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Caretech Holdings PLC
Annual Report 2020

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Employees 10,000+
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FY2020 Annual Report · Caretech Holdings PLC
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Annual Report and  
Accounts 2020

Extraordinary days

every day

Contents

Strategic Report

Governance

Financial Statements

58  Corporate Governance Report
60  Board of Directors
66  Care Quality and Governance Report
69  Directors’ Report 
72  Directors’ Remuneration Report
78  Statement of Directors’ Responsibilities 

Financial and Operational Highlights

1 
3  CareTech At A Glance
5 
Purpose in Action
18  Group Executive Chairman’s Statement
22 

 Group Chief Executive Officer’s Statement 
and Performance Review

28  Our Market
33  Our Strategy and KPIs 
36  Our Key Performance Indicators
38  Our Business Model
42  Our Approach to Business
50  s172(1) Statement by the Directors
51  Principal Risks and Our Strategic Response 
53  Group Financial Review
57  Longer-term Viability Statement

79 

 Independent Auditor’s Report to the 
Members of CareTech Holdings PLC

86  Consolidated Income Statement
87 

 Consolidated Statement  
of Comprehensive Income
 Consolidated Statement  
of Financial Position
 Consolidated Statement  
of Changes in Equity

88 

89 

90  Consolidated Statement of Cash Flows
91  Notes to the Financial Statements
124  Company Statement of Financial Position
125  Company Statement of Changes in Equity
126   Notes to the Company Financial 

Statements

130   Appendix – Alternative Performance 

Measures

132  Directors and Advisers

2020 Financial and Operational Highlights

Operational Highlights

Revenue

£430.0m

Increased by 8.9% (2019: £395.0m)

Underlying EBITDA(i)

£84.1m

Increased by 14.4% (2019: £73.5m)
Post IFRS 16: £90.9m

Underlying profit before tax(ii)

£60.5m

Increased by 20.6% (2019: £50.2m)
Post IFRS 16: £59.7m

Underlying basic earnings per share(ii)

43.02p

Increased by 14.4% (2019: 37.6p)
Post IFRS 16: 42.26p

Operating profit 

£51.8m

Increased by 31.1% (2019: £39.5m)
Post IFRS 16: £53.4m

Diluted earnings per share

22.76p

Increased by 24.3% (2019: 18.31p)
Post IFRS 16: 22.03p

Net cash inflows from operating activities(v)

£87.4m

(2019: £66.3m)
Post IFRS 16: £94.2m

Property portfolio valuation(iv)

£774m 

With net debt(iii) of £268.9m

Final dividend per share

8.75p

Increased by 10.1% (2019: 7.95p)

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Quality

CQC – Group 

91%

(2019: 95%)

Capacity

Ofsted – Group

82%

(2019: 82%)

4,984 places

Adults Services

Children’s Services

Fostering

1,997

places
(2019: 1,968 places)

1,959

places
(2019: 1,933 places)

1,028

places
(2019: 1,178 places)

Employee retention

75%

(2019: 74%)

Cambian on track
Continued to see margin enhancement, 
improved quality ratings, increased staff retention 
leading to increased occupancy levels. Synergies 
delivered of over £5m. 

Acquisition of Smartbox
Assistive technology is the means to unlocking 
the digital world to millions of disabled people 
and those with complex needs without speech.

Investment in AS Group
The Group completed its first investment outside 
the UK in the MENA region.

* 

 Results in this section are presented for the year ended 30 September 2020 on a 
non-statutory illustrative basis excluding the impact of IFRS 16 ‘Leases’ to enable 
comparison with 2019 performance. 

(i)   EBITDA is operating profit stated before depreciation, share-based payments charge 

and non-underlying items (see note 6).

(ii)   Underlying profit before tax and underlying basic earnings per share are stated before 

non-underlying items.

(iii)  Net debt comprises cash and cash equivalents net of all loans and borrowings 

(see note 26).

(iv)  September 2018 market value of CareTech property portfolio of £424m and 

Cambian £350m.

(v)   Cash flow from operations before non-underlying items and tax (and excluding capex) 

(see page 90).

Strategic ReportGovernanceFinancial StatementsCareTech At A Glance

Who we are

Our Adults Services support people with learning disabilities, individuals 
who have or are recovering from mental illness, people with autistic 
spectrum disorder, individuals who have one or more physical 
impairments and provide care and rehabilitation for adults with acquired 
brain injury (“ABI”). We deliver services in residential, day care and a wide 
choice of creative supported living settings.

Our Children’s Services – nationally recognised for their expertise – 
cover assessment, residential care, education and fostering options. 
We specialise in supporting children and young people with very 
complex needs including those with challenging behaviours, sexually 
offending behaviours, or who have emotional and behavioural disorders. 
We carefully and professionally support any child irrespective of their 
need for being in social care and comprehensive high quality services 
include the UK’s largest portfolio of specialist schools and colleges.

CareTech has pioneered outcomes and progression along the Care 
Pathway including transition services for young people leaving care and 
for adults who are making the move into their own home after a lifetime 
in residential or institutional settings. 

We are accelerating digital adoption within the Group and blending care 
and technology in new meaningful ways so even service users with the 
most complex of needs can participate and flourish in society.

Our large and diverse frontline workforce includes qualified and 
skilled care workers, foster carers, teachers and managers, and clinical 
therapeutic teams, who are assisted by highly professional back office 
and support staff – collectively the CareTech family. Their care, 
commitment and dedication is critical to the success of CareTech 
in delivering extraordinary days every day for our service users.

Sites across the UK

550+

People 

10,500+ 

Local authorities across England, Scotland and Wales

300+

United Arab 
Emirates

   Registered offices

One of CareTech’s highly qualified Specialist Services teams, the Oakleaf Group.

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Group CEO Haroon Sheikh and his brother, Group Executive Chairman Farouq 
Sheikh, with their children Hamza and Aleena Sheikh to celebrate the launch of 
the CareTech 25thAnniversary book. The book charts the development of the 
company since its inception in 1993, and speaks to all of the key employees who 
have contributed to its success throughout the years.

Purpose is at the heart 
of everything we do

We enable children, young people and adults 
with complex needs to gain independence. 
With our person-centred support each individual 
progresses to live, work, learn and engage within 
their communities. They are encouraged to 
achieve the best possible outcomes throughout 
their daily life. We deliver on this purpose by 
providing Extraordinary Days Every Day to 
individuals in our care.

CareTech set out 26 years ago with a vision to provide loving homes 
and high quality care for people needing specialist support. From these 
foundations we have a clear purpose today which unites every one of 
our services. We share commitment to our purpose, and the belief that 
children, young people and adults with complex needs and disabilities 
should have the opportunity to live their best life: to live, learn, work 
and engage in their communities. 

This desire to create better lives for people with complex needs 
has powered a successful business model and amazing outcomes 
for those for whom we care. Our family-oriented approach offers 
the support needed for people to make their own life choices and 
to enjoy their own personal version of independence, giving them 
a place to call home and people to call family, as well as meeting 
their practical, physical and psychological needs. 

This focus on purpose remains at the heart of the Group’s success and 
is a powerful motivator for every one of us, every day. The inspirational 
progress that we see in adults, children and young people in our care 
is a constant reminder of what we can achieve together as a family.

The recent additions of Purple and Smartbox to the Group give us the 
opportunity to increase significantly the reach of our purpose as we 
focus on breaking down barriers and enabling independence for 
people with disabilities.

As the global pandemic has clearly demonstrated, humanity is reliant 
on the responsibility and co-operation of global citizens and business. 
We believe the role of business is clear and it’s increasingly apparent 
that a robust and bold approach to sustainability and responsible 
business will protect the future of the Group, in addition to the future 
of all the people we serve. In 2021 we will develop a strategy to enable 
us to act on this belief, reducing our environmental impact, increasing 
visibility of our positive social impact and enabling us to report our ESG 
performance for a brighter future for all the CareTech family. 

Haroon Sheikh
Group Chief Executive Officer 

CareTech has expanded our services into the Middle East and North Africa (MENA) 
to assist families who are navigating the complex needs of their children. 

CareTech service users enjoy a variety of activities and are encouraged 
to pursue their interests, from art to music and gardening. 

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A powerful shared purposeStrategic ReportGovernanceFinancial Statements 
Purpose in Action:
Children’s Services

We enable

children and

young people

to live their best lives

Two boys from Spark of Genius residential 
care in Scotland enjoy an outdoors 
building activity in local woods.

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We offer a range of services that provide both residential 
and non-residential care services to children and young 
people with varying degrees of care needs.

We are proud of our reputation of being able to take on 
the most challenging and complex cases. 

Residential Care

Educational Services

Our specialist residential homes cater for a 
range of vulnerable children who have or are:
 – Complex social, emotional and mental 

health needs.

 – Specialist mental health needs.
 – Suffered from sexual exploitation.
 – Experienced complex trauma.
 – Learning difficulties and disabilities.
 – Deaf or significantly hearing impaired.

We are committed to:
 – Enhancing children’s life chances by 

Our core objective is to guarantee every child 
and young person in our care achieves the 
very best they can to maximise their rich 
potential in life, learning and work.

We provide support to young people with:
 – Autistic spectrum disorders.
 – Asperger syndrome.
 – Moderate or severe learning difficulties 

and disabilities.
 – Complex trauma.
 – Social, emotional, mental health needs 

protecting them from abuse and neglect.

(SEMH). 

Our dedicated multi-disciplinary, specialist 
clinical and therapeutic teams ensure our 
children and young people receive the 
highest levels of care, support and education 
required to make positive progress.

The Group’s education services are subject 
to rigorous operational statutory regulation 
with compliance measured and audited by 
Ofsted (England), Care Quality Commission 
(England), Care Inspectorate (Wales) and 
Education Scotland. 

Specialist schools for children aged 7 to 25

47

Children

1,000+ 

 – Providing children with a secure base, 

safety and stability to enable their 
progression back to a family environment.

 – Providing clinical and therapeutic 
intervention to enable children to  
process trauma and equip them to  
lead successful lives.

Children’s Services care capacity

1,959

Foster Care

Many foster children lack the positive 
family experience that most children have, 
but all it takes is one foster parent to make 
that difference.

Our aim is to ensure the children and young 
people we care for have safe, stable and 
happy family-based experiences in order that 
they can go on to lead fulfilling lives as adults. 
Every child in our care is unique and all have 
widely different needs. We offer training and 
support to help our foster parents work out 
the best kind of parenting for their foster child.

Fostering capacity

1,028

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For perhaps the first time 
in his life, Alex had structure, 
boundaries and safety.

Alex, 9

Adverse childhood experience, 
Post-traumatic stress disorder

Alex beats the national average in 
maths despite his traumatic childhood 
experiences of domestic abuse and 
neglect, and rejection from schools.

Alex arrived in our complex trauma service 
when he was nine years old. Both of his 
parents had been drug users. During his early 
childhood he had experienced abuse, acute 
neglect and had been part of a domestically 
abusive family environment. When admitted 
to the service, he had an incredibly high 
ACE (Adverse Childhood Experience) score. 
His experiences were exhibited in his 
behaviours that had resulted in him 
experiencing six foster family breakdowns 
before he came in to our care.

When admitted to the service, Alex was 
highly aggressive and had minimal self-care. 
He showed symptoms of PTSD and had 
experienced numerous school changes 
and was under-performing academically. 

We provided Alex with a safe, nurturing 
environment. The team looking after him 
worked in a child-centred approach and 
parented him in a way he had not previously 
experienced. For perhaps the first time, he had 
structure, boundaries and safety. Following 
initial assessments to inform a therapeutic 
framework and a clinical care plan, Alex 
received psychotherapy and drama therapy 
from our clinical team. This intervention 
enabled him to process his trauma, build 
resilience and coping mechanisms. 

Alex attended a mainstream school, increased 
his attendance levels and, from a low starting 
point, progressed to achieve his targets in 
English and Science and exceeded the national 
average attainment in Maths. He has now 
transitioned to a foster family and is thriving.

young people

Strategic ReportGovernanceFinancial Statements 
 
Purpose in Action:
Adults Services

We enable

adults

to gain independence

A gentleman at a CareTech Specialist 
Service creates a poppy mural for 
Remembrance Sunday as part of 
his rehabilitation. 

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Peter walked out of Oakleaf 
Rehabilitation Centre for the 
final time without the use 
of any walking aids.

Peter

Acquired brain injury

Peter relearns how to walk, giving him 
the freedom to live independently.

Following a catastrophic road traffic accident, 
Peter suffered profound physical, cognitive 
and behavioural difficulties. He was unable to 
walk, and was reluctant to engage in therapy.

Over two years a multi-disciplinary team 
provided physical therapy, occupational 
therapy, and psychological therapy and 
supported regular visits home to enable  
a gradual re-introduction to his home life.  
Peter started to walk with a frame and 
progressed to using crutches and then  
walking sticks, and learned to cook and  
to increasingly look after himself.

After two years Peter was able to transfer 
to a community setting close to his family, 
where he could be more independent.  
Most importantly, Peter walked out of  
Oakleaf for the final time without the  
use of any walking aids!

Specialist Brain Injury Services 

Our Oakleaf services provide specialist 
rehabilitation for adults with a range of 
physical, psychological, emotional, cognitive, 
behavioural and communicative support 
needs resulting from an acquired brain injury.

Specialist rehabilitation centres

10

Specialist Mental Health 
Services

We offer a range of specialist mental health 
rehabilitation services for men and women 
spanning across supported living, residential 
care homes, care homes with nursing 
and hospitals.

Specialist mental health services

6

Residential Services — care 
homes and assisted living

We support highly vulnerable adults whose 
learning disability (autism or mental health) 
leads to challenging and complex behaviours, 
to live safe, happy lives within their 
communities. Working in partnership with 
health and social care professionals within the 
NHS and local authorities, we enable people 
to fulfil their goals and aspirations. We do this 
in two ways: fully residential care homes and 
supported living.

Each person is supported to access 
community-based services and to develop 
the skills and confidence to participate in 
local activities, whether that is participating 
in sports, carrying out voluntary work or in 
some cases paid employment. Many of our 
individual services are active participants in 
charitable activities within their community, 
championed by passionate and dedicated 
employees who live locally.

We believe that everyone should have the 
opportunity to choose how they live within 
their local community. 

Day Care Services

Our day services support people with learning 
disabilities and autism to access community-
based activities and training. This enables 
them to develop vocational skills such as arts 
and crafts, cooking, carpentry, drama and 
design and technology.

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Strategic ReportGovernanceFinancial StatementsPurpose in Action:
Person-centred 
approach

Dan, 56

With a focus on personal goals, 
Dan achieved his dream of 
greater independence.

Our approach involved giving 
Dan choice, observing him and 
never giving up.

“What does Dan aspire to in his life? What can 
we provide to support him to meet his goals?

Dan now goes out into the community every 
week, he goes shopping, and to the pub; he 
is quite partial to a carvery with a pint! This is 
due to the approach we took and the support 
we provide.

Our attitude has been one of never giving up, 
adapt and overcome; it doesn’t always go 
smoothly but he absolutely lives his best life.”

Michelle Woodcock 
Manager of Supported Living Services

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We take a person-centred 
approach to deliver

better    outcomes

better    outcomes

Our primary goal is to ensure 
our services are not simply 
places to live but safe, 
encouraging and fulfilling 
homes and families for the 
people in our care. 

A place that values them as an individual and 
cares about their life. It’s this environment that 
empowers them to live their best life.

Every individual has their own complex 
story and needs highly skilled interventions. 
We always start with their personal story and 
build a programme of care that will support 
their combination of needs. We have built 
a uniquely diverse and skilled team who are 
experienced and qualified to support the 
complex life challenges of our service users 
and who, together with the individual, deliver 
amazing outcomes.

This enables us to deliver our purpose to help 
people to live their best life, with as much 
independence as possible. 

It’s our unique combination of high standard, 
highly skilled specialist support and a caring 
family environment that empowers them 
to make their own life choices. 

The breadth of our services also enables us 
to offer a long-term pathway for service users 
who need it; from specialist education right 
through to supported living once they are 
able to make independent life choices. 
It’s this pathway approach and consistency 
of experience for our service users that helps 
us to deliver such impactful outcomes. 

We are innovating the pathway approach 
with our expansion into tech solutions such 
as Smartbox.

Support Worker Anne Treeby sings  
a Bob Marley song with music fan 
Royston, at his Central Region service.

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Strategic ReportGovernanceFinancial StatementsPurpose in Action:
Quality, support, 
education and care

Our seven care quality  
work streams

1  Child, young person and adult-centred 

outcomes.

2  Improving quality standards, policies  

and procedures.

3  Recruitment, retention and  

development of skilled professionals.

4  Quality monitoring and assurance.
5  Embedding a culture of continuous 

improvement.

6  Management Information Systems (MIS) 
enabling data-informed practice and 
decision making.

7  Strong and robust site to Board 

governance.

Angus, 8

Angus’s transformation from fearful 
and agitated to eager and calm.

Angus is a complex eight year-old boy 
with a diagnosis of autism and a severe 
learning disability. 

He has developed from a frightened and 
agitated little boy with limited life skills and 
minimal exposure to meaningful experiences, 
to a calm, tentative yet bubbly little boy with 
mountains of character. On our last visit we 
were greeted by a fully dressed Angus, wearing 
his brand new coat and trainers, reins on and 
raring to go – pulling staff by the hand 
towards the door.

Small steps and changes lead 
to staggering progress and 
the possibilities for Angus are 
now endless.

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Cambian students hone their 
cooking skills in the home 
economics kitchen.

CQC-registered services

162

CQC-registered services rated  
Good or Outstanding

91% 

Ofsted-registered services

233 

Ofsted-registered services 
rated Good or Outstanding

82% 

We remain committed to 
becoming the highest quality 
provider of care, education and 
therapeutic support across the 
UK. For us, quality is defined by 
the level of service we deliver 
and the outcomes we achieve 
for children, young people 
and adults. 

We continue to resource our own highly 
experienced internal quality and compliance 
teams who undertake a programme of 
regular inspection and assessment and give 
constructive feedback backed by training and 
supervision if the requirement is there. We 
engage the services of outsourced expert 
advisers, ensuring best practice and 
procedures are maintained.

Our independent Care Quality and 
Governance Committee provides rigorous 
oversight of our regulatory and safeguarding 
performance and has been strengthened 
by the appointment of Professor Moira 
Livingston as Chair. 

We are continuing to evaluate ways in which 
we can improve our standards of care and are 
investing significantly in the training and 
induction of staff.

   Read more in our Care Quality and 
Governance Committee report page 66.

We provide

high quality

support, education and care

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Strategic ReportGovernanceFinancial StatementsPurpose in Action:
Our people

We empower

our people

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our people

Our culture and values

Looking after our people

Our people are our bedrock. They are our 
CareTech family. This belief is the foundation 
of our culture, which strengthens us as “a 
family” and in turn, drives the great quality 
of care that we deliver for those who need 
our services.

Our core values were developed by our 
people and sit at the heart of our expectations 
of how things are done in the Group. 

 – Friendly
 – Positive
 – Innovative
 – Team working
 – Person-centred

Employees/people 

10,000+

Apprenticeships

1,200

Our purpose is to empower and enable our 
service users to live their best life, and we 
extend the same commitment to our people. 
We support them to develop and grow as 
professionals and believe that as our people 
increase their capabilities and commitment, 
so our high quality care ethos is enhanced 
enabling us to achieve better outcomes.

We are proud of our heritage of diversity 
and have a workforce reflective of the 
communities we serve and that is central to 
our success. We are committed to developing 
a working environment and culture that 
promote fairness and inclusivity, allowing 
people to be “who they truly are”. 

We believe in career development and 
creating learning opportunities and have 
developed an enviable reputation as a leading 
provider and organiser of modern 
apprenticeships across the UK. We provide 
our learning services to our staff, to 
individuals we care and support, and other 
organisations seeking to develop their teams.

  Read more on page 45. 

E-learning courses

105,000

Karen Eastwood

Registered Manager at Oakleaf brain injury 
rehabilitation centre in Northamptonshire. 

CareTech has given me the 
opportunity to progress as a 
manager and shown they have 
faith in me to be a registered 
manager here at Cotswolds as 
it’s quite a large unit, with a lot 
of responsibility. I have 
unbelievable support from my 
line managers, Kathy Swannell 
and Helen Stokes, who have 
helped me progress 
professionally to what I’ve 
become today.

Karen is fully qualified to administer 
immunisations and has completed a number 
of courses such as wound training, PIP 
training and tracheostomy while with the 
Company, all of which have added to her 
clinical repertoire. She hopes to implement 
the gold standard framework for End of Life 
care in the coming year.

Care Worker Sarah Tempo enjoys 
a cup of tea with resident Timmy.

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Strategic ReportGovernanceFinancial StatementsPurpose in Action:
Innovation and Technology

We think

differently

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Purple

Smartbox

Supporting innovation for people  
with disabilities

Supporting innovation for people  
without speech

Purple is a thought leader at the forefront 
of changing the disability conversation, for 
disabled people, businesses, communities 
and Government. The aim is to move the 
conversation from one anchored in welfare, 
charity and vulnerability to one of value, 
contribution and opportunity.

Purple supports over 4,500 disabled people 
to live independently in the community 
using a local authority direct payment 
(or personal health budget from clinical 
commissioning groups). This enables them 
to manage their own care and employ 
carers of their choice. We also support 
people into employment with a range of 
training programmes to build confidence 
and skills.

“Our Purple Partnership package helped 
us understand where we most need to 
challenge ourselves to do more on 
disability inclusion, as a service provider and 
an employer too. A diverse mix of people 
brings diversity of thought and makes us 
a stronger and more sustainable business; 
one that truly reflects the society we serve. 
We’re confident that with the ongoing 
support provided in our Purple Partnership, 
we can make the changes needed to 
deliver a truly inclusive experience for our 
customers, employees and communities.”

Smartbox is one of the leading companies 
in its field, driven by a passion to deliver 
innovative products and high levels of 
customer service that will help disabled 
people to express their needs, gain 
independence and live their best life. 

In the last year Smartbox has helped  
more than 10,885 disabled people to 
communicate using technology. Our 
products give a voice and independence  
to people with complex needs who don’t 
have speech, through a combination of 
specialist hardware and software.

This partnership opens up unprecedented 
opportunities to blend care and 
technology. This will benefit the service 
users supported by the Group alongside 
disabled people more generally and enable 
the Group to offer innovative solutions to 
public sector commissioners. Smartbox 
becoming part of the Group will accelerate 
the development of next generation 
technology-enabled service models 
for the specialist social care sector. 

“We were always thinking what does Tom 
think, what does Tom want and the fact 
that we now have this tool that is allowing 
him to speak… it’s made an incredible 
difference. He has a voice now.”

Barry Hoffman
Group Director at Landsec

  Read more on page 46.

Elsa
Mother to Tom, aged 8

  Read more on page 46.

People with disabilities supported to 
manage their care 

People with disabilities using Smartbox 
assistive technology in 2020

4,500

10,885

Potential UK consumers are disabled

1 in 5 

Organisations activated to improve the 
disabled customer experience

3,500+ 

Countries

100 

Languages

30

Innovation is one of our core 
values and we are continually 
looking at ways to grow and  
find better solutions.

The recent additions of Purple and 
Smartbox to the Group will enable us to 
do more to push the social care agenda 
forward and to be at the forefront of the 
assistive technology market, which will in 
turn extend our Care Pathway and leading 
to better outcomes for our service users. 

We have also started our geographical 
expansion through an investment in the 
AS Group, the largest provider of outpatient 
mental health services in the United Arab 
Emirates. AS Group comprises two 
well-established brands, Maudsley Health 
and the American Center for Psychiatry 
and Neurology. Through our expertise, we 
believe we can play a key part supporting 
the AS Group to develop its services into 
specialist social care and special education 
needs services in the UAE. 

Purple Tuesday 2020 
CEO Mike Adams and his team 
celebrate in front of the Piccadilly 
Lights, a photo display of CareTech 
service users supporting Purple’s 
#ThumbsUp campaign. 

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Strategic ReportGovernanceFinancial StatementsPurpose in Action:
People and planet

We are a 

responsible

business 

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We are a purpose-led 
organisation driven by the 
conviction that brighter futures 
are achievable for everyone.  
It’s a belief that we see lived 
on a daily basis as our service 
users and teams together 
achieve extraordinary things. 
“Doing the right thing” is in our 
DNA and part of “business as 
usual” for the Group. We know 
that this positive intent is central 
to our business success.

This year we have taken important steps 
towards formalising our culture of “doing 
the right thing”, building the foundations for 
a meaningful strategy and framework that 
will enable us to set material targets and KPIs 
to better quantify, monitor and report our 
social impact. In 2021 we will set out a 
clear roadmap to reduce our environmental 
footprint and implement governance that will 
enable ESG reporting. This approach will allow 
us to align with and report against the UN’s 
Sustainable Development Goals. This has 
become increasingly relevant as we expand 
our services into international markets.

Our strategy will build on the two core pillars 
of People and Planet. 

We are committed to a future for the Group 
that ensures our business growth promotes  
a brighter future for our people and 
communities, and protects the planet’s 
resources for the long term as well as building 
better lives for our service users every day.

People

We are a people business, in the business of 
making lives better. This commitment extends 
beyond our service users to the people we 
employ, the people we do business with and 
the people who live in our local communities. 
As a responsible business we know that our 
success rests on the actions of many people 
and wider society and so we are committed 
to ensuring our impact is positive for all.

For our Service Users

Fulfilling our corporate purpose results 
in better lives for many, and it’s our goal to 
create positive outcomes for as many people 
as we are able.

Our focus in 2021 is to more fully track and 
record our outcomes. 

For our People

Our brilliant teams are the beating heart 
of the Group. We work hard to enable them 
to deliver the highest quality care and are 
committed to investing in their development.

Our focus in 2021 is to build the UK’s best 
social care team, reflecting the diverse nature 
of our service users and communities, and 
supporting all our people to reach their 
professional goals. 

For our Communities

Thriving local communities are a vital success 
factor for the Group. The independent 
CareTech Charitable Foundation plays an 
important role in supporting local 
communities and our services all support 
local economies. It also supports and 
champions the social care sector, care 
workers and those living in care.

Our focus in 2021 will be to build on our 
commitment to thriving local communities.

Planet

As the challenges faced by our planet 
become ever more acute, it’s clear that all of 
our futures will be dramatically impacted by 
issues from global warming to resource 
scarcity and health threats. As a responsible 
business we recognise our role as members 
of the global community to understand and 
take action to mitigate our impact. To ensure 
that we are doing our part to protect the 
brighter futures we believe in. We know that 
healthy people and communities are 
dependent on a healthy planet and the global 
pandemic of this year has brought that 
sharply into focus. 

Our environmental impact programme 
will focus on five key areas:
 – Zero Waste to Landfill.
 – Carbon Neutrality.
 – Sustainable Travel and Transport.
 – Responsibly-sourced Materials and 

Products.

 – Sustainable and Healthy Foods.

  Read more on page 47. 

The CareTech  
Charitable Foundation

The CareTech Foundation, established in 2017, 
is the first corporate foundation in the UK 
social care sector, demonstrating the 
Company’s commitment to wider society 
and to its staff and its desire to play a strong 
leadership role within the social care sector. 
The Company donates 2% of its pre-tax profit to 
the Foundation and recently settled one million 
shares in the Company with the Foundation 
to enable its long-term financial sustainability. 

The Foundation’s mission is to support and 
champion the social care sector, care workers 
and those living in care. 

 – The Foundation’s Partnership Grants 

support charities at delivering long-term 
positive change on the key priorities of: 
physical and learning disabilities and mental 
health; skills development for the care 
sector; and supporting communities.
 – Members of CareTech staff are able to 

nominate good causes in their communities 
to be considered for a CareTech Foundation 
Community Grant.

 – The Foundation provides match-funding 

to CareTech plc staff’s individual fundraising 
efforts for charitable causes. 

 – The Foundation added the Hardship Fund 
to its offerings in late 2018, enabling it to 
support staff and their families facing 
significant financial hardship.

The Company provides additional in-kind 
support to the Foundation, such as the recent 
visit to Pakistan by our Specialist Services team 
to advise on British Asian Trust’s mental 
health programme.

  Read more on page 48.

Beneficiaries supported through the 
CareTech Foundation’s Partnership grants 

275,000 

CareTech Foundation Community grants 
awarded, totalling £39,175

33

CareTech Foundation Staff Hardship grants 
awarded, totalling £97,759

134

Dayle inspects the bird feeder in the garden 
of his care home. Residents have many 
opportunities to enjoy nature and participate 
in the preservation and care of their 
surrounding environment.

CareTech Holdings PLC
Annual Report and Accounts 2020
17

Strategic ReportGovernanceFinancial Statements 
Group Executive Chairman’s Statement

In these uncertain times, CareTech 
continues to be guided by its purpose 
and has demonstrated the resilience 
of its business model.
Farouq Sheikh OBE
Group Executive Chairman

CareTech Holdings PLC
Annual Report and Accounts 2020
18

CareTech has demonstrated 
the significant resilience of 
its business model

Looking back over the last 26 years, CareTech has 
grown from a single small care home into one of 
the largest and most respected care providers in 
the UK operating more than 550 services. 

To support staff through these unprecedented times, a CareTech 
COVID-19 Fund was launched in April 2020 that allocated up to £1m 
of the Group’s cash to support staff facing adversity. Alongside this, 
a discretionary one-off payment was made during August 2020 as 
recognition to frontline staff for their efforts. 

Purpose

Our purpose throughout has been to enable individuals with complex 
needs to experience the same opportunities to live, learn, work and 
engage in their communities that we take for granted. This enduring 
focus on specialist social care services has meant CareTech today 
supports more than 4,500 service users and employs over 10,500 staff. 

I am honoured to have been awarded an OBE (Officer of the 
Most Excellent Order of the British Empire) as part of Her Majesty the 
Queen’s 2020 birthday honours list. With deep appreciation I accepted 
this recognition on behalf of the CareTech family for whom providing 
“extraordinary days every day” is our guiding mission. I am incredibly 
proud of the positive impact that CareTech makes with individuals 
in our care and the communities we serve.

Strong performance during a pandemic

It is my pleasure to present our results for the period ending 30 September 
2020. In these unprecedented times, CareTech has demonstrated the 
significant resilience of its business model and all sites have remained 
open throughout the COVID-19 pandemic.

Although the pandemic has not been without its challenges; through 
the incredible dedication of our staff, we continue to deliver the highest 
quality of care and our services remain fully operational. Less than 3% 
of our service users fall into the formal NHS high-risk categories for 
COVID-19 such as those with underlying health conditions.

For CareTech’s Adults CQC registered services, quality ratings were 
91% Good or Outstanding, which compares favourably to the national 
average of 85%. Ofsted ratings remained at 82% Good or Outstanding 
across the Group. Both CQC and Ofsted have suspended routine 
inspections and are therefore not currently publishing ratings; however 
we have strengthened the management of quality and care governance 
functions to provide additional internal assurance.

Revenue
Underlying EBITDA(i)
Underlying profit before tax(ii)
Underlying basic earnings per share
Statutory profit before tax
Statutory earnings per share
Cash flow from operating activities(iii)
Final dividend per share

We have maintained our high levels of staff retention with the annualised 
retention rate at 75%. We remain committed to our people with a 
number of priorities this year focused on delivering staff development. 

I am extremely proud and truly inspired by the collective dedication and 
professionalism of the CareTech family in supporting our service users 
during these uncertain times, and convey my heartfelt appreciation 
to our Board, executive and management teams, and all our staff. 

Financial results and position 
CareTech has had an excellent year and I am pleased to report:
 – Strong performance for the year ended 30 September 2020 with 

results ahead of market expectations.
 – Revenue increase of 8.9% to £430.0m.
 – Underlying EBITDA(i) (pre IFRS 16) increase of 14.4% to £84.1m 

(post IFRS 16: £90.9m).

 – Underlying EPS(ii) (pre IFRS 16) increase of 14.4% to 43.0p 

(post IFRS 16: 42.26p).

 – Statutory EPS increase of 24% to 22.88p.
 – Strong operating cash conversion, accelerated reduction in net debt 

to £268.9m.

 – Cambian performing in line/slightly ahead of targets set out at the 

time of acquisition.

 – Continuation of organic growth initiatives.
 – Increased final dividend of 8.75p declared and dividend policy 

reaffirmed.

Results in this section are presented for the year ended 30 September 
2020 on a non-statutory illustrative basis excluding the impact of IFRS 16 
‘Leases’ to enable a comparison with 2019 performance.

The Group’s trading performance in the year was slightly ahead of 
market expectations. Trading was particularly strong in the latter part 
of the year with revenue increasing to £430.0m, an 8.9% increase. 

2020  

(pre IFRS 16)

2019  
(as reported 
pre IFRS 16)

£430.0m
£84.1m
£60.5m
43.0p
£38.6m
23.6p
£87.4m
8.75p

£395.0m
£73.5m
£50.2m
37.6p
£24.3m
18.4p
£66.3m
7.95p

% change

+9%
+14%
+20%
+14%
+59%
+28%
+31.8%
+10.1%

2020  
IFRS 16 
change

2020  
(as reported, 
post IFRS 16)

–
£6.8m
(0.8)m
(0.76)p
(0.7)m
(0.76)p
£6.8m
–

£430.0m
£90.9m
£59.7m
42.3p
£37.8m
22.9p
£94.1m
8.75p

(i)  EBITDA is operating profit stated before depreciation, share-based payments charge and non-underlying items.
(ii)  Underlying profit before tax and underlying basic earnings per share are stated before non-underlying items.
(iii) Cash flow from operating activities before non-underlying items (see note 6).

CareTech Holdings PLC
Annual Report and Accounts 2020
19

Strategic ReportGovernanceFinancial Statements 
Group Executive Chairman’s Statement
continued

Group EBITDA was £84.1m (2019: £73.5m) which represents growth 
of 14.4% when compared with the same period last year. The EBITDA 
margin was 19.6% (2019: 18.6%) reflecting the improvements to the 
Cambian business, delivery of synergies and organic growth.

Underlying profit before tax increased by 20.6% to £60.5m (2019: £50.2m) 
and underlying basic earnings per share was 43.0p (2019: 37.6p). 

Cash performance has exceeded market expectations. The Group 
continues to have a strong financial position with net debt at 30 September 
2020 being £268.9m compared with £291.1m at 30 September 2019, 
giving net debt/EBITDA of 3.1x. Operating cash conversion was strong 
and partially offset by the cash consideration paid for the UAE 
acquisition, development opportunities and integration costs associated 
with the Cambian acquisition. The Board continues to believe that the 
Group will achieve its target of reducing net debt/EBITDA to below 3.0x.

Dividend
We continue to maintain a progressive dividend policy. Given the 
consistent earnings growth, the Board has proposed a final dividend 
of 8.75p (2019: 7.95p) per share bringing the total dividend for the year 
to 12.75p (2019: 11.7p) per share. This represents a full year increase of 
9% year on year. The final dividend will be paid, subject to shareholder 
approval, on 5 May 2021, with an ex-dividend date of 4 March 2021 
and an associated record date of 5 March 2021.

Moving forward with our strategy

We continue to make excellent progress in advancing our strategic goals:

Consolidating our market-leading position in the United Kingdom
Following a period of accelerated growth, particularly through the 
Cambian acquisition, this year we have been able to consolidate our 
market position in Children’s Services. Post-merger integration has 
progressed to plan including delivering on identified synergies; 
implementation of an integrated management structure for Cambian 
and CareTech Children’s Services; and roll-out of shared quality, 
compliance and governance arrangements.

Leveraging on this market status, which includes 46 specialist schools 
and colleges, our education teams are collaborating with the leading 
academic institutes to co-create and implement research-led best 
practice in specialist education that can benefit Group services and 
the wider sector. 

Continued favourable demographics, underpinned by growth in 
outsourcing to the private sector, enable CareTech to remain a force 
for good in delivering innovative service models to commissioners 
and improved outcomes for our service users. 

As we move into 2020/21 and beyond we are well positioned to pursue 
a strong and active pipeline of organic service developments and bolt-on 
acquisitions in both Adults Services and across Children’s Services.

Taking our expertise to the Gulf markets 
CareTech has been actively involved in the UK export drive to identify 
new markets. 

Following extensive market engagement in the Gulf, it is evident there is 
a significant need for CareTech’s specialist expertise. Responding to this, 
CareTech completed its first investment in the UAE in February 2020, 
through the acquisition of a 52% interest in AS Investment Holdings Ltd 
and AS1 Investment Holdings Ltd (the “AS Group”). 

The AS Group holds a majority equity interest in the American Center 
for Psychiatry and Neurology and Macani Medical Center, both well 
regarded mental health providers. The AS Group’s strategy is to develop 
a holistic Care Pathway of specialist services in the UAE, building on the 
solid foundations of its existing services and brands.

With an experienced management team already in place, our plans are 
to support the AS Group in growing services, and for this first regional 
investment by CareTech to act as a gateway to further investments 
in the Gulf.

Like our UK services, the AS Group has demonstrated resilience in the 
face of the pandemic with full year results expected in line with the 
agreed business plan.

