Corporate Governance
Corporate Governance comprises the systems, policies and procedures by which organisations are directed, controlled and managed to ensure accountability, fairness and transparency in the organisation’s relationship with stakeholders. In the context of St. Catherine’s Association Company Limited by Guarantee (CLG), stakeholders include the individuals availing of services, their families, employees, the Health Service Executive as the organisation’s primary funder, regulatory bodies such as the Charities Regulator, Health & Safety Authority, Health Information and Quality Authority and the general public.
The Board of Directors of St. Catherine’s Association CLG are accountable for the proper governance and oversight of the organisation. Board Members and employees should be, at a minimum, adhering to the six principles, core standards and additional standards that reflect best practice as set out in the Charities Governance Code (Charities Regulator 2018), and reflected in the SCA Code of Governance, in meeting their responsibility to ensure that all activities, meet the highest standards of corporate governance. The Charities Governance Code can be accessed here.
Board of Directors
The Board is responsible for exercising all the powers of the organisation, other than those reserved to its members, and has collective responsibility for all of its operations. As an organisation with professional staff, where Directors have no role in the day-to-day running of the company, the Board of St. Catherine’s Association operates by delegating responsibility for the conduct of its business to a CEO and in turn through respective team members.
Brendan Whelan
ChairmanSean Reynolds
Company SecretaryKathy Hoctor
Vice ChairPeggy Byrne
DirectorEvelyn Cawley
DirectorAnnette Kinne
DirectorPadraig Rushe
DirectorBarbara Smyth
DirectorOversight and Committee Structure
The Board of Directors is also responsible for overseeing the work of the CEO and Senior Management Team, ensuring that systems of internal controls are in place (including financial controls), and that risk is managed, and for overseeing the remuneration of the employees of the organisation.
To do this the Board of Directors is required to oversee the operation of the organisation. As such, the Board of Directors have established committees that deal with Audit & Risk, HR Remunerations & Nominations, and Service Quality, Safety & Risk Management.
Audit & Risk Committee
The Audit & Risk Committee monitors and reviews all aspects of the financial performance and risk management of St Catherine’s Association CLG. The Audit & Risk Committee reviews and recommends for approval the annual operating budget for the Company. The Committee also keeps under review the management accounts including cash flow position, year-end accounts and engagement with external auditors each year. The Committee receives reports throughout the year in respect of key financial data, service developments and any associated financial
challenges or risks presenting for the Company. It also oversees the risk management policy and the processes related to identifying and managing risk for the Company and it reviews the Risk Register of the Company.
Current Membership: Padraig Rushe (Chair), Evelyn Cawley (Director), Barbara Smyth (Director) and Michael Ward (CEO)
HR, Remuneration & Nominations Committee
The HR, Remunerations and Nominations Committee has been established to ensure that the organisation’s Human Resources policies and practices are in line with relevant legislation, regulation, national policy and best practice. The Committee is also responsible for ensuring
that the remuneration practices of the organisation have regard to the requirements of public pay policy. The Board of Directors must satisfy itself that, where appropriate, there are plans in place for the orderly succession of appointments to the Board so as to maintain an appropriate balance of skills and experience within the Company and on the Board. The HR, Remunerations and Nominations Committee serves this function.
Current Membership: Sean Reynolds (Chair), Padraig Rushe (Director), Kathy Hoctor (Director), and Michael Ward (CEO)
Service Quality, Safety & Risk Management Committee
The role of the Service Quality, Safety & Risk Management Committee is to provide assurance to the Board that there are appropriate and effective systems in place to cover all aspects of service quality, safety and risk management. The Service Quality, Safety and Risk Management Committee oversee such matters and report / make recommendations to the Board thereon.
Current Membership: Evelyn Cawley (Chair), Annette Kinne (Director), Peggy Byrne (Director), and Michael Ward (CEO)
Executive Team
The CEO reports directly to the Board of Directors. He leads the Executive Team and is responsible for the management of St Catherine’s overall resources and operations. The CEO acts as the conduit between the Board of Directors, Executive Team, and all stakeholders. The CEO implements the strategy as directed by the Board and ensures that the organisation’s structure, processes, business strategies and plans meet the strategic and cultural needs of both the short and long-term objectives of the organisation.
