plan also included16a submission in respect of upgrading a number ofresidential homes on site recognising that residentswill continue to live in these homes until alternativecommunity based homes are secured. This plan waspresented to both local and national HSE in thelatter stages of 2019 and was positively received. Asa Service we continue to pursue the approval of thisplan in 2020. In the meantime, three houses in thecommunity have been secured and upgraded, withthe support of the HSE, and are ready for occupancyby people currently living in Bawnmore. All that isrequired to progress is the final funding approvalfrom the HSE.During 2019 we progressed the plannedreplacement of a number of homes in our CommunityServices with the support of Limerick Council andthe Department of Environment. This means thatresidents will move to new homes in 2020 that havebeen built to the highest of standards and are locatedin communities that will afford access to amenitiesand transport that will promote choice and freedomfor the individuals living in them.Our Community Services team developed andpromoted a forum for promoting creativity andtalent as well as collaboration between Day Servicesin the region through the “Glas project”. Thisresulted in two service-wide events taking placeduring 2019 that were an example of how we cancelebrate the talents and ability of the people wesupport. The Community team will look to buildon this endeavour in 2020 as we recognise theimportance of providing a platform for the creativetalents of the people we support. The communityservices team also engaged with the HSE on therollout of their “Easi tool” which is informed by theNew Direction policy of the HSE.We welcomed new people into our service underthe School Leaver process. Securing appropriateBrothers of Charity Services Ireland 2019 Annual Report

Report from each Service Regionbuilding locations in which to provide a base forour day services is a continuing challenges based onprice and availability. The HSE continue to supportthe Services in addressing this challenge.The Children Services Team continued tomanage an increasing caseload and demandingwork environment during 2019. The Team hasembraced the model of Family Centred practiceand have developed care pathways to ensure thatthey are providing supports and interventionsthat are valued by the family and aligned to whattheir priorities as a family are. The team continuesto explore innovative means for maximising touse of a finite resource given the demand thatexists for these supports. The roll out of the newmanagement information system during 2019 willsupport this work.We continue to work with the University ofLimerick in providing placements for psychologygraduates which offers our services opportunitiesin terms of progressing specific projects, enhancedtherapeutic supports and research. Members of ourMultidisciplinary Teams (MDT) were involved inthe provision of training to promote independenceand autonomy, supporting group work in relationto safeguarding and sexuality, carrying outassessments many of which showed the urgentneed to secure resources for services, as well assupporting transitions to new ways of workingin line with best practice. A member of the MDTwas also involved in a national working group thatfocused on developing a proposal in respect of theprovision of MDT supports to school leavers in ashared model of support. This proposal, which waspublished by the National Federation of VoluntaryBodies in 2019, has resulted in increased fundingbeing prioritized for MDT supports within disabilityservices in 2020.Brothers of Charity Services Ireland 2018 Annual ReportWe continued to be inspected by the HealthInformation and Quality Authority during 2019and learnings from inspections have been sharedand used to improve the quality of the supportswe are providing to people being supported in ourResidential Services.We hosted a meeting of the BOCSI Board andwe were delighted to have the opportunity to makea presentation to the Board bringing them up to datewith the developments and opportunities, and somechallenges faced by the Limerick Region.In April 2019 we commenced, in partnershipwith the Clare Region, a project to achieve CQL(Council on Quality and Leadership) accreditationover the course of the next three years. Thisrequirement for accreditation has been set by theBoard of BOCSI and a number of other regions havealready achieved this CQL quality mark. Essentiallythis accreditation process will enable all staff withinthe Services, through training and new progressiveprocesses and structures, to become more personcentred in how we provide supports to individualsavailing of our services. This project is fully in linewith the Ethos of the B OCSI and will reinforcethis Ethos in every aspect of the work we do. Welook forward to this journey and also workingcollaboratively with the Clare Services.17

Report from each Service RegionBrothers of Charity Services IrelandMid-West Region – ClareReport from Service Leader Martina RynneThe year 2019 was another year of growth forBOCSI Clare Region, with 17 new school leaverscomi

Brothers of Charity Services Ireland West Region 27 National Advocacy Conference 2019 32 Service Statistics 2019 34 Housing - Working in Partnership with Clare County Council 36 National Teams & Reports From Function Heads 38 The National Leadership Team 38 National Advocacy Council 40