Accelerating digital adoption and extending CareTech’s 
technology offer
COVID-19 has shone a bright light on the increasing reliance on 
technology in every aspect of our lives, with people experiencing 
complex needs disproportionally disadvantaged and isolated. CareTech 
recognises assistive technology is the means to unlocking the digital 
world to millions of disabled people and therefore we have prioritised 
the acceleration of technology adoption by our services and the digital 
extension of our Care Pathway. 

In this context, we announced in October 2020 the acquisition of 
a majority holding in Smartbox Assistive Technology Limited and 
associated subsidiaries, and Sensory Software International Ltd 
(collectively “Smartbox”). 

Smartbox is a market-leading creator of software, hardware and content 
for individuals for whom speech difficulties is a challenge. Smartbox 
provides communication aids, environmental control devices, computer 
control technology and interactive learning and is market leader in the 
UK. Amongst the four leading global companies in the augmentative 
and assistive technology (“AAC”) market it has a presence in the US and 
supplies its solutions into more than 30 countries.

Smartbox generated revenue in excess of £10 million in 2019 and has 
a track record of profitability. It is expected that the acquisition will be 
earnings enhancing for CareTech in the first financial year of consolidation.

The Smartbox investment represents an important milestone on 
CareTech’s digital buy, build and partner strategy, which will see further 
opportunities announced that are under active consideration. 

CareTech Holdings PLC
Annual Report and Accounts 2020
20

In parallel, over the past 12 months, Purple Zest Ltd, a 100% owned 
subsidiary of CareTech has pioneered in changing the disability 
conversation; supporting businesses across all sectors and of all sizes, 
to accelerate their disability inclusion activities. 

Purple Tuesday, CareTech’s flagship national brand to support 
organisations to improve the disabled customer experience, has 
engaged more than 3,500 organisations in making over 5,000 practical 
pledges to transform their customer service, thereby changing the 
consumer landscape.

Outlook and prospects
CareTech enters the new financial year in a robust position and 
remains highly focused in providing extraordinary days every day 
for our service users. 

I am proud of our record of accomplishment and the culture we have 
embedded within CareTech. We listen to our service users, their families 
and to our staff, and work closely with local authorities, independent 
inspectors and our regulators to improve and shape best practice.

CareTech will continue to consolidate its position in the UK and develop 
overseas markets in the Gulf. We plan to leverage technology to enhance 
and extend our Care Pathway and become a digital leader in the 
specialist social care sector just as we are in providing care services.

Looking ahead, I have no doubt we will see a continuation of growth 
and care excellence, which will help continue our target of double-digit 
growth in underlying EPS and maintain our progressive dividend policy.

On behalf of the Board, I would like to thank our many stakeholders and 
the CareTech family, including colleagues joining us from the AS Group 
and Smartbox, for their dedication and commitment to the Group and 
for going the extra mile. Finally, I would also like to thank our 
shareholders for your continued support. 

Farouq Sheikh OBE
Group Executive Chairman
10 December 2020

Strengthened Board
Christopher Dickinson (FCA) joined our Board as Group Chief Financial 
Officer on 13 January 2020. Chris spent the past year as Cambian’s Chief 
Financial Officer and prior to joining CareTech was a Managing Director 
at Jefferies where he acted for CareTech on its acquisition of Cambian. 
Chris brings a wealth of highly relevant experience and his appointment 
reinforces our commitment to build a strong Group Executive Team.

We plan to appoint an additional independent Non-Executive Director 
during 2021, to further strengthen our Board. 

Social responsibility
The CareTech Foundation, established in 2017, is an independent 
grant-making corporate foundation registered with the Charity 
Commission and a first in the UK social care sector, demonstrating 
the Group’s commitment to social purpose in wider society. 
Highlights during the year include:
 – Increasing impact delivered through the Foundation’s 

partnership grants, with some 105,000 beneficiaries supported 
directly and indirectly up to the end of December 2019 as 
set out in the Foundation’s published Impact Report 
(https://www.caretechfoundation.org.uk/impact-report-2018-2019/). 
The Group continues to provide additional in-kind support, such as 
the recent visit to Pakistan by our Specialist Services team to advise 
on British Asian Trust’s mental health programme.

 – Its headline support, alongside the Group, to the Care Sector Ball 
2019 that raised £200,000 for the Care Workers Charity and 
Alzheimer’s Society.

 – Following last year’s grant of £250,000, work continues on the 

Birkbeck, University of London, ToddlerLab which will enable the 
advanced scientific study of brain development for children from 18 
months to three or four years in an environment simulating familiar 
surroundings for toddlers. In the social care sector we see the real 
challenges that come along with developmental conditions like 
autism and ADHD. Increasing our understanding of how children’s 
brains develop could make a huge difference to how we help children 
flourish. Research that allows us to spot signs earlier and improve the 
effectiveness of interventions could be a real game changer in 
boosting children’s futures.

 – Growth in the range of community grants provided to local causes, 
including: provision of state of the art equipment for a school for 
those with autism in London, support of the Inclusive Sports Festival 
in Birmingham; and, a series of five grants nominated by staff at 
CareTech’s Greenfields School for charitable projects in their 
local community.

 – A significant increase in the support provided through the 

Foundation’s Staff Hardship Fund and its match-funding scheme 
to support staff members’ charitable fundraising.

To provide further support the CareTech Foundation, the Group 
donated one million CareTech shares to the Foundation in June 2020. 
This donation will provide the Foundation with additional income and 
demonstrates CareTech’s commitment to society, to our staff, and our 
desire to play a strong leadership role within the social care sector.

CareTech Holdings PLC
Annual Report and Accounts 2020
21

Strategic ReportGovernanceFinancial Statements 
Group Chief Executive Officer’s Statement 
and Performance Review

CareTech Holdings PLC
Annual Report and Accounts 2020
22

CareTech continues, resolutely, 
to deliver on our purpose to create 
opportunity and transform outcomes 
for service users in our care, and 
deliver value to commissioners.
Haroon Sheikh
Group Chief Executive Officer

2020 has been an extraordinary year. Faced with 
a global pandemic, CareTech continues, resolutely, 
to deliver on our purpose to create opportunity 
and transform outcomes for service users in our 
care and deliver value to commissioners. 

An extraordinary year

Our Care Pathway, which extend from Foster Care to Children’s and 
Adults Services, addresses the needs of individuals with complex needs. 
We provide services in a range of community-based settings that 
include schools and colleges; day care, residential and step-down 
supported housing; and specialist placements. Our offer now includes 
assistive technology to enable individuals without voice to communicate, 
considerably extending our digital reach to people with complex needs 
in our home markets and around the world. 

Our commitment to high quality care

Fundamental to everything we do is an unwavering commitment to 
provide high quality care. Delivering this has required good governance, 
an open and transparent culture, dedicated focus to continuous 
improvement, and robust processes and systems. We have enhanced 
the terms of reference for our Care Quality and Governance Committee 
to include the growing clinical governance agenda across the Group. 
Alongside this we have strengthened the leadership and management 
of our quality, safeguarding and care governance functions as we 
continue to work closely with our regulators.

This investment in governance, good practice and management 
capacity has enabled us to mount a robust and effective response to the 
ongoing pandemic. The Group’s priority throughout COVID-19 has been 
the health, safety and wellbeing of our service users and colleagues. 
We have taken immediate and decisive steps to develop a well-managed 
response to business continuity and a COVID-19 taskforce led by the 
Executive Team has co-ordinated our decisions and actions. This has 
been informed by a dynamic risk assessment tool implemented to 
provide real time monitoring and support across all of our services. 

We have given particular focus to how services are managing with key 
aspects of care quality – for example, availability of Personal Protective 
Equipment (“PPE”) and other important infection control measures. I am 
pleased to report arrangements have also been in place to provide staff 
cover between services and, overall, a reduction in agency workers.

Our services benefit from strict precautions including enhanced levels 
of cleaning, additional hygiene facilities and social distancing, and our 
internal compliance team has maintained a programme of visits, reviews 
and support to frontline services. 

Above all and despite these challenging times, we remain committed 
to the engagement of our staff and service users, and ensuring services 
continue to provide extraordinary days every day for those in our care.

Unwavering commitment 
to provide high quality care

CareTech Holdings PLC
Annual Report and Accounts 2020
23

Strategic ReportGovernanceFinancial StatementsGroup Chief Executive Officer’s Statement 
and Performance Review
continued

Our commitment to our people

Our commitment to sustainability

The Group recognises that finding and hiring the right people, based on 
our corporate values, is central to our ability to continue achieving our 
purpose. I congratulate our recruitment and learning services teams who 
through hard work and determination have recruited staff and on-boarded 
them exceptionally well this year in unusually challenging circumstances. 

CareTech is immensely proud of its longstanding diversity heritage. 
We are committed to developing a working environment and culture 
that promotes fairness and inclusivity. In October 2020, we initiated 
a Diversity & Inclusion Programme to shape our strategy and embed 
this into working practices and culture.

We remain committed to a culture of “open dialogue” and our most recent 
Staff Survey received over 3,000 responses demonstrating positive 
engagement. Our focus for the coming year is to roll out Group-wide 
plans to improve staff experience and act upon the feedback we received. 

Our commitment to innovation

Technology plays an incredibly important role in how we operate as 
a Group supporting our services and staff with solutions and enabling 
great quality care for our service users. The pandemic has accentuated 
the need for innovative and scalable technology, and I am delighted our 
highly talented technology teams have risen to this challenge procuring 
best in class solutions and developed in-house applications, one 
example being the dynamic risk assessment tool, referenced earlier. 

During the year, we upgraded the income processing systems, integrated 
CareTech and Cambian human resources and payroll applications to a 
consolidated platform, rolled out sophisticated estates management 
functionality, and business intelligence and analytics capability.

We will continue to invest in technology to create an integrated 
compliance and quality line of sight platform to provide a real time 
view of key metrics, In Children’s Services development of an enhanced 
assessment and referrals system is underway and work has started on 
designing the Group’s new corporate website, which will incorporate 
our growing presence in the UK and international markets.

Our investment in Smartbox will introduce augmentative and assistive 
technology to our education and care services and work is underway 
to identify early adopter sites for piloting.

We are a business driven by the conviction that brighter futures are 
achievable for everyone. 

As the challenges faced by our planet become ever more acute it’s clear 
that issues from global warming to resource scarcity and health threats 
will dramatically affect all of our futures. As a sector leader, CareTech 
recognises the role we can play as members of the global community 
towards a brighter future for everyone. We know that healthy people and 
communities are dependent on a healthy planet, and the present global 
pandemic has brought that sharply into focus. 

We take a holistic approach to sustainability, encompassing social and 
environmental impact. This year we have taken important steps towards 
building a meaningful strategy that will set out a clear roadmap to reduce 
our environmental footprint and implement Environmental, Social and 
Governance (“ESG”) reporting. This approach will enable us to align with 
and report against the UN’s Sustainable Development Goals, most 
notably Goal 3 (Good Health and Wellbeing), Goal 4 (Quality Education) 
and Goal 10 (Reduced Inequalities). 

Our commitment to supporting our local communities is delivered by 
the CareTech Foundation which provides grants to local charities and to 
the care sector more generally. Caretech donated 2% of its pre-tax profit 
to the Foundation alongside the recently donated one million shares to 
the Foundation.

Business performance

I am pleased to provide a review of each of CareTech’s operating 
divisions as set out below. A new accounting standard, IFRS 16 ‘Leases’, 
was adopted with effect from 1 October 2019. To enable a comparison 
with the 2019 performance, results in this section include presentation 
for the year ended 30 September on a non-statutory illustrative basis. 

CareTech Holdings PLC
Annual Report and Accounts 2020
24

Adults Services provide a flexible, person-centred approach with support 
offered on an individual planned basis both within a registered residential 
setting and in step-down supported housing. Demand remains high 
across the spectrum for the support of people with learning disabilities 
and CareTech recognises the increasing complexity of need for referrals 
to specialist services within the division. 

For many people with the most complex intellectual or physical 
challenges, residential care will continue to be the preferred option 
although the services will change in their approach as we move towards 
a more enabling, modern type of service. An alternative to residential 
care is the opportunity for people to live in a home of their own, 
sometimes shared with others. CareTech is a leader in the provision 
of supported living and offers packages of individualised self-directed 
support to people in their own homes.

CareTech’s Specialist Services team works in partnership with the NHS 
and Social Service departments to ensure a successful transition out of 
acute care and the prison service, delivering pathways to an ordinary life. 
We also have an outstanding track record for diverting people away from 
acute care and supporting them in their own homes. CareTech’s highly 
effective care teams are developing new ways to offer community 
support solutions and we believe that this will be an important growth 
platform in years to come. Specialist Services provision continues to 
dominate the health and social care agenda. Good Specialist Services are 
a significant contributor to a healthy community and national economy, 
while mental ill health is devastating to individuals and their families. Most 
commissioners are driven by a wish to reduce patient time in acute care 
and rely on creative outsourcing to dramatically cut the cost of specialist 
services care in hospital and within the criminal justice system.

The market for high acuity care and support for people with learning 
disabilities is estimated to be £5.8bn and growing year on year due to 
demographic changes and individuals living longer. Demand for lower 
acuity support has been impacted by cuts in local authority expenditure, 
but this is not an area of activity in which CareTech operates. Conversely, 
funding for those with the highest level of need has maintained, and 
increased in some local authorities.

Due to COVID-19, the Care Quality Commission (“CQC”) suspended 
routine inspections in March 2020 and has only just commenced 
inspections focused on higher risk services. Across Adults Services, CQC 
ratings are 91% Good or Outstanding, which compares favourably to the 
national average of 85%.

Revenues from Adults Services were £136.2m (2019: £123.6m) and EBITDA 
was £33.6m (2019: £32.7m). Revenues and EBITDA increased by 10.2% 
and 2.6% respectively. EBITDA margins adjusted to 24.7% reflecting the 
change in mix to the business as the number of supported living beds 
grew, and opening of two new residential sites in Specialist Services.

Placements increased by 29 to 1,997. 60 beds were introduced to the 
portfolio including 41 beds in two new residential sites in Specialist 
Services. A net 15 supported living contracts ended and 16 beds 
were withdrawn. 

Adults Services
Year to 30 September

Revenue  

£136.2m

(2019: £123.6m)

Pre IFRS 16 EBITDA before unallocated costs 

£33.6m

(2019: £32.7m)

Post IFRS 16 EBITDA before unallocated costs 

£35.7m

(2019: £32.7m)

Capacity 

1,997

(2019: 1,968)

CareTech Holdings PLC
Annual Report and Accounts 2020
25

The Group has continued to build on 
our values driven, and quality focused, 
approach to transforming outcomes 
for service users in our care, and 
delivering value to commissioners.

Strategic ReportGovernanceFinancial StatementsGroup Chief Executive Officer’s Statement 
and Performance Review
continued

As with CQC, the Office for Standards in Education, Children’s Services 
and Skills (“Ofsted”) suspended routine inspections in March 2020, and 
resumed inspections focused on higher risk services in September 2020. 
Ofsted ratings across the Group are 82% Good and Outstanding. Due to 
COVID-19 and Ofsted not currently publishing ratings, we do not expect 
the Group’s ratings to change in the short term.

Revenues and EBITDA before unallocated costs for Children’s Services 
were £252.9m and £65.9m, an increase of 9.7% and 18.4% respectively. 
Cambian has continued to see EBITDA margin enhancement through 
improved quality ratings and increased staff retention, and this leading 
to increased occupancy levels. 

Capacity increased by 26 beds with 27 development projects brought 
into service, 22 capacity increases, eight beds withdrawn and 15 
reconfigurations. The pipeline of organic investments in our Children’s 
Services residential portfolio continues to be strong.

Children’s Services
Year to 30 September

Revenue

£252.9m

(2019: £230.6m)

Pre IFRS 16 EBITDA before unallocated costs

£65.9m

(2019: £55.6m)

Post IFRS 16 EBITDA before unallocated costs

£69.6m

(2019: £55.6m)

Capacity

1,959

(2019: 1,933)

For a relatively small number of children, residential care offers a safe 
and helpful solution for their care needs and CareTech has developed 
an extensive range of highly technical care and education environments 
where those children will thrive. Our residential provision offers high staff 
ratios and highly skilled carers, capable of ensuring both safety and 
progression. These are high cost services where we aim for an intensive 
period of care and a strict timetable that delivers results at a fair price 
to commissioners. As far as practicable we aim to help these children 
through our therapeutic care approach to move into a more normalised 
family style environment as soon as it is practicable to do so. These services 
are highly integrated operations with dedicated staff ratios and may also 
include on-site or dedicated educational facilities.

CareTech Holdings PLC
Annual Report and Accounts 2020
26

Foster Care
Year to 30 September

Revenue

£40.9m

(2019: £40.8m)

Pre IFRS 16 EBITDA before unallocated costs

£8.0m 

(2019: £7.5m)

Post IFRS 16 EBITDA before unallocated costs

£8.6m

(2019: £7.5m)

Capacity

1,028

(2019: 1,178)

Foster care is undoubtedly the best care solution for most “looked after” 
children. Most children thrive in foster care where they are supported 
within an ordinary family home and with trained foster carers. CareTech 
provides for both mainstream and specialist foster care through local 
agencies across the UK. We offer a highly respected service for physically 
and intellectually disabled children as well as support for children with 
sensory impairments. We provide foster care family assessments and 
ongoing support to children who remain with their birth families 
and in their family home.

Revenue and EBITDA for Foster Care were £40.9m and £8.0m 
respectively. Capacity has decreased by 150 places, as available capacity 
has not always been fully utilised due to a number of solo placements, 
COVID-19 restrictions, foster parent leavers and in some cases young 
persons remaining in placement post-independence. 

Looking forward, we are training our foster carers with the skills required 
to manage placements that are more complex and have linked Fostering 
Care Services with our Children’s Services residential team to provide 
an effective Care Pathway.

International
CareTech has actively targeted the Gulf markets through inbound 
and outbound trade visits as this region increasingly looks towards 
international best practice to support local transformation of specialist 
social care services to meet population needs and in line with the UN’s 
2030 Agenda for Sustainable Development. 

In February 2020, CareTech completed an investment into the AS Group, 
the largest provider of outpatient mental health services in the UAE. AS 
Group comprises two well-established brands, Maudsley Health and the 
American Center for Psychiatry and Neurology (“ACPN”). 

Maudsley Health is a partnership between the Macani Medical Center 
and South London and Maudsley NHS Foundation Trust (“SLaM”), the 
oldest psychiatric institution in the world. The partnership operates an 
outpatient facility in Abu Dhabi and in 2018 won the tender for an 
exclusive management agreement to provide clinical support to the 
Al-Amal Psychiatric Hospital in Dubai, a 276-bed state of the art 
Government owned facility exclusively dedicated to mental health. 

ACPN has operated since 2008 providing psychiatry, psychology, 
occupational therapy, rehabilitation and related services. Services are 
state funded by Thiqa/Daman insurance and the brand’s major customer 
group is UAE nationals.

Maudsley Health and ACPN have strong relationships with 
commissioners across the UAE and engage with them to develop 
care pathway opportunities. Through this investment in the AS Group, 
CareTech will support the acquired services to grow their Care Pathway 
into specialist social care, education and training via organic service 
developments and bolt-on acquisitions.

Despite the challenges of COVID-19, the AS Group is on track to deliver 
its first year business plan under CareTech ownership, demonstrating 
the underlying resilience of the business. We are confident that a 
strengthened Care Pathway will significantly improve the availability of 
high quality services to an underserved social care market in the UAE, 
and act as a gateway to the wider Gulf region where we are experiencing 
growing interest in CareTech’s expertise.

To support the regional growth opportunity we have established our 
corporate Managing Office for the Middle East North Africa in the Dubai 
International Financial Centre, UAE, and appointed an experienced 
management team to expand the Group’s presence in the Gulf markets. 

Summary and outlook

The pandemic has tested the resilience of UK PLC and businesses across 
the globe. I am pleased to report that our strategy in the markets we 
serve has proven to be robust and highly resilient even during these 
uncertain times. More importantly, I am delighted that CareTech in this 
26th year of existence has demonstrated that commitment to purpose 
remains as strong today as it was when we opened our first small care 
home. Turning to the future, I remain confident about CareTech’s 
outlook and prospects, to reach more people with complex needs at 
home and overseas, through a blend of high quality services and our 
digitally extended Care Pathway.

It is my pleasure to lead the Group, a business that has consistently made 
a real difference to so many lives. In these uncertain times we continue 
to celebrate the tremendous achievements of our service users across 
the country, holding an Arts and Crafts celebration, Easter Spirit event 
and a “Blooming Marvellous” Gardening competition through the year. 

I conclude by expressing my sincere thanks to our Board, our executive 
and management teams and colleagues throughout the Group for 
their hard work, commitment and dedication. In particular I would like 
to reach out to our staff to convey my heartfelt appreciation, and thank 
them, for the manner in which they continue to resolutely provide 
outstanding care to our service users, and supported each other, 
during this year of the pandemic.

Haroon Sheikh
Group Chief Executive Officer
10 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
27

Strategic ReportGovernanceFinancial StatementsOur Market

Our market is 
driven by five 
big trends

Jackie and Margaret have fun 
playing an afternoon game 
of Connect 4 at their Central 
region home.

CareTech Holdings PLC
Annual Report and Accounts 2020
28

1.
Increasing demand for 
specialist adults and 
children’s care

Adults Services

Children’s Services

Younger Adults in residential care settings

Children in UK looked after outside foster care

63,000

10,080

Younger Adults in non-residential care settings

Children in independent sector special schools and colleges  

297,000

21,817

UK population have specific mental disorders

Placed in foster care in England

13% 

54,870

*  Data from LaingBuisson Adult Specialist Care 4th edition 2020 report.

**  Data from LaingBuisson Children’s Services Market Report 5th edition 2020 report.

The Adults Services care market in which the Group operates in the 
UK is worth an estimated £12.5bn per annum and estimated to be 
growing by more than 2-3% per annum. 

In 2020, the total market for specialist Children’s Services was worth 
approximately £5.9bn. The market is growing for the following reasons:
 – Long-term population growth and higher prevalence of special 

educational needs and “high needs” over time.

 – High priority for the Government is adequate provision of mental 

health services and support for vulnerable children and young people.

 – Earlier diagnosis of complex needs.

The principal drivers of demand for adult specialist care in the UK are:
 – Improved life expectancy and ageing of learning disabled population.
 – Increasing survival of children and young people with complex needs 

into adulthood.

 – Inability of parents to provide informal care.
 – Increased medical interventions around birth, increasing the number 
and proportion of service users with lifelong severe learning and/or 
physical disabilities.

 – Moving up the acuity spectrum increases fees but also creates areas 

of expertise that others find difficult to match.

There is commissioner preference for supported living over residential 
care as this is a lower cost to local authorities because the housing 
element is paid through from housing benefit allowance. 

CareTech Holdings PLC
Annual Report and Accounts 2020
29

Strategic ReportGovernanceFinancial Statements 
Our Market
continued

2. 
Funding for 
healthcare

Market statistics

Market for residential learning disabilities 
and supported living worth an annual 

£5.8bn

Residential children’s market  
across UK worth

  Adults specialist care market  

  Market growth rate 

£12.5bn

Education and training in  
special schools and colleges

1.2–2.6% p.a.

Foster care market  
across England worth

£1.64bn 

Total

£4.29bn 

Total

£1.75bn 

Total

  Independent sector £1.15bn
  Public sector £492m

  Independent sector £1.2bn
  Public sector £3.09bn

  Independent sector £790m
  Public sector £956m

Market growth rate
6.9%

Market growth rate
6.3%

Market growth rate
3.7%

*  Data from LaingBuisson Adult Specialist Care 4th edition 2020 report.
**  Data from LaingBuisson Children’s Services Market Report 5th edition 2020 report.

The UK has an established system of public and private providers of 
health and social care. Although the available resources to purchase 
social care remain largely static there is a known increase in demand 
across the whole spectrum, presenting purchasing bodies with a 
conundrum and focusing money on the areas of highest need such 
as complex children, very disabled or complex people with learning 
difficulties and hospital discharge schemes. 

CareTech Holdings PLC
Annual Report and Accounts 2020
30

The principal driver for commissioners in local authorities and the NHS is 
value. This is interpreted by them as the optimum balance between quality 
and price, but has an underpinning criterion determined by “outcomes”. 

3. 
Fragmented 
market of care 
providers

4. 
Stringent 
regulation over 
quality of care

10 largest  
Adults Service 
providers have  
only 13.5%  
market share

Top 4 independent 
Children’s Services 
providers have  
23% of residential 
market share

*  Data from LaingBuisson Adult Specialist Care 4th edition 2020 report.
**   Data from LaingBuisson Children’s Services Market Report 5th edition 2020 report.

Most providers of social care have fewer than three services and this 
huge, fragmented range of providers represents the vast majority of the 
market. However, the market has been steadily consolidating and a very 
small number of large “corporate” providers have emerged, with CareTech 
being one of the bigger players within the non-elderly care sector. 

The Adults specialist care market is the most fragmented with the 
top four largest providers having 7.5% market share and the ten largest 
players only 13.5% market share.

The markets that CareTech serves are regulated by CQC and Ofsted in 
England, and equivalent regulatory bodies in Scotland and Wales. These 
bodies control and administer the registration, inspection and complaints 
procedures set out under applicable laws and regulations. In order to 
open a service, it needs to be registered with the applicable regulator, 
and must pass regular inspections to ensure it meets the minimum 
standards and requirements prescribed under laws and regulation. 
Commissioners placing adults or children into services expect high 
quality provision. 

A high level of regulation is required to assure the quality and safety 
of services. 

CareTech Holdings PLC
Annual Report and Accounts 2020
31

Strategic ReportGovernanceFinancial StatementsOur Market
continued

5.
Access to skilled 
care workers

Mickey Wiltshire, a resident in Central region, has a playful moment with his 
support worker Italia.

Industry average retention rate 

less than 70%

The social care sector has high levels of turnover and vacancies. 
Following the introduction of the national living wage on 1 April 2016, 
care workers’ pay has increased but staff turnover remains high given 
tough working conditions. Care workers in the sector find working 
in the sector fulfilling but there is a perception of low pay and lack 
of training or promotional prospects. 

What this means for CareTech

The market segments served by CareTech is growing for both adults 
and children who present with high severity needs, challenging 
behaviours and who have complex care requirements. Hence, budget 
cuts have a very limited impact on the Group. One of our differentiating 
factors is the concept of the Care Pathway to reflect our optimism that 
users of our services can make progress with their lives. Our 
commitment to maximise independence is great for our service users, 
rewarding for our staff and strongly supported by those who commission 
and support our services. Our “outcome” focused approach for our 
service users has a wider impact on society including more individuals 
back into work, fewer individuals returning to care facilities, a reduction 
of adult prison population having been in care and children leaving care 
achieving educational attainment levels. 

CareTech is well positioned in the market. We are aligned to local 
authorities’ purchasing principals and we work closely with commissioners 
to ensure that we stay in tune with their approach to market management. 
We work closely with our regulators and commissioners across England, 
Scotland and Wales. 

CareTech is a very well-known care Group in public ownership and 
offers high quality services with a strong ethical and values-based 
approach. We have upper quartile ratings for both CQC and Ofsted and 
have ambitions to improve these. Our quality assurance is embedded 
within the Group’s operational management structure – from the Home 
Manager, Regional Manager and Operations Director, through to the 
Chief Operational Officer and the Board. The Group uses Acoura and 
NYAS as independent suppliers, to audit and report monthly Health and 
Safety matters as well as all RIDDORS (Reporting of Injuries, Diseases and 
Dangerous Occurrences). 

We continue to strive to be the employer of choice within the sector. 
We promote our values and culture by helping our employees and 
supporting them with regular supervision, training and career 
development programmes. To embed our culture across the Group 
we reward our people throughout the year culminating in the Sixth 
Care Awards ceremony. These initiatives promote staff continuity 
and lead to improved standards of care quality.

CareTech Holdings PLC
Annual Report and Accounts 2020
32

 
Our Strategy and KPIs 

We have 
defined three 
pillars to 
execute our 
strategic 
objective

Within the UK, CareTech’s strategic goal 
is to be a leading national integrated 
provider of specialist social care services 
for children and adults, delivering high 
quality and care excellence. We aim to 
distinguish ourselves from other providers 
by offering a bespoke range of options, 
which meet the needs of commissioners 
and offer service users a Care Pathway 
of opportunities. The Group’s focus is the 
provision of high acuity specialist social 
care through our three outcome-based 
division – Adults Services, Children’s 
Services and Foster Care. 

We have defined three pillars to executing 
our strategy. 

1. Build the industry’s best leadership 
and workforce 

Objective
We employ over 10,500 qualified and skilled frontline staff including 
care workers, teachers and managers. They are supported by a 
professional team of clinical and therapeutic staff, back office and 
support services. The care, commitment and professionalism of our 
staff is critical to the success of our Group and the care we provide. 

CareTech places emphasis on the provision of attractive working 
conditions and staff training. Part of our recruitment process is 
focused on matching the needs of the Group’s service users to the 
skills values and behaviour of our staff, which necessitates a person-
centred approach to recruitment and on-boarding. We offer a range 
of learning and development to ensure that staff have the necessary 
knowledge, competencies and attitudes for the services we provide. 

Progress this year
 – Conducted annual Group staff survey which showed that we scored 
a positive engagement score in all “five engagement drivers”. Staff 
strongly supported the notion that CareTech was a good place to 
work and most importantly stated that they were provided with the 
right training in a timely fashion in order for them to continue to 
deliver great quality care for the people that we support.

 – Endorsed a partnering initiative, with organisations such as the 

Ernst & Young Foundation, to bring young people into our sector.

 – Endorsed a programme to move from aspiring behaviours to 

lived behaviours leading to organisational behaviour statements. 
This will also power our resourcing agenda to be underpinned 
with a strong values ethos.

Priorities for 2020/21
 – Fully roll out the Applause Programme launched in October 2020 

to recognise and reward our staff for living our values.

 – Develop our Equality, Diversity & Inclusion (“ED&I”) programme 

to shape our diversity and inclusion strategy and embed this into 
working practices and culture.

 – Conduct an internal audit of good ED&I practice to establish 

baseline and roadmap.

 – Work with senior leaders to provide training, development, 

workshops and coaching to help increase their understanding 
of the importance of ED&I and organisational relevance.

 – Run focus groups to establish the reality of working for the Group, 
from a minority perspective (Gender, Disability, Ethnicity and LGBT).

 – Focus on leadership coaching and building for the future – 

introduction of executive management development.

KPIs
 – Staff retention rate.

CareTech Holdings PLC
Annual Report and Accounts 2020
33

Jon Davis leads a training session for support workers and managers on 
“Inclusion and Diversity” at CareTech Head Office in Potters Bar, Hertfordshire.

Strategic ReportGovernanceFinancial StatementsOur Strategy and KPIs 
continued

2. Have the highest quality ratings 

Objective
The drivers for social care are to deliver high quality care, with reliable 
outcomes at a fair price. We believe that the market has recognised that 
CareTech offers the best possible balance between quality and value 
and understands the need for progressive thinking and innovation 
to deliver ongoing results.

Our Group brands are strong and our extensive commissioning 
relationships across the UK robust. This is reinforced by our presence 
at major industry events where we have been reliable sponsors and 
commentators. The most effective way that we sustain our reputation 
is by delivering what we promise for the people we support and by 
treating our staff well.

Quality is not simply compliance with the requirements of regulation. 
Our approach is to embed quality throughout the Group’s operations 
and employ well-qualified and skilled professionals who operate within 
our quality framework. Our quality framework and processes include, 
but are not limited to:
 – Recruitment and retention of appropriate staff alongside appropriate 

training and induction.

 – Regular reporting from home managers through to locality 

managers, operational directors and divisional senior management 
as well as the Group’s head of quality.

 – “Line of sight” monitoring which looks for key performance indicators, 
which support high quality services. Each service is rated internally 
with early warning signs identified and progress monitored by senior 
management to drive continuous improvement.

 – An experienced internal quality and compliance team who operate 
across all divisions, reporting to senior management. The team 
undertakes a programme of regular inspection and assessment of 
facilities and services against internal quality assurance frameworks, 
and additionally carries out thematic reviews.

 – A Care Quality and Governance Committee chaired by Professor 
Moira Livingston, Non-Executive Director. The Committee has 
oversight of all issues and reports relating to the well-being of 
service users; commissions enquiries into matters of concern; 
and strives to ensure that CareTech operates to the highest level 
of professional care standards.

 – Careful analysis of regulatory inspection reports from external 

regulators.

Pottersbury Lodge students pose proudly with their certificates on GCSE Results 
Day 2020.

Progress this year
 – Conducted a survey of our children and young people to assess 
their views on how well supported they felt during COVID-19.

 – Operated a pandemic response taskforce to manage the effective 

handling of COVID-19 across the whole business.

 – Expanded the STEP therapeutic framework into parts of our 

Children’s Services, enabling us to better needs of services users 
at each stage of their journey.

 – Designed and implemented a new and robust policy review process 

for all operational policies across the Group.
 – Designed competency matrices for care staff.
 – Reviewed our safeguarding practice against NSPCC safeguarding 

standards.

 – Established a Heads of Care Forum, a Heads of Education Forum 

and Safeguarding Boards.

Priorities for 2020/21
 – Expand the roll-out of our outcome-framework, and select 

appropriate frameworks for Adults Services.

 – The STEP framework will be rolled out to our specialist mental 

 – Board oversight through monthly reporting of key performance 

health services. 

 – We will investigate effective methods to update staff on changes 

in policy and test their understanding.

 – Implement a new dynamic risk assessment “line of sight” system 

to monitor performance.

 – Establish our Responsible Individual Forum, our Outstanding 

Practitioner Forum and implement an expanded safeguarding 
governance framework.

 – Establish our Friends and Families Forums to enable their collective 

voice to inform policy and practice.

KPIs
 – CQC “Good/Outstanding” rating.
 – Ofsted “Good/Outstanding” rating.

indicators and compliance data.

CareTech Holdings PLC
Annual Report and Accounts 2020
34

3. Achieve high occupancy through matching 

Objective
Our strategy is to offer a strong national presence with local brands 
and regional service delivery points. This supports development of 
local relationships while offering the comfort and security of a 
well-resourced Group.

Our services are in demand and occupancy has remained high 
despite unrecognised fears of local authority austerity impacting 
referrals. The nature of referrals in recent years has been towards 
the more complex end of the spectrum.

New residents arrive in a CareTech care home following a referral 
from a local authority or clinical commissioning group (“CCG”) care 
manager. Once a referral has been received, a resident assessment 
is typically followed by an assessment including a detailed matching 
of the proposed resident with a known or anticipated vacancy. The 
selection of new residents is undertaken with care and sensitivity to 
ensure the ongoing success of the service. This sometimes means 
that a home can have a short-term vacancy. Local authorities or 
CCGs are more likely to place a resident in a home that seeks to 
match each resident’s need with those of the people already living 
there. This practice is commercially advantageous, maintains the 
success of an existing home, and helps to ensure continuing high 
referral levels. 

Progress this year
 – CareTech’s services are present on a multitude of purchasing 

frameworks across England, Scotland and Wales. These procurement 
tools allow providers to bid for lots aligned to their provision type.

 – An integrated referral process across the Group.
 – Business development teams meeting regularly to have “strategic” 
discussions regarding the requirements of commissioners and 
this feedback allows the planning of future services.

Priorities for 2020/21
 – Maintaining regular engagement and communication with 

commissioners. To continue articulating our services offering 
to best position our provision for the appropriate service users.

KPIs
 – Mature and blended occupancy rate.

CareTech Holdings PLC
Annual Report and Accounts 2020
35

Strategic ReportGovernanceFinancial Statements 
Our Key Performance Indicators

KPIs help us 
to measure 
the Group’s 
performance 
against our 
strategy and 
objectives

CareTech Holdings PLC
Annual Report and Accounts 2020
36

Financial

Revenue

£430.0m

(2019: £395.0m)

How this is calculated
Revenue measures how we have filled our capacity, the fees we have 
charged, together with the impact of acquisitions. 

Performance this year
Revenue has improved to £430.0m – 8.9% year on year. This reflects 
the increase in organic growth achieved by the core business in part 
reduced by the reconfiguration of some properties, the improved 
Cambian performance, fee increases and the acquisition in the UAE 
in February 2020.

Underlying EBITDA (pre IFRS 16)

Underlying EBITDA

£84.1m

(2019: £73.5m)

£90.9m

How this is calculated
EBITDA is operating profit stated before Interest, Tax, Depreciation, 
Amortisation, share-based payments charge and non-underlying 
items that are described in note 6 to the Financial Statements.

Performance this year
The EBITDA has improved by £10.6m, 14.4% year on year. This reflects 
the EBITDA contribution from the improved margins in Cambian, 
organic growth achieved by the core business, which has been in part 
reduced by the reconfiguration work on some properties.

Underlying profit after tax 
and non-controlling interest 
(pre IFRS 16)

£47.2m

(2019: £40.2m)

Underlying profit after tax and 
non-controlling interest  

£46.4m

How this is calculated
Underlying profit after tax and non-controlling interest is the Group’s 
profit after provision for taxation excluding non-underlying items such 
as amortisation of intangible assets after tax, which are fully described 
in note 6 to the Financial Statements.