Each member of the Executive Team provides visible support and commitment to the objectives of St Catherine’s Association at the direction of the CEO. Each Senior Manager ensures accountability for their area of service and that of their individual teams.
Quality, Compliance & Safety
The Quality, Compliance and Training Department (QCT) incorporates several crucial areas that underpin the delivery of safe services by the organisation. QCT is responsible for the implementation, governance and oversight of Quality and Compliance, Health and Safety, Training and Nursing. Additionally, the QCT Manager is responsible for the oversight of all policies, procedures and guidance documents within the organisation, risk management including the maintenance of the Corporate Risk Register, safeguarding, restrictive practices and submission of all notifications to regulatory bodies including HIQA, HAS, Tusla and the National Safeguarding Team.
Adrienne O’Connor
Quality, Compliance & Training OfficerOlive Moroney
Clinical Nurse ManagerColm Keeley
Clinical Nurse ManagerTara O’Leary
Training & Development OfficerQuality and Compliance
This area of service is led by the Quality & Compliance Officer (QCO) whose primary role is to complete an Annual Review and unannounced provider audits in all SCA Respite and Residential Designated centres. Two audits are completed per year in each location as required by the Health Act 2007 (Care and Support of Residents in Designated Centres for Persons (Children and Adults) with Disabilities) Regulations 2013. Each audit generates an action plan to address identified deficits and areas for improvement, these action plans are regularly reviewed and are added to following any HIQA inspections.
As part of the Annual Review process, the QCO will engage with all families/representatives of residents and all residents on an annual basis to acquire feedback on the organisation’s performance and to provide the opportunity to enable stakeholders to have their say on service provision within SCA.
The QCO works closely with the management of each centre to support, through review/revision/updating, the compliance of regulatory documents such as Statements of Purpose, Residents Guides, Contracts of Care and Registration Certificates to name but a few. In addition, the QCO prepares and distributes Restrictive Practice logbooks to each centre for use every quarter. The raw data is then reviewed and compiled to identify topline data for each location which is used within the organisation and submitted to HIQA on a quarterly basis.
Health & Safety
SCA is committed to ensuring the health and safety of all individuals supported, their families, staff and members of the public. The organisation takes account of legislative obligations under the Safety, Health and Welfare at Work Act 2005; General Applications Regulations 2007 and all associated legislation; the organisation’s Safety Statement describes the management system and details of its structure and how it is resourced. In addition it provides a framework for the development of site-specific safety arrangements in all centres.
This area is led by the Environmental, Health and Safety Officer (EHSO) whose responsibilities include all health and safety matters to ensure SCA continues to provide a safe environment for all the children, adults and employees who live and work in SCA. This includes VDU assessments, pregnancy risk assessments, accident investigations and providing recommendations and learning to promote the health, safety and wellbeing of all within SCA.
The EHSO is also responsible for the built environment of SCA which includes oversight of all properties, supported by a maintenance team who provide essential maintenance works. Securing servicing contracts, additional properties, quotes for refurbishment and outfitting of premises. Ensuring the organisation and all of its locations are compliant with fire, safety and building regulations and codes.
The EHSO carries out annual health and safety audits and provides support to the health and safety representatives throughout the organisation. The goal is to promote a safe and healthy culture within SCA.
Training
This area is led by the Training and Development Officer (TDO) whose main responsibility is to coordinate all of the training needs within the organisation. This includes designing, developing and sourcing effective and efficient training programmes in line with the overall organisation objectives and regulatory requirements. The TDO also facilitates staff development programmes that maximise the potential of all staff and enhance the service SCA provides.
The TDO also analyses training needs, identifies skills gaps by liaising with Line Managers and Staff and responding efficiently and effectively to the training needs identified. The TDO is responsible for the development and oversight of a yearly training schedule and maintaining a comprehensive training matrix for all staff within the organisation to ensure, in as far as possible, that staff recertify within the required timelines thereby maintaining a highly skilled, informed and safe workforce.
Nursing
This area is led by the Clinical Nurse Manager (CNM3) whose main responsibilities include the provision of nursing care to those we support in SCA and St. Catherine’s Special Needs School. There are many individuals accessing SCA services and the School who have complex medical needs that require the support of medical professionals in order to facilitate participation in the service. The CNM3 is supported by a team of highly qualified, highly skilled Nurses to deliver these complex supports to medically vulnerable individuals.