Performance this year
The profit after tax is 17% more than 2019 representing an improved 
return to shareholders reflecting the turnaround in Cambian, integration 
synergies and organic growth achieved by the core business.

Underlying basic EPS  
(pre IFRS 16)

43.02p

(2019: 37.6p)

Underlying basic EPS 

42.26p 

How this is calculated
Underlying basic earnings per share is the profit after tax divided by 
the weighted number of ordinary shares, which are fully described 
in notes 11 and 12 to the Financial Statements.

Performance this year
The underlying basic earnings per share has increased by 14% in the year.

 
 
Operating cash conversion

103.9%

(2019: 90.2%)

Performance this year
The mature estate occupancy has remained broadly unchanged. 
The occupancy of the Cambian business is affected by the timing of 
the start of the educational year because a number of non-residential 
Cambian schools operate on a 38-week basis with the new 
education term commencing in October. 

Blended occupancy

80%

How this is calculated
Blended occupancy is the total number of Adults and Children’s 
service users actually placed as a percentage of the Group’s total 
capacity and so reflects facilities undergoing development and 
reconfiguration.

Performance this year
The ratio has broadly remain unchanged and is also impacted by 
the timing of the start of the educational year because a number 
of non-residential Cambian schools operate on a 38-week basis 
with the new education term commencing in October.

Quality

Regulatory rating (%) – facilities rated “Good” or “Outstanding”

CQC – Adult 

91%

(2019: 95%)

Ofsted

82%

(2019: 82%)

How this is calculated
The markets that CareTech operates in are regulated by Ofsted and 
the CQC and their equivalents in Scotland and Wales. Each facility 
is inspected and given a score, with a range of outcomes from 
“Outstanding”, “Good”, “Requires Improvement” to “Inadequate” 
(or equivalent).

Performance this year
Whilst both CQC and Ofsted regulatory ratings are above the industry 
average, due to COVID-19, both CQC and Ofsted suspended all 
routine inspections from March 2020. 

Employee retention

Annualised retention rate

75%

(2019: 74%)

How this is calculated
The number of employees working for the year to 30 September 
2020 as a percentage of the number of employees at 1 October 2019. 

Performance this year
Maintaining high levels of staff retention underpins our high service 
quality ratings. The Group’s retention rate of 75% compares favourably 
to the industry average of 70%. 

How this is calculated
Cash flow from operations before non-underlying items and tax 
(and excluding capex) divided by EBITDA.

Performance this year
Operating cash conversion was strong at 104% EBITDA to cash 
conversion. 

Net debt

£268.9m

(2019: £291.1m)

How this is calculated
Net debt comprises cash and cash equivalents net of bank loans and 
borrowings and HP leases previously accounted for under IAS 17 
excluding Project Teak sale and leaseback. Net debt remains 
unchanged following the adoption of IFRS 16.

Performance this year
The Group continues to have a strong financial position with 
net debt at 30 September being £268.9m compared with £291.0m 
at 30 September 2019. Operating cash conversion was strong which 
was partially offset by the cash consideration paid for the UAE 
acquisition, development opportunities and integration costs 
associated with the Cambian acquisition. 

Operational

Capacity

Adults Services

Children’s Services

Fostering

1,997

places
(2019: 1,968 places)

1,959

places
(2019: 1,933 places)

1,028

places
(2019: 1,178 places)

How this is calculated
The Group’s capacity is the total number of places that the Group 
is able to offer at that date. It is a total including residential care beds, 
independent supported living accommodation, community support 
service users and children that foster carers can currently look after.

Performance this year
Adults Services increased 29 places to 1,997 due to 41 beds in two 
new residential sites in Specialist Services, a net four new supported 
living contracts offset by 16 beds withdrawn. Children’s Services 
increased to 1,959 mainly due to 27 development projects, 22 
capacity increases, eight beds withdrawn and 15 reconfigurations. 
Fostering decreased to 1,028 due to blocked beds as a result of 
COVID-19 and some foster parent leavers.

Mature Estate Occupancy

83%

How this is calculated
The Mature Estate Occupancy is the total number of Adult and 
Children service users placed in services that were open throughout 
the year.

CareTech Holdings PLC
Annual Report and Accounts 2020
37

Strategic ReportGovernanceFinancial StatementsOur Business Model 

What we do

We are driven by our purpose to enable 
young people and adults with high 
acuity needs to live, learn, work and 
engage in their communities, and 
achieve the best possible outcomes 
through their life experiences. We deliver 
this by providing Extraordinary Days 
Every Day to individuals in our care.

We create homes and families and empower our service 
users to live independent lives
Our Adults Services support people with learning disabilities, 
individuals who have or are recovering from mental illness, 
people with autistic spectrum disorder, individuals who 
have one or more physical impairments, and provide care 
and rehabilitation for adults with acquired brain injury (“ABI”). 
We deliver services in residential, day care and a wide 
choice of creative supported living settings.

Our Children’s Services – nationally recognised for their 
expertise – cover assessment, residential care, education 
and fostering options. We specialise in supporting children 
and young people with very complex needs including 
those with challenging behaviours, sexually offending 
behaviours, or who have emotional and behavioural 
disorders. We carefully and professionally support any 
child irrespective of their need for being in social care 
and our comprehensive high quality services include the 
UK’s largest portfolio of specialist schools and colleges.

CareTech has pioneered outcomes and progression along 
the Care Pathway including transition services for young 
people leaving care and for adults who are making the 
move into their own home after a lifetime in residential 
or institutional settings. 

We are accelerating digital adoption within the Group and 
blending care and technology in new meaningful ways so 
even service users with the most complex of needs can 
participate and flourish in society.

  Read more about our service offerings on page 5.

CareTech Holdings PLC
Annual Report and Accounts 2020
38

Children from Spark of Genius residential care in Scotland learn and 
play on the beach.

Residents from Ivy House created this replica of their home for 
the CareTech Arts and Crafts Competition 2020. The incredibly 
personal 3D piece was a Regional Winner for the Central region. 

How we make money

How we do it

Loraine poses proudly in front of the rainbow ‘Window of Hope’ 
she created with her fellow residents at their Supported Living 
service during the Covid-19 pandemic.

In the UK, local authorities, clinical commissioning 
groups and health boards commission Group services. 
Funding is received in four main ways:

Framework agreements
Framework agreements are typically awarded to 
providers on a non-exclusive basis pursuant to a public 
tender. These agreements outline various service and 
reporting obligations as well as pricing terms. Framework 
agreements can be set up for any period of time, 
although a typical framework agreement is at least two 
years in length. The actual care package to be provided 
for an individual in a provider’s care and the pricing for 
such services is agreed on a case-by-case basis at the 
time an assessment of their individual needs is made.

Spot contracts
Most admissions and referrals remain based on “spot” 
contracts, which are individual placement agreements. 
Spot contracts generally have a four week notice period 
to terminate the contract and typically do not have a 
minimum term. Spot contracts provide greater 
operational flexibility and are appropriate for bespoke 
care packages to meet the high severity support needs 
of the individuals in a provider’s care. Fees are typically 
negotiated on a case-by-case basis.

Block contracts
A limited amount of specialist care funding is provided 
through block contracts. Such block contracts are 
negotiated for a specific volume of service, pre-booked 
over a fixed period of time, usually for a specified price. 

Private pay/insurance
Private pay services make up a very small part of our 
revenue as the UK publicly funded bodies will typically 
provide funding. 

In the UAE, insurance plays a larger role in funding 
of services.

CareTech Holdings PLC
Annual Report and Accounts 2020
39

Cambian students complete an inflatable assault course  
on the lake.

We listen to our stakeholders
We seek to engage in constructive dialogue with 
stakeholders to gather a holistic understanding of their 
key expectations and concerns. Our key stakeholders 
include shareholders, service users and families, 
regulators, suppliers, customers and the communities 
in which we operate. 

  Some examples of how CareTech purposefully 
engages with key stakeholder groups are set 
out on page 41. 

We look after our people
We remain committed to ensuring employees share 
in the success of the Group and fully appreciate that 
CareTech’s performance is affected by the relationship 
we have with them. We promote our values and culture 
by helping our employees and supporting them with 
regular supervision, training and clear career 
development programmes. 

  Read more about our people on page 45. 

We have a person-centred approach to our innovative 
Care Pathways
Care and support is characterised by optimism and 
a genuine belief in the abilities of our service users. 
Everyone we support has an opportunity to make 
progress in their lives and our professional teams work 
hard to help individuals in our services make progress. 
Many years ago we began to describe our services as 
a Care Pathway, making clear our intention to break away 
from the old belief that care is for life. We have delivered 
on this commitment and everyone we support, from 
young children to profoundly disabled adults, shares our 
approach to maximise their independence. This is great 
for service users, rewarding for our staff and strongly 
supported by those who commission and support 
our services.

  Read more about our person-centred approach 
on page 45. 

Strategic ReportGovernanceFinancial StatementsOur Business Model 
continued

How we do it

We live our culture of respect, quality and care
Our aim is to provide a safe working environment for 
service users, staff and visitors. Our vision is to be the 
highest quality provider across the breadth of our services. 

Our upper quartile quality and compliance performance 
is against a backdrop of continued raising of quality 
standards in the sector reflected in an increasingly stringent 
regulatory environment. We continue to resource our own 
highly experienced internal quality and compliance teams 
who undertake a programme of regular inspections and 
assessment and give constructive feedback backed by training 
and supervision if the requirement is there. We engage the 
services of outsourced expert advisers ensuring best practice.

Our independent Care Quality and Governance 
Committee provides rigorous oversight of our regulatory 
and safeguarding performance and has been strengthened 
by the appointment of Professor Moira Livingston as Chair. 

We are continuing to evaluate ways in which we can 
improve our standards of care and are investing 
significantly in the training and induction of staff. 

  Read more about the work of our Care Quality 
and Governance Committee on page 66. 

We think differently
COVID-19 has revealed the step change in digital technology 
adoption that is required by social care. Assistive 
technology is the means to unlocking the digital world to 
millions of disabled people – from accessing information 
and having a voice to buying products and services. 

Purple is at the forefront of changing the disability 
conversation for disabled people, businesses, communities 
and government. The aim is to move the conversation 

from one anchored in welfare, charity and vulnerability 
to one of value, contribution and opportunity.

  Read more about Purple on page 15. 

  Read more about Smartbox on page 15. 

We believe in doing business responsibly 
Doing business the right way is of fundamental importance 
to us. A successful business needs to operate in healthy, 
thriving communities and needs to be seen as a good 
neighbour to those communities.

We have direct involvement in a variety of community-
based programmes, further improving our service 
reputation and helping to foster a strengthened relationship 
with local authorities.

In addition to supporting our communities, we recognise 
our responsibility to the wider global community and are 
taking action to minimise our impact on the environment. 
This includes carbon reduction, waste reduction and 
careful use of resources. 

Being a socially responsible organisation with a focus on 
developing our ethical standards aligned with our commercial 
objectives remains a core aim. Considering non-financial 
values such as reputation, employee commitment, 
environmental footprint and service user fulfilment and 
independence helps us develop longer-term opportunities.

Behaving responsibly and maximising the benefits of a 
strong relationship with our stakeholders is an integral part 
of a continuing process of building long-term value.

  Read more about our approach to responsible 
business on page 16.

  Read more about the CareTech Foundation on page 17. 

CareTech service users show their support for the Purple Tuesday 
2020 #ThumbsUp campaign, which champions an improved 
experience for disabled consumers.

Nkeesha tries out her new Smartbox grid device. She was the first 
person to receive one as part of the 100 Voices project; Smartbox 
will provide this assistive technology to 100 adults and children in 
CareTech care homes and specialist schools to promote improved 
communication for the individuals we support.

CareTech Holdings PLC
Annual Report and Accounts 2020
40

We create value for our stakeholders

Our Service Users

We provide a Care Pathway to meet the needs of our service users and our professional care and 
education teams strive to make each day an extraordinary day. We look after close to 5,000 service 
users across the Group.

Our People

Our employees are the bedrock of the organisation. We have more than 10,000 employees and have 
delivered 105,000 e-learning course, over 25,000 face to face interventions, and 3,000 virtual classroom 
sessions. We have supported 1,200 learners on apprenticeships programmes across the Group.

Our Commissioners

The demonstration of value for the services that CareTech provides is objective; this is done individually 
through service user reviews and collectively at a service level review. The sharing of regulatory reports 
and those conducted by independent visitors allows the quality assurance of our provision to be shared. 
We have relationships with more than 300 local authorities and care commissioning groups.

Our Communities

Over 3,500 organisations participated this year in Purple Tuesday making over 5,000 commitments to make 
changes in practice from more accessible websites, improved signage, formalised quiet hours for people 
with learning disabilities, to frontline staff learning hello, goodbye and other phrases in British Sign Language. 
With media opportunities giving 17.4 million people across Britain access to the initiative and top trending 
on Twitter worldwide, Purple Tuesday has become the go to brand for the disabled customer experience.

The CareTech Foundation is the first corporate foundation in the UK social care sector, demonstrating the 
Group’s commitment to wider society and to our staff and the desire to play a strong leadership role within 
the social care sector. The Foundation’s mission is to support and champion the social care sector, care 
workers and those living in care. 

Our Investors

Since IPO, Revenues, EBITDA and EPS have grown by a CAGR of 21%, 27%, and 17% respectively. CareTech’s 
market capitalisation has gone from £60m at IPO through to over £500m. CareTech has a progressive 
dividend policy and paid out 11.7p for 2020.

CareTech Holdings PLC
Annual Report and Accounts 2020
41

Strategic ReportGovernanceFinancial StatementsOur Approach to Business

Our approach to  
shareholder engagement

Our approach to engaging  
with commissioners

The Board appreciates that effective communication with the Group’s 
shareholders and the investment community as a whole is a key 
objective. The views of both institutional and private shareholders 
are important, and these can be varied and wide-ranging, as is their 
interest in the Group’s strategy, reputation and performance.

The Group Executive Chairman has overall responsibility for ensuring 
this communication is effectively conveyed and for making the Board 
fully aware of key shareholders’ views, comments and opinions. Contact 
with investors throughout the year is a priority and the Board strives to 
look after their interests. General presentations to major shareholders 
following the publication of the Group’s annual and interim results are 
conducted by the Group Executive Chairman and the Group Chief 
Financial Officer as are regular meetings through the year with fund 
managers and investment analysts.

Robust year-on-year dividend growth is an objective and all 
shareholders are encouraged to attend CareTech’s Annual General 
Meeting, which all Board members attend, as this provides an 
opportunity to address questions to the Directors.

The Group’s annual and interim reports are available to all shareholders 
and all results, Group announcements and related investor information 
can be accessed via the corporate website, www.caretech-uk.com. 
The website is under constant review in an effort to maximise the 
effectiveness of information made available to shareholders.

The Board embraces open dialogue with shareholders and works 
with its stockbrokers Numis and Panmure Gordon to ensure that an 
appropriate level of communication is facilitated through a series of 
investor relations activities. The Directors believe that shareholders’ 
views are important as part of their decision-making process.

How we engaged during the year
 – Group Executive Chairman and Group Chief Financial Officer 

reported back to the Board after the investor roadshows.

 – Regular, detailed feedback provided to the Board by our stockbrokers, 
financial public relations and investor relations advisers to inform the 
Board about investor views.

 – Regular meetings between the Group Executive Chairman, Group 
Chief Financial Officer and Group Chief Operating Officer with 
institutional investors, sales teams and industry/sector analysts.

 – Released regular updates on the operational and financial 

performance of the Group incorporating occupancy levels, quality 
ratings, revenue, profitability by division, net debt and appropriate 
commentary on key business trends.

 – The Group Executive Chairman engaged with larger institutional 
shareholders to discuss matters including the Board, strategy, 
remuneration and corporate governance.

 – All communication from individual shareholders reviewed by 

management and provided with a response.

 – Ensured that all shareholders have equal access to information 
by making documents presented at investor meetings available 
on the Group’s corporate website: www.caretech-uk.com.

Our priorities in 2021 include maintaining regular communication 
with our funders (both equity and debt). 

Local authorities and health commissioners across England, Scotland 
and Wales are one of CareTech’s most important stakeholders. 

The service users in our care will typically be referred by a local authority 
social worker and access to our services are purchased through the 
authority’s respective commissioning teams. The cost of placements are 
not always all social care funded and health commissioners support the 
payment of any “health” component to the care package. The effective 
engagement and communication with these stakeholders is a priority 
for the Group. 

All staff at CareTech interface in some way either directly or indirectly 
with local authorities and other commissioners. The Group’s business 
development teams have overall responsibility to ensure that 
engagement and communication is effective and together with 
operational colleagues ensure that the Board is fully aware of 
commissioning trends. Contact with local authorities is at least daily 
across the Group. This ranges from the daily partnership working with 
social work teams to ensure that the needs of service users are being 
met, to formal service users and business reviews. These reviews will 
involve our frontline staff, senior operational colleagues and Directors 
depending on the meetings’ requirements.

The demonstration of value for the services that the Group provides 
is objective, and this is demonstrated individually through service 
user reviews and collectively at a service level review. The sharing 
of regulatory reports and those conducted by independent visitors 
allow the quality assurance of our provision to be shared.

The Group’s corporate website details the specifics of our offer 
and the website is under constant review in an effort to maximise 
the effectiveness of information made available to local authorities 
and other commissioners.

How we engaged during the year
 – CareTech’s services presented on a multitude of purchasing 

frameworks across England, Scotland and Wales. These procurement 
tools allow providers to bid for lots aligned to their provision type. 
Where successful, this provided a purchasing mechanism to allow 
the Group to access referrals of services users whose needs could 
be met by our services.

 – The referral and placement of service users took place daily across 

the Group. This process involved many people from commissioners 
and Group staff, with a single focus on meeting the needs of the 
service user.

 – Operational colleagues had regular contact with commissioners 
regarding each service user. Alongside this, formal reviews to 
understand service user progress and determining any changes 
to an individual’s care plan.

 – Senior operational staff alongside the business development teams 
supported “whole” Authority Business Reviews that allow detailed 
discussion on performance to take place.

 – Business development teams had “strategic” discussions regarding 
the sufficiency requirements of commissioners and this feedback 
allowed the planning of future services.

Our priorities in 2021 include maintaining regular engagement and 
communication with our commissioners to continue to articulate our 
service offerings such that we best position our provision as a provider 
of choice.

CareTech Holdings PLC
Annual Report and Accounts 2020
42

We have brilliant service users

We believe the success of those entrusted in our care is our most 
important corporate responsibility. 

We have continued to strive for long-lasting improvements in our 
services in a way that is consistent with the interests and concerns of 
our stakeholder community. As always, the driving force underpinning 
the Group’s operations is the delivery of the highest quality of care to 
our service users.

Service users are the reason for our existence and meeting their needs 
remains our key objective.

As the Group grows, we strive to maintain a culture that never forgets 
the important relationship we have with our service users. We seek 
to nurture these relationships and see them as partnerships of mutual 
interest and respect, with our person-centred approach ensuring service 
user interests are safeguarded and vulnerabilities minimised.

The further expansion of our Care Pathway seeks to provide our 
service users with “whole of life” of solutions to their needs, maximising 
independence where possible by encouraging education, promoting 
choice, being proactive with family members, providing training for 
employment where feasible and nurturing personal ambition where 
helpful. In the year we have celebrated the achievements of our service 
users across the country, including holding an art competition and a 
“Blooming Marvellous” gardening competition. 

We are determined to preserve the dignity of those we care for and fully 
support Government initiatives to this end. We see making each day as 
fulfilled as possible for our service users and a vital ingredient to their, 
and our, success.

From the first time we meet each service user we start to gain an 
understanding of not only their needs, which are often complex and 
challenging, but most importantly to understand their future aspirations 
so that a plan to support them in our care is individual and as best 
informed as possible. Where present, parents (carers/guardians) and 
the service user’s social worker, play a key role in supporting the 
development of their care plan.

Dickie enjoys Easter in the garden at his South region service. 

CareTech Holdings PLC
Annual Report and Accounts 2020
43

Resident Sarah Stacey paints Union Jack flags to decorate her South region 
service for the 75th Anniversary of VE Day.

A service user’s care plan is dynamic, informed and updated by “their 
voice” together with the professionals supporting them in their placement, 
alongside their social worker (and other external professionals) as well 
as advocacy services and independent reviewing professionals who 
visit service users regularly. This multi-disciplinary approach ensures 
that the care plan is as rich and well informed as possible. Where 
communication is a challenge for a service user, the use of appropriate 
communication techniques is important, from computer assistive 
devices, such as those provided by our Smartbox GRID technology, 
to British Sign Language and Makaton to ensure their voice is heard.

When a service user joins one of our services, it is explained to them 
how their voice can be heard, and what to do if they think that this 
is not happening. They are reminded of this on an ongoing basis.

Day-to-day key workers will support their service users aligned to 
an agreed support plan. Each service user’s progress against this plan 
is formally reviewed with clear progress targets being set by the 
multi-disciplinary team supporting the service user.

We utilise surveys, in the form of simple questionnaires, to ensure 
that our provision is meeting the needs of our service users. As part 
of regulatory inspection, inspectors will meet and discuss the care 
that service users are receiving and include this as part of the 
inspection feedback. 

Our relationship with parents (carers/guardians) is important as they 
will often have championed the placement choice for the service user. 
We support visiting and contact with parents appropriately and as 
agreed as part of any care plan. 

Our priorities in 2021 include continuing to ensure that we work towards 
the aspiration of each service user by making every day an extraordinary 
day and celebrating their successes. 

Strategic ReportGovernanceFinancial Statements 
Our Approach to Business
continued

Our approach to engaging  
with our regulators

Our approach to supplier engagement

CareTech operates in a highly regulated environment. The Group 
invests heavily in its internal compliance capacity and has established 
open, transparent, and positive relations with care, health and 
education regulators in the national and international environments 
within which we operate.

The Board is mindful of the importance of ensuring that the 
Group is able to source a broad range of high quality products 
from a base of well-respected suppliers and of being a trusted 
partner for our suppliers. 

CareTech sits within the CQC “Market Oversight” group and complies 
fully with the financial, business and care regulatory requirements that 
market oversight brings.

Regulatory requirements differ across both the sectors that we operate 
in, but also in the devolved administrations of Scotland and Wales. The 
Group’s internal compliance team supports the business to understand 
and interpret the external regulatory landscape and ensure continued 
compliance with all regulatory requirements. The ratings across the 
Group continue to compare well with other providers.

This year has seen the need to engage with regulators in a very different 
way. COVID-19 has impacted on the regulatory programmes of all of 
the national regulatory bodies. The second part of the Group’s operating 
year saw the suspension of the vast majority of site inspections and of 
the awarding of ratings. The Group engaged with the amended 
regulatory programmes and introduced enhanced risk assessment 
processes and reporting for all services to provide additional 
compliance assurance to regulators.

Alongside engagement with regulators, the Group further enhanced 
strategies and policies for effective data protection information 
governance, and in meeting health and safety requirements.

How we engaged during the year
 – National Relationship meetings with Ofsted and CQC.
 – Ongoing dialogue with relationship managers through COVID-19.
 – Introductory meetings for newly appointed CareTech senior 

managers with key Ofsted personnel.

 – Regular dialogue at regional and local level on services quality 

and compliance.

 – Participation in consultations and learning events with all regulatory 

bodies.

 – Worked with Care Inspectorate Wales (“CIW”) to re-register the 

fostering services – bringing all of the Group services registered with 
CIW under the Regulation & Inspection of Social Care (Wales) Act.

Our priorities in 2021 include continuing to have regular relationship 
meeting with our Regulators at national and regional level and 
participate in consultations with all regulatory bodies. 

How we engaged during the year
 – Supplier relationships are primarily managed by our property 

and procurement team.

 – Payment practices are monitored on a monthly basis.
 – The Board reviewed and approved the Company’s Modern Slavery 

Act Statement.

 – Suppliers must demonstrate that they operate in accordance with 
recognised standards that uphold human rights and safety and 
prohibit modern slavery.

Our priorities in 2021 include continuing to actively manage supplier 
relationships as well as ensuring they uphold recognised standards 
in which they operate.

Judges Sarah Longley-Cook, Cambian Interim Clinical Director, and Val Cooper, 
Group Recruitment Manager, admire the Regional Winner of the South category 
for the Arts and Crafts Competition 2020. The piece is a CareTech hot air balloon 
created by Rebecca, a resident with profound learning difficulties which features 
company CEO Haroon Sheikh and Chairman Farouq Sheikh.

Blooming Marvellous certificates and prize money cheques ready to be sent 
out to the three winners of our annual gardening competition; Gayton Road, 
May Morning and Somerset School.

CareTech Holdings PLC
Annual Report and Accounts 2020
44

How we look after our brilliant people

Supported Living staff teams received well deserved thank you gifts from their 
locality managers as recognition for their tireless hard work during the ongoing 
COVID 19 pandemic.

Staff members at the annual CareTech Care Awards 2019 receive their accolades 
from the Senior Executive team, onstage at the Hilton Hotel, Park Lane.

Our staff are the foundation to everything we do, and known as the 
CareTech family. The Group works hard to promote a culture guided 
by our purpose, and this is a key driver in how we recruit staff, provide 
development, and ensure inclusiveness in our practices. 

Talent acquisition 

Finding and hiring the right people is central to our ability to achieving 
our purpose. With this in mind, we continue to embed “values-based 
recruitment” (“VBR”) in hiring practices. We train all our hiring managers 
to use our VBR toolkit as the main driver in the recruitment cycle to 
deliver a candidate-centric approach to the acquisition of great talent 
from within and outside of the care sector. Our aim is not to merely fill 
open roles, rather it is to find and select the right people to be part of 
something special.

How we engaged during the year
 – We continued to work tirelessly and innovatively to find new talent 

to select and on-board. 

 – We were pleased to partner with People First to share our Group 

employment opportunities, in order to support with the 
redeployment of displaced employees from various sectors resulting 
from the pandemic.

Our priorities in 2021 include rolling out a programme of work to 
partner with charitable and other organisations to bring young people 
into our sector and further deployment of technology solutions to assist 
with recruitment. 

We are continuing to build a fruitful and evolving partnership with 
The Prince’s Trust, which allows us to give potential employees a taster 
of the rewarding work and career opportunities the Group can offer. 

“Our values”

Friendly, Positive, Innovative, Team Working and Person Centred are 
our values. We are immensely proud of these values and work hard every 
day to ensure that everyone at CareTech lives and aspires to these values. 

our work in this area across the Group. We will be working to the 
“aspired and lived” experience model, measuring our high aspirations 
with our lived culture and values. We will seek to map awareness and 
our current experience and then target our activity towards our 
expectations for the future. The focus will be to create a behavioural 
framework for each one of our values. This will define the way in which 
“we do things around here”. These will become known as our “non-
negotiables”. They will run through the heart of our systems, processes, 
communications and day-to-day dealings with each other, 
underpinning our commitment to be a values led business. 

How we engaged during the year
 – Launched the Applause Programme, which is central to being a 

mechanism to recognise and reward our staff for living the values.

Equality, diversity and inclusion

CareTech is immensely proud of our rich heritage of having a diverse 
workforce. We are committed to developing a working environment 
and culture that promotes fairness and inclusivity. We know that this 
allows people to be “who they truly are” and not what others want them 
to be. Strongly aligned to our value of “Person Centred”, this approach 
continues to be a vital thread and we are committed to its ongoing 
development and recognition as a valuable contribution to the success 
of the Group and to service user outcomes. 

How we engaged during the year
 – Initiated an ED&I strategy that is shaping our priorities.

Our priorities in 2021 are to:

 – Develop our Equality, Diversity and Inclusion (“ED&I”) programme 
to shape our diversity and inclusion strategy and embed this into 
working practices and culture.

 – Conduct an internal audit of good ED&I practice to establish baseline 

and roadmap.

 – Work with senior leaders to provide training, development, 

workshops and coaching to help increase their understanding 
of the importance of ED&I and organisational relevance.

As part of our ongoing commitment to embed our values into the DNA 
of our business, the Board has endorsed a programme that will cement 

 – Run focus groups to establish the reality of working for the Group, 
from a minority perspective (Gender, Disability, Ethnicity and LGBT).

CareTech Holdings PLC
Annual Report and Accounts 2020
45

Strategic ReportGovernanceFinancial StatementsOur Approach to Business
continued

Our work through Purple

Accelerating digital adoption and extending 
CareTech’s technology offer

Purple is our Group disability brand and at the forefront of changing 
the disability conversation by changing it from one anchored in 
welfare, charity and vulnerability to one of value, contribution 
and opportunity.

COVID-19 has shone a bright light on the increasing reliance on 
technology in every aspect of our lives. We are accelerating adoption 
of technology with the Group and making solutions more widely 
available through our extended digital Care Pathway.

There are over 14 million disabled people in the UK with a wide range 
of impairments including physical, sensory, mental and learning 
conditions. Over 80% of disabled people have hidden disabilities with 
mental health conditions rising rapidly. Disabled people comprise 22% 
of the UK population.

Purple provide a range of services and products and supports 4,500 
disabled people to live independently in the community with a Local 
Authority direct payment (or personal health budget from clinical 
commissioning groups). This enables disabled people to employ their 
own carers, use a care agency solution or increasingly a blend of both. 
Our services include assistance with recruitment and payments of 
carers to overseeing tax returns and pension contributions. Over £70m 
of disabled peoples’ funds flow through our dedicated Purple accounts 
every year. Purple also support disabled people into employment with 
a range of training programmes to build confidence, skills and which 
also develop the capacity of employers.

Purple’s work with employers has recently been recognised by a 
shortlisted nomination in the prestigious Lloyds Bank National Business 
Awards in the category of social impact. We provide audit, training and 
consultancy services to organisations of all sizes and across all sectors. 
Increasingly, our delivery has been online and we have been able 
to model best practice in terms of being accessible. Through the 
pandemic our support to organisations around mental health has 
been acknowledged.

Purple has been nationally acclaimed for its flagship initiative, Purple 
Tuesday, which is focused on improving the customer experience for 
disabled people. Over 3,500 organisations participated this year making 
over 5,000 commitments to make changes in practice from more 
accessible websites, improved signage, formalised quiet hours for 
people with learning disabilities to frontline staff learning hello, goodbye 
and other phrases in British Sign Language. With media opportunities 
giving 17.4 million people across Britain access to the initiative and top 
trending on Twitter worldwide, Purple Tuesday has become the go-to 
brand for the disabled customer experience.

Mike Adams, Purple’s CEO and an Executive Director at CareTech, has 
recently been listed in the Shaw Trust Powerlist as one of the top 100 
disabled influencers in the UK.

Purple has a unique position in the marketplace in that it provides 
support and services to both disabled people and businesses with lived 
experience of disability at its heart.

Over the next 12 months we will expand our range of products to further 
accelerate the changing, and much needed, disability conversation.

“I can’t be Jamie without Grid”

New communication aid introduces second screen and 
antimicrobial technology 

Smartbox, our user-centred technology business launched in 2020 one of 
the most powerful communication aids available in the market, Grid Pad 
15. It provides integrated support for all alternative access from switches to 
eye gaze and pointing devices and comes complete with environmental 
control, all day battery life, second screen communication technology 
and is the first device of its kind to be made using an anti-microbial 
material, which inhibits the growth of bacteria and spread of viruses. 

This combination of features has arrived at a moment when it is more 
important than ever to ensure people can communicate clearly while 
remaining safe. 

Jamie Preece, who is a service user representative at Barnsley Hospital NHS 
Foundation Trust and uses a Grid Pad 15 to augment his communication, 
says “the second screen is fab, it means people don’t try to lean over 
my shoulder to read my screen so it’s also good for social distancing!”

Jamie began using assistive technology to support communication 
in his twenties and now presents at national conferences and mentors 
people as they begin using assistive technology. “Grid and Grid Pad have 
changed every aspect of my life. I can’t be Jamie without Grid.”

Implementation of assistive technology in special education 
needs school leads to student independence 

Lisa Rees-Renshaw is an Assistive Technology Advisory Teacher at Ysgol 
Y Deri Special School in Penarth and has received the Outstanding Use 
of Technology Award at The National Teaching Awards. Lisa and the 
team at Ysgol Y Deri have truly led the way in adopting assistive 
technology to help their pupils achieve independent participation.

Assistive technology specialists from our Smartbox business have had 
the privilege of working with Ysgol Y Deri since it opened over five years 
ago, supporting Lisa as she has implemented Grid 3 software for 
communication, play, education and environmental control. “This has 
had a significant impact on our pupils’ everyday activities; they now 
have a voice, which we all hear and understand, and this has given them 
control over what happens to them, being able to make choices and 
participate fully in activities, both in school and at home.”

Smartbox’s Grid software is amongst the leading global alternative and 
augmentative communication (“AAC”) solutions and includes advance 
features such as interactive learning and early symbol communication 
resources through to sophisticated text communication and computer 
control. This unique platform design means all pupils can use the same 
programme and it adapts to changing needs and abilities. Lisa explains, 
“school staff are now starting to increase their use of Grid 3 for written tasks 
using the online Grids for language, maths and topic activities and we 
are in a phase of teaching staff how to edit these Grids to meet their own 
pupils’ needs for their lessons. By editing grids, it is quicker for staff who 
are already pushed for time. Grid 3 is a great teaching and learning tool.”

CareTech Holdings PLC
Annual Report and Accounts 2020
46

Emissions and energy usage

Scope 1

Total Scope 1
Scope 2

Total Scope 2
Scope 3

Emissions source
Natural gas(ii) 
Company and leased cars
Other fuels

Purchased electricity(iii) 

Electricity transmission 
and distribution
Employee cars(iv) 

Total Scope 3

Total (Market-based)

Total (Location-based)

Total energy usage (kWh)(v) 
Carbon intensity 
per employee

tCO2e per FTE

Emissions tCO2e(i) 

3,179
3,914
1,195

8,288
3,108

3,108
267

166

433

9,307

11,829

53,011,194
1.6

Table 1 – Energy and carbon disclosures for reporting year.

(i)   Emissions are reported for the UK estate only as global reporting remains voluntary 

under the current requirements of the SECR regulation for organisations that are not 
listed on the main market of the London Stock Exchange, but are considered “large”.

(ii)   A benchmark figure, based upon an average of usage at similar sites, was used to 

estimate missing natural gas consumption at certain sites.

(iii)  A benchmark figure, based upon an average of usage at similar sites, was used 

to estimate missing electricity consumption at certain sites.

(iv)  A benchmark figure was used to calculate all of employee cars’ consumption.
(v)   Energy reporting includes kWh from scope 1, scope 2 and scope 3 employee 

cars only (as required by the SECR regulation).

Carbon Emissions 

CareTech recognises that our operations have an environmental 
impact and we are committed to monitoring and reducing our 
emissions year-on-year. We are also aware of our reporting obligations 
under The Companies (Directors’ Report) and Limited Liability 
Partnerships (Energy and Carbon Report) Regulations 2018. As such, 
this year we have upgraded our energy and carbon reporting to meet 
these new requirements and increase the transparency with which we 
communicate about our environmental impact to our stakeholders.

2019/20 performance 

This year we have calculated our environmental impact across scope 1, 2 
and 3 (selected categories) emissions sources for our UK only operation. 
Our emissions on a location basis (using the UK grid emissions intensity) 
are 11,829 tCO2e, which is an average impact of 1.6 tCO2e per 
employee. We have calculated emission intensity metrics on an 
employee basis, which we will monitor to track performance in our 
subsequent environmental disclosures.

The market-based emissions, 9,307 tCO2e, incorporate the renewable 
energy purchasing that we have carried out over the October 2019 to 
September 2020 period. When compared with location-based emissions 
this is a difference of 2,522 tCO2e.

Energy and carbon action
In the period covered by the report the Group has undertaken 
the following emissions and energy reduction initiatives:
 – As the boilers in our services come to the end of their lifespan, 
we replace them with newer, more efficient condensing boilers.
 – Boilers have clocks and thermostats fitted in our larger services.
 – Newly installed or upgraded radiators are fitted with a 

thermostatic valve. 

 – We upgrade to LED lightings when refurbishing services and 

when fittings comes to the end of their lives. 

 – We have domestic kitchens in all of our services and choose AA-rated 
energy efficient ovens, fridges, freezers when replacing or upgrading.

 – We optimise energy efficiency in our buildings by ensuring all 
roofs are insulated, windows are double or secondary glazed 
and thermostatic mixing valves control hot water.

2019/20 results

The methodology used to calculate the Green House Gas (“GHG”) 
emissions is in accordance with the requirements of the following 
standards:
 – World Resources Institute (WRI) Greenhouse Gas (GHG) Protocol 

(revised version).

 – Defra’s Environmental Reporting Guidelines: Including Streamlined 

Energy and Carbon Reporting requirements (March 2019).

 – UK office emissions have been calculated using the DEFRA 2020 

issue of the conversion factor repository.

Following an operational control approach to defining our organisational 
boundary, our calculated GHG emissions from business activities fall 
within the reporting period of October 2019 to September 2020.

CareTech Holdings PLC
Annual Report and Accounts 2020
47

Strategic ReportGovernanceFinancial StatementsOur Approach to Business
continued

The CareTech Foundation

Established 2017, the CareTech Foundation (the “Foundation”) is an 
independent grant-making corporate foundation registered with the 
Charity Commission. Funded mainly and founded by the Group, the 
Foundation has an independent Board of Trustees responsible for 
delivering its Charitable Objects. In the year to September 2020 the 
Group made charitable donations through the Foundation of £0.7m 
(2019: £0.7m).

A key vehicle by which the Foundation is able to add value to its financial 
commitment to its partnerships is the in-kind support provided by Group 
staff who are invited to volunteer to support projects supported by the 
Foundation, bringing their expertise and understanding to bear for the 
benefit of the project and the delivery partner(s) involved. The Foundation 
helps to broker such volunteering opportunities as well as recording the 
extent and value of this support.

Through the Foundation’s existing portfolio of partnerships, it has 
(directly and indirectly) supported over 275,000 beneficiaries since the 
programmes’ inception. Over the last year, the Foundation has added 
the Birmingham Disability Resource Centre as a partner – Positive 
Pathways. Positive Pathways aims to help any person with disabilities 
or person with a long-term condition who is looking to enter or return 
to employment, training or volunteering. 

The Foundation is the first corporate foundation in the UK social care 
sector, demonstrating the Group’s commitment to wider society and 
to its staff and its desire to play a strong leadership role within the social 
care sector. The Foundation’s mission is to support and champion the 
social care sector, care workers and those living in care. In particular, 
the Foundation’s support is targeted on the following three impact areas:
 – Physical and learning disabilities and mental health. Supporting 
disabled people and those with long-term health difficulties, 
including those with mental health conditions and complex physical 
and learning disabilities.

 – Skills development for the care sector, especially for those from 

deprived and disadvantaged backgrounds to equip them for careers 
in the care sector.

 – Supporting communities, including the family and friends of Group 

employees facing significant financial hardship or for issues affecting 
local communities.

The Foundation published its first Impact Report based on its new 
Theory of Change in April 2020 (see https://www.caretechfoundation.
org.uk/impact-report-2018-2019/).

The Foundation delivers its key objectives through the following 
key approaches:

The Foundation delivers a small grants programme to support the 
communities, families and friends of Group staff facing significant 
financial hardship or for issues affecting local communities. These 
grants are open to staff members of the Group to support the positive 
contributions they make to their communities and through volunteering.

Demand for the Foundation’s Community Grants increased steadily 
again this year. During 2019/20 the Foundation has supported 33 grants 
to a value of £39,175. 

The Foundation provides match-funding to CareTech’s staff individual 
fundraising efforts for charitable causes in line with the Foundation’s 
Charitable Objects. 

During 2019/20, the Foundation supported 28 Match Fund grants 
to a total of £7,395.

The Foundation added its new Hardship Fund to its product offerings 
in late 2018, enabling it to support staff facing financial hardship. Since 
their introduction, demand for these grants has increased steadily and 
the Group agreed a doubling of their contribution in 2019/20 to 
£50,000. Demand was significantly stimulated because of COVID-19 
and the trustees agreed to divert additional funds to this grant stream, 
taking the total available to £100,000. This year, the Foundation has 
supported 134 grant applications to a total amount of £97,759, 
processing over 200 applications.

It supports a small number of significant partnerships with credible and 
high quality charities and social enterprises consistent with its three key 
objectives. To be considered for the Foundation’s support, any 
partnership must:
 – Involve medium- to long-term investments in innovative and 
high-impact programmes that will deliver one or more of the 
Foundation’s objectives.

 – Demonstrate and be contingent upon any investment by the 

Foundation leveraging additional investment.

 – Enable the Foundation to provide wider in-kind support through 

the expertise of the Group’s staff, supply chain and wider network.

CareTech Holdings PLC
Annual Report and Accounts 2020
48

COVID-19 response

The Foundation recognised quickly that responding to the challenges 
of COVID-19 had to be a top priority. It was particularly aware of the 
huge strains that the crisis was likely to have on those individuals and 
communities it seeks to serve. Recognising the significant economic 
impacts of the public health crisis, trustees took an early decision to 
increase the funding available through the Foundation’s Staff Hardship 
Fund, more than doubling the funds originally budgeted for this grant 
stream. A particularly important element of the Foundation’s approach 
was proactively reaching out to new national and community projects 
established in response to COVID-19. As a result of using the Foundation’s 
increasingly-strong networks across the social care sector and beyond, 
trustees were able to support a series of important new initiatives, including:
 – National Care Force, to provide an online tool that matches 

volunteers with social care providers.

 – Connect the Love, to support people who are isolated in care 

homes, hospitals and vulnerable situations by providing devices to 
keep them digitally connected to friends, families and loved ones. 
 – Kit4Carers, to ensure that carers in the UK and overseas have access 
to essential PPE to protect them and those for whom they care from 
COVID-19. 

 – Potters Bar Radio station, to help combat isolation and offer a source 
of comfort and hope to the many people locally who were finding 
the experience of the lockdown lonely and difficult. 

Alongside a wide range of partners across the social care sector, the 
Foundation played a key role in calls for greater recognition of the UK’s 
two million frontline care workers and the part they play in tackling 
coronavirus. The #SparkleForSocialCare social media campaign was 
launched to build awareness of the incredible efforts of care workers 
during this time of crisis. The campaign seeks to bring to life the 
amazing work of care workers up and down the country in coping 
with some of the most vulnerable members of our community.

Elizabeth Cowley was awarded a grant to support Sparkle, the official charity of 
the Serennu Children’s Centre in Newport, and Nevill Hall Children’s Centre in 
Abergavenny.  The community grant would enable the centre to fully train four 
volunteers to support young people in their activities as well as go towards 
funding the after school clubs activities.

CareTech Holdings PLC
Annual Report and Accounts 2020
49

The CareTech Foundation awarded a community grant of £2,500 to Dudley 
Town FC in support of the Sparkle for Social Care campaign. The partnership 
saw Dudley Town FC launch their first team football kit for the 2020/21 
season which also marked the club’s support for frontline social care 
workers. All profits from these limited-edition polo shirts will go to 
The Care Workers Charity.

Championing the Social Care sector

The Foundation plays a key role in calls for greater recognition of the 
UK’s two million frontline care workers. Over the last year, 
the Foundation has particularly focused attention on the part care 
workers play in tackling coronavirus. The #SparkleForSocialCare 
social media campaign was launched to build awareness of the 
incredible efforts of care workers during this time of crisis. The 
campaign seeks to bring to life the amazing work of the 1.6 million 
care workers up and down the country in coping with some of the 
most vulnerable members of our community.

Supporting our staff and their families in difficult times…

The Foundation added the Hardship Fund to its offerings in late 2018, 
enabling it to support staff and their families facing significant financial 
hardship. The Company agreed a doubling of its contribution in 
2019/20 to £50,000. Demand was significantly stimulated because 
of the COVID-19 pandemic and trustees agreed to divert additional 
funds to this grant stream, taking the total available to £100,000. 
This year, the Foundation has supported 134 grant applications 
to a total amount of £97,759, receiving over 200 applications.

 – An employee suddenly lost their husband and the main 

breadwinner last year, which left this employee and their young 
child in financial hardship. The Foundation was able to support 
the applicant with a donation to go towards the cost of running 
their home as they tried to come to terms with their tragic loss.
 – An applicant was taking unpaid leave to care for their terminally ill 
mother. This unpaid leave was causing severe financial difficulties 
for the staff member who was a single parent to three children. 
The Foundation awarded a grant to cover rent and some 
household bills.

Strategic ReportGovernanceFinancial StatementsStatement by the Directors in performance of their statutory duties in accordance 
with s172(1) Companies Act 2006

Throughout this Annual Report, we provide examples of how we:
 – take into account the likely consequences of long-term decisions;
 –  taken into account the interests of the Company’s employees;
 – foster relationships with our suppliers, customers and others;
 – have a positive impact of the Company’s operations on the 

community and environment;

 – attribute importance to behaving as a responsible business; and
 – act fairly between members of the Company.

The Board of Directors of CareTech Holdings PLC consider, both 
individually and together, that they have acted in the way they consider, 
in good faith, would be most likely to promote the success of the 
Company for the benefit of its members as a whole (having regard to 
the stakeholders and matters set out in s172(1)(a-f) of the Act) in the 
decisions taken during the year ended 30 September 2020.

Reporting requirement

Explanation

For more information

The likely consequences of 
any decision in the long term

All decisions are made with long-term consequences 
in mind and aligned to our core purpose. 

Our business model page 38.
Case study on SmartBox page 15.

We maintain a conservative funding structure and 
a progressive dividend policy.

The interests of employees

Our annual employment survey was completed with 
positive feedback.

Our brilliant people page 45.

The need to foster business 
relationships with suppliers, 
commissioners and others

The Board has identified the Group’s key stakeholders 
to be shareholders, employees, commissioners, 
suppliers, regulators, lenders and communities. Regular 
communication takes place to listen and encourage 
participation from all our stakeholders. 

Our commissioners page 42.
Our service users page 43.

The impact of operations on the 
community and the environment

Donation of £702,000 to the CareTech Foundation 
to support the wider social care sector.

Our approach to responsible business page 16.
CareTech Foundation page 17.

The desirability of maintaining 
a reputation for high standards 
of business conduct

We remain committed to becoming the highest quality 
provider of care, education and therapeutic support 
across the Group.

Our approach to responsible business page 16.

We believe good governance is the way to run a business 
and have clear divisions of responsibilities and roles.

The need to act fairly between 
members of the Group

The Board embraces open dialogue with shareholders 
and works with its brokers to ensure than an appropriate 
level of communication is facilitated. 

Our approach to shareholder engagement 
page 42.

CareTech Holdings PLC
Annual Report and Accounts 2020
50

Principal Risks and 
our Strategic Response

Social care is a long-term contract with the public 
sector and is inherently free of risk so long as 
quality is maintained, outcomes are achieved and 
the price is right. However social care does carry 
risks that will always be at the forefront of our 
minds. The most obvious risk is that a tragedy will 
occur and that the Group will be held to blame. 
We take the risk very seriously. Our principal risk 
management strategy is to ensure that our staff 
are recruited well, are trained and supervised 
properly and are subject to rigorous quality 
oversight. In addition we know from experience 
that processes and documentation must be very 
carefully observed and constantly reviewed to 
ensure that it protects service users and provides 
the Group with a defendable position in the 
case of tragedy.

These matters, along with general safeguarding are subject to intense 
scrutiny by our in-house compliance and quality teams and Board 
level oversight.

Managing and mitigating risk

Social care is not a high risk business proposition but there are several 
unique factors that could cause difficulties. These centre on the way in 
which care and support are provided and the reliability of those frontline 
staff who provide it. CareTech approaches these issues with considerable 
care and diligence, building in quality and training wherever it is required 
but also through its established scrutiny protocols and firm leadership. 
We care a great deal about what we do and have established a reputation 
for careful management of all those processes that could expose us to risk.

We have thoroughly reviewed our operations. The Group predominantly 
trades in the UK and only during the year acquired a business in the UAE. 
We have limited foreign exchange exposure due to supplies being 
sourced locally. We have limited exposure to nursing staff and the EU 
labour market. Our primary recruitment is focused on the UK labour 
market for support staff and the recruitment of new staff is a factor that 
we are managing, and we continue to monitor closely.

Emerging risks

The Board have considered long-term trends in the social care sector 
that could present both a risk and an opportunity for CareTech. Any new 
emerging risks identified by the Executive Committee are considered in 
more detail and reported to the Board. During the financial year, the 
outbreak of COVID-19 in the UK presented a new risk to the Group which 
is outlined below. In 2020/21, the Executive Committee will create a 
register of potential emerging risks that it will monitor on a periodic basis 
for implications on the Group’s strategy. 

The Directors believe this process achieves a robust assessment 
of principal and emerging risks. 

Our risks

All providers of health and social care are conscious of the need 
for management vigilance and the requirement to have a thorough 
commitment to delivering care that is safe and of a high quality. CareTech’s 
approach to quality and safe service delivery is characterised by a mixture 
of a dedicated compliance team carrying out regular audits of inspection 
and a commitment to building quality into everything we do.

The market for the provision of social care services continues to be 
dynamic, presenting both risks and opportunities. The overall number 
of people needing support will increase, and a smaller proportion of 
them will be placed into residential services. Those who do need a 
residential care solution will have more complex needs and are likely 
to require a wider range of services, including clinical and therapeutic 
support. Our operational management teams are already focusing on 
the delivery of high quality care. As we move forward, this will become 
increasingly specialised with the benefit of professional qualified care 
co-ordinators who will prepare and direct personalised care plans 
within the services.

Most service users will be supported in their own homes through 
domiciliary care or in more formal supported living arrangements. 
This is a major growth area for care providers and CareTech already 
has a solid reputation for its high quality and flexible solutions. We are 
building this to a higher level and refining our organisational structure 
to build more rapidly on our successes to date.

CareTech Holdings PLC
Annual Report and Accounts 2020
51

Strategic ReportGovernanceFinancial StatementsPrincipal Risks and 
our Strategic Response
continued

Principal Risks

Service offer and user needs

We have to develop and staff a service offering which matches the 
needs of the service users and can be communicated to commissioners. 
This is carefully recorded locally at every service in order to reduce the 
risk of service users moving to other service providers.

Quality and safety

A health and safety breach would impact reputation, brand and 
compromise the safety of those in our care. This could impact on the 
demand for our business as well as incur costs to rectify. We have to 
provide and deliver safe care of a high quality and the Group utilises 
Acoura, an independent supplier, to audit and report monthly on 
Health and Safety matters as well as all RIDDORS (Reporting of Injuries, 
Diseases and Dangerous Occurrences Regulations) so that all incidents 
are recorded and acted upon.

Service value

The service offer has to be provided to meet the needs of the 
commissioners at a fair price and this is coming under increased 
scrutiny as commissioners regularly review value for money. 
The Group communicates and engages frequently and proactively 
with our commissioners at a local level and strategically at regional 
and national levels.

Reputation

The Group has to have a reputation for delivering services that offer 
good value and take account of all risks. We maintain a Risk Register, 
which includes all key risks, including reputational risk, and how these 
are mitigated through quality of service and good communication with 
service users and local authorities. The Risk Register is reviewed monthly. 

Growth funding

So that the Group can keep growing adequately, funding has to be 
anticipated and put in place. The Group ensures that all of its facilities 
are monitored and reviewed regularly, in particular our budget setting 
and forecasting processes.

Manage debt

The level of debt obtained to fund operations and ensure that growth 
can occur has to be carefully managed. Different forms of leasing and 
debt are reviewed quarterly when all of the covenants are also reviewed.

COVID-19

COVID-19 was identified as an emerging risk for the business 
in March 2020 with potential to affect our strategy through impact 
on our services users, staff, commissioners, suppliers as well as the 
financial performance of our business through delays to development 
projects, impact on cash flows and disruption to normal practices.

A COVID-19 taskforce, comprising both divisional leadership and 
members of the Group Executive Team, was set up at the outset of the 
pandemic outbreak. Through the use of a dynamic risk assessment tool 
we have been able to provide real time monitoring and support across 
all our services as well as ensuring that we have a business continuity 
plan at each site. This covers arrangements to provide staff cover 
between services, utilising extra staff as necessary and overall reducing 
agency workers. 

We followed the latest Government guidelines and have strict 
precautions in place at our sites including enhanced levels of cleaning, 
additional hygiene facilities and social distancing. Additional 
precautions and safety checks are in place with oversight provided 
remotely where possible and appropriate. 

Brexit

The United Kingdom left the European Union on 31 January 2020 on 
the terms of the Withdrawal Agreement, which introduced a transition 
period until 31 December 2020.

The UK is seeking to negotiate and agree a long-term trade deal with 
the EU, by the end of this transition period. The Government has said 
this period will not be extended. It is possible that the UK-EU will not 
have agreed a UK-EU trade deal by 31 December 2020, or a UK-EU 
trade deal will be agreed but the terms of the deal are such that it 
will cause disruption to our business post 31 December 2020.

We have fewer than 5% of our employees who are EU citizens; however, 
from 1 January 2021 there may be a reduction in the numbers of 
candidates that are able to work in the UK. We will continue to recruit 
the highest calibre of candidates in line with our recruitment processes. 

As during the previous financial year, the Board considered the impact 
of Brexit on the business and again concluded, on the basis that the 
Group is substantially a UK-based operation with no reliance on exports 
and limited reliance on imports, that Brexit did not, in itself, constitute 
a significant risk to the business. 

By order of the Board

Farouq Sheikh
Group Executive Chairman
10 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
52

 
Group Financial Review

The Group has delivered a strong 
set of results for the financial year 
ended 30 September 2020.
Christopher Dickinson
Group Chief Financial Officer

CareTech Holdings PLC
Annual Report and Accounts 2020
53

Strategic ReportGovernanceFinancial Statements 
Group Financial Review
continued

Highlights

Capacity and occupancy

Adults Services increased 29 places to 1,997 (2019: 1,968) due to 41 beds 
in two new residential sites in Specialist Services, a net four new supported 
living contracts offset by 16 beds withdrawn. Children’s Services 
increased to 1,959 mainly due to 27 development projects, 22 capacity 
increases, eight beds withdrawn and 15 reconfigurations. Fostering 
decreased to 1,028 due to blocked beds as a result of COVID-19 and 
some foster parent leavers.

As at the balance sheet date, the Group capacity decreased to 4,984 
(2019: 5,079) due to a decline in capacity within Foster Care.

At 30 September 2020, occupancy levels in the mature estate was 83% 
(2019: 85%) reflecting the timing of the start of the educational year due 
to a number of the Group’s non-residential schools operating on a 
38-week basis with the new education term commencing in October. 
Blended occupancy was 80% (2019: 80%).

 – Revenue: £430.0m (increase of 8.9%)
 – Underlying pre IFRS 16 EBITDA increase of 14.4% to £84.1m 

(post IFRS 16: £90.9m)

 – Statutory profit before tax: £37.8m (increase of 55.3%)
 – Underlying pre IFRS 16 EPS: 43.0p (increase of 14.4%) 

and statutory EPS: 23.64p (increase of 28.6%)
 – Accelerated reduction in net debt to £268.9m
 – Strong operating cash conversion of 103.9%
 – Net assets: £364.0m

Results

The Group has delivered a strong set of results for the financial year 
ended 30 September 2020. 

Unless otherwise stated, results in this section are presented for the year 
ended 30 September 2020 on a non-statutory illustrative basis excluding 
the impact of IFRS 16 ‘Leases’ to enable a comparison with 2019 
performance. Included in the Group consolidation results and reported 
in Adults Services and Children’s Services operating segments for the 
year ended 30 September 2020 are the AS Group’s Revenue and EBITDA 
and other income statement items together with the cash flows 
following completion on 4 February 2020.

The Group reports certain non-IFRS performance measures, known 
as Alternative Performance Measures (APMs). The Directors believe that 
APMs provide useful supplemental information for the readers of the 
Annual Report and, when read in conjunction with the IFRS financial 
information, assist in providing a balanced view of the Group’s financial 
performance and financial position.

In assessing its performance, the Group has adopted a number of 
APMs because statutory measures can have limitations as analytical 
tools and are necessary to readers of the accounts when understanding 
our performance relative to other companies in our sector and in the 
wider economy. 

Our APMs referred to in this report and in the financial statements as a 
whole include, EBITDA, non-underlying items, underlying earnings and 
non-financial measures such as capacity, occupancy and regulator 
quality ratings. You can read more about APMs on page 130.

CareTech Holdings PLC
Annual Report and Accounts 2020
54

Condensed Income Statement 

Revenue

Gross profit
Administrative expenses excluding depreciation  
and share-based payments charge

EBITDA

EBITDA margin

Depreciation

Share-based payments charge

Underlying operating profit

Non-underlying items

Net financial expenses

Profit before tax

Taxation

Profit for the year

Non-controlling interest

Profit for the year attributable to owners of the parent

Weighted average number of diluted shares (millions)

Underlying basic earnings per share

Statutory basic earnings per share

Full year dividend per share

Revenue and EBITDA

Adults Services

Children’s Services

Foster Care

Total

Group underlying revenue increased by 8.9% to £430.0m (2019: £395.0m).

2020 
£m

430.0

147.9

(63.8)

84.1

2019 
£m

395.0

133.0

(59.4)

73.5

19.6%

18.6%

(11.8)

(0.3)

72.0

(20.2)

(13.1)

38.6

(10.7)

27.9

(1.9)

26.0

109.8

43.02p

23.64p

12.75p

(10.6)

(0.1)

62.9

(23.4)

(15.1)

24.3

(4.2)

20.1

(0.4)

19.7

107.6

37.6p

18.4p

11.7p

2020 
Revenue 
£m

 136.2

252.9

40.9 

430.0

% 
change

8.9%

11.3%

7.4%

14.4%

11.1%

450.0%

14.5%

(13.5)%

(13.3)%

58.7%

155.6%

61.7%

55.4%

14.4%

28.5%

9.0%

2020 
EBITDA 
£m

33.6

65.9

8.0

107.5

2020 
IFRS 
Change 
£m

2020 
(as reported, 
post IFRS 16) 
£m

–

–

(6.8)

6.8

(5.2)

–

1.6

–

(2.4)

(0.8)

–

(0.8)

–

(0.8)

(0.76)

(0.76)

–

2019 
Revenue 
£m

123.6

230.6

40.8

395.0

430.0

147.9

(57.0)

90.9

21.1%

(17.0)

(0.3)

73.6

(20.2)

(15.5)

37.8

(10.7)

27.1

(1.9)

25.1

109.8

42.26p

22.88p

12.75p

2019 
EBITDA 
£m

32.7

55.7

7.5

95.9

CareTech Holdings PLC
Annual Report and Accounts 2020
55

Strategic ReportGovernanceFinancial StatementsGroup Financial Review
continued

The Adults Services segment continues to experience high levels of 
occupancy at 92% across the mature estate. When this is blended with 
the facilities that are being reconfigured and so are under development, 
the blended occupancy level at 30 September 2020 was 86%. 

We have seen an increase in capacity in Adults Services, largely due 
to two new residential Specialist Services sites opening during the year 
increasing capacity by 41 places. Revenues increased by 10.2% reflecting 
a continuation of high acuity user demand for both residential services 
and supported living and the inclusion of the AS Group. EBITDA margin 
decreased to 24.7% reflecting business mix, larger Specialist Sites 
opening and inclusion of the Group’s UAE operations. 

Despite the impact of COVID-19, local authorities have continued 
with fee increases to cover the additional costs resulting from increases 
in frontline staff pay as a consequence of the National Minimum and 
Living Wage increase from 1 April 2020.

Children’s Services increased by 9.6% to £252.9m, reflecting the 
improved performance at Cambian and the inclusion of the AS Group. 
Cambian has now been integrated and we have achieved the medium-
term target of 16%. EBITDA margins for Children’s Services increased 
from 24.1% to 26.1%. 

Earnings per share

The weighted average number of shares in issue rose to 109.8m mainly 
due to the 1m shares issued to the CareTech Foundation and 0.4m 
consideration shares for investment in the AS Group. 

Underlying basic earnings per share (pre IFRS 16) increased by 14.4% 
to 43.0p from 37.6p in 2019.

Statutory earnings per share increased by 24.4% to 22.88p (2019: 18.38p).

Dividends

Our policy has been to increase the total dividend per year broadly in line 
with the movement in underlying diluted earnings per share. The final 
dividend will rise broadly in line with the increase in underlying earnings 
per share and increase to 8.75p per share (2019: 7.95p), bringing the total 
dividend for the year to 12.75p (2019: 11.7p), a growth of 8%. Dividend 
cover for 2020, based upon diluted earnings per share before non-
underlying items, is 3.3 times (2019: 3.18 times).

Cash flow and net debt 

The cash flow statement and movement in net debt for the year 
is summarised below:

Group EBITDA margin has increased to 19.6% (2019: 18.6%). Synergies 
from the Cambian acquisition of over £5m were delivered in the financial 
year with actions already taken to deliver £6m run-rate synergies from 
the next financial year onwards. 

EBITDA 

Operating profit and profit before tax

The Group presents Operating Profit and Profit Before Tax as both 
underlying and statutory results. Underlying operating profit increased 
by 14.5% to £72.0m is EBITDA after depreciation and share-based 
payments charge. 

The depreciation charge is £11.8m (2019: £10.6m) reflecting the 
investment in land and buildings, motor vehicles and fixtures, fittings and 
equipment and the share-based payments charge of £330k (2019: £60k) 
reflecting the issuance of shares in November 2019. 

Decrease/(increase) in working capital
Cash inflows from operating activities 
before non-underlying items

Leases (IFRS 16)

Tax paid 

Interest paid

Dividends paid

Capital expenditure

Statutory operating profit of £53.4m (2019: £39.5m) is underlying 
operating profit less amortisation of £10.2m (2019: £10.2m), acquisition 
costs of £0.5 (2019: £10.3m), reflecting the costs incurred in acquiring 
the AS Group in February 2020, donations to the CareTech Foundation 
of £702k, other non-underlying costs of £3.7m largely associated with 
the integration of Cambian and share-based payments charge of £4.1m 
in relation to the 1 million shares donated to the CareTech Foundation. 

Proceeds from disposal of fixed assets

Payments for business combinations

Non-underlying cash flows 

Deferred consideration paid

Shareholder loan

New HP arrangements

Adult social care providers have had funding available via local authorities 
to help support the provision of additional resources and associated 
costs necessary to halt transmission of COVID-19. Funding of £2.6m 
has been extremely helpful in allowing the Group to take key steps to 
improve prevention and infection control in our services, and to support 
staff financially to self-isolate where this has been necessary. Additional 
costs of £3.4m have been incurred due to COVID-19 with a net cost 
to the Group of £0.8m.

Underlying financial expenses decreased to £11.5m (2019: £12.7m) 
reflecting the accelerated deleveraging and reduction in banking 
covenants. Non-underlying financial expenses of £1.6m (2019: £2.4m) 
were incurred relating to the non-cash movement in derivative 
financial instruments.

Underlying Profit Before Tax improved to £60.5m (2019: £50.2m) 
and statutory Profit Before Tax increased to £37.8m (2019: £24.3m). 

Taxation 

The effective underlying tax rate was 18.7% (2019: 18.7%) and reflects 
management’s expectations of future capital investment through 
organic developments and reconfigurations relative to available capital 
allowances and the impact of the reduction in the main rate of 
corporation tax in the year.

CareTech Holdings PLC
Annual Report and Accounts 2020
56

Movement in net debt

Opening net debt

Closing net debt* 

* 

 Net debt consists of cash and cash equivalents, bank loans, shareholder loan and 
lease and hire purchase contracts.

The Group continues to have a strong financial position with net debt 
at 30 September 2020 being £268.9m compared with £291.1m at 
30 September 2019. Operating cash conversion was strong which was 
partially offset by the cash consideration paid for the UAE acquisition 
(AS Group), development opportunities, integration costs associated 
with the Cambian acquisition and additional expenditure associated 
with COVID-19. 

Cash inflows from operating activities were offset by a net COVID-19 
related costs of £0.8m, payment to the CareTech Foundation of £0.7m, 
integration costs and restructuring costs of £3.9m and acquisition of the 
AS Group for £3.2m (net of cash acquired and including acquisition costs). 

Capital expenditure was £26.8m which includes software development 
of £2.8m. 

Dividend payments of £13.0m (2019: £10.8m) and corporation tax 
payments of £3.9m (2019: £5.9m) were paid during the year.

2020 
£m

90.9

3.3

94.2

(6.7)

(3.9)

(10.7)

(13.0)

(26.8)

1.5

(2.0)

(5.9)

(0.7)

(1.8)

(2.0)

22.2

(291.1)

268.9

2019 
£m

73.5

(7.2)

66.3

–

(5.9)

(10.9)

(10.8)

(31.5)

31.8

(160.3)

(20.4)

–

–

(2.4)

(144.1)

(147.0)

291.1

 
 
 
Bank facilities

CareTech’s three key covenant ratios are leverage (ratio of net debt 
to covenant EBITDA to be no more than 4.5), interest cover (ratio of 
covenant EBITDA to net finance costs to be no less than 4x) and LTV 
(ratio of property value to net debt to be no more than 62.5%). As at 
30 September 2020, we were operating comfortably within these ratios 
at 3.1x, 7.8x and 42% respectively. The Board believes the Group will 
achieve its target of reducing net debt/EBITDA to below 3.0x for the 
year ended 30 September 2021.

New accounting standards

IFRS 16
A new accounting standard, IFRS 16 ‘Leases’, was adopted with 
effect from 1 October 2019. The standard requires leases which were 
previously treated as operating leases to be recognised as a lease liability 
with the associated asset capitalised and treated as a right-of-use asset.

The Group elected to adopt the standard using the modified 
retrospective approach, which means that comparative results for the 
year ended 2019 are not restated. On 1 October 2019, £76.2m of leases 
were recognised as liabilities on adoption of the standard and £71.7m 
capitalised as right-of-use assets.

The financial impacts of IFRS 16 for the year ended 30 September 2020 
are set out in the table below.

2020 
(pre IFRS 16) 
£m

Impact of 
IFRS 16 
£m

IFRS 16 
(post IFRS 16) 
£m

Underlying operating profit
Net underlying finance costs

Underlying profit before tax
Right-of-use assets
Other assets
Lease liabilities
Other liabilities

Net assets

72.0
(11.5)

60.5
18.7
877.1
(19.3)
(511.5)

365.0

1.6
(2.4)

(0.8)
69.1
–
(69.4)
(0.5)

(0.8)

73.6
(13.9)

59.7
87.8
877.1
(88.7)
(512.0)

364.2

The changes in accounting resulting from the implementation of IFRS 16 
will not affect the way liquidity is assessed against the Group’s banking 
covenants, which will continue to be assessed as though the accounting 
rules had not changed. As such, headline financial leverage will continue 
to be measured on a consistent (i.e. “frozen GAAP”) basis in 2020 and the 
Group continues to target a headline financial leverage, excluding the 
increase in leverage associated with the implementation of IFRS 16, of 
below 3.0x.

Christopher Dickinson
Group Chief Financial Officer
10 December 2020

Longer-term Viability Statement

In accordance with the 2018 UK Corporate Governance Code, the 
Directors assessed the viability of the Group and have used a period 
of three years for their assessment. A three-year period is considered 
the appropriate timeframe to assess the Group’s prospects as it is 
consistent with strategic planning for the Group, management 
incentive schemes and medium-term financing considerations. 
The Board believes the Group has strong long-term prospects, being 
well-positioned to address the need for social care providers in the 
UK and emphasis the Group takes with respect to forging long-term 
relationship with local authorities and providing high quality care. 

The assessment conducted considered the Group’s revenue, EBITDA, 
operating profit, cash flows, risks management controls and loan 
covenants over the three-year period. The longer-term prospects of 
the Group are driven by its strategy and business model, as outlined 
on pages 33 to 41. These metrics were subject to downside stress 
testing over the assessment period, taking account of the Group’s 
current position, the Group’s experience of managing adverse 
conditions in the past and the impact of a number of severe yet 
plausible scenarios based on the principal risks set out in the Strategic 
Report. The downside scenarios include, but are not limited to, a 
reduction in revenue, site closures, a cyber-attack and additional costs 
associated with COVID-19. This is done to identify risks to liquidity and 
covenant compliance.

This review included the following key assumptions:
 – No change in capital structure given the Group entered into 

new banking facilities in August 2018 to mature in 2022 and 2023. 

 – The Government will not change its existing policy towards 

utilising private provision of social care services to supplement the 
local authorities offering (which we consider to be low likelihood).

 – No significant changes or implications as a result of Brexit 

(which we consider to be low potential impact on the Group). 

In respect of COVID-19, a number of mitigating business operational 
actions have been taken and we believe the demand for high quality 
social care will remain strong. 

Based on this consideration of principal risks and the forecasting 
exercise completed, the Board has a reasonable expectation that the 
Group will be able to withstand the impact of the specific scenarios 
considered over the three-year period assessed. 

CareTech Holdings PLC
Annual Report and Accounts 2020
57

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vital to achievement of the Group’s strategy. The Group has a number 
of initiatives and policies to engage its employees through training and 
development, supervision, recognition of achievement through staff 
awards, staff engagement surveys and development of a 
communication plan. The Board believe that its workforce policies, 
including its in-house training and HR systems, support the Group’s 
focus on the provision of quality services and allow for sustainable 
growth. The Board believe the effectiveness of its staff engagement 
procedures is reflected in its staff turnover levels, which are below the 
industry average and in the Group’s quality ratings, which are above 
the industry average. The Board also believe the Group’s business 
development and marketing function has established strong 
relationships with commissioners and actively strives to maintain these 
relationships. Being a socially responsible organisation with a focus on 
ethical standards aligned with commercial objectives remains a core aim. 
The Board believes that behaving responsibly and maximising the benefits 
of a strong relationship with its stakeholders is an integral part of a 
continuing process of building long-term value.

The Group’s framework of controls includes identification and 
management of any conflicts of interests. The Board follows specific 
procedures to identify potential conflicts of interest, including those in 
relation to significant shareholders. Firstly, only independent Directors 
(i.e. those that have no interest in the matter under consideration) are 
able to take relevant decisions. Secondly, in taking the decision the 
Directors must act in a way they consider, in good faith, will be most 
likely to promote the Group’s success. In addition, Directors can 
impose limits or conditions when giving authorisation if they think 
this is appropriate. It remains the Board’s intention to report annually 
on the Company’s procedures for ensuring that the Board’s power 
of authorisation in respect to conflicts is operated effectively and that 
procedures have been followed.

Board and Committee meetings

The Board meets in formal session regularly, usually once each month, 
and Directors are supplied with financial and operational information 
in good time for scrutiny in advance of these meetings. The Board holds 
other board meetings specifically for significant transactions involving 
raising money or spending money like a significant acquisition.

The Directors attended the following meetings in the year 
to 30 September 2020:

Board 
(11 meetings)

Audit 
Committee 
(3 meetings)

Remuneration 
Committee 
(5 meetings)

Care Quality 
and 
Governance 
Committee 
(3 meetings)

Farouq Sheikh
Haroon Sheikh
Christopher 
Dickinson
Karl Monaghan
Mike Adams
Jamie 
Cumming
Gareth Dufton
Professor Moira 
Livingston

*  by invitation. 

11
11

10
11
11

11
3

10

–
–

3
3
–

3
2

3

–
–

4*
4
–

5
1*

5

–
–

–
3
–

3
–

3

At every board meeting the Board covers an AIM continuing obligations 
questionnaire and declaration of connected party transactions. This sets 
the tone for corporate behaviour and helps makes governance meaningful 
and focused on improving the business and protecting shareholder value.

Farouq Sheikh
Group Executive Chairman

Introduction

This is our Corporate Governance Report, which sets out how the Board 
and its Committees operate and how we are committed to maintaining 
the highest level of corporate governance. The Board firmly believes that 
an effective corporate governance framework is essential to underpin 
the success of the business, supporting management while ensuring 
an appropriate level of challenge and exercising proper oversight while 
facilitating decision making.

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The Board is focused on taking steps to enhance standards of 
governance and disclosure towards the levels required for Premium 
Listed companies, should the Board ultimately decide to take that step. 
Last year we welcomed the changes to corporate governance in the 
new UK Corporate Governance Code.

The Board remains committed to achieving the highest standards of 
integrity, ethics, professionalism and business practice throughout Group 
operations. Therefore, the Group has aligned its governance with best 
practice and is adopting the provisions of the UK Corporate Governance 
Code 2018 on a comply or explain basis. The Code and associated 
guidance is available on the Financial Reporting Council website at 
www.frc.org.uk. We have noted the Code provisions below where the 
Group does not comply with the Corporate Governance Code in full. 

1. Principles A-E: 
Board Leadership and Company Purpose

The Board has delivered sustainable and reliable growth since its 
admission to trading on AIM. CareTech has aimed to be a defensible 
stock even in difficult times and has adopted a progressive dividend 
policy. The Group has also had direct involvement in a variety of 
community-based programmes further improving our corporate and 
services reputation and helping to foster strengthened relationships 
with commissioners.

CareTech’s key strategic priorities include a continual focus on improving 
the quality and scope of our Care Pathway, increasing market share and 
growing shareholder value. The Board recognises that key to achieving 
its strategy is the attraction and retention of talented and committed 
staff at every level of the Group and the Board has put in place policies 
and procedures to achieve this. The Board ensures that the Group is 
appropriately funded to deliver its strategy. The Board appreciates that 
effective communication and engagement with the Group’s 
shareholders and the investment community as a whole is a key 
objective. The views of both institutional and private shareholders are 
important. The Group Executive Chairman has overall responsibility for 
ensuring this communication is effectively conveyed, and for making the 
Board fully aware of key shareholders’ views, comments and opinions. 
Contact with investors throughout the year is a priority and the Board 
strives to look after their interests. General presentations to major 
shareholders following the publication of the Group’s annual and interim 
results are conducted by the Group Executive Chairman and the Group 
Chief Financial Officer, as are regular meetings through the year with 
fund managers and investment analysts.