The CNM3 and Nursing team work closely with the managers of all locations to ensure resident plans include the necessary medical plans, emergency medical plans, medication support and any other specialised medical supports that are needed. The Nursing team also provide clinical expertise to outside agencies on behalf of the residents and provide guidance to alternate pathways to access multi-disciplinary teams/supports.
The CNM3 is responsible for the review and development of policies that are medical in nature. They develop and provide a wide portfolio of training to all staff on subjects such as Medication Management, Infection Prevention Control, Intimate Care and Epilepsy to name a few. They also support and oversee the continuous professional development of the Nurses within SCA.
Health Information Quality Authority
Services provided by SCA are developed, planned and delivered based on the needs and goals of people with intellectual disabilities and their families. The life choices and wishes of the people we support are at the core of service delivery and development. Providing services in this way ensures that the organisation is focused on delivering services to best international standards. The Health Information Quality Authority (HIQA) are the Regulator that register and inspect all residential services. The standards, themes and regulations under which all SCA residential services operate under and are inspected against can be found on the HIQA website and can be accessed here. In addition, the results of inspections carried out on SCA Designated Centres can also be found on the HIQA website.
Risk Management
The Board is committed to ensuring that managing risks is an integral part of the organisation’s activities and have appointed the Service Quality, Safety & Risk Management Sub-Committee to oversee Risk Management on behalf of the organisation. In respect of Risk Management the Sub-Committee is tasked with;
- Ensuring that a risk management policy is prepared and approved by the Board of Directors
- Reviewing processes related to the identification, measurement, assessment and management of risk in the organisation
- Reviewing SCA’s Corporate Risk Register on an annual basis and make recommendations to the Board for approval
- Promoting a risk management and quality improvement culture throughout the organisation that promotes positive risk taking for the benefit of not only the organisation but the individuals that SCA supports
- Setting the risk tolerance of the Provider for its key risk areas.
The principal risks faced by SCA are having sufficient funding to provide on-going services and ensuring sufficient resources and personnel are available to meet service requirements both safely and to a high standard.
The Internal Controls – Provider Audits, Annual Reviews, Systems of review for Service quality, safety, risk profile, etc., that support the oversight and governance of Risk Management within SCA are undertaken and managed by the QCT Department.
Safeguarding & Protection
St. Catherine’s Association CLG is committed to ensuring that all the individuals they support have the right to be safe and to live a life free from abuse. All persons are entitled to this right, regardless of their circumstances. It is the responsibility of SCA to ensure that all individuals that avail of services are treated with respect and dignity, have their welfare promoted and receive support in an environment in which every effort is made to promote welfare and to prevent abuse.
SCA, supported by its Board, and all working on behalf of SCA, has a No Tolerance approach to any form of abuse and promotes a culture which supports this ethos.
This commitment is underpinned by SCA’s adoption of the National Safeguarding of Vulnerable Persons at Risk of Abuse Policy, its Child Protection & Welfare Policy and the principles of good practice for the protection of children & young people as outlined in “Our Duty of Care” published by the Department of Health & Children. SCA instil the No Tolerance approach within all working on behalf of SCA from their first engagement with the organisation throughout their tenure through its policies, including Recruitment Policy, Garda Vetting, Induction, Policies, Procedures, Guidance and continuous professional development through training and learning.
The organisation has a robust Designated Liaison Person (DLP) and Designated Officer (DO) and a Deputy to support staff with any queries or concerns. The DLP / DO offers guidance and support on any safeguarding concerns brought to their attention.
Staff specific good practice and guidance is achieved through regular Supervision, staff meetings, training and learning from incidents. All staff are subject to SCA’s Trust In Care and Dignity at Work policies that ensure that all allegations are dealt with in accordance with strict procedures.
SCA encourages a culture of openness and transparency amongst its employees that empowers them to challenge one another in their practice and actively embraces self-reflection for the betterment of the employee themselves, their team, the organisation as a whole and, ultimately, to positively impact the quality of the lives of the individuals SCA supports.
SCA actively engages in the reporting of any safeguarding and safety concerns to the relevant authorities including HIQA, the national Safeguarding Team, Tusla and the Gardai.