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Effective communication with employees and commissioners is also 

CareTech Holdings PLC
Annual Report and Accounts 2020
58

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Governance structure

The Board

The Board focuses primarily upon strategic and policy issues and is responsible for:
 – Leadership of the Group.
 – Implementing and monitoring effective controls to assess and manage risk.
 – Supporting the Group Executive Team to formulate and execute the Group’s strategy.
 – Monitoring the performance of the Group.
 – Setting the Group’s values and standards.

The Board delegates certain matters to its four principal committees: 

Care Quality  
and Governance 
Committee

Nominations  
Committee 

Audit  
Committee 

Remuneration  
Committee 

 – Moira Livingston (Chair)
 – Karl Monaghan
 – Jamie Cumming

 – Karl Monaghan (Chair)
 – Moira Livingston
 – Jamie Cumming

 – Karl Monaghan (Chair)
 – Moira Livingston
 – Jamie Cumming

 – Jamie Cumming (Chair)
 – Moira Livingston
 – Karl Monaghan

Promotes a culture of high 
quality and the safe care 
of service users. Responsible 
for monitoring specific 
non-financial risks and their 
associated processes, policies 
and controls. 

Responsible for ensuring our 
Board and its Committees 
have the right balance of skills, 
knowledge and experience 
and ensuring adequate 
succession plans are in place.

Responsible for reviewing and 
reporting to the Board on the 
Group’s financial reporting, 
maintaining an appropriate 
relationship with the Group’s 
auditor and monitoring the 
internal control systems.

The role of the Remuneration 
Committee includes details 
of Directors’ remuneration, 
shareholdings and share 
options scheme information. 
A key Group strategy is to 
attract and retain talented 
and committed staff at every 
level of the business and the 
Remuneration Committee 
aims to foster remuneration 
philosophy, policies and 
procedures to achieve this.

Group Executive Team

The Board delegates the execution of the strategy and the 
day-to-day management of the Group to the Group Executive 
Team, which operates under the direction and authority of the 
Group CEO. The team generally meet once a month. 

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Board of Directors

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Farouq Sheikh OBE 
Group Executive Chairman 
Aged 62

Haroon Sheikh BSc
Group Chief Executive Officer 
Aged 64

Christopher Dickinson
Chief Financial Officer 
Aged 42

Mike Adams OBE
Executive Director
Aged 49

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Chris has spent the past year as 
Chief Financial Officer of Cambian 
and prior to joining CareTech was 
a Managing Director at Jefferies 
where he acted for the Group on 
its acquisition of Cambian. Prior 
to Jefferies, Chris spent 14 years 
at J.P. Morgan advising on many 
significant M&A transactions and 
debt and equity raises. Chris is a 
chartered accountant, having 
been admitted as a member of the 
ICAEW in 2004 and as a Fellow in 
2014, and has a degree in Computer 
and Management Science from 
the University of Warwick.

Mike has a significant track record 
in the social care, health and 
disability sectors. He is CEO of 
Purple Zest Limited, a Group 
disability business, and an 
Executive Director of CareTech. 
In previous roles he was Director 
of the National Disability Team, 
responsible for policy and practice 
for disabled students in higher 
education; Director of Operations 
for the Disability Rights 
Commission for two years; and 
Chief Executive Officer of ecdp, 
an Essex-based user-led disability 
organisation. Mike spent nine 
months as acting Chair of a large 
acute hospital trust in Essex and 
has previously chaired an expert 
panel on Access to Work, the 
Government’s flagship disability 
employment programme. Mike 
has been awarded an Honorary 
Doctor of Education for disability 
leadership from Anglia Ruskin 
University.

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Mike was honoured with an OBE 
in 2012 for his services to disability 
and became a Trustee of the 
CareTech Charitable Foundation 
in 2017.

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Farouq has been a key architect 
in CareTech’s growth, having 
co-founded the Group and has 
been involved in the vision and 
strategy from the outset in 1993. 
With a background in law and a 
good understanding of finance 
and commerce, Farouq has been 
instrumental in securing debt and 
equity funding for the Group as 
well as leading the management 
team in winning a number of 
long-term contracts from local 
authorities and health 
commissioners.

Farouq is a leading business 
entrepreneur, philanthropist and 
investor and has initiated and 
overseen the successful equity 
investments and the subsequent 
exits for 3i Group PLC (in 1996 and 
2002) and Barclays Private Equity 
(in 2002 and 2005). His intimate 
knowledge of the social care 
sector and his commercial and 
negotiating expertise have guided 
the Group’s growth.

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Farouq was honoured with 
an OBE in 2020 for his services 
to social care, and has been 
presented with a number of 
Entrepreneur of the Year awards 
by prestigious organisations 
including LaingBuisson, Coutts 
Bank and Ernst & Young. He also 
presents widely at healthcare 
conferences, raising awareness 
of the specialist social care sector.

As Patron and Enterprise Fellow 
of the Prince’s Trust and a member 
of the Mosaic National Advisory 
Board, Farouq supports young 
people by passing on his 
experience to inspire the next 
generation of entrepreneurs. 
He is a Founder Trustee of the 
CareTech Charitable Foundation 
formed in 2017.

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CareTech Holdings PLC
Annual Report and Accounts 2020
60

Haroon is amongst the most 
experienced CEOs in the health 
and social care sector and one 
of the UK’s leading entrepreneurs 
and philanthropists. Along with his 
brother Farouq, he co-founded 
CareTech. As Group CEO he 
actively leads the day-to-day 
running of the Group and its 
international expansion, and has 
been instrumental in assembling 
a highly talented leadership team 
to support the continued growth 
of the business. Haroon brings 
commercial acumen, related 
industry experience and property 
knowledge. He has a deep 
commitment and passion for 
delivering high quality care 
and support to people with 
complex needs. 

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Haroon is Patron and Enterprise 
Fellow of the Prince’s Trust and 
is member of the UK Advisory 
Council of the British Asian Trust 
under the patronage of HRH 
The Prince of Wales. He is also 
a member of the Court of the 
University of Hertfordshire.

In 2008, Haroon and Farouq 
were winners of the highly valued 
Coutts Family Business Prize and 
widely applauded for the quality 
and social integrity of the business 
they created. In 2009 they were 
both finalists in the Ernst & Young 
Entrepreneur of the Year Awards 
and in 2016 they received the 
Outstanding Contribution Award 
at the LaingBuisson Annual 
Healthcare Awards. In 2019 
Haroon and Farouq were winners 
of the “Asian Business of the Year”.

Haroon, a graduate of the 
University of London, is a Founder 
Trustee of the CareTech Charitable 
Foundation formed in 2017, and is 
Chairman of the Trustees, working 
closely with the Foundation’s CEO 
and independent Trustees.

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Jamie Cumming
Non-Executive Director 
Aged 70

Karl Monaghan
Non-Executive Director 
Aged 58

Professor Moira Livingston
Non-Executive Director 
Aged 58

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Jamie joined the Board as a 
Non-Executive Director in 2013. 
Following a long career in 
corporate advisory and broking in 
the City, including acting as Chief 
Executive Officer of N+1Brewin 
LLP, and latterly as Senior Adviser 
to Cantor Fitzgerald Europe, 
Jamie has significant experience 
in working with small and 
mid-sized UK companies. Jamie 
currently utilises his commercial 
experience in supporting growth 
companies in non-executive 
roles, is an associate of Ruffena 
Capital and has qualified as a 
fellow of the Chartered Institute 
of Securities & Investment. 

After graduating from University 
College Dublin with a Bachelor of 
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Commerce Degree, Karl trained as 
a chartered accountant with KPMG 
in Dublin. He has worked in the 
corporate finance departments at 
a number of merchant banks and 
stockbrokers, latterly at Crédit 
Lyonnais Securities for seven years 
and Robert W. Baird for two years 
until June 2002. Karl set up 
Ashling Capital LLP in December 
2002 to provide consultancy 
services to quoted and private 
companies. He sits on a number 
of AIM quoted and private 
company boards.

Moira has been involved in health 
and social care for 35 years. Moira 
spent many years working initially 
as a Doctor in the field of 
older-age psychiatry and latterly 
as a senior clinical leader and 
manager in the NHS.

Moira has held a number of 
Director level leadership roles in 
the healthcare sector. Moira has 
led national programmes for the 
Department of Health and was a 
specialist advisor with the CQC. 
Currently, Moira is the Managing 
Director of the healthcare 
consultancy, Dr Livingston Limited. 
Moira is also a Non-Executive 
Director at Leeds Teaching 
Hospitals NHS Trust, where she is 
a member of the Audit Committee 
and chairs the Quality Assurance 
Committee.

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61

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continued

Matters reserved for the Board

The Board delegates certain of its responsibilities to Board committees, 
individual Directors or executive management where appropriate. 
However, there are certain matters that are considered to be so 
important to the long-term success of the Group that they are reserved 
to the Board for specific consideration and decision including:
 – Financial reporting and controls including statutory matters such 

as the approval of final and interim financial statements and dividend 
declarations.

 – Board membership and other senior, key personnel, appointments.
 – Review of corporate governance arrangements.
 – Group strategy matters including the approval of annual budgets, 

acquisitions and disposals.

 – Review of the processes for monitoring and evaluating risk and the 

effectiveness of the Group’s system of internal control and operational 
efficiency.

 – Review and supervision of treasury and financial policies.
 – Shareholder communications.

How do we manage our internal controls and risks?

The Board is ultimately responsible for the Group’s system of internal 
controls and for reviewing its effectiveness. The role of management is 
to implement Board policies on risk and control. The system of internal 
controls is designed to manage rather than eliminate the risk of failure 
of the achievement of business objectives. In pursuing these objectives, 
internal controls can only provide reasonable and not absolute assurance 
against material misstatement or loss.

The recent challenging business climate has resulted in a sustained focus 
on the approach to risk. The Directors consider robust risk management 
to be crucial to the Group’s success and give a high priority to ensuring 
that adequate systems are in place to evaluate and limit risk exposure. 
They have overseen the further development of processes and 
procedures for identifying, analysing and managing the significant risks 
faced by the Group. During the year the Board undertook an in-depth 
assessment of the emerging and principal risks facing the Group and 
specifically those that might threaten the delivery of its strategic business 
model. These risks have been discussed in the Strategic Report on 
page 51 to 52. Processes have been implemented during the year under 
review and up to the date of approval of this Annual Report and Financial 
Statements. The processes and procedures are regularly reviewed by 
the Board.

A process of control and hierarchical reporting provides for a 
documented and auditable trail of accountability. These procedures 
are relevant across all Group operations and they provide for successive 
assurances to be given at increasingly higher levels of management and, 
finally, to the Board.

How do we deal with conflicts of interest?

Following amendments to the Company’s Articles of Association in 
2008 to reflect certain provisions of the Companies Act 2006 relating to 
conflicts of interest that came into force on 1 October 2008, the Board 
will follow a specific procedure when deciding whether to authorise 
a conflict or potential conflict of interest. Firstly, only independent 
Directors (i.e. those that have no interest in the matter under 
consideration) will be able to take the relevant decision. Secondly, 
in taking the decision the Directors must act in a way they consider, 
in good faith, will be most likely to promote the Group’s success. In 
addition, the Directors will be able to impose limits or conditions when 
giving authorisation if they think this is appropriate. It remains the Board’s 
intention to report annually on the Group’s procedures for ensuring that 
the Board’s power of authorisation in respect of conflicts is operated 
effectively and that procedures have been followed.

Shareholder engagement

Through presentations and regular meetings between the executive 
Directors, analysts and institutional shareholders, including those 
following the announcements of the Group’s annual and interim results, 
the Board seeks to understand the objectives of our shareholders. 

CareTech Holdings PLC
Annual Report and Accounts 2020
62

Copies of the Annual Report and Financial Statements are issued to 
all shareholders where requested and copies available on the Group’s 
website (www.caretech-uk.com). The Group also uses its website to 
provide information to shareholders and other interest parties. The 
Company Secretary deals with correspondence as and when it arises 
throughout the year.

Further details on the Group’s engagement with shareholders is contained 
in the s172 statement on page 50. 

Workforce policies and practices

Our reputation for acting responsibly plays a critical role in the Group’s 
success as a business and our ability to generate value for shareholders. 
We maintain high ethical conduct that is reflected in policies that are 
embedded across the Group including the Modern Slavery Act, and 
anti-bribery and corruption policy.

Modern Slavery Act 2015
The Modern Slavery Act 2015 came into force in October 2015 
consolidating legislation surrounding modern slavery and human 
trafficking. We have a zero tolerance approach towards modern slavery 
or human trafficking across all areas of our business including in our 
supply chain and are committed to acting ethically and with integrity 
throughout all of our dealings. 

We aim to work in partnerships with all of our contractors, suppliers 
and other business partners to ensure that they share and work towards 
the same values we hold against slavery and human trafficking. 

A full version of our Anti-Slavery and Trafficking Statement can be found 
on our website. 

Anti-bribery and corruption
The Group maintains a policy for anti-bribery and corruption and has 
a zero tolerance towards such activities; and requires compliance with 
the laws of the UK, including the Bribery Act 2010 in respect of Group 
conduct both in the UK and overseas. 

Internally we operate a suite of policies that are embedded into our 
culture and help govern our activities. Examples of these include:
 – Code of Conduct Policy, which sets out the behaviours we expect 

of our staff when acting for the Group.

 – Recruitment Policy, all of UK employees are recruited after a robust 

recruitment process in line with UK employment laws and are required 
to undertake appropriate Disclosure and Barring Service checks.

 – Whistleblowing Policy, we want staff to feel confident and 
empowered to raise any issues or concerns and have a 
whistleblowing policy in place. Our whistleblowing policy helpline 
is managed by a third-party provider, enabling staff to raise concerns 
about issues of safety or wrongdoing, anonymously if necessary. 
All such concerns received through the helpline are sent to the Head 
of Compliance for review, and to ensure that they are appropriately 
investigated and concluded. The Board is provided with updates on 
material whistleblowing events as they are reported from time to time 
to the Executive Leadership Team.

We also continue to regularly monitor the risks we face. All risks are 
reviewed by either our Audit Committee or our Care Quality and 
Governance Committee.

General Data Protection Regulations (GDPR)
We take our responsibilities as a data controller/ processor very seriously 
and are committed to operating within the boundaries of any necessary 
data security regulations to include the Data Protection Act. We are 
conversant with the requirements of both the GDPR and the Data 
Protection Bill and are constantly updating our Information 
Governance practices. 

 
2. Principles: F-I: 
Division of responsibilities

Ultimate responsibility for the management of the Group rests with the 
Board of Directors. Details of the Board are set out on pages 60 to 61.
The Board focuses primarily upon strategic and policy issues and is 
responsible for:
 – Leadership of the Group.
 – Implementing and monitoring effective controls to assess and 

manage risk.

 – Supporting the senior leadership team to formulate and execute 

the Group’s strategy.

 – Monitoring the performance of the Group.
 – Setting the Groups’ values and standards.

The Board consists of three independent Non-Executive Directors 
and four Executive Directors. The Board does not currently comply 
with provision 2.11 of the UK Corporate Governance Code and this is 
under review. To address the balance of independent directors, a new 
Non-Executive Director will be appointed in the 2020/21 financial year. 

Business review meetings are held monthly with attendance of Executive 
Directors at these meetings. These meetings provide the Executive 
Directors with a comprehensive understanding of the current 
performance of, and the key issues affecting, the Group’s operations. 
The Board also visits sites and has continued to do this virtually during 
COVID-19. 

Detailed briefing papers containing financial and operational summaries 
and an agenda are provided to the Directors in advance of each Board, 
Committee or business review meeting. The Directors are able to seek 
further clarification and information on any matter from any other 
Director, the Company Secretary or any other employee of the Group 
whenever necessary.

The Company Secretary is responsible for advising and supporting 
the Group Executive Chairman and the Board on corporate governance 
matters as well as assisting the Group Executive Chairman in ensuring 
a smooth flow of information to enable effective decision-making. 
All Directors have access to the advice and services of the Company 
Secretary and, through him, have access to independent professional 
advice in respect of their duties, at the Group’s expense. The Company 
Secretary, supported by the Group company secretariat, acts as secretary 
to the Board, the Audit Committee and the Remuneration Committee.

The Group provides its Directors and officers with the benefit of appropriate 
insurance, which is renewed annually.

The roles and responsibilities of certain members of the Board and 
Company Secretary are explained and their respective responsibilities 
summarised below.

Group Executive Chairman

As Group Executive Chairman, Farouq Sheikh leads the Board and is 
responsible for its effective running. The Group Chief Executive Officer 
is Haroon Sheikh. The Directors’ biographies appear on pages 60 to 61 
and detail their experience and suitability for leading and managing 
the Group.

Farouq Sheikh as Group Executive Chairman leads the Company’s 
strategic development and takes a special responsibility in respect 
of acquisitions and investor relations.

Farouq Sheikh is responsible for:
 – The effective running of the Board.
 – Promoting high standards of Corporate Governance.
 – Ensuring Board agendas take full account of relevant issues 

and Board members’ concerns.

 – Ensuring the Directors receive accurate and timely information.

Farouq Sheikh is the co-founder of the Group and is integral to its success 
and growth. Whilst the Group Executive Chairman is not independent 
and therefore currently does not comply with provision 2.9, the Board 
believe Farouq Sheikh, as co-founder, provides effective leadership in 
directing the Group and facilitates a culture of openness and debate.

Group Chief Executive Officer

Haroon Sheikh is the Group CEO and accountable to the Board for the 
day-to-day running of the Group and management of the strategic plan.

Haroon Sheikh is responsible for the following:
 – Executive leadership of the Group’s business on a day-to-day basis.
 – Developing the overall commercial objectives, and proposing and 
developing the strategy in conjunction with the Board as a whole.
 – Responsibility, together with the senior management team, for the 
execution of the strategy and implementation of Board decisions.

 – Recommendations on senior appointments and development 

of the management team.

 – Ensuring that the affairs of the Group are conducted with the highest 

standards of integrity, probity and corporate governance.

Group Chief Financial Officer

Christopher Dickinson was appointed Chief Financial Officer 
on 13 January 2020. Christopher is accountable to the Board for 
all financial matters and responsible for:
 – Preparation and integrity of financial information.
 – Operating effective systems of risk management and control.
 – Developing and implementing the financial strategy and policies.

Executive Director

Mike Adams, Executive Director, is a champion of disability and the 
needs of disabled people adding to the Board a wealth of knowledge 
around the sector with responsibility for policy and practice. In addition, 
Mike is CEO of Purple Zest Limited, a disability business wholly owned 
by the Group, which supports both disabled people and businesses.

Non-Executive Directors

Collectively, the Non-Executive Directors bring a valuable range of 
expertise and experience in assisting the Group to achieve its strategic 
aims and provide constructive challenge and strategic guidance. In the 
furtherance of their duties, all Directors are able to take independent 
professional advice at the expense of the Group and those newly-
appointed are made aware of their responsibilities by the Company 
Secretary. The Board approves the appointment and removal of the 
Company Secretary.

The Non-Executive Directors comprise Jamie Cumming, Karl Monaghan 
and Professor Moira Livingston and are considered to be independent. 
Although Karl Monaghan has served on the Board for more than nine 
years, the Board is satisfied that there are no matters which affect 
the independence of his judgement and as such that Karl continues 
to act independently.

The Non-Executive Directors are responsible for:
 – Constructively challenging the Executive Directors and supporting 

the Group to develop its strategy.

 – Satisfying themselves as to the integrity of the financial information 

and that there are effective systems of risk management and 
financial control.

 – Chairing and/ or serving on relevant Committees.

Senior Independent Non-Executive Director

 – Acting as a sounding board for the Group Executive Chairman.
 – Available to shareholders if they have concerns which cannot 
be resolved through the Group Executive Chairman or other 
executive management.

 – Acting as an intermediary for the Directors where necessary.

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63

Strategic ReportGovernanceFinancial Statements4. Provisions M-O: 
Audit, Risk and Internal Control

The Board has established an Audit Committee comprising Karl 
Monaghan (Chairman), Professor Moira Livingston and Jamie Cumming. 
The Group Chief Financial Officer and representatives of the external 
auditor attend meetings by invitation as required.

The Committee meets at least twice each year and receives reports 
from the Group’s management and external auditor relating to the 
annual and interim accounts and the accounting and internal control 
systems throughout the Group. The Committee has direct and 
unrestricted access to the external auditor and reviews all services being 
provided by them to evaluate their independence and objectivity, taking 
into consideration relevant professional and regulatory requirements in 
order to ensure that said independence and objectivity are not impaired 
by the provision of permissible, non-audit services. The Committee has 
carefully considered the level of non-audit services and has concluded 
that this does not impact on the independence of the auditors.

The Board, as advised by the Audit Committee, is ultimately responsible 
for the Group’s system of internal controls and for reviewing its 
effectiveness. The role of management is to implement Board policies 
on risk and control. The system of internal controls is designed to 
manage rather than eliminate the risk of failure of the achievement of 
business objectives. In pursuing these objectives, internal controls can 
only provide reasonable and not an absolute assurance against material 
misstatement or loss.

The Directors consider robust risk management to be crucial to 
the Group’s success and give a high priority to ensuring that adequate 
systems are in place to evaluate and limit risk exposure. They have 
overseen the further development of processes and procedures for 
identifying, analysing and managing the significant risks faced by the 
Group. Risks facing the Group are described on pages 51 to 52 in this 
report. These processes have been implemented during the year under 
review and up to the date of approval of this Annual Report and Financial 
Statements. The processes and procedures are regularly reviewed by the 
Board and the Audit Committee.

A process of control and hierarchical reporting provides for a 
documented and auditable trail of accountability. These procedures 
are relevant across all Group operations: they provide for successive 
assurances to be given at increasingly higher levels of management 
and, finally, to the Board.

The new General Data Protection Regulations have changed how 
the Group manages, protects and administers data. A team of Senior 
Managers are responsible for how data flows in and out, and where 
it is stored throughout the Group.

Corporate Governance Report
continued

Corporate governance framework and terms of reference 

The Board has an overarching corporate governance framework to 
ensure continued alignment of the Board and Committee members’ 
roles and division of responsibilities. Each member of the Board is 
provided with a copy of the Company’s corporate governance 
framework, which they review, discuss and update regularly. Each of the 
Committees have their own written terms of reference. The Company 
Secretary supports the Committees in updating these terms of reference 
in order to comply with the Code and other good corporate practice. 

3. Principles: J-L: 
Composition, Succession and Evaluation

Matters are delegated to Board Committees, individual Directors or 
executive management where appropriate. To date, given the stage of 
the Group’s development, it has been felt the functions of a Nominations 
Committee can be adequately fulfilled by deliberation of the full Board; 
this will nevertheless be kept under review (non-compliant with 3.17 and 
3.23 of the Corporate Governance Code 2018). When the need for 
additional Non-Executive Directors are identified, the Board appoints 
advisers to nominate experienced relevant and appropriate candidates. 
Currently Board members meet the candidates and come to a collective 
view on appointments.

Currently all Directors are required to submit themselves for re-election 
at least every three years (non-compliant with 3.18 of the Corporate 
Governance Code 2018) and new Directors are subject to election 
by shareholders at the first opportunity following their appointment.

Whilst the performance of each the Directors is kept under review, no 
formal evaluation is currently conducted by the Group. The Board does 
not believe the requirement is commensurate with the size and nature 
of the business but is aware that this does not comply with the Code 
provision 3.21-3.22 and will therefore keep under review.

CareTech is committed to developing a working environment and 
culture that promotes fairness and inclusivity. We initiated an Equality, 
Diversity & Inclusion Programme during the year which will shape our 
strategy and embed this into everything we do. Our priorities for 2020/21 
are to conduct an internal audit of our practice to establish where we 
can improve. During the course of 2020/21, we are looking to work 
with senior leaders to provide training, development, workshops and 
coaching to help increase their understanding of the importance 
of this work to the Group. 

The Board maintains regular focus on succession planning for both 
Board and senior leadership roles. During the year, the Board has 
considered the desired skills, personal attributes and experience that 
would be of benefit to the Board in future Non-Executive Directors 
and during 2021 we plan to appoint an additional independent 
Non-Executive Director. During the year, Christopher Dickinson joined 
the Board as Group Chief Financial Officer along with some senior 
appointments which reinforces our commitment to build a strong Group 
executive team. A number of members of the Executive Committee have 
attended a number of Board meetings at which they have presented 
their respected strategies. We will continue to review out succession 
planning strategy to ensure the Board composition and that of the Group 
executive team reflects and aligns with the needs of the business. 

CareTech Holdings PLC
Annual Report and Accounts 2020
64

The processes used by the Board to review the effectiveness of the 
system of internal controls include the following:
 – Annual budgets are prepared for each operating business. Monthly 

management reporting focuses on actual performance against these 
budgets for each operating business.

 – Management reports and external audit reports on the system of 

internal controls and any material control weaknesses that are identified.

 – The whistleblowing helpline is managed by a third-party provider, 

enabling staff to raise concerns they may have about issues of safety 
or wrongdoing, anonymously if necessary. All such concerns received 
through the helpline are sent to the Head of Compliance for review, 
and to ensure that they are appropriate investigated and concluded.
 – Discussions with management including those on the actions taken 
on problem areas identified by the Board members or in the external 
audit reports.

 – Policies and procedures for such matters as delegation of authorities, 
capital expenditure and treasury management as well as regular updates.
 – Review of the adequacy of the level of experienced and professional 

staff throughout the Group and the expertise of individual staff 
members so that they are capable of carrying out their individual 
delegated responsibilities.

 – Review of the external audit work plans.
 – The Audit Committee receive the audit report and discusses the impact 

in the meetings of the Board.

 – Reports from management on significant matters are reviewed 

and challenged, and the impact on the financial statements and the 
statutory audit are considered. In the year, these relate to the adoption 
of IFRS 16 ‘Leases’, going concern and viability statement, impairment 
of assets and control assessment.

The Group continues to review its system of internal controls to ensure 
compliance with best practice and Code guidance, whilst also having 
regard to our size and the resources available. The external auditor obtained 
an understanding of our internal controls for the purposes of forming 
their audit opinion as set out on pages 79 to 85. No significant deficiencies 
in our internal controls were reported by our external auditor in the course 
of their external audit. The Committee, taking into account the current 
nature of the operations and the experience and skill of the management 
team, believes that management is able to discharge their duties in the 
management of the Group without the need for an internal audit function. 
This matter will continue to be actively reviewed by the Committee. 

The Group has in place a whistleblowing policy which sets out the 
formal process by which an employee of the Group may, in confidence, 
raise concerns about possible improprieties in financial reporting or 
other matters. Any material whistleblowing matters in relation to financial 
reporting are on the Committee’s agenda. During the year, there were 
no major incidents for consideration. 

The Group operates in a highly competitive environment. For the Group 
to continue to compete successfully, it is essential that the level of 
remuneration and benefits offered achieve the objectives of attracting, 
retaining, motivating and rewarding the necessary high calibre of 
individuals at all levels across the Group. In 2020, AON Hewitt were 
commissioned to prepare a benchmarking report which has been 
used to provide a useful analysis of the market for each element of pay. 
The Group therefore sets out to provide competitive remuneration to 
all its employees, appropriate to the business environment in the market 
in which it operates. To achieve this, the remuneration package is based 
upon the following principles – total rewards should be set to provide a 
fair and attractive remuneration package – appropriate elements of the 
remuneration package should be designed to reinforce the link between 
performance and reward; and Executive Directors’ incentives should be 
aligned with the interests of shareholders. The remuneration strategy 
is designed to be in line with the Group’s fundamental values of fairness, 
competitiveness and to support the Group’s corporate strategy. A 
cohesive reward structure consistently applied, and with links to corporate 
performance, is seen as critical in ensuring attainment of the Group’s 
strategic goals.

The Group therefore sets out to provide competitive remuneration to 
all its employees, appropriate to the business environment in the market 
in which it operates. To achieve this, the remuneration package is based 
upon the following principles:
 – Total rewards should be set to provide a fair and attractive 

remuneration package.

 – Appropriate elements of the remuneration package should be 

designed to reinforce the link between performance and reward.
 – Executive Directors’ incentives should be aligned with the interests 

of shareholders.

The Remuneration Committee’s principal duties are to review the scale 
and structure of the remuneration and service contracts for Executive 
Directors and Senior Management, and it also administers the 
Company’s share option schemes. The Committee takes into 
consideration environmental, social and governance (ESG) issues in 
relation to corporate performance, when setting the remuneration of 
Executive Directors and takes steps to ensure that the incentive structure 
for Senior Management does not raise ESG risks by inadvertently 
motivating irresponsible behaviour. The remuneration for Non-Executive 
Directors is set by the full Board on the recommendation of the 
Executive Directors. In line with the UK Corporate Governance Code, 
remuneration for Non-Executive Directors does not include share 
options or other performance-related elements. 

Pensions for Executive Directors are based on their basic salary but pension 
contribution rates are not aligned with those available to the workforce.

5. Provisions P-R: 
Remuneration

The composition and role of the Remuneration Committee is set out 
in the Remuneration Report on pages 72 to 77. Also detailed in that 
report are Directors’ remuneration, shareholdings and share options 
scheme information. 

The composition and role of the Remuneration Committee includes 
details of Directors’ remuneration, shareholdings and share options 
scheme information. A key Group strategy is to attract and retain 
talented and committed staff at every level of the organisation and 
the Remuneration Committee aims to foster remuneration philosophy, 
policies and procedures to achieve this.

By order of the Board

Farouq Sheikh
Group Executive Chairman
10 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
65

Strategic ReportGovernanceFinancial Statements 
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Care Quality and Governance Report 

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Each registered site is inspected and given a rating. The highest ratings 
are “Outstanding”, “Good” or equivalent.

We continue to work closely with our regulators and commissioners 
across England, Scotland and Wales. In addition to localised links with 
inspectors, we have held meetings with senior leaders from our two main 
regulators – CQC and Ofsted, to review the performance of our portfolio. 
In addition, during 2020 we have shared and discussed our approach 
to managing COVID-19. As a consequence of the varying restrictions 
imposed during the pandemic our regulators adapted their inspection 
framework from March 2020. At all times since March we have worked 
closely with regulators, local and national government to ensure we 
maintain safe and effective care and follow infection control guidance.

Our Adults Services and a small number of our Children’s Services 
residential and college portfolio are regulated by the CQC who assess 
the services against approved essential standards of quality and safety. 
The regulators test and publicly record whether services are compliant 
or non-compliant against those standards.

Adults Services in Wales are regulated under different national legislation 
and are not currently rated on any form of scale, though all are compliant.

The Foster Care services in England are regulated by Ofsted and 100% 
services are rated Good.

In Wales the services are regulated by the Care Inspectorate Wales (CIW) 
and are not currently rated on any form of scale. 

The Care Inspectorate of Scotland who regulate both Adults and 
Children’s Services have the majority of the Group’s rated residential 
services as Excellent or Very Good for both the established services 
and the acquired services in Scotland.

CQC

Professor Moira Livington
Chair of the Care Quality and Governance Committee

Quality is defined by the level of service we deliver and 
the outcomes we achieve for children, young people 
and adults and the Group as a whole. 

Ambition

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We remain committed to becoming the highest quality provider of 
care, education and therapeutic support across the Group. We provide 
services to over 4,900 adults and children across 550 locations. We work 
with the majority of commissioners in England, Scotland and Wales and 
employ approximately 10,000 people. For us, quality is defined by the 
level of service we deliver and the outcomes we achieve for children, 
young people and adults and the Group as a whole. 

Our mission is to provide every service user with extraordinary days, 
every day.

Quality framework

Quality is assured through a “three-line of defence” framework.

We have 162 CQC-registered services, of which 155 have been graded. 
The statistics below show that we continue to operate well-above the 
national averages for the adult social care sector. 

1st line – Our operational team
Each part of the Group has a clear operating model. Our Chief Operating 
Officer line manages a number of Managing Directors who each hold 
accountability and responsibility for the day-to-day performance of 
their portfolio of services. Each Managing Director leads a team of site 
managers, regional managers and operations directors. Our approach 
is to embed quality throughout the Group’s operations and employ 
well-qualified and skilled professionals who operate within a 
quality framework.

2nd line – Quality monitoring and independent visiting
Our quality improvement team oversee our policies and procedures, 
performance KPIs, improvement programme, data analysis and our 
independent visiting contract (delivered through the National Youth 
Advocacy Service (NYAS).

3rd line – Compliance and regulation
Our experienced internal compliance and regulation team operates 
across all divisions, reporting to our Group Executive Director – 
Compliance. The team undertakes a programme of regular service 
inspections and thematic reviews, assessing against an internal quality 
assurance framework.

These three lines of defence form our quality framework which aims 
to ensure the Group operates to the highest professional standards. 

Strategic oversight of the quality of our services is provided by our 
independent Care Quality and Governance Committee. The Committee 
has oversight of all aspects of care, safety and service-user well-being.

Regulatory data and performance  
(at year-end: 30 September 2020)

Whilst the majority of our Group’s 500+ services are located in England 
we also have a strong presence within Scotland and Wales. As such 
we operate under a number of different regulators. 

We have made progress on these ratings whereby in 2018 86% of 
CQC-registered services were rated as Good or Outstanding, in 2019 it 
was 95% and in 2020 it is 91%. In each of these years we have operated 
well above national averages for the adult care sector. 

Ofsted

The majority of our Children’s Services are regulated by Ofsted in 
England and these services are rated as Outstanding, Good, Requires 
Improvement or Inadequate.

We have 233 Ofsted registered services. We have maintained our 
Group’s blended (2019: 82%) position of 82% Good or Outstanding 
(30 September 2020).

Quality governance and strategy

The Care Quality and Governance Committee is chaired by Professor 
Moira Livingston and the other members of the Board Committee are 
Karl Monaghan and Jamie Cumming plus John Ivers, Chief Operating 
Officer and Amanda Sherlock, Group Executive Director – Compliance.

The purpose of the Committee is to lead the development of the 
Group’s quality strategy and be responsible for the strategic oversight 
and assurance of care standards across the Group. In particular, to hold 
the Executive to account for the governance, risk and assurance process 
in place to identify, mitigate and manage risk and to maintain and 
improve the quality and safety of Group services.

During 2020 it has met four times to provide oversight and assurance 
on the quality strategy, quality standards, safety and compliance of the 
Group on behalf of the Board. In addition to standard business, as with 
previous years the Committee has invited operational directors to attend 
and present on topics ranging from restraint reduction strategy, data 
protection and GDPR, and clinical governance strategy.

CareTech Holdings PLC
Annual Report and Accounts 2020
66

Our commitment to improving quality

Building upon the integration of Cambian, and a successful 2019, in January 2020 the Care Quality and Governance Committee endorsed a 
programme for further improving operational quality over the coming three years. This programme, consisting of seven workstreams (as set out 
below), is designed to consolidate operational policy and practice, improve quality inspection ratings and evidence strong and improving outcomes 
for children, young people and adults. Implementation began in early 2020. For each workstream we provide below the objectives, key achievements 
during 2020 and what we plan to deliver in the coming year.

Workstream 1: Child, young person and adult-centred outcomes

Our objectives:
 – To improve our ability to measure and 
demonstrate both quantitative and 
qualitative improvements in outcomes 
for all service users. 

 – Expand our therapeutic framework (STEP) 
across more children’s services, enabling 
us to better meet the needs of all service 
users at each stage of their journey with us. 

What have we achieved in 2020?
 – Trialled and evaluated a number of outcome 
frameworks within different services and 
have now selected “Child and Adolescent 
Needs and Strengths” (CANS) as our 
outcome framework of choice for Children’s 
Services. 

Looking ahead to 2021
 – Expand the roll-out of our outcome-
framework, and select appropriate 
frameworks for Adults’ Services.

 – Expand the use of Mind of My Own (Voice 

of the Child application).

 – STEP will be rolled out to our Specialist 

 – Conducted a survey of our children and 

Services (mental health portfolio). 

young people to assess their views on how 
well supported they felt during the 
COVID-19.

 – Introduced the STEP therapeutic framework 

into parts of our Children’s Services.

Workstream 2: Improving quality standards, policies and procedures

Our objectives:
 – Define our own quality standards, which 
enable us to operate above and beyond 
those expected by our different regulators.

 – Implement corporate policy where 

applicable which engenders consistent 
high quality practice.

 – Ensure our policies and procedures are 

fit for purpose and accessible.

What have we achieved in 2020?
 – Designed and implemented a new and 
robust policy review process for all 
operational policies across the Group.
 – Integrated a step within the review cycle 

which enables us to review quality standards 
across regulators and identify the highest 
standards which can then be integrated into 
our policies. 

 – Reviewed key operational policies to ensure 

they align to national best practice.

Looking ahead to 2021
 – We will prepare and implement key 
corporate policies across the Group.
 – We will investigate effective methods 
to update staff on changes in policy 
and test their understanding.

Workstream 3: Recruitment, retention and development of skilled professionals

Our objectives:
 – Ensure every site has the staff required 
to meet the needs of service users.

What have we achieved in 2020?
 – Reviewed our safer recruitment policy 

Looking ahead to 2021
 – Implement our new safer recruitment 

and processes. 

policy.

 – Every role (education / care / clinical) has 

 – Reviewed and improved our induction 

 – Integrate our competency matrices 

a competency framework that defines the 
knowledge and understanding, skills and 
behaviours expected of that role.

programmes for residential and 
education portfolio.

 – Designed competency matrices 

 – Ensure we listen to the voices of our staff so 
that we can enable them to do their best. 

for care staff.

 – Conducted a whole-organisation 

staff survey.

with our Myrus HR system to link with 
supervision and appraisal.

Workstream 4: Quality monitoring and assurance

Our objectives:
 – Have a robust cycle of quality monitoring 

What have we achieved in 2020?
 – We have expanded the scope of the 

and assurance operating across all services.

 – Consistent independent visiting and 
reporting contract operating across 
Children’s Services.

 – A consistent suite of operational KPIs 
to inform performance monitoring 
and reporting. 

 – We meet and exceed nationally recognised 

safeguarding standards.

Compliance and Regulation team to support 
the enlarged Children Services portfolio.
 – Completed the roll-out of the “CareTech” 
Children’s Services quality framework.
 – Expanded the National Youth Advocacy 
Service’s (NYAS) independent visiting 
contract to cover over 98% of the Children’s 
Services portfolio.

 – Reviewed our safeguarding practice against 

NSPCC safeguarding standards.

Looking ahead to 2021
 – Implement the quality framework for 
CQC-registered sites and Children’s 
(residential) Services.

 – Implement a new dynamic risk assessment 

“line of sight” system to monitor 
performance.

 – Introduce changes to our compliance and 
regulation audits for our CQC portfolio.

CareTech Holdings PLC
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67

Strategic ReportGovernanceFinancial StatementsCare Quality and Governance Report 
continued

Workstream 5: Embedding a culture of continuous improvement

Our objectives:
 – Establish and implement a consolidated 
programme of improvement across 
the Group.

What have we achieved in 2020?
 – We are one year into our three-year quality 

Looking ahead to 2021
 – All quality improvement plans will be 

improvement programme.

 – All sites have quality improvement plans 

reviewed monthly. 

 – Establish our Responsible Individual forum, 
our Outstanding Practitioner Forum and 
implement an expanded safeguarding 
governance framework.

 – Every site has a consolidated improvement 

in operation.

plan that is regularly reviewed.

 – Forums of excellence are established to 

review performance and share best practice.

 – Learn from every regulatory inspection.

 – Established a Heads of Care Forum, 
a Heads of Education Forum and 
Safeguarding Boards. 

Workstream 6: Management Information Systems (MIS) enabling data-informed practice and decision making

Our objectives
 – Transition our services to be underpinned 
by management information systems (MIS). 

portfolio.

What have we achieved in 2020?
 – Procured a new MIS for our education 

Looking ahead to 2021
 – Roll-out the new MIS into our Children’s 

 – Become a data-informed organisation.

 – Transitioned to a new MIS for our 

By the Bridge services within Foster Care.

 – Trialled an online outcome tool in our 
Children’s (complex care) Services.
 – Built and implemented a bespoke MIS 
to manage our response to COVID-19.

Workstream 7: Strong and robust site to Board governance 

Our objectives
 – Have a stronger and more robust site 
to Board governance framework. 

 – Have consistent performance reporting 

across every operational portfolio.

 – Have productive and regular engagement 
with key stakeholders to assure the quality 
of our services offer.

What have we achieved in 2020?
 – Strengthened our safeguarding governance 

and assessed it against the NSPCC 
safeguarding standards.

 – Implemented compliance and regulation 
visits and inspections across Children’s 
Services.

 – Operated a pandemic response taskforce 

and leadership team to manage the effective 
handling of COVID-19 across the Group.

 – Commenced Board-level site visits to 
triangulate quality assurance evidence 
of behalf of the Board.

(schools) Services. 

 – Embed the new MIS into Foster Care.
 – Extend our weekly KPI system to more 
of our Children’s (residential) Services.

Looking ahead to 2021
 – Establish our Friends and Families Forums 
to enable their collective voice to inform 
policy and practice.

 – Focus upon strengthening our clinical 

governance work.

We are committed to this journey of improvement and our aspiration to become the highest quality provider in our sector. 

Professor Moira Livingston
Non-Executive Director
10 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
68

Directors’ Report

The Directors present their Report and the audited Group Financial 
Statements for the year ended 30 September 2020.

Principal activities

Directors

The names of the current Directors together with brief biographical 
details are shown on pages 60 to 61.

The principal activity of the Group is the provision of high quality support 
and care for individuals who often have complex needs. 

In accordance with the articles of association, Karl Monaghan retires 
by rotation and, being eligible, offer himself for re-election. 

Business review and future developments

The names of all Directors who held office in the year are as follows:

The results for the financial year ended 30 September 2020 are set 
out in the consolidated statement of comprehensive income detailed 
on pages 86 to 87. Revenue for the year amount to £430.0m, operating 
profit for the year before non-underlying items amounted to £73.5m and 
operating profit after non-underlying items amounted to £53.3m.

Key performance indicators are set out in the “Highlights” on page 1. 

Key risks and uncertainties

There are a number of risks and uncertainties which could impact on 
the Group’s long-term performance. These are set out in the Strategic 
Report on pages 51 to 52.

Employee engagement

Details in relation to employment policies, employee involvement, 
development, together with details of some of the human resource 
improvement initiatives implemented during the year and priorities for 
the year 2020/21 are shown in the Strategic Report, all of which are 
incorporated by reference into this Directors’ Report.

Director’s name

Title

Farouq Sheikh
Haroon Sheikh 
Christopher Dickinson
Mike Adams
Karl Monaghan
Jamie Cumming
Professor Moira Livingston 

Group Executive Chairman
Group Chief Executive Officer 
Group Chief Financial Officer
Executive Director
Non-executive Director
Non-executive Director
Non-executive Director

Christopher Dickinson (FCA) joined the Group in January 2019 as 
Cambian Chief Financial Officer, having previously been a Managing 
Director of Jefferies where he acted for CareTech Holdings PLC on 
its merger with Cambian. Prior to Jefferies, Chris spent 14 years in the 
investment banking division of J.P. Morgan and three years at Deloitte, 
qualifying as a Chartered Accountant. Christopher Dickinson was 
appointed as Group Chief Financial Officer and joined the Board 
on 13 January 2020. 

Business relationships

Details of the Group’s commissioners, service users, regulators and 
suppliers; and how we engage with them are described in the Strategic 
Report, all of which are incorporate by reference into the Directors’ Report.

The terms of the Directors’ service contracts and details of the Directors’ 
interests in the shares of the Group, together with details of share options 
granted and any other awards made to the Directors, are disclosed in the 
Remuneration Report commencing on page 72.

Environmental

Details of the Group’s Greenhouse gas emissions and the methodology 
used to calculate such emissions are set out on page 47 which is 
incorporated by reference into this Directors’ Report. 

Dividends

Dividends of £13m have been paid during the year. The Directors 
propose a final dividend of 8.75p per share (2019: 7.95p) subject to the 
approval at the forthcoming Annual General Meeting.

Share listing

The Group’s ordinary shares are admitted to and traded on AIM, a market 
operated by the London Stock Exchange. Further information regarding 
the Group’s share capital, including movements during the year, are set 
out in note 23 to the financial statements.

Directors’ insurance

The Company maintains appropriate Directors’ and Officers’ liability 
insurance, as permitted by the Companies Act 2006.

Share capital

Substantial shareholdings

As at 3 December 2020, being the date of the preliminary results 
announcement, the Group had been notified of, or was otherwise aware 
of, the following substantial interests of 3% or more in the ordinary share 
capital of the Group, other than those in respect of the Directors which 
are set out in the Remuneration Report on page 76.

Liontrust Asset Mgt
Lombard Odier Asset Mgmt
Hof Hoorneman Bankiers (Netherlands)
Canaccord Genuity Wealth Mgt (London)
Mr Richard Griffiths (Jersey)

No. of 
Ordinary 
shares 
of 0.5p

16,573,407
15,468,657
9,349,584
8,097,000
5,835,323

Percentage 
%

14.6
13.7
8.3
7.2
5.2

CareTech Holdings PLC
Annual Report and Accounts 2020
69

Strategic ReportGovernanceFinancial Statements 
 
 
 
Directors’ Report
continued

Capital structure

Post balance sheet events

As at 30 September 2020, the Group had 113,173,992 issued ordinary 
shares of 0.05p each. The Company has, and as at 30 September 2020, 
had, one class of ordinary shares and each share carries the right to one 
vote at general meetings of the Group and to participate in any dividends 
declared in accordance with the articles of association. No person has 
any special rights of control over the Group’s share capital. 

Financial instruments

The Group is exposed to a combination of price, credit, interest rate 
and cash flow risks. The Group uses financial instruments including cash, 
borrowings and interest rate swaps, the main purpose of which are to 
raise finance for the Group’s activities and to manage interest rate risks. 
Disclosures in respect of these instruments are set out in note 26 to the 
financial statements.

On 23 November 2020 an interim dividend of 4.0p per share was paid 
to shareholders. 

On 6 October 2020, the Group completed the acquisition of a majority 
holding in Smartbox Assistive Technology Limited and associated 
subsidiaries, and Sensory Software International Ltd (collectively 
“Smartbox”). 

Smartbox is a market-leading creator of software and hardware that 
helps disabled people without speech to have a voice and live more 
independently. It makes communication as quick, simple and effective 
as possible for those service users for whom speech difficulties can be 
a challenge. Its solutions include communication aids, environmental 
control devices, computer control technology and interactive learning.

Employees

The Directors recognise the benefits which arise from keeping 
employees informed of the Group’s progress and plans and through 
their participation in the Group’s performance. The Group is therefore 
committed to providing its employees with information on a regular 
basis, to consulting with them on a regular basis so that their views and/
or concerns may be taken into account in taking decisions which may 
affect their interests, and to encouraging their participation in schemes 
through which they will benefit from the Group’s progress and 
profitability. The Group aims to foster a working environment in which 
all employees are treated with courtesy and respect and seeks at all times 
to provide opportunities to develop and reach their full potential.

The Group established Sharesave share option schemes for eligible 
employees in both 2016, 2017 and 2020, details of which can be found 
in note 22 along with options remaining on previous schemes. The 
Board feels that share ownership among employees fosters team spirit 
and motivation and will contribute to the ultimate success of the Group.

It is the Group’s policy to ensure that disabled persons are treated fairly 
and consistently in terms of recruitment, training, career development 
and promotion and that their employment opportunities should be 
based on a realistic assessment of their aptitudes and abilities. Wherever 
possible, the Group will continue the employment of persons who 
become disabled during the course of their employment through 
retraining, acquisition of special aids and/or equipment or the provision 
of suitable alternative employment.

Authority to allot shares

Pursuant to resolutions approved at the Annual General Meeting on 
17 March 2020 the Directors were granted authority to allot shares with 
an aggregate nominal value of up to the value of one third of the share 
capital of the Group.

Resolutions for the renewal of the above will be proposed at the 
forthcoming Annual General Meeting and also a resolution to give 
the Directors authority to allot equity securities for cash to the holders 
of ordinary shares as the Directors may determine on the register on 
a fixed record date in proportion (as nearly as may be) to their respective 
shareholding or in accordance with the rights attached thereto. Further 
details of which, together with explanations of the resolutions to be 
proposed at the meeting, appear in the “Notice of AGM and explanatory 
circular to shareholders” which will be sent to shareholders in good time 
prior to the meeting.

To facilitate the acquisition, the Group has established a new subsidiary, 
Smartbox Holdings Ltd, which is 70% owned by the Group, with the 
remaining minority ownership held by the Smartbox management team 
comprising Dougal Hawes, Jarrod Inott and Hannah Church as well as 
previous owners Paul and Alyson Hawes.

Smartbox Holdings Ltd will pay up to £10,600,000 comprising of an 
aggregate initial purchase price of £7,050,000, funded through an equity 
contribution and loan note from the Group and equity contribution from 
the minority holders of Smartbox Holdings Ltd. Earn-outs of up to 
£3,550,000 are payable over a two-year period from completion. 
The Group’s contribution will be funded from existing cash resources.

Going concern

The Group’s business activities together with the factors likely to affect its 
future development, performance and position are set out in the Group 
Executive Chairman’s Statement, Group Chief Executive’s Statement and 
Performance Review on pages 22 to 24 and pages 25 to 27 and Viability 
Statement on page 57. The financial position of the Group, its cash flows, 
liquidity position and borrowing facilities are described in the Financial 
Review on pages 53 to 56. In addition, note 26 to the financial 
statements includes the Group’s objectives, policies and processes for 
managing its capital, its financial risk management objectives, details of 
its financial instruments and hedging activities and its exposures to credit 
risk, interest rate risk and liquidity risk. As highlighted in that note, the 
Group meets its day-to-day working capital requirements through cash 
flow from profits which together with existing bank facilities are sufficient 
to fund present commitments. Term facilities are utilised to fund capital 
expenditure and short-term flexibility is achieved by the utilisation of cash 
resources in respect of financial liabilities, which are shown in the table 
in note 26 and indicates their contractual cash flow maturities. 

The Group has Banking facilities with a consortium of eight banks 
(Barclays Bank plc, HSBC UK Bank plc, Santander UK plc, AIB Group 
(UK) plc, Clydesdale Bank plc and Credit Suisse AG, Lloyds Bank plc and 
National Westminster Bank plc) for committed financing by way of term 
loans, none of which are repayable before February 2022. In addition 
to the term loans, a £25m revolving credit facility is available to provide 
working capital for the Group together with a day-to-day overdraft facility 
of £2m. There are a number of Banking Covenants which ratchet 
depending on time and Group performance. The Directors forecast that 
they are able to meet all Banking Covenants, which are reviewed regularly.

CareTech Holdings PLC
Annual Report and Accounts 2020
70

 
 
 
 
The Group’s underlying operating business is cash generative, much of 
the business has a long-term profile with both debtor days and creditor 
days comparatively low. As at the balance sheet date, the Group had 
cash balances of £54.3m.

The Directors have prepared a cash flow forecast taking into account 
all expected cash flows for 12 months from the date of signing these 
financial statements. The Group has run downside scenarios including, 
but not limited to, a reduction in revenue, site closures, a cyber-attack 
and additional costs associated with COVID-19. This is done to identify 
risks to liquidity and covenant compliance. After making due enquiries 
and applying the downside sensitivities both individually and in combination, 
the Directors have not identified any material uncertainties to the Group 
and the parent company’s ability to continue to operate over a period of 
at least 12 months from the date of approval of the financial statements. 
Therefore the Directors consider it appropriate to adopt the going 
concern basis of accounting in preparing the financial statements.

COVID-19 was identified as an emerging risk for the business in March 
2020. Less than 3% of our service users fall into the formal NHS high-risk 
categories for COVID-19 such as those with underlying health 
conditions. Throughout the pandemic, all our services remain fully 
operational and funded. Adult social care providers have had additional 
funding available via local authorities to help support the provision of 
additional resources and associated costs necessary to halt any 
transmission of COVID-19. Through the use of a dynamic risk assessment 
tool we have been able to provide real time monitoring and support 
across all our services as well as ensuring that we have a business 
continuity plan at each site. This covers arrangements to provide staff 
cover between services. For these reasons we do not consider COVID-19 
a significant risk to the business based on the current position. 

The United Kingdom left the European Union on 31 January 2020 on 
the terms of the Withdrawal Agreement, which introduced a transition 
period until 31 December 2020. It is possible that the UK-EU will not have 
agreed a UK-EU trade deal by 31 December 2020, or a UK-EU trade deal 
will be agreed but the terms of the deal are such that it will cause 
disruption to our business post 31 December 2020. We have fewer than 
5% of our employees who are EU citizens; however, from 1 January 2021 
there may be a reduction in the numbers of candidates that are able to 
work in the UK. The Board have considered this specific impact in 
respect of Brexit and concluded, on the basis the Group is substantially 
a UK-based operation with no reliance on exports and limited reliance 
on imports, that Brexit is not a significant risk to the business. 

Auditor

Grant Thornton UK LLP have expressed their willingness to continue in 
office and, in accordance with section 489 of the Companies Act 2006, 
a resolution for their reappointment will be proposed at the forthcoming 
Annual General Meeting.

By order of the Board

Farouq Sheikh
Group Executive Chairman
10 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
71

Strategic ReportGovernanceFinancial Statements 
PB_Board_Jamie-39_prv

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Directors’ Remuneration Report 
Statement from the Chairman of the Remuneration Committee

The following comprised the principal elements of remuneration for 
Executive Directors for the year under review: base salary; annual bonus; 
benefits; and pension.

On 8 November 2019, the Group issued 2,504,475 new ordinary shares 
of 0.5p in the Group under an Executive Shared Ownership Plan 
(“ExSOP”) to 30 executive and senior managers.

Executive Directors have existing options under the Group’s ExSOP.

The remuneration for Non-Executive Directors is set by the Board 
on the recommendation of the Executive Directors. Non-Executive 
Directors are not eligible to participate in any of the Group’s bonus 
or share option schemes. 

Directors’ service agreements 

All Executive Directors’ service contracts are subject to a 6 or 12 months’ 
notice (period) of termination on either side.

The Non-Executive Directors have each been appointed under contracts, 
which are subject to three months’ notice of termination on either side.

Business context 

PB_Board_Jamie-44_prv

CareTech have 26 years of experience in the care sector and 15 years 
on the public markets. In that time, the business has grown from a single 
home to 550 facilities with 10,000 staff supporting close to 5,000 service 
users. Since listing on the AIM market in 2005 (“IPO”), the business has 
transformed from being focused on supporting adults with a learning 
disability through residential and day care settings to one today where we 
cater for young people and children with complex needs across a range 
of settings, be it residential, education, CAMHS or community support. 

The business has expanded its range of services to encompass mental 
health, education, children’s residential care and therapeutic fostering. 
Over the last 26 years, CareTech has become a trusted partner for local 
authorities with a proven track record of delivering the highest standards 
of care and governance. Across the Group, CQC quality ratings are 91% 
Good or Outstanding in Adults Services, which compares favourably to 
the market average of 85%. The Ofsted ratings for Children’s services are 
82% Good or Outstanding.

CareTech has continued to deliver the highest standards of care during the 
COVID-19 pandemic and the Group has played a vital role in ensuring our 
services remain fully operational. In these unprecedented times, the Group’s 
focus has been on delivering safe services and the health, safety and 
wellbeing of our employees and service users. A COVID-19 taskforce, 
comprising both divisional leadership and members of the Group Executive 
Team, was set up at the outset of the pandemic outbreak. Through the use 
of a dynamic risk assessment tool we have been able to provide real time 
monitoring and support across all of our services as well as ensuring that 
we have a business continuity plan at each site. Through all of the above 
and the incredible dedication of our staff, support teams and management, 
we continue to provide excellent support and care to those in our services.

PB_Board_Jamie-47_prv

The Group has been less severely affected by the COVID-19 pandemic 
than the care home sector for older people. The Government introduced 
two grants in England from which local authorities can disburse money 
to social care providers. These grants have helped support the provision 
of additional resources and associated costs necessary to improve 
prevention and infection control in our services, and to support 
financially to self-isolate where this has been necessary. 

Over the years, CareTech has developed a range of care pathways 
and helped many of the adults and young people that we support to live 
more independently. This is an outstanding outcome for both CareTech 
and the individuals the Company supports and assists local authorities 
to meet the ever-increasing cost of social care provision.

Since IPO, EBITDA and EPS have grown by CAGR of 20% and 25%. 
CareTech’s market capitalisation has gone from £60m at IPO to £510m, 
an increase of over 8-fold in size. The Group has put in place a dividend 
policy, which increases in line with growth in underlying EPS. It is within 
this context that the Committee has considered remuneration over recent 
years in order to align Executive Board Directors’ remuneration with the 
sector and the size of the business and its organisational structure. 

Jamie Cumming
Chairman of the Remuneration Committee

Dear Shareholder, 

On behalf of the Board, I am pleased to present the Directors’ Remuneration 
Report (“DRR”) for the year ended 30 September 2020. The Group is 
listed on the Alternative Investment Market (“AIM”) market of the London 
Stock Exchange and the information provided is disclosed to fulfil the 
requirements of AIM Rule 19. This report is split into two main parts: 

PB_Board_Jamie-43_prv

 – This statement to shareholders which includes a summary of our 

approach to pay, our policy, remuneration outcomes for the year just 
ended and how we intend to operate remuneration arrangements for 
the year ahead; and

 – The Annual Report on Remuneration which provides more detail on 
the above, as well as setting out other remuneration-related disclosures.

Remuneration Committee 

The Remuneration Committee currently comprises three Non-Executive 
Directors, Jamie Cumming (Chairman), Karl Monaghan and Professor 
Moira Livingston, and meets at least twice each year. The Committee 
members have no personal financial interest, other than as shareholders, 
in the matters to be decided and all are considered to be independent 
Directors of the Group. They have no conflicts of interest arising from 
cross-directorships or from being involved in the day-to-day business 
of the Group. They do not participate in any bonus, share option or 
pension arrangements.

The Committee’s principal duties are to review the scale and structure 
of the remuneration and service contracts for Executive Directors and it 
also administers the Company’s share option schemes. The Committee 
takes into consideration ESG issues, in relation to corporate 
performance, when setting the remuneration of Executive Directors and 
takes steps to ensure that the incentive structure for senior management 
does not raise ESG risks by inadvertently motivating irresponsible 
behaviour. The principles of clarity, simplicity, risk, predictability, 
proportionality and alignment to culture prescribed by the UK Corporate 
Governance Code were taken into account by the Committee when 
determining the approach to Group executive remuneration.

Remuneration Policy 

PB_Board_Jamie-46_prv

CareTech’s remuneration policy is to provide for each of its Executive 
Directors and key personnel a package which is adequate to attract, 
retain and motivate individuals of the appropriate calibre, whilst at the 
same time not paying more than is necessary for this purpose.

The Committee has the objective of ensuring that remuneration 
packages are offered that:
 – Are set at a level reflecting the competitive market in which the 

Group operates.

 – Have a significant part of remuneration linked to the achievement 

of performance targets.

 – Have due regard to actual and expected market conditions.
 – Are structured in accordance with the interests of shareholders.
 – Foster the development of a high-performance culture across 

the Group.

CareTech Holdings PLC
Annual Report and Accounts 2020
72

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PB_Board_Jamie-49_prv

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The Company’s growth in revenue, EBITDA (pre IFRS 16) and Underlying EPS (pre IFRS 16) are graphically demonstrated as follows:

Revenue CAGR 21% A £m

EBITDA CAGR 27% A £m

EBITDA CAGR 17% A p

500

400

300

200

100

100

80

60

40

20

50

40

30

20

10

0 2005

2010

2015

2020

0 2005

2010

2015

2020

0 2005

2010

2015

2020

Remuneration decisions and outcomes 

Salary
The following table sets out salaries for Executive Directors for the year ended 30 September 2020 and intended salaries effective for the year ending 
30 September 2021. 

Executive Directors

Group Executive Chairman

Group Chief Executive Officer 

Executive Director

Chief Financial Officer

*  From appointment on 13 January 2020.

Farouq Sheikh

Haroon Sheikh

Mike Adams OBE

Christopher Dickinson

2019  
salary with 
effect from 
1 October 
2019

2020  
salary with 
effect from 
1 October 
2020

£400,000

£400,000

£450,000

£450,000 

£125,000

£125,000 

£278,000*

£300,000

(+0%)

(+0%)

(+0%)

(+8%)

2020 bonus
The Committee assessed outcomes over the year ended 30 September 2020 with respect to Group Underlying EPS, EBITDA and the quality of 
regulatory reports, and determined that bonuses of 91% of the maximum were appropriate for the Executive Directors. Achievement against these 
measures is described in more detail in the Annual Report on Remuneration. 

2021 bonus 
For the year ending 30 September 2021, maximum bonus opportunities will be between 50% and 100% of salary for the Executive Directors. For the 
FY21 bonus, we will use the same mix of three measures, with a weighting of a third each on EPS, EBITDA and Quality. In line with our approach for 
the FY20 bonus, we will retrospectively set out the targets and performance achieved in next year’s Annual Report on Remuneration. 

Executive Shared Ownership Plan (“ExSOP”)
CareTech operates a discretionary ExSOP for Executive Directors and other selected senior executives. In November 2019, the Company issued a 
total of 2,504,475 new ordinary shares of 0.5p in the Company under an ExSOP to 30 members of senior and executive management, as disclosed 
in Stock Exchange announcements at the time. Details of Directors’ interests and share option details for ExSOP and Sharesave awards are provided 
in the Annual Report on Remuneration. 

The ExSOP provides each holder of shares awarded pursuant to the ExSOP (“ExSOP Shares”) a joint beneficial ownership in the ExSOP shares (shared 
with the Employee Benefit Trusts) such that upon sale of the ExSOP shares, the holder will be entitled to the proceeds of the sale less the initial market 
value of the ExSOP shares and a carrying cost of 3% per annum. The ExSOP shares have a three-year vesting period with vesting subject to 
performance criteria being met and are usually conditional on continuous employment.

All-employee share-based arrangements 
CareTech operates Sharesave option arrangements, allowing all employees (including Executive Directors) to participate in share ownership and to 
share in our success over the medium term. CareTech also operates a Company Share Option Plan (“CSOP”) for selected individuals below Board level. 

On 15 September 2020, the Company granted options in aggregate over 480,678 ordinary shares of 0.5p in the Company pursuant to the CareTech 
Holdings Plc Sharesave Scheme 2020. 

CareTech Holdings PLC
Annual Report and Accounts 2020
73

Strategic ReportGovernanceFinancial StatementsDirectors’ Remuneration Report 
Statement from the Chairman of the Remuneration Committee
continued

Executive remuneration at a glance 
This table summarises the approach to remuneration arrangements for Executive Directors for FY20 and intended operation for FY21.

Element of remuneration 

Year ended 30 September 2020 

Salary

Maximum discretionary 
bonus opportunity

Bonus performance measures

ExSOP options

Pension arrangements

Group Executive Chair 
Group CEO 
Executive Director
Chief Financial Officer 
Group Executive Chair and 
Group CEO – 100% of salary 
payable in cash 

Group Financial Officer  
– 50% of salary payable in cash

Executive Director 50%  
of salary payable in cash
Three measures each with 
equal weighting: 
adjusted EPS; EBITDA; and 
quality of regulatory reports
Grants made in October 2019
Group Executive Chair 
Group CEO 
Executive Director 
Chief Financial Officer 
15% of salary pension 
contribution 
(which can be taken as 13% 
of salary cash allowance)

£400,000 (+0%)
£450,000 (+0%)
£125,000 (+0%) 
£300,000 (+8%)

£400,000 
£450,000
£125,000 
£278,000

Year ending 30 September 2021

Group Executive Chair
Group CEO 
Executive Director
Chief Financial Officer 
Group Executive Chair and 
Group CEO – 100% of salary 
payable in cash 

Group Financial Officer  
– 66% of salary payable in cash

Executive Director 50%  
of salary payable in cash

(number of shares):
400,000
400,000
93,750
155,250

New LTIP arrangement to 
be introduced (see below)

CareTech Holdings PLC
Annual Report and Accounts 2020
74

Annual Report on Remuneration 

Directors’ Remuneration (audited) 

The table below reports a single figure of total remuneration for each of the Directors for the financial year ended 30 September 2020 and their 
comparative figures for the financial year ended 30 September 2019. 

Salary and fees

Benefits

Annual bonus

LTIP

Pension

Total

2020 
£000

2019 
£000

2020 
£000

2019 
£000

2020 
£000

2019 
£000

2020 
£000

2019 
£000

2020 
£000

2019 
£000

2020 
£000

2019 
£000

Executive Directors

Farouq Sheikh

Haroon Sheikh

Christopher Dickinson

Gareth Dufton

Mike Adams OBE

Michael Hill

Non-Executive Directors

Karl Monaghan

Professor Moira Livingston

Jamie Cumming

Total

400

450

198

58

125

–

53

45

42

350

400

–

155

69

71

53

15

42

 22

58

10

3

8

–

–

–

–

32

58

–

6

3

7

–

–

–

367

413

91

–

57

–

–

–

–

350

400

–

100

–

–

–

–

–

1,371

1,155

101

106

928

850

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

–

44

50

26

6

–

–

–

–

–

53

62

–

17

–

–

–

–

–

833

971

325

68

190

–

53

45

42

785

920

–

278

72

78

53

15

42

126

132

2,527

2,243

Notes to the table: 
– 

 Michael Hill, the Company’s then Group Chief Financial Officer, passed away on 9 December 2018. Gareth Dufton was appointed Interim Group Chief Financial Officer the 
following day. Christopher Dickinson was appointed Group Chief Financial Officer on 13 January 2020, replacing Gareth Dufton as Interim Chief Financial Officer. Remuneration 
details for Christopher Dickinson and Gareth Dufton represent only those amounts in relation to their services as a Director on the Board. 

Benefits 

Benefits include car allowance (or company vehicle), vehicle expenses, healthcare insurance and relocation assistance.

Annual bonus 

Annual bonus awards were made in respect of the year ended 30 September 2020. Christopher Dickinson and Mike Adams were eligible for a 
maximum bonus opportunity of 50% of salary. Farouq Sheikh and Haroon Sheikh were eligible for a maximum bonus opportunity of 100% of salary. 
For the avoidance of doubt, Non-Executive Directors are not eligible to participate in any annual bonuses or share-based incentives at CareTech. 

The awards were structured by reference to performance against three performance measures and targets, all equally weighted. If an individual target 
is met, a third of the bonus award is payable. Given the suspension of site visits from our Regulators due to COVID-19, the Remuneration Committee 
has exercised its discretion in relation to how they have judged performance in relation to the Quality performance measure as Regulatory 
inspections were suspended in March 2020 due to the pandemic. The Remuneration Committee’s judgement has been based on Quality ratings 
during the period up until suspension of site visits, internal compliance monitoring of our sites and strong leadership during the pandemic to support 
the health and safety of our staff and service users. The following table sets out performance measures, weightings, targets and outcomes in respect 
of the bonus for the year ended 30 September 2020. 

Performance measure

Group underlying EPS 

Group EBITDA

Weighting 

One third

Target

Outcome

42.0p (pre IFRS 16)

43.02p resulting in 
one third payable

One third

£82.0m (pre IFRS 16)  £84.1m resulting in 

Quality % of regulatory reports rated good or outstanding,  
and there are also no serious reputational risks identified

One third

85-90%

one third payable
75% payable

Total 

91% of the maximum bonus opportunity available is payable

Long Term Incentive Plan (“LTIP”) 

To date, the Group has not operated a typical LTIP in the form of performance shares. CareTech does occasionally grant share options and shares 
under its Executive Shared Ownership Plan (“ExSOP”) to the Executive Directors. 

In November 2019, the Remuneration Committee made awards to the Executive Directors (and other senior management) under the ExSOP. These 
awards are subject to a time-related performance condition measured over a three-year period beginning at the date of the grant. The performance 
condition is that underlying EPS increases by 15% by the third anniversary of the grant. The awards to the Executive Directors were:

Group Executive Chairman  
Group CEO  
Executive Director  
Chief Financial Officer  

400,000 shares
400,000 shares
93,750 shares
155,250 shares

CareTech Holdings PLC
Annual Report and Accounts 2020
75

Strategic ReportGovernanceFinancial StatementsDirectors’ Remuneration Report 
Statement from the Chairman of the Remuneration Committee
continued

Details of share options made in previous years are set out in the share options section below.

The Group’s Remuneration Committee has been reviewing a new LTIP to attract, retain and motivate key senior members of the CareTech leadership 
team. After receiving expert advice from AON Hewitt Consulting Services, the Group’s Remuneration Committee will look to implement a LTIP which 
will operate alongside the Group’s existing share option plan and be established to encourage long-term value creation for the Group’s shareholders 
and align the interests of the senior management team. 

Pension arrangements 

Executive Directors are offered a contribution of 15% of salary into a pension plan. Alternatively, they can take this as a cash allowance of 13% of salary 
in lieu of a pension contribution. 

Non-Executive Director Fees 

The following sets out the current fee policy for Non-Executive Directors: 
 – Base fee of £42,000-£45,000; and 
 – Additional fee of £10,500 for the role of Senior Independent Director. 

Directors’ share options and Sharesave options

On 29 March 2017, the Group’s ExSOP was created. Farouq Sheikh and Haroon Sheikh each own 320,000 ordinary shares (total 640,000 ordinary 
shares) of 0.5p respectively under the Group’s Executive Shared Ownership Plan 2017 (see note 21) and 400,000 ordinary shares (total 800,000 
ordinary shares) of 0.5p respectively under the Group’s Executive Shared Ownership Plan 2019.

On 17 October 2017, the Group granted options in aggregate over 254,681 ordinary shares pursuant to the CareTech Holdings plc Sharesave Scheme 
2017. This is a three-year contract with a start date of 1 December 2017, with options exercisable at a price of 308p per share between 1 December 
2020 and 31 May 2021. 

On 15 September 2020, the Group granted options in aggregate over 480,678 ordinary shares pursuant to the CareTech Holdings plc Sharesave 
Scheme 2020. This is a three-year contract with a start date of 1 November 2020, with options exercisable at a price of 355p per share between 
1 November 2023 and 30 April 2024. Within the options described above, there were 5,070 options each granted to Farouq Sheikh, Haroon Sheikh 
and Christopher Dickinson under the Sharesave Scheme.

Christopher Dickinson has an interest in 155,250 ordinary shares in CareTech pursuant to the Executive Shared Ownership Plan, details of which were 
announced on 8 November 2019.

No other Director has any share options in the Group.

None of the options above are subject to clawback arrangements. However, it is a requirement of the ExSOP that the employee must have 
continuous service by the third anniversary for the shares to vest.

The total number of shares issued in the ExSOP and options in the approved share option scheme in November 2020 was 4,657,643 million shares, 
representing less than 5% of the Group’s share capital. 

Directors’ interests

The Directors who held office at the end of the financial year had the following interests in the ordinary share capital of the Company according 
to the register of Directors’ interests:

Westminster Holdings Limited(1)

Cosaraf Pension Fund(2) 

Sheikh Holdings Group(3)

Farouq Sheikh 

Haroon Sheikh

Karl Monaghan 

Jamie Cumming

Mike Adams 

Christopher Dickinson

30 September 2020 
Number of ordinary 
0.5p shares

30 September 2019 
Number of ordinary 
0.5p shares

10,047,864

10,547,864

230,000

2,579,145

–

–

41,795

2,500

2,145

–

230,000

500,000

638,919

690,226

41,795

2,500

2,145

–

Notes to the table: 
(1)  Westminster Holdings Limited is a company owned by a trust, the beneficiaries of which include Farouq Sheikh and Haroon Sheikh. 
(2)  Cosaraf Pension Fund is a self-administered scheme established for the benefit of Farouq Sheikh and Haroon Sheikh.
(3)   Grosvenor UK Limited is beneficially interested in these shares via a Contract for Difference (CFD) which was effected at a price of 350p per shares. Grosvenor UK Limited 

is a wholly owned subsidiary of Sheikh Holdings Group Investments Limited, which is wholly owned by Haroon and Farouq Sheikh and their immediate family.

CareTech Holdings PLC
Annual Report and Accounts 2020
76

Additional disclosures relating to CEO pay 

The following section sets out a number of additional disclosures relating to CEO pay, typically provided by FTSE-listed companies in their 
remuneration reports: 
 – Percentage change in CEO remuneration.
 – Historic CEO pay.

Percentage change in the Board’s remuneration 

The following table compares the percentage change in the CEO’s salary, benefits and annual bonus to the average percentage change in salary, 
benefits and bonus for all employees from the year ending 30 September 2019 to the year ending 30 September 2020. 

Change in remuneration

Chief Executive Officer
Average pay of all employees 

Historic CEO pay 

Salary

12.5%
6.6%

Benefits Annual bonus

0%
0%

3.1%
3.0%

The following table sets out historic CEO pay over the past ten years. The single figure of total remuneration is provided, as well as the annual bonus 
expressed as a percentage of the maximum for the year. 

In the years to 2017, the maximum potential bonus opportunity for the CEO was 25% of salary, changing to 100% of salary in 2018. As set out above, 
CEO pay has been reviewed together with Executive Board remuneration periodically to align it with the growth in the Group, the changes in 
organisational structure and the sector as a whole. 

Year ending 30 September 

2020
2019
2018
2017
2016
2015
2014
2013
2012
2011

Chief Executive

Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh
Haroon Sheikh

Single figure  
of total 
remuneration 
£000

Annual bonus 
as a % of 
maximum

LTIP  
as a % of 
maximum

971
920
794
430
375
304
298
247
259
246

91%
100%
62%
64%
76%
96%
69%
0%
0%
0%

n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a
n/a

Notes to the table: 
–  Single figure of total remuneration is as disclosed in previous Annual Reports, being the total figure in the relevant table plus any pension amounts disclosed in the same table. 

By order of the Board

Jamie Cumming
Chairman of the Remuneration Committee
10 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
77

Strategic ReportGovernanceFinancial StatementsStatement of Directors’ Responsibilities

The Directors are responsible for preparing the Annual Report and the 
financial statements in accordance with applicable law and regulations.