Feedback
St. Catherine’s Association actively encourages all stakeholders to provide feedback. SCA believes the receipt of feedback serves to improve the quality of its service provision as outlined in the Management of Feedback (Comments, Compliments and Complaints) Policy.
All comments, compliments or complaints should be addressed on receipt of same where possible.
The point of contact should firstly seek a resolution locally as soon as possible.
There are several formal review methods that the organisation engages in both internally and externally. These comprise of the following;
- Quarterly reviews with the primary funder
- HIQA inspections both announced and unannounced
- Internal employee surveys
- Internal Audits
- Annual feedback from families/representatives of individuals who avail of SCA services and the individuals themselves as part of the Annual Review process
If you wish to provide feedback you can email feedback@stcatherines.ie
Data Protection & Freedom of Information
GDPR and Data Protection Act (2018)
The General Data Protection Regulation (GDPR) (EU) (2016/679) came into force across the European Union on 25 May 2018. It replaces the previous data protection directive which has been in force since 1995 and forms the basis of our new data protection Irish laws (Data Protection Acts 1988-2018).
Data Protection legislation
The Data Protection Acts 1988-2018 are designed to protect people’s privacy. The legislation confers rights on individuals in relation to the privacy of their personal data as well as responsibilities on those persons holding and processing such data.
Personal Data
Personal data means data relating to a person who is or can be identified either from the data itself or in conjunction with other information that is in, or is likely to come into, the possession of the department. It covers any information that relates to an identified or identifiable living individual. These data can be held on computers or in manual files.
Freedom of Information Act (2014)
On 14 October 2014, the Freedom of Information Act, 2014 (FOI) came into effect, repealing the 1997 and 2003 Acts. The new Act introduced a number of amendments and extended the range of bodies to which the FOI legislation applies to which is now all public bodies, unless specifically exempt. It also allows for the Government to prescribe (or designate) other bodies receiving significant public funds, so that the FOI legislation applies to them also.
The old legislation continues to apply to any FOI request made before the new legislation came into effect. It also applies to any subsequent review or appeal.
Requesting Information
Your Rights
The Freedom of Information Act 2014 provides the following statutory rights:
A legal right for each person to access information held by a body to which FOI legislation applies.
A legal right for each person to have official information relating to himself/herself amended where it is incomplete, incorrect or misleading.
A legal right to obtain reasons for decisions affecting himself/herself.
Making a Request
The request may be made by email to data@stcatherines.ie or by post to Data Protection, St Catherine’s Association, EDC Building, Newcastle, Greystones, Co Wicklow, A63 R981, Ireland.
You must state that the request is being made under the Freedom of Information Act and what records you are seeking. The more detail you can provide on the records you require makes the search for them more efficient and may speed up the process for you.
You must state the manner in which access is sought, e.g. inspect the originals, obtain photocopies, hear/view audio-visual record, obtain a copy of a computer disk or other electronic device, etc.
You must supply proof of identity in the case of personal information – acceptable forms of identity include:
- Certified copy of current valid signed Passport;
- Certified copy of full Republic of Ireland/Northern Ireland/UK driving licence or provisional licence;
- Certified copy of Garda Identification (ML10) form and photograph;
- Certified copy of National Identity Card – must show photograph;
You may seek the following records:
- Any records relating to you personally, whenever they were created. To speed up your request, it is helpful to include a to and from timeframe.
- A record can be a paper document or information held on computer.
Application Fees
Section 27 of the Freedom of Information Act 2014 provides for fees and charges.
St Catherine’s Association do not currently charge fees for basic requests for records.
However charges may be applied in circumstances where the timeframe or scope of the request is not limited within reason. Any such charges will be notified to you in advance of a search and may apply to the time spent finding and retrieving records, and for any copying costs incurred in providing the material requested. It is very unlikely that any charges will be applied in respect of personal records, except where a large number of records are involved.
If the cost of search, retrieval and copying is €100 or less, no charge is applied. If the charge exceeds €100, full fees apply. You cannot be charged more than €500.
If the estimated cost of search, retrieval and copying is more than €700 the body can refuse to process your request, unless you refine your request to bring the search, retrieval and copying fees below this limit.
Search and retrieval of records – €20 per hour
Photocopying and printing – 4 cent per sheet
Postage / delivery costs – weight dependent