Company law requires the Directors to prepare financial statements 
for each financial year. Under that law the Directors have to prepare the 
financial statements in accordance with International Financial Reporting 
Standards (IFRSs) as adopted by the European Union. Under company 
law the Directors must not approve the financial statements unless they 
are satisfied that they give a true and fair view of the state of affairs and 
profit or loss of the company and Group for that period. In preparing 
these financial statements, the Directors are required to:
 – select suitable accounting policies and then apply them consistently;
 – make judgements and accounting estimates that are reasonable 

and prudent;

 – state whether applicable IFRSs have been followed, subject to any 

material departures disclosed and explained in the financial statements.

The Directors are responsible for keeping adequate accounting records 
that are sufficient to show and explain the Company’s transactions and 
disclose with reasonable accuracy at any time the financial position of 
the Company and enable them to ensure that the financial statements 
comply with the Companies Act 2006. They are also responsible for 
safeguarding the assets of the Company and hence for taking reasonable 
steps for the prevention and detection of fraud and other irregularities.

The Directors confirm that: 
 – so far as each Director is aware, there is no relevant audit information 

of which the Company’s auditor is unaware; and

 – the Directors have taken all the steps that they ought to have taken 

as Directors in order to make themselves aware of any relevant audit 
information and to establish that the auditor is aware of that information.

The Directors are responsible for preparing the Annual Report in 
accordance with applicable law and regulations. Having taken advice 
from the Audit Committee, the Directors consider the Annual Report 
and Financial Statements, taken as a whole is fair, balanced and 
understandable and provides the information necessary for shareholders 
to assess the Group’s performance, business model and strategy.

The Directors are responsible for the maintenance and integrity of 
the corporate and financial information included on the Company’s 
website. Legislation in the United Kingdom governing the preparation 
and dissemination of financial statements may differ from legislation 
in other jurisdictions. 

By order of the Board

Farouq Sheikh
Group Executive Chairman

CareTech Holdings PLC
Annual Report and Accounts 2020
78

 
Independent Auditor’s Report 
to the members of CareTech Holdings PLC

Opinion

Our opinion on the financial statements is unmodified
We have audited the financial statements of CareTech Holdings PLC (the “parent company”) and its subsidiaries (the “Group”) for the year 
ended 30 September 2020, which comprise the Consolidated Income Statement, the Consolidated Statement of Comprehensive Income, 
the Consolidated Statement of Financial Position, the Consolidated Statement of Changes in Equity, the Consolidated Statement of Cash Flows, 
the Company Statement of Financial Position, the Company Statement of Changes in Equity and notes to the financial statements, including 
a summary of significant accounting policies. The financial reporting framework that has been applied in the preparation of the Group financial 
statements is applicable law and International Financial Reporting Standards (IFRSs) as adopted by the European Union. The financial reporting 
framework that has been applied in the preparation of the parent company financial statements is applicable law and United Kingdom 
Accounting Standards, including Financial Reporting Standard 101 ‘Reduced Disclosure Framework’ (United Kingdom Generally Accepted 
Accounting Practice).

In our opinion:
 – the financial statements give a true and fair view of the state of the Group’s and of the parent company’s affairs as at 30 September 2020 

and of the Group’s profit for the year then ended;

 – the Group financial statements have been properly prepared in accordance with IFRSs as adopted by the European Union;
 – the parent company financial statements have been properly prepared in accordance with United Kingdom Generally Accepted Accounting 

Practice; and

 – the financial statements have been prepared in accordance with the requirements of the Companies Act 2006.

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under 
those standards are further described in the “Auditor’s responsibilities for the audit of the financial statements” section of our report. We are 
independent of the Group and the parent company in accordance with the ethical requirements that are relevant to our audit of the financial 
statements in the UK, including the FRC’s Ethical Standard as applied to listed entities, and we have fulfilled our other ethical responsibilities 
in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis 
for our opinion.

The impact of macro-economic uncertainties on our audit 

Our audit of the financial statements requires us to obtain an understanding of all relevant uncertainties, including those arising as a consequence 
of the effects of macro-economic uncertainties such as COVID-19 and Brexit. All audits assess and challenge the reasonableness of estimates made 
by the Directors and the related disclosures and the appropriateness of the going concern basis of preparation of the financial statements. All of 
these depend on assessments of the future economic environment and the Group’s and the parent company’s future prospects and performance.

COVID-19 and Brexit are amongst the most significant economic events currently faced by the UK, and at the date of this report their effects are 
subject to unprecedented levels of uncertainty, with the full range of possible outcomes and their impacts unknown. We applied a standardised 
firm-wide approach in response to these uncertainties when assessing the Group’s and the parent company’s future prospects and performance. 
However, no audit should be expected to predict the unknowable factors or all possible future implications for a Group or a parent company 
associated with these particular events.

Conclusions relating to principal risks, going concern and viability statement 

We have nothing to report in respect of the following information in the Annual Report in relation to which the ISAs (UK) require us to report to you 
whether we have anything material to add or draw attention to:
 – the disclosures in the Annual Report and accounts set out on page 51 that describe the principal risks, procedures to identify emerging risks 

and an explanation of how they are being managed or mitigated (including the impact of COVID-19 and Brexit); 

 – the Directors’ confirmation, set out on page 51 of the Annual Report and accounts, that they have carried out a robust assessment of the 

principal and emerging risks facing the Group (including the impact of COVID-19 and Brexit), including those that would threaten its business 
model, future performance, solvency or liquidity;

 – the Directors’ statement, set out on page 91 of the financial statements, about whether the Directors considered it appropriate to adopt the 
going concern basis of accounting in preparing the financial statements and the Directors’ identification of any material uncertainties to the 
Group and the parent company’s ability to continue to do so over a period of at least 12 months from the date of approval of the financial 
statements; or 

 – the Directors’ explanation, set out on page 91 of the Annual Report as to how they have assessed the prospects of the Group, over what period 
they have done so and why they consider that period to be appropriate, and their statement as to whether they have a reasonable expectation 
that the Group will be able to continue in operation and meet its liabilities as they fall due over the period of their assessment, including any 
related disclosures drawing attention to any necessary qualifications or assumptions. 

As an AIM listed company, the Company is not required to comply with Listing Rule 9.8.6R(3) and therefore we do not report on whether we have 
anything material to add or draw attention to in respect of the Directors’ statements relating to going concern and the prospects of the Group 
required under the Listing Rules in accordance with Listing Rule 9.8.6R(3) and whether they are materially consistent with our knowledge obtained 
in the audit. 

CareTech Holdings PLC
Annual Report and Accounts 2020
79

Strategic ReportGovernanceFinancial StatementsIndependent Auditor’s Report 
to the members of CareTech Holdings PLC
continued

Overview of our audit approach
 – Overall materiality: £2.505m, which represents 5% of the Group’s normalised profit before 
tax after adjustments for specific non-routine items, at the planning stage of the audit;

 – Key audit matters were identified as: 

 – Occurrence of revenue and existence of deferred income;
 – Valuation of goodwill and customer relationships;
 – Identification of control and accuracy of acquisition accounting;
 – Measurement of lease assets and liabilities;
 – Valuation of non-current “sleep-in” provisions; and
 – Going concern. 

 – The parent company, CareTech Holdings PLC and its subsidiaries, excluding Cambian Group 
Limited and its subsidiaries (“CareTech”); and Cambian Group Limited and its subsidiaries 
(“Cambian”) were each identified as significant components on which we performed full 
scope audit procedures using component materiality on all entities included in the 
respective components. 

 – Other smaller components of the Group were subject to a combination of specified audit 
procedures and analytical procedures using component materiality, with the exception 
of Spark of Genius North East LLP, which was subject to full scope audit procedures using 
entity materiality. 

Key audit matters

Key audit matters are those matters that, in our professional judgement, were of most significance in our audit of the financial statements 
of the current period and include the most significant assessed risks of material misstatement (whether or not due to fraud) that we identified. 
These matters included those that had the greatest effect on, the overall audit strategy; the allocation of resources in the audit; and directing the 
efforts of the engagement team. These matters were addressed in the context of our audit of the financial statements as a whole, and in forming 
our opinion thereon, and we do not provide a separate opinion on these matters.

Key Audit Matter – Group

How the matter was addressed in the audit – Group

Occurrence of revenue and existence of deferred income 
Under ISA (UK) 240 ‘The Auditor’s Responsibilities Relating to Fraud 
in an Audit of Financial Statements’, there is a rebuttable presumption 
that there are risks of fraud in revenue recognition. 

We have identified fraud risk relating to service users discharged for 
Adult/Supported services and Children revenue streams for the current 
year. We have identified the revenue associated with users who have 
been discharged in the year as susceptible to fraud risk because this 
is predominantly a manual process which requires adjustments to 
revenue billed, when notification of discharge of a service user 
is received.

In addition, IFRS 15 ‘Revenue from Contracts with Customers’ involves 
management judgement for the recognition of revenue from care 
services and therefore there is a risk that a material error could occur 
if it was incorrectly recognised.

We have focused the significant risk of occurrence in the Adult/
Supported services and Children revenue streams on revenue relating 
to service users discharged in the year. Due to the nature of the risk 
identified, this also results in a significant risk in respect of the existence 
of year-end deferred income balances. Fostering revenues are 
considered to have a significant risk of occurrence.

We therefore identified occurrence of revenue and existence of 
deferred income as a significant risk, which was one of the most 
significant assessed risks of material misstatement. 

Our audit work included, but was not restricted to: 
 – considering the Group’s revenue recognition accounting policies 
to check these were in compliance with IFRS 15 and consistently 
applied across the Group;

 – evaluating and testing the design and operating effectiveness of key 
controls over the admission, discharges and fee movement during 
the year for the material revenue streams (Adult, Children, 
Residential and Education). The testing of these revenue streams 
was disaggregated between CareTech and Cambian due to different 
processes and control environments;

 – performing substantive testing on fostering and other smaller 

revenue streams in the significant components and on revenues 
in those smaller components, where we did not place reliance upon 
the operating effectiveness of controls;

 – agreeing a sample of revenue transactions to subsequent cash 
receipt and evidence of right to revenue recognition, to ensure 
that service has been provided and accordingly the performance 
obligation is satisfied;

 – testing the completeness of credit notes recognised in the year 

against revenues billed in advance for discharged service users; and 

 – testing the deferred income recognised at the end of the year and 

agree them to supporting evidence, on a sample basis.

The Group’s accounting policy on revenue is shown in note 2(m) to the 
financial statements and related disclosures are included in note 4. 

Key observations
Our audit testing did not identify any material misstatements in relation 
to the occurrence of revenue and existence of deferred income.

CareTech Holdings PLC
Annual Report and Accounts 2020
80

Key Audit Matter – Group

How the matter was addressed in the audit – Group

Valuation of goodwill and customer relationships
The Group has goodwill with a carrying value of £84.6m (2019: £79.5m) 
and customer relationships included within intangible assets with a 
carrying value of £76.3m (2019: £73.0m) at the year-end, which have 
arisen as a result of acquisitions. 

Our audit work included, but was not restricted to: 
 – evaluating the Group’s accounting policy for consistency with IAS 36 
and considering whether the accounting policy has been applied 
accurately and consistently across the Group;

 – testing the arithmetical accuracy and integrity of the models and 

Under IAS 36 ‘Impairment of Assets’, management is required to test 
the goodwill annually for impairment. Given the current economic 
climate, we believe impairment indicators also exist in relation to the 
other intangible assets.

underlying data used by management in their impairment 
assessment by checking the consistency of formulae used and 
agreeing the underlying forecasts to approved budgets; 
 – challenging management’s identification of CGUs within the 

Significant judgements in the determination of recoverable amount 
of an asset/CGU include the determination of the CGUs, the forecast 
growth rates and the applicable discount rates. 

IAS 36 requires that assets are not carried at more than their 
recoverable amount. 

business for reasonableness;

 – using our in-house valuation specialists as an auditor’s expert to 

assess (in respect of value-in-use assessments) the reasonableness 
of the discount rates and growth rates applied to cash flows, and (in 
respect of fair value less costs to sell assessments) the multiples used 
to derive fair value;

 – challenging management’s model in respect of unallocated costs 

and unallocated capital expenditure; and

We therefore identified the valuation of goodwill and customer 
relationships as a significant risk, which was one of the most significant 
assessed risks of material misstatement.

 – challenging management’s assumptions concerning forecast cash 
flows, based on historical trends and any changes in customer 
preferences and regulations.

The Group’s accounting policy on intangible assets and goodwill, 
including their valuation, is shown in note 2(e) to the financial 
statements and related disclosures are included in note 15. 

Key observations
Our audit testing did not identify any material misstatements in relation 
to the valuation of goodwill and customer relationships. The 
assessment of potential impairment is highly sensitive to reasonable 
changes in the key assumptions and inputs. We have satisfied ourselves 
that the disclosures made are reasonable and consistent with the 
assessment performed.

Our audit work included but was not restricted to:
 – inspecting documentation including articles and memorandum 
of association and share purchase agreements to ensure that the 
Group controls the entities acquired and that the date of control 
was accurately recorded and reflective of when such control 
was achieved;

 – reviewing management’s paper and challenging management’s 
assessment that control exists for the operating entity of AS1 
Investment Holdings Ltd where the Group holds less than 50% 
of voting rights;

 – evaluating the calculations and management judgements on the 
fair value of assets and liabilities acquired, including any identified 
intangibles on the acquisition of the AS Group in line with IFRS 3; 
 – engaging internal experts to assist with our audit of significant inputs 
to the fair valuation of assets identified as part of the acquisition; 
 – inspecting evidence to support the accuracy of prepaid assets and 

deposits and the recoverability of receivables; and

 – performing specific testing to ensure that transactions undertaken 

in the pre-acquisition period were eliminated from the consolidation.

The Group’s accounting policy on business combinations is shown in 
note 2(r) to the financial statements and related disclosures are included 
in notes 3 and 5(a). 

Key observations
Our audit testing did not identify a material misstatement in relation to 
the identification of control and the accuracy of acquisition accounting. 
The identification of control of the operating entity of AS1 Investment 
Holdings Ltd is a significant judgement and accordingly has been 
disclosed in notes 3 and 5(a). 

Identification of control and accuracy of acquisition accounting 
The Group acquired controlling interests in AS Investment Holdings Ltd 
and AS1 Investment Holdings Ltd and their respective operating entities 
in the United Arab Emirates (UAE) (the “AS Group”) on 4 February 2020. 
The Group indirectly holds less than 50% of the voting rights of the 
operating company of AS1 Investment Holdings Ltd giving rise to 
a significant risk relating to whether “control” exists.

IFRS 10 ‘Consolidated Financial Statements’ involves significant 
judgement by management regarding when an acquired entity 
is “controlled” by the acquiring entity and there is a risk that material 
error could occur in the consolidation of such entities.

IFRS 3 ‘Business Combinations’ involves significant judgement 
regarding the measurement of assets acquired (including goodwill) 
and there is a risk that material error could occur in the reporting 
of this business combination. 

We therefore identified identification of control and accuracy of 
acquisition accounting as a significant risk, which was one of the most 
significant assessed risks of material misstatement. 

CareTech Holdings PLC
Annual Report and Accounts 2020
81

Strategic ReportGovernanceFinancial StatementsIndependent Auditor’s Report 
to the members of CareTech Holdings PLC
continued

Key Audit Matter – Group

How the matter was addressed in the audit – Group

Measurement of lease assets and liabilities
The Group has adopted IFRS 16 ‘Leases’ for the year ended 
30 September 2020.

IFRS 16 involves significant management estimation and judgement 
regarding the determination of appropriate incremental borrowing 
rates (IBR) to use when discounting lease cashflows, and in relation 
to the selection/application of an adoption method and practical 
expediencies therein. There is a risk that material error could occur 
in the reporting on the first-time adoption of IFRS 16. 

We therefore identified measurement of lease assets and liabilities 
as a significant risk, which was one of the most significant assessed 
risks of material misstatement.

Valuation of non-current “sleep-in” provisions 
As at 30 September 2020, the Group’s provisions include an amount 
for sleep-in payments. There is currently an ongoing legal case 
involving HMRC and the care provider, Mencap, the outcome of which 
will confirm the legal position in respect of those payments and the 
national minimum wage. The case relates to the application of 
minimum wage law for care workers on “sleep-in” shifts.

The case has been heard at the Supreme Court and is awaiting 
judgement. As a result, there is uncertainty around the outcome of 
the case, which could have a material impact on amounts the Group 
is liable for. The determination of whether a provision is required, and 
its quantum, is a significant judgement exercised by management.

We therefore identified valuation of non-current “sleep-in” provisions 
as a significant risk, which was one of the most significant assessed 
risks of material misstatement. 

Our audit work included, but was not restricted to: 
 – evaluating the Group’s accounting policy for consistency with IFRS 

16 and considering whether the accounting policy has been applied 
accurately and consistently across the Group;

 – understanding and documenting the processes and controls relating 

to the implementation of IFRS 16;

 – testing the arithmetical accuracy and integrity of the calculations 

made by management in the model adopted and ensured they were 
in accordance with the requirements of IFRS 16;

 – checking the completeness of the leases included in the 
computations prepared by management by performing a 
combination of checking prior year accounts disclosure relating 
to operating lease commitments; locations as listed in the Group’s 
websites; and sampling rent transactions;

 – performing substantive testing, for a sample of leases, to ensure 
accuracy of inputs in management calculations by tracing leases 
to signed lease contracts;

 – challenging the reasonableness of the IBR rates used by 

management in their lease calculations; and 

 – using our in-house valuation specialists as an auditor’s expert to 

assess the reasonableness of the IBR rates used in the calculations.

The Group’s accounting policy on leased assets is shown in note 2(p) to 
the financial statements and related disclosures are included in note 14. 

Key observations
Our audit testing did not identify any material misstatements in relation 
to the measurement of lease assets and liabilities. 

Our audit work included, but was not restricted to: 
 – obtaining an understanding of the position taken by management 

based on discussion with the in-house legal team and management;

 – obtaining management’s workings of the provisions and checking 

the mathematical calculations to supporting documentation for the 
costs to verify the amount of the provision; and traced a sample of 
employees to and from the payroll system; 

 – challenging management’s assumptions used in calculating the 

amount of the “sleep-in” liability, which include the number of years 
to be provided for; and

 – updating our understanding of the probable outcome and status 
of the case through review of the information on the Supreme 
Court website, to check whether the case has been heard but not 
concluded on and therefore whether our prior year discussions and 
review of external legal documentation are still appropriate.

The Group’s accounting policy on the provisions is shown in note 2(l) to 
the financial statements and related disclosures are included in note 21. 

Key observations
Our audit testing did not identify any material misstatements in relation 
to the valuation of non-current “sleep-in” provisions.

CareTech Holdings PLC
Annual Report and Accounts 2020
82

Key Audit Matter – Group

How the matter was addressed in the audit – Group

Going concern
As stated in the “The impact of macro-economic uncertainties on our 
audit” section of our report, COVID-19 is amongst the most significant 
economic events currently faced by the UK, and at the date of this 
report its effects are subject to unprecedented levels of uncertainty. 
This event could adversely impact the future trading performance of 
the Group and the parent company and as such increases the extent of 
judgement and estimation uncertainty associated with management’s 
decision to adopt the going concern basis of accounting in the 
preparation of the financial statements. The Group has external 
financing which has covenants that must be complied with. 

We therefore identified going concern as a significant risk, which was 
one of the most significant assessed risks of material misstatement. 

Our audit work included, but was not restricted to: 
 – obtaining management’s base case cash flow forecasts covering 

the period from October 2020 to December 2021; 
 – performing walkthroughs to update and document our 

understanding of the budgeting and forecasting process, 
management’s considerations in forming their own assessment 
and any internal review process;

 – assessing the accuracy of management’s historical forecasting 

to check the reliability of current forecasting process;

 – assessing the banking facilities and covenant compliance to check 

whether these support the going concern assumptions; 

 – obtaining and testing management’s sensitivity analysis, including 
the reverse stress test workings, prepared to assess the potential 
impact of COVID-19 on the business; 

 – challenging the key assumptions in the forecasts and the scope of 
scenario planning undertaken given current social and economic 
conditions in the UK and wider world; and 

 – assessing the appropriateness of the going concern accounting 

policy.

The Group’s accounting policy on going concern is shown in note 1 
to the financial statements.

Key observations
We have nothing to report in addition to that stated in the “Conclusions 
relating to going concern” section of our report. 

Our application of materiality

We define materiality as the magnitude of misstatement in the financial statements that makes it probable that the economic decisions of a 
reasonably knowledgeable person would be changed or influenced. We use materiality in determining the nature, timing and extent of our audit 
work and in evaluating the results of that work.

Materiality was determined as follows:

Materiality measure

Group

Parent company

Financial statements as a whole

Performance materiality used to drive 
the extent of our testing

Specific materiality

£2,505,000, which is 5% of the Group’s 
normalised profit before tax after adjustments 
for specific non-routine items, including 
acquisition costs, integration costs, redundancy 
and site closure costs and COVID-19 related 
costs, at the planning stage of the audit. This 
benchmark is considered the most appropriate 
because it is most reflective of the performance 
of the business.

Materiality for the current year is higher than 
the level that we determined for the year ended 
30 September 2019 to reflect the increase in 
the Group’s normalised profit before tax after 
adjustment for specific non-routine items, 
notwithstanding the adjustments being higher 
last year. 

£2,254,000, which is 2% of the Company’s 
total assets capped at its component 
materiality, which is based on a percentage 
of Group materiality. This benchmark is 
considered the most appropriate because 
the Company holds the Group’s investments 
and other assets and does not trade. 

Materiality for the current year is higher 
than the level that we determined for the 
year ended 30 September 2019 to reflect 
the increase in the Company’s total assets 
and the capping, noted above, at a higher 
percentage of Group materiality, which 
was also higher this year. 

70% of financial statement materiality. 

70% of financial statement materiality. 

We determined a lower level of specific 
materiality for certain areas such as Directors’ 
remuneration and related party transactions. 

We determined a lower level of specific 
materiality for certain areas such as Directors’ 
remuneration and related party transactions. 

Communication of misstatements 
to the Audit Committee

£125,250 and misstatements below that 
threshold that, in our view, warrant reporting 
on qualitative grounds.

£112,000 and misstatements below that 
threshold that, in our view, warrant reporting 
on qualitative grounds.

CareTech Holdings PLC
Annual Report and Accounts 2020
83

Strategic ReportGovernanceFinancial StatementsIndependent Auditor’s Report 
to the members of CareTech Holdings PLC
continued

An overview of the scope of our audit

Our audit approach was a risk-based approach founded on a thorough understanding of the Group’s business, its environment and risk profile and 
in particular included:
 – Evaluation by the Group audit team of identified components to assess the significance of that component and to determine the planned audit 
response based on a measure of materiality, considering the relative size of each component as a percentage of total Group assets, liabilities, 
revenues and earnings before interest, tax, depreciation and amortisation (EBITDA). CareTech and Cambian were significant components for 
which we performed full scope audit procedures on all entities included in the respective components, using component materiality, with the 
exception of Spark of Genius North East LLP, which was subject to full scope audit procedures using entity materiality. For other smaller 
components, we performed a combination of specified audit procedures and analytical procedures. 

 – The acquisition of controlling interest in AS Group on 4 February 2020 for £9.0m caused a change in scope of the audit. We assessed the 

accounting treatment for the acquisition (particularly in relation to whether and when “control” was obtained) and for certain assets acquired 
as part of the acquisition. The AS Group was collectively identified as not financially significant to the Group for the year and hence was subject 
to specified audit procedures relating to specifically identified risk areas.

 – Evaluating the design and implementation of controls over the financial reporting systems identified as part of our risk assessment. With respect 

to payroll and operating expenses, we evaluated the design of controls and their implementation in addition to performing substantive 
procedures. With respect to revenue recognition and certain selling and other operating expenses, we evaluated the design and 
implementation of controls and tested their operating effectiveness in addition to performing substantive procedures. 

 – Inspecting the processes management follow to prepare and report results. Management prepare and report on the results on a Group basis 

rather than on a Company basis. The subsidiaries in the Group are all controlled by the Company. The Company provides a guarantee for all the 
subsidiaries’ liabilities, apart from those stated in note 29 of the financial statements.

Other information

The Directors are responsible for the other information. The other information comprises the information included in the Annual Report and 
accounts, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other 
information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. 

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether 
the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be 
materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there 
is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have 
performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. 

We have nothing to report in this regard.

In this context, we also have nothing to report in regard to our responsibility to specifically address the following items in the other information 
and to report as uncorrected material misstatements of the other information where we conclude that those items meet the following conditions:
 – Fair, balanced and understandable (set out on page 78) – the statement given by the Directors that they consider the Annual Report and 

Financial Statements taken as a whole is fair, balanced and understandable and provides the information necessary for shareholders to assess 
the Group’s performance, business model and strategy, is materially inconsistent with our knowledge obtained in the audit; or

 – Audit Committee reporting (set out on page 64) – the section describing the work of the Audit Committee does not appropriately address 

matters communicated by us to the Audit Committee. 

As an AIM listed company, the Company is not required to comply with Listing Rule 9.8.10R(2) and therefore we do not report on whether we have 
nothing to report in regard to our responsibility to specifically address the Directors’ statement of compliance with the UK Corporate Governance 
Code and the parts of the Directors’ statement required under the Listing Rules relating to the Company’s compliance with the UK Corporate 
Governance Code containing provisions specified for our review in accordance with Listing Rule 9.8.10R(2), and to report as uncorrected material 
misstatements of the other information where we conclude that the Directors’ statement does not properly disclose a departure from a relevant 
provision of the UK Corporate Governance Code.

Our opinion on other matters prescribed by the Companies Act 2006 is unmodified
In our opinion, based on the work undertaken in the course of the audit:
 – the information given in the Strategic Report and the Directors’ Report for the financial year for which the financial statements are prepared 

is consistent with the financial statements; and

 – the Strategic Report and the Directors’ Report have been prepared in accordance with applicable legal requirements.

CareTech Holdings PLC
Annual Report and Accounts 2020
84

Matters on which we are required to report under the Companies Act 2006

In the light of the knowledge and understanding of the Group and the parent company and its environment obtained in the course of the audit, 
we have not identified material misstatements in the Strategic Report or the Directors’ Report.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, 
in our opinion:
 – adequate accounting records have not been kept by the parent company, or returns adequate for our audit have not been received from 

branches not visited by us; or

 – the parent company financial statements are not in agreement with the accounting records and returns; or
 – certain disclosures of Directors’ remuneration specified by law are not made; or
 – we have not received all the information and explanations we require for our audit. 

Responsibilities of Directors for the financial statements

As explained more fully in the statement of Directors’ responsibilities set out on page 78, the Directors are responsible for the preparation of the 
financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Directors determine is necessary 
to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Directors are responsible for assessing the Group’s and the parent company’s ability to continue as a 
going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Directors 
either intend to liquidate the Group or the parent company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, 
whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is 
not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can 
arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the 
economic decisions of users taken on the basis of these financial statements.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: 
www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report

This report is made solely to the Company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit 
work has been undertaken so that we might state to the Company’s members those matters we are required to state to them in an auditor’s report 
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 this report, or for the opinions we have formed.

Rebecca Eagle
Senior Statutory Auditor
for and on behalf of Grant Thornton UK LLP
Statutory Auditor, Chartered Accountants
London
11 December 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
85

Strategic ReportGovernanceFinancial StatementsConsolidated Income Statement
for the year ended 30 September 2020

Revenue

Cost of sales

Gross profit

Other income

Administrative expenses

Operating profit

EBITDA(i)

Depreciation

Amortisation of intangible assets

Acquisition expenses

Profit on ground rent transaction

Other non-underlying items

COVID-19 costs

Share-based payments charge

Operating profit

Finance expenses

Profit before tax 

Taxation

Profit for the year

Non-controlling interest

Profit for the year attributable  
to owners of the parent

Earnings per share

Basic

Diluted

Note

4

6

13,14

6,15

6

6

6

6

6,9

6,10

11,12

11,12

2020

Non-

2019

Non-

Underlying
£000

underlying(ii) 

£000

Total
£000

Underlying 
£000

underlying(ii)

£000

429,966

(282,029)

147,937

–

(74,356)

73,581

90,932

(17,021)

–

–

–

–

–

(330)

73,581

–

–

–

429,966

(282,029)

147,937

394,994

(262,018)

132,976

2,550

(22,769)

(20,219)

2,550

–

(10,186)

(545)

–

(4,497)

(3,422)

(4,119)

(20,219)

2,550

(97,125)

53,362

93,482

(17,021)

(10,186)

(545)

–

(4,497) 

(3,422)

(4,449)

53,362

–

(70,121)

62,855

73,546

(10,631)

–

–

–

–

–

(60)

Total 
£000

394,994

(262,018)

132,976

–

(93,500)

39,476

73,546

(10,631)

(10,188)

(10,331)

4,565

(7,425) 

–

(60)

–

–

–

–

(23,379)

(23,379)

–

–

(10,188)

(10,331)

4,565

(7,425)

–

–

(13,928)

59,653

(1,611)

(21,830)

(15,539)

37,823

(11,325)

48,328

553

(21,277)

(10,772)

27,051

62,855

(23,379)

39,476

(12,690)

50,165

(9,423)

 40,742 

(2,446)

(25,825)

5,209

(20,616)

(15,136)

24,340

(4,214)

 20,126 

(1,933)

–

(1,933)

(422)

–

(422)

46,395

(21,277)

25,118

40,320

(20,616)

19,704

22.88p

22.03p

18.38p

18.31p

(i)  EBITDA is operating profit stated before depreciation, share-based payments charge and non-underlying items.
(ii)   Non-underlying items comprise: amortisation, acquisition expenses, integration, reorganisation and redundancy costs, donations to the CareTech Foundation, COVID-19 

income and costs, and profit associated with the ground rent transaction (prior year only), and are explained in note 6. 

CareTech Holdings PLC
Annual Report and Accounts 2020
86

 
Consolidated Statement of Comprehensive Income 
for the year ended 30 September 2020

2020

Non- 

Note

Underlying 
£000

48,328

underlying(i) 

£000

(21,277)

Total 
£000

27,051

2019

Non- 
underlying(i) 

£000

Underlying 
£000

Total 
£000

 40,742 

(20,616)

 20,126 

Profit for the year

Item that may be subsequently 
reclassified to the income statement:
Exchange movements on overseas 
net assets

Items that will not be reclassified 
to income statement:
Exchange movements on overseas 
net assets of non-controlling interests

Other comprehensive income 
for the year

53

45

98

–

–

–

53

45

98

–

–

 – 

–

–

–

–

–

–

–

–

 – 

–

(422)

Total comprehensive income for the year

48,426

(21,277)

27,149

Non-controlling interest

(1,978)

–

(1,978)

(422)

Profit for the year attributable to owners 
of the parent

46,448

(21,277)

25,171

40,320

(20,616)

19,704

(i)    Non-underlying items comprise: amortisation, acquisition expenses, integration, reorganisation and redundancy costs, donations to the CareTech Foundation, COVID-19 

income and costs, and profit associated with the ground rent transaction (prior year only), and are explained in note 6.

CareTech Holdings PLC
Annual Report and Accounts 2020
87

Strategic ReportGovernanceFinancial Statements 
Consolidated Statement of Financial Position 
as at 30 September 2020

Non-current assets

Property, plant and equipment

Right-of-use assets

Intangible assets

Goodwill

Current assets

Inventories

Trade and other receivables

Cash and cash equivalents

Total assets

Current liabilities

Trade and other payables

Lease liabilities

Contingent consideration payable

Deferred income

Corporation tax

Non-current liabilities

Loans and borrowings

Lease liabilities

Deferred tax liabilities

Provisions

Derivative financial instruments

Total liabilities

Net assets

Equity 

Share capital

Share premium

Shares held by Executive Shared Ownership Plan

Merger reserve

Other reserves

Retained earnings

Total equity attributable to equity shareholders of the parent

Non-controlling interest

Total equity

Note

2020 
£000

2019 
£000

13

14

15

15

16

19

14

17

18

14

20

21

26

23

24

24

24

24

24

24

604,096

609,658

87,790

83,084

84,604

859,574

1,937

51,055

54,273

107,265

–

80,348

79,456

769,462

998

51,011

29,238

81,247

966,839

850,709

55,017

6,208

1,569

30,309

14,757

107,860

56,937

1,763

–

28,710

13,777

101,187

318,955

315,878

82,480

69,844

21,286

2,198

17,805

63,951

14,884

1,640

494,763

414,158

602,623

364,216

515,345

335,364

565

133,079

(13,305)

125,842

53

107,120

353,354

545

121,304

(3,537)

125,536

–

90,559

334,407

10,862

364,216

957

335,364

These financial statements were approved by the Board of Directors and authorised for issue on 10 December 2020 and were signed on its behalf by:

Farouq Sheikh OBE  
Group Executive Chairman 
Company number: 04457287 

CareTech Holdings PLC
Annual Report and Accounts 2020
88

Christopher Dickinson
Group Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
Foreign 
currency 
translation 
reserve 
£000

–

–

–

–
–
–
–

–

–

–
53

–
–
–

–
–

53

53

Total 
attributable 
to owners 
of the 
parent 
£000

207,069

Non-
controlling 
Interest 
£000

Total 
equity 
£000

639

207,708

19,704

422

20,126

117,163

–

117,163

60
1,213
(10,802)
–

–
–
–
(104)

60
1,213
(10,802)
(104)

107,634

334,407

318

957

107,952

335,364

25,118
53

1,933
45

27,051
98

64
229
2,040

4,449
(13,006)

–
–
7,927

64
229
9,967

–
–

4,449
(13,006)

18,947

9,905

28,852

353,354

10,862

364,216

Consolidated Statement of Changes in Equity
as at 30 September 2020

Shares  
held by 
Executive 
Shared 
Ownership 
Plan 
£000

Retained 
earnings 
£000

Share 
capital 
£000

Share 
premium 
£000

At 1 October 2018

379

120,820

(4,750)

81,597

Merger 
reserve 
£000

9,023

–

–

166

484

–

–

–
1,213
–
–

19,704

–

–

116,513

60
–
(10,802)
–

–
–
–
–

–
–
–
–

484

1,213

(10,742)

116,513

121,304

(3,537)

90,559

125,536

–
–

–
–

25,118
–

10,043
–
1,732

–
–

(9,997)
229
–

–
–
–

–
–

4,449
(13,006)

–
–

–
–
306

–
–

–
–
–
–

166

545

–
–

18
–
2

–
–

20

565

11,775

(9,768)

16,561

306

133,079

(13,305)

107,120

125,842

Profit for the year and total 
comprehensive income

Issue of ordinary shares 
net of transaction costs
Equity-settled share-based 
payments charge
Redemption of share options
Dividends
Non-controlling interest
Transactions with owners 
recorded directly in equity

At 30 September 2019

Profit for the year
Other comprehensive income

Issue of ordinary shares 
net of transaction costs
Redemption of share options
Acquisition (note 5a)
Equity-settled share-based  
payments charge
Dividends
Transactions with owners 
recorded directly in equity

At 30 September 2020

CareTech Holdings PLC
Annual Report and Accounts 2020
89

Strategic ReportGovernanceFinancial StatementsConsolidated Statement of Cash Flows 
for the year ended 30 September 2020

Cash flows from operating activities

Profit before tax

Adjustments for:

Finance expenses

Depreciation

Amortisation

COVID-19 income

COVID-19 costs

Acquisition expenses

Profit arising from the ground rent transaction

Other non-underlying items

Share-based payments charge

Operating cash flows before movement in working capital and non-underlying items 

Increase in inventory 

Decrease / (increase) in trade and other receivables

Decrease in trade and other payables

Operating cash flows before non-underlying items

Integration and restructuring costs

Payment of charitable donations 

COVID-19 receipts

COVID-19 payments

Payment of acquisition costs

Cash inflows from operating activities

Tax paid

Net cash from operating activities

Cash flows from investing activities

Proceeds from sale of property, plant and equipment

Payments for business combinations net of cash acquired

Acquisition of property, plant and equipment

Acquisition of software

Payment of deferred consideration

Net cash used in investing activities

Cash flows from financing activities

Proceeds from issue of shares net of transaction costs

Proceeds from sale and leaseback

Proceeds from shareholder loans

Interest paid

Cash outflow arising non-underlying finance expenses

Bank loans drawdown

Loan arrangement fees paid

Repayment of borrowings

Principal payment of lease liabilities

Dividends paid 

Net cash (used in)/arising from financing activities

Net increase in cash and cash equivalents

Cash and cash equivalents at 1 October

Cash and cash equivalents at 30 September

CareTech Holdings PLC
Annual Report and Accounts 2020
90

Note

2020 
£000

2019 
£000

37,823

24,340

9

13

15

6

6

6

6

6

8,22

6

6

6

6

5

13

15

23

5

25

15,539

17,021

10,186

(2,550)

3,422

545

–

4,497

4,449

90,932

(46)

5,563

(2,227)

94,222

(3,795)

(702)

2,550

(3,420)

(545)

88,310

(3,899)

84,411

15,136

10,631

10,188

–

–

10,331

(4,565)

7,425

60

73,546

(100)

(6,518)

(604)

66,324

(5,748)

(736)

–

–

(14,393)

45,447

(5,889)

39,558

1,536

(2,000)

(23,842)

(2,840)

(739)

23,894

(160,271)

(27,810)

(2,699)

(966)

(27,885)

(167,852)

294

–

1,808

(10,737)

(1,053)

–

–

–

(8,797)

(13,006)

(31,491)

25,035

29,238

54,273

1,697

7,888

–

(10,945)

(308)

431,910

(4,696)

(263,576)

(3,057)

(10,802)

148,111

19,817

9,421

29,238

Notes to the Financial Statements

1. Background and basis of preparation

2. Accounting policies

CareTech Holdings PLC (the “Group” or “Company”) is a company 
registered and domiciled in England and Wales. The consolidated 
financial statements of the Company for the year ended 30 September 
2020 comprise the Company and its subsidiaries (together referred to 
as the “Group”). The consolidated financial statements are presented in 
pounds sterling, which is the Company’s functional currency, rounded 
to the nearest thousand. The parent company financial statements on 
pages 124 to 129 present information about the Company as a separate 
entity and not about its Group. 

The consolidated financial statements were approved for release by the 
Board of Directors on 10 December 2020.

Going concern
The Group’s business activities together with the factors likely 
to affect its future development, performance and position are set 
out in the Group Executive Chairman’s Statement and Group Chief 
Executive’s Statement and Performance Review on pages 18 to 21 
and pages 22 to 27. The financial position of the Group, its cash flows, 
liquidity position and borrowing facilities are described in the Group 
Financial Review on pages 53 to 56. In addition, note 26 to the financial 
statements includes the Group’s objectives, policies and processes for 
managing its capital, its financial risk management objectives, details 
of its financial instruments and hedging activities and its exposures to 
credit risk, interest rate risk and liquidity risk. As highlighted in that note, 
the Group meets its day-to-day working capital requirements through 
cash flow from profits which together with existing bank facilities 
which are sufficient to fund present commitments. Term facilities are 
utilised to fund capital expenditure and short-term flexibility is achieved 
by the utilisation of cash resources in respect of financial liabilities, 
which are shown in the table in note 26 and indicates their contractual 
cash flow maturities.

The Group is financed by bank loan facilities that mature in 2022 
and 2023. The Directors have considered the Group’s forecasts and 
projections, and the risks associated with their delivery, and are satisfied 
that the Group will be able to operate within the covenants imposed by 
bank loan facilities for at least twelve months from the date of approval 
of the consolidated financial information. In relation to available cash 
resources, the Directors have had regard to both cash at bank and 
a £25m committed undrawn revolving credit facility. The Group has 
undertaken extensive activity to identify and mitigate its exposure 
to plausible risks which may arise from COVID-19.

The Directors have prepared a cash flow forecast taking into account 
all expected cash flows for 12 months from the date of signing these 
financial statements. After making due enquiries and current 
assessment of the likelihood of the COVID-19 risks arising together with 
their assessment of the planned mitigating actions being successful, 
the Directors have a reasonable expectation that the Group has 
adequate resources to continue in operational existence for the 
foreseeable future. 

Accordingly, the Directors continue to adopt the going concern basis 
of accounting for the Group and parent company in preparing the 
consolidated financial statements.

(a) Applicable accounting standards
The Group financial statements have been prepared and approved 
by the Directors in accordance with International Financial Reporting 
Standards as adopted by the EU (“Adopted IFRS”) and those parts of the 
Companies Act 2006 relevant to those companies which report in 
accordance with IFRS. 

The accounting policies set out below have, unless otherwise stated, 
been applied consistently to all periods presented in these Group 
financial statements.

New and amended standards and interpretations effective in the year 
IFRS 16 ‘Leases’
In 2020 the Group has adopted IFRS 16 and follows this standard 
for the recognition of leases.

IFRS 16 ‘Leases’ replaces IAS 17 ‘Leases’ along with three Interpretations 
(IFRIC 4 ‘Determining whether an Arrangement contains a Lease’, 
SIC 15 ‘Operating Leases-Incentives’ and SIC 27 ‘Evaluating the 
Substance of Transactions Involving the Legal Form of a Lease’).

The adoption of this new Standard has resulted in the Group 
recognising a right-of-use asset and related lease liability in connection 
with all former operating leases except for those identified as low-value 
or having a remaining lease term of less than 12 months from the date 
of initial application.

The new Standard has been applied using the modified retrospective 
approach, with the cumulative effect of adopting IFRS 16 being 
recognised in equity as an adjustment to the opening balance of 
retained earnings for the current period. Accordingly, the Group is not 
required to present a third statement of financial position as at that date. 
Prior periods have not been restated.

For contracts in place at the date of initial application, the Group has 
elected to apply the definition of a lease from IAS 17 and IFRIC 4 and 
has not applied IFRS 16 to arrangements that were previously not 
identified as lease under IAS 17 and IFRIC 4.

The Group has elected not to include initial direct costs in the 
measurement of the right-of-use asset for operating leases in existence 
at the date of initial application of IFRS 16, being 1 October 2019. At this 
date, the Group has also elected to measure the right-of-use assets at 
an amount equal to the lease liability adjusted for any prepaid or 
accrued lease payments that existed at the date of transition. 

Instead of performing an impairment review on the right-of-use assets 
at the date of initial application, the Group has relied on its historic 
assessment as to whether leases were onerous immediately before 
the date of initial application of IFRS 16. 

On transition, for leases previously accounted for as operating leases 
with a remaining lease term of less than 12 months, including those on 
a rolling basis, and for leases of low-value assets the Group has applied 
the optional exemptions to not recognise right-of-use assets but to 
account for the lease expense on a straight-line basis over the remaining 
lease term. Leases on a rolling basis are assessed as short-term due to 
the legal enforceable period being less than 12 months.

For those leases previously classified as finance leases, the right-of-use 
asset and lease liability are measured at the date of initial application 
at the same amounts as under IAS 17 immediately before the date 
of initial application.

CareTech Holdings PLC
Annual Report and Accounts 2020
91

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

2. Accounting policies continued

Sale and leaseback transactions entered into before the date of initial 
application have not been reassessed to determine whether the 
transfer of the underlying asset satisfies the requirements in IFRS 15 
to be accounted for as a sale. On transition, finance sale and leaseback 
transactions under IAS 17 are accounted for in the same way as any 
other finance lease that exists at the date of initial application and any 
gains are amortised over the lease term. For operating sale and 
leaseback transactions, the leaseback is accounted for in the same way 
as any other operating lease that exists at the date of initial application, 
and the leaseback right-of-use asset is adjusted for any deferred gains 
or losses that relate to off-market terms recognised in the statement 
of financial position immediately before the date of initial application.

On transition to IFRS 16 the weighted average incremental borrowing 
rate applied to lease liabilities recognised under IFRS 16 was between 
2.5% to 2.6% for equipment, 2.6% for motor vehicles and 3.5% for land 
and buildings. The incremental borrowing rate was determined by 
considering the Group’s current borrowing rates, comparator 
borrowing rates and property yield rates.

The Group has benefited from the use of hindsight for determining the 
lease term when considering options to extend and terminate leases. 

The following is a reconciliation of the financial statement line items 
from IAS 17 to IFRS 16 at 1 October 2019:

 Carrying 
amount at 
30 September 
2019 
£000

Remeasure-
ment 
£000

19,535
(19,568)

 (33)

71,730
(71,730)

–

IFRS 16 
carrying 
amount at 
1 October 
2019 
£000

91,265
(91,298)

(33)

Right-of-use assets 
(note 14)
Lease liabilities

Total

Lease liabilities recognised under IAS 17 and previously presented in 
loans and borrowings, and ground rent liabilities arising under IAS 17, 
have been represented as lease liabilities.

Right-of-use assets have been reclassified into a separate category 
from property, plant and equipment as at 1 October 2019, see note 13.

The following is a reconciliation of total operating lease commitments 
at 30 September 2019 (as disclosed in the financial statements to 
30 September 2019) to the lease liabilities recognised at 1 October 2019:

Total operating lease commitments disclosed 
at 30 September 2019
Operating lease liabilities before discounting
Discounted using incremental borrowing rate
Short-term operating lease commitments 
Other adjustments*

Total lease liabilities recognised under IFRS 16 
at 1 October 2019 

£000

251,639
251,639
(201,865)
(3,793)
 25,749

71,730

* 

 Other adjustments include predominantly certain hundred year leases that 
did not previously form part of the operating lease commitments disclosed 
at 30 September 2019.

Impact of IFRS 16
The financial impacts of IFRS 16 on 2020 are set out in the table below.

2020 
(pre IFRS 16) 
£m

Impact of 
IFRS 16 
£m

IFRS 16 
(post IFRS 16) 
£m

Underlying operating profit
Net underlying 
finance costs

Underlying profit 
before tax
Right-of-use assets
Other assets
Lease liabilities
Other liabilities

Net assets

72.0

(11.5)

60.5
18.7
877.1
(19.3)
(511.5)

365.0

1.6

(2.4)

(0.8)
69.1
–
(69.4)
(0.5)

(0.8)

73.6

(13.9)

59.7
87.8
877.1
(88.7)
(512.0)

364.2

The changes in accounting resulting from the implementation of 
IFRS 16 will not affect the way liquidity is assessed against the Group’s 
banking covenants, which will continue to be assessed as though the 
accounting rules had not changed. As such, headline financial leverage 
will continue to be measured on a consistent (i.e. “frozen GAAP”) basis 
in 2020 and the Group continues to target a headline financial leverage, 
excluding the increase in leverage associated with the implementation 
of IFRS 16, of below 3.0x in the medium term.

Issued IFRS not yet effective
At the date of authorisation of these financial statements, certain new 
standards, amendments and interpretations to existing standards have 
been published by the IASB but are not yet effective and these have 
not been applied early by the Group. Management anticipates that 
the following pronouncements relevant to the Group’s operation 
will be adopted in the Group’s accounting policies for the first period 
beginning after the effective date of the pronouncement, once 
adopted by the EU:

Title

Subject

Amendment to 
IFRS 16 ‘Leases’ 
COVID-19 – Related 
Rent Concessions 
(May 2020)
Amendments 
to References to 
the Conceptual 
Framework in 
IFRS Standards
Amendments to 
IFRS 3 (Oct 2018)
Amendments to 
IAS 1 and IAS 8 
(Oct 2018)
IFRS 17

Amendments to 
IFRS 10 and IAS 28 
(Sept 2014)

COVID-19 – Related 
Rent Concessions

Amendments 
to References to 
the Conceptual 
Framework in 
IFRS Standards
Definition of Business

Definition of Material

Insurance Contracts

Sale or Contribution 
of Assets between an 
Investor and 
its Associate or 
Joint Venture

Effective date 
per standard

1 June 2020  
per IASB.

1 January 2020 
per IASB.

1 January 2020 
per IASB.
1 January 2020 
per IASB. 

1 January 2023 
per IASB. 
Postponed

The Directors expect that the adoption of the standards listed above 
will not have a material impact on the financial information of the 
Group in future reporting periods. 

CareTech Holdings PLC
Annual Report and Accounts 2020
92

 
(b) Measurement convention
The financial statements are prepared on the historical cost basis 
except that derivative financial instruments are stated at their fair value 
and contingent consideration is stated at fair value through 
profit or loss.

(c) Basis of consolidation
The Group financial statements consolidate those of the parent 
company and all of its subsidiaries as of 30 September 2020. 
All subsidiaries have a reporting date of 30 September, except for 
“the AS Group” which has a year end of 31 December. All transactions 
and balances between Group companies are eliminated on 
consolidation, including unrealised gains and losses on transactions 
between Group companies. Where unrealised losses on intra-group 
asset sales are reversed on consolidation, the underlying asset is also 
tested for impairment from a Group perspective. Amounts reported 
in the financial statements of subsidiaries have been adjusted where 
necessary to ensure consistency with the accounting policies adopted 
by the Group. Subsidiaries are only consolidated where control exists. 
Control is determined to exist when the Group has power over the 
investee, exposure, or rights, to variable returns from its involvement 
with the investee and the ability to use its power over the investee 
to affect the amount of the investor’s returns.

(d) Property, plant and equipment
Property, plant and equipment is stated at cost less accumulated 
depreciation and impairment losses.

Cost includes expenditure that is directly attributable to the acquisition 
of the asset. The cost of self-constructed assets includes the cost of 
materials and direct labour, any other costs directly attributable to 
bringing the assets to a working condition for their intended use 
and capitalised borrowing costs. Purchased software that is integral 
to the functionality of the related equipment is capitalised as part 
of that equipment.

The cost of replacing an item of property, plant and equipment is 
recognised in the carrying amount of the item if it is probable that the 
future economic benefits embodied within the component will flow 
to the Group, and its cost can be measured reliably. The carrying 
amount of the replaced component is derecognised. The costs of the 
day-to-day servicing of property, plant and equipment are recognised 
in the profit or loss as incurred.

(e) Intangible assets and goodwill
All business combinations are accounted for by applying the acquisition 
method as described in note 2(s). Goodwill represents the excess of the 
fair value of the consideration over the fair value of the assets, liabilities 
and contingent liabilities acquired on acquisition of subsidiaries. 
Identifiable intangibles are those which can be sold separately or which 
arise from legal rights regardless of whether those rights are separable.

Goodwill is stated at cost less any accumulated impairment losses. 
Goodwill is allocated to cash-generating units and is not amortised 
but is tested annually for impairment.

Negative goodwill (bargain purchase credit) arising on an acquisition 
is recognised immediately in the consolidated income statement.

Other intangible assets that are acquired by the Group are stated at cost 
less accumulated amortisation and impairment losses.

Expenditure on research activities is recognised as an expense in the 
period in which it is incurred.

Included within software are development costs in relation to software 
which are capitalised when the related projects meet the recognition 
criteria of an internally generated intangible asset, the key criteria being 
as follows:
(a)   technical feasibility of completing the intangible asset so that it will 

be available for use or sale;

(b)  it can be demonstrated that the asset will generate probable future 

economic benefits;

(c)   adequate technical, financial and other resources are available 

to complete the development;

(d)  the expenditure attributable to the intangible asset can be reliably 

measured; and

(e)   management has the ability and intention to use or sell the asset.

These projects are designed to enhance the existing software within 
the Group. Salaries associated with development time and directly 
attributable overheads are capitalised within intangible assets.

Development costs recognised as assets are amortised on a straight-
line basis over their expected useful life. Development expenditure is 
only amortised over the period the Group is expected to benefit and 
is subject to annual impairment testing.

Where parts of an item of property, plant and equipment have different 
useful lives, they are accounted for as separate items of property, plant 
and equipment and depreciated separately.

The estimated useful life and amortisation method are reviewed at the 
end of each reporting period, with the effect of any changes in estimate 
being accounted for on a prospective basis.

Amortisation is charged to the consolidated income statement on 
a straight-line basis over the estimated useful lives of intangible assets 
unless such lives are indefinite. The estimated useful lives are as follows:
 – customer relationships 
 – software and licences  

1–20 years; and
5 years.

(f) Inventories
Inventories are valued at the lower of cost and net realisable value. 
The cost of inventories is based on a first-in first-out cost basis.

(g) Cash and cash equivalents
Cash and cash equivalents comprise cash balances and call deposits 
with maturities of three months or less from inception.

Following implementation of IFRS 16 there is no longer disaggregation 
of finance lease assets; however in the prior financial year leases in 
which the Group assumes substantially all the risks and rewards of 
ownership of the leased asset are classified as finance leases. Where 
land and buildings are held under leases the accounting treatment 
of the land is considered separately from that of the buildings. Leased 
assets acquired by way of finance lease are stated at an amount equal 
to the lower of their fair value and the present value of the minimum 
lease payments at inception of the lease, less accumulated depreciation 
and impairment losses. Lease payments are accounted for as described 
in note 2(p).

Depreciation is charged to the consolidated income statement over 
the estimated useful lives of each part of an item of property, plant and 
equipment. Land is not depreciated. The Directors reassess the residual 
value estimates, particularly in respect of properties, on an annual basis. 
The estimated useful lives are as follows:
 – freehold buildings  
 – long leasehold property  
 – short leasehold property  
 – fixtures, fittings and equipment 
 – motor vehicles 

2% straight-line to residual value;
over the life of the lease;
over the life of the lease;
15% straight-line; and
25% reducing balance.

CareTech Holdings PLC
Annual Report and Accounts 2020
93

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

2. Accounting policies continued

(h) Financial Instruments
Recognition, initial measurement and derecognition
Financial assets and financial liabilities are recognised when the 
Group becomes a party to the contractual provisions of the financial 
instrument. Except for those trade receivables that do not contain a 
significant financing component are measured at the transaction price 
in accordance with IFRS 15, all financial assets are initially measured at 
fair value adjusted for transaction costs (where applicable). Financial 
liabilities are initially measured at fair value, and, where applicable, 
adjusted for transaction costs unless the Group designated a financial 
liability at fair value through profit or loss. Subsequent measurement 
of financial assets and financial liabilities are described below.

Financial assets are derecognised when the contractual rights to the 
cash flows from the financial asset expire, or when the financial asset 
and all substantial risks and rewards are transferred. A financial liability is 
derecognised when it is extinguished, discharged, cancelled or expires.

Classification and subsequent measurement of financial assets
For the purpose of subsequent measurement, financial assets are 
classified into the following categories upon initial recognition:
 – Financial assets at amortised cost.
 – Financial assets/liabilities held at fair value through profit or loss 

(FVTPL).

FVTPL assets in this category are measured at fair value with gains or 
losses recognised in profit or loss. The fair values of financial assets in 
this category are determined by reference to active market transactions 
or using a valuation technique where no active market exists.

All income and expenses relating to financial assets that are recognised 
in the consolidated income statement are presented within finance 
costs or finance income, except for impairment of trade receivables 
which is presented within other administrative expenses.

Financial assets at amortised cost
Financial assets are measured at amortised cost if the assets meet the 
following conditions (and are not designated as FVTPL):
 – they are held within a business model whose objective is to hold 
the financial assets and collect its contractual cash flows; and

 – the contractual terms of the financial assets give rise to cash flows 
that are solely payments of principal and interest on the principal 
amount outstanding.

After initial recognition, these are measured at amortised cost using the 
effective interest method. Discounting is omitted where the effect of 
discounting is immaterial. The Group’s cash and cash equivalents, trade 
and most other receivables fall into this category of financial instruments.

Financial assets at FVTPL
Financial assets that are held within a different business model other 
than “hold to collect” or “hold to collect and sell” are categorised at fair 
value through profit and loss. Further, irrespective of business model 
financial assets whose contractual cash flows are not solely payments 
of principal and interest are accounted for at FVTPL. All derivative 
financial instruments fall into this category, except for those designated 
and effective as hedging instruments, for which the hedge accounting 
requirements apply.

Assets in this category are measured at fair value with gains or losses 
recognised in profit or loss. The fair values of financial assets in this 
category are determined by reference to active market transactions 
or using a valuation technique where no active market exists.

Classification and subsequent measurement of financial liabilities
The Group’s financial liabilities include borrowings, trade and other 
payables and derivative financial instruments. Financial liabilities are 
measured subsequently at amortised cost using the effective interest 
method, except for financial liabilities held for trading or designated 
at FVTPL, that are carried subsequently at fair value with gains or losses 
recognised in the consolidated income statement. All derivative 
financial instruments that are not designated and effective as hedging 
instruments are accounted for at FVTPL.

All interest-related charges and, if applicable, changes in an 
instrument’s fair value that are reported in consolidated income 
statement are included within finance costs or finance income.

From time to time, the long-term debt held by the Group are either 
refinanced as these come to maturity, or the margin on these facilities 
moves in line with the ratio of the Group’s net debt to EBITDA. In either 
scenario, the Group reviews whether the debt is accounted for as a 
modification or an extinguishment of the liability. A substantial 
modification should be accounted for as an extinguishment of the 
existing liability and the recognition of a new liability. A non-substantial 
modification should be accounted for as an adjustment to the existing 
liability. Both the quantitative and qualitative aspects of the modification 
are taken into account to ascertain whether the modification is 
substantial and these can include the change in covenants, repayment 
dates and the effective interest rate. If modification accounting is 
adopted, the carrying value of the existing liability is adjusted for fees 
paid or costs incurred and the effective interest rate is amended at the 
modification date. If extinguishment accounting is adopted, the existing 
liability is de-recognised and the new or modified liability is recognised 
at its fair value, the gain or loss equal to the difference between the 
carrying value of the old liability and the fair value of the new one is 
recognised, any incremental costs or fees incurred and any 
consideration paid or received is recognised in profit or loss and a new 
effective interest rate for the modified liability is calculated and used 
in future periods.

Derivative financial instruments
From time to time, the Group enters into derivative financial 
instruments, such as interest rate swaps, to manage its exposure 
to interest rate risk. 

Derivatives are initially recognised at fair value at the date a derivative is 
entered into and are subsequently remeasured to their fair value at each 
balance sheet date. A derivative with a positive fair value is recognised 
as a financial asset whereas a derivative with a negative fair value is 
recognised as a financial liability. The resulting gain or loss is recognised 
in the consolidated income statement immediately. A derivative is 
presented as a non-current asset or non-current liability if the Group 
has an unconditional right to defer payment beyond 12 months. 
Otherwise derivatives are presented as current assets or liabilities.

Trade receivables and contract assets
The Group applies the IFRS 9 simplified approach to measuring 
expected credit losses, which uses a lifetime expected loss allowance 
for all trade receivables and contract assets.

Trade receivables and contract assets have been grouped based 
on share credit risk characteristics and the days past due in order to 
measure expected credit losses. Contract assets related to unbilled 
work in progress have substantially the same risk characteristics as 
trade receivables for the same type of contracts. The Group has 
therefore concluded that the expected loss rates for trade receivables 
are a reasonable approximation of the loss rates for contract assets.

The expected loss rates are based on the payment profiles of sales over 
a period of 48 months and before 30 September 2019 and 30 September 
2020 respectively as well as the correspondingly historical credit losses 
during that period. The vast majority of the Group’s customers are 
state-owned entities such as local authorities. As such, credit loss 
is not expected to increase significantly since initial recognition.

CareTech Holdings PLC
Annual Report and Accounts 2020
94

(i) Impairment (excluding deferred tax assets)
The carrying amounts of the Group’s assets are reviewed at each 
balance sheet date to determine whether there is any indication 
of impairment. If any such indication exists, the asset’s recoverable 
amount is estimated.

(k) Employee benefits
Defined contribution plans
Obligations for contributions to defined contribution pension plans 
are recognised as an expense in the consolidated income statement 
as incurred.

For goodwill and assets that have an indefinite useful life, the recoverable 
amount is estimated at each balance sheet date. For goodwill and 
assets which are not amortised or depreciated, the recoverable amount 
is estimated at each balance sheet date.

An impairment loss is recognised whenever the carrying amount 
of an asset or its cash-generating unit exceeds its recoverable amount. 
Impairment losses are recognised in the consolidated income statement.

Impairment losses recognised in respect of cash-generating units are 
allocated first to reduce the carrying amount of any goodwill allocated 
to cash-generating units and then to reduce the carrying amount of 
the other assets in the unit on a pro rata basis. A cash-generating unit is 
the smallest identifiable group of assets that generates cash inflows that 
are largely independent of the cash inflows from other assets or groups 
of assets.

Calculation of recoverable amount
The recoverable amount of the Group’s financial assets carried at 
amortised cost is calculated as the present value of estimated future 
cash flows, discounted at the original effective interest rate. Financial 
assets with a short duration are not discounted.

The recoverable amount of other assets is the greater of their fair 
value less costs to sell and value in use. In assessing value in use, the 
estimated future cash flows are discounted to their present value using 
a pre-tax discount rate that reflects current market assessments of the 
time value of money and the risks specific to the asset. For an asset 
that does not generate largely independent cash inflows, the 
recoverable amount is determined for the cash-generating unit to 
which the asset belongs. This includes right-of-use assets, which 
cannot be operated independently.

Reversals of impairment
An impairment loss in respect of a financial asset carried at amortised 
cost is reversed if the subsequent increase in recoverable amount can 
be related objectively to an event occurring after the impairment loss 
was recognised. 

Any impairment loss in respect of goodwill is not reversed.

In respect of other assets, an impairment loss is reversed when there 
is an indication that the impairment loss may no longer exist or there 
has been a change in the estimates used to determine the recoverable 
amount. An impairment loss is reversed only to the extent that the 
asset’s carrying amount does not exceed the carrying amount that 
would have been determined, net of depreciation or amortisation, 
if no impairment loss had been recognised.

(j) Interest-bearing borrowings
Interest-bearing borrowings are recognised initially at fair value less 
directly attributable transaction costs. Subsequent to initial recognition, 
interest-bearing borrowings are stated at amortised cost with any 
difference between proceeds (net of transaction costs) and the 
redemption value being recognised in the consolidated income 
statement over the period of the borrowings on an effective 
interest basis.

Borrowings are classified as current liabilities unless the Group has 
an unconditional right to defer settlement of the liability for at least 
12 months after the reporting date.

Interest on qualifying assets is capitalised in accordance with IAS 23 
borrowing costs. Refer to note 9.

Short-term benefits
Short-term employee benefit obligations are measured on an 
undiscounted basis and are expensed as the related service is provided. 
A provision is recognised for the amount expected to be paid under 
short-term cash bonus or profit-sharing plans if the Group has a 
present legal or constructive obligation to pay this amount as a result 
of past service provided by the employee and the obligation can be 
estimated reliably.

Share-based payment transactions
The grant date fair value of options granted to employees is recognised 
as an employee expense, with a corresponding increase in equity, over 
the period in which the employees become unconditionally entitled 
to the options. The fair value of the options granted is measured using 
an option valuation model (Black-Scholes valuation model), taking 
into account the terms and conditions upon which the options were 
granted. The amount recognised on exercise as an expense is adjusted 
to take into account an estimate of the number of shares that are 
expected to vest as well as to reflect the actual number of share 
options that vest, except where forfeiture is due only to share prices 
not achieving the threshold for vesting. Options lapsed are expunged 
from the relevant scheme.

Employee Benefit Trust 
The assets and liabilities of the Employee Benefit Trust (EBT) have been 
included in the consolidated financial statements. Any assets held by 
the EBT cease to be recognised on the consolidated balance sheet 
when the assets vest unconditionally in identified beneficiaries. 

The costs of purchasing own shares held by the EBT are shown as 
a deduction against equity. The proceeds from the sale of own shares 
held increase equity. Neither the purchase nor sale of own shares leads 
to a gain or loss being recognised in the consolidated income statement. 

(l) Provisions
A provision, other than provisions for deferred taxation, is recognised 
in the balance sheet where a reliable estimate can be made when the 
Group has a present legal or constructive obligation as a result of a past 
event, and it is probable that an outflow of economic benefits will be 
required to settle the obligation. If the effect is material, provisions are 
determined by discounting the expected, risk adjusted, and future cash 
flows at a pre-tax risk-free rate.

(m) Revenue
IFRS 15 provides a single, principles-based approach to the recognition 
of revenue from all contracts with customers. It focuses on the 
identification of performance obligations in a contract and requires 
revenue to be recognised when or as those performance obligations 
are satisfied.

The Group provides care services to vulnerable adults and children 
which are consumed as soon as they are provided. It satisfies its 
performance obligations as care services are rendered to the client. 
There are no significant financing components and invoice payment 
terms are typically 30 days. For Foster Care, the Group is acting as a 
principal as contracts are between the Group and local authorities and 
separately between the Group and foster carers with a number of 
performance conditions attached to each. Our contracts provide that 
the Group is entitled to consideration based on the amount of care 
services delivered (for example number of days’ worth of care delivered 
in the period) and an agreed rate. On this basis, the Group have applied 
the practical expedient set out in IFRS 15 para 121. There are no 
significant judgements used in the recognition of revenue.

CareTech Holdings PLC
Annual Report and Accounts 2020
95

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

2. Accounting policies continued

Revenue in respect of the provision of care services is measured as the 
fair value of fee income received or receivable in respect of the services 
provided and is recognised in respect of the care that has been 
provided in the relevant period. Any additional services provided by the 
Group are recognised as services are provided. Foster Care revenue is 
recognised on the basis of the daily placements made with a full day’s 
revenue recognised for every night a placement is with a foster carer. 
Revenue in respect of educational services is recognised when the 
young person is in school, over the academic year, as this is when 
the service user is receiving the educational services.

Revenue in respect of apprenticeship and related learning services 
is recognised over time and at a point in time. 80% of the revenues are 
recognised over time as the courses are delivered. 20% of the funding is 
directly linked to course completion milestones reached by apprentices 
at which point the remaining funding is receivable and recognised. 
A corresponding balance is recognised in receivables. 

(o) Expenses
Finance lease payments – prior year only
Minimum lease payments are apportioned between the finance 
charge and the reduction of the outstanding liability. The finance 
charge is allocated to each period during the lease term so as to 
produce a constant periodic rate of interest on the remaining 
balance of the liability.

Financing costs
Financing costs, comprising interest payable on bank loans and 
overdrafts, finance charges on finance leases, the unwinding of the 
discount on provisions and the costs incurred in connection with the 
arrangement of borrowings are recognised in the consolidated income 
statement using the effective interest method.

Interest payable is recognised in the consolidated income statement as 
it accrues, using the effective interest method. Financing costs that are 
directly attributable to the acquisition or construction of a qualifying 
asset are capitalised as part of the cost of that asset.

Revenue in respect of long-term contracts is recognised over the period 
that services are performed and is recognised in respect of the services 
that have been provided.

Financing costs also include losses arising on the change in fair value 
of derivatives that are recognised in the consolidated income statement.

Income which has been invoiced but irrecoverable is treated as a 
bad debt expense. Revenue invoiced in advance is included in deferred 
revenue until the service is provided. Revenue is recognised net of VAT 
and credit notes.

(p) Leased assets
As described in note 2(a), the Group has applied IFRS 16 using the 
modified retrospective approach and therefore comparative information 
has not been restated. This means comparative information is still 
reported under IAS 17 and IFRIC 4.

Contract assets and liabilities/accrued and deferred income 
The Group recognises contract liabilities for consideration received 
in respect of unsatisfied performance obligations and reports these 
amounts as deferred income in the balance sheet (see note 17). 
An example of this is where the Group will invoice in advance for 
education services. This is held in deferred income until the service 
has been provided. 

Similarly the Group recognises a contract asset when a contract has 
been agreed with a customer and a service user has been admitted 
to our facilities but no sales invoice has been issued. This is disclosed 
as accrued income. 

The Group will estimate the accrued income using the agreed 
contractual rate and the number of days where the service user 
was receiving care from the Group. 

Revenue disaggregation
The vast majority of the Group’s customers are state-owned entities 
such as local authorities. The Group’s operations are substantially 
within the UK. As such the Group has determined that because its 
revenue is earned in one geographical location to one specific type 
of customer, it is appropriate to report the revenue recognised from 
contracts with customers in the same operating segments as are used 
for segmental analysis (see note 4).

(n) Non-underlying items
The Group has applied an income statement format which seeks to 
highlight significant items within Group results for the year. Such items 
may include significant restructuring and onerous lease provisions, 
fair values movements in contingent consideration, profit or loss on 
disposal or termination of operations, litigation costs and settlement 
of share-based payments, profit or loss on disposal of investments and 
impairment of assets. The Group exercises judgement in assessing the 
particular items which, by virtue of their scale and nature should be 
disclosed in the income statement and related notes as non-underlying 
items. The Group believes that such a presentation is useful for the 
users of the financial statements in helping to provide a balanced view 
of, and relevant information on, the Group’s financial performance. 
Details are included in note 6.

Accounting policy applicable from 1 October 2019
The Group as a lessee
For any new contracts entered into on or after 1 October 2019, 
the Group considers whether a contract is, or contains, a lease. A lease 
is defined as “a contract, or part of a contract, that conveys the right to 
use an asset (the underlying asset) for a period of time in exchange for 
consideration”. To apply this definition the Group assesses whether the 
contract meets three key evaluations which are whether the:
 – Contract contains an identified asset, which is either explicitly 

identified in the contract or implicitly specified by being identified 
at the time the asset is made available to the Group.

 – Group has the right to obtain substantially all of the economic 

benefits from use of the identified asset throughout the period of 
use, considering its rights within the defined scope of the contract.

 – Group has the right to direct the use of the identified asset 

throughout the period of use. The Group assesses whether it has 
the right to direct “how and for what purpose” the asset is used 
throughout the period of use.

Measurement and recognition of leases as a lessee
At lease commencement date, the Group recognises a right-of-use 
asset and a lease liability on the balance sheet. The right-of-use asset 
is measured at cost, which is made up of the initial measurement of the 
lease liability, any initial direct costs incurred by the Group, an estimate 
of any costs to dismantle and remove the asset at the end of the lease, 
and any lease payments made in advance of the lease commencement 
date (net of any incentives received).

The Group depreciates the right-of-use assets on a straight-line basis 
from the lease commencement date to the earlier of the end of the 
useful life of the right-of-use asset or the end of the lease term. The 
Group also assesses the right-of-use asset for impairment when such 
indicators exist.

At the commencement date, the Group measures the lease liability at 
the present value of the lease payments unpaid at that date, discounted 
using the interest rate implicit in the lease if that rate is readily available 
or the Group’s incremental borrowing rate.

Lease payments included in the measurement of the lease liability 
are made up of fixed payments (including in substance fixed), variable 
payments based on an index or rate, amounts expected to be payable 
under a residual value guarantee and payments arising from options 
reasonably certain to be exercised.

CareTech Holdings PLC
Annual Report and Accounts 2020
96

Subsequent to initial measurement, the liability will be reduced for 
payments made and increased for interest. It is remeasured to reflect 
any reassessment or modification, or if there are changes in in-substance 
fixed payments.

When the lease liability is remeasured, the corresponding adjustment 
is reflected in the right-of-use asset, or profit and loss if the right-of-use 
asset is already reduced to zero.

The Group has elected to account for short-term leases and leases of 
low-value assets using the practical expedients. Instead of recognising 
a right-of-use asset and lease liability, the payments in relation to these 
are recognised as an expense in profit or loss on a straight-line basis 
over the lease term.

On the statement of financial position, right-of-use assets and lease 
liabilities have been disclosed separately.

Accounting policy applicable before 1 October 2019
The Group as a lessee
Finance leases
Management applies judgement in considering the substance of 
a lease agreement and whether it transfers substantially all the risks 
and rewards incidental to ownership of the leased asset. Key factors 
considered include the length of the lease term in relation to the 
economic life of the asset, the present value of the minimum lease 
payments in relation to the asset’s fair value, and whether the Group 
obtains ownership of the asset at the end of the lease term. For leases 
of land and buildings, the minimum lease payments are first allocated 
to each component based on the relative fair values of the respective 
lease interests. Each component is then evaluated separately for 
possible treatment as a finance lease, taking into consideration the fact 
that land normally has an indefinite economic life. See note 2 for the 
depreciation methods and useful lives for assets held under finance 
leases. The interest element of lease payments is charged to profit 
or loss, as finance costs over the period of the lease.

Operating leases
All other leases are treated as operating leases. Where the Group is a 
lessee, payments on operating lease agreements are recognised as an 
expense on a straight-line basis over the lease term. Associated costs, 
such as maintenance and insurance, are expensed as incurred.

(q) Taxation
Tax on the profit or loss for the year comprises current and deferred 
tax. Tax is recognised in the consolidated income statement except to 
the extent that it relates to items recognised directly in equity, in which 
case it is recognised in equity. Current tax is the expected tax payable 
on the taxable income for the year, using tax rates and laws enacted 
or substantively enacted at the balance sheet date, and any adjustment 
to tax payable in respect of previous years.

Deferred tax is provided on temporary differences between the 
carrying amounts of assets and liabilities for financial reporting 
purposes and the amounts used for taxation purposes. The following 
temporary differences are not provided for: the initial recognition of 
goodwill; the initial recognition of assets or liabilities that affect neither 
accounting nor taxable profit other than in a business combination, 
and differences relating to investments in subsidiaries to the extent 
that they will probably not reverse in the foreseeable future.

The amount of deferred tax provided is based on the expected 
manner of realisation or settlement of the carrying amount of assets 
and liabilities, using tax rates and laws enacted or substantively enacted 
at the balance sheet date. A deferred tax asset is recognised only to the 
extent that it is probable that future taxable profits will be available 
against which the asset can be utilised. The carrying amounts of 
deferred tax assets are reviewed at each balance sheet date.

(r) Business combinations
The Group applies the acquisition method in accounting for business 
combinations. The consideration transferred by the Group to obtain 
control of a subsidiary is calculated as the sum of the acquisition-date 
fair values of assets transferred, liabilities incurred and the equity 
interests issued by the Group, which includes the fair value of any 
asset or liability arising from a contingent consideration arrangement. 
The calculation of contingent consideration is based on the provisions 
included in the sale and purchase agreement of each acquisition and 
is updated if circumstances change. Acquisition costs are expensed 
as incurred. Assets acquired and liabilities assumed are measured at 
their acquisition-date fair values. The Group recognises non-controlling 
interests in an acquired entity either at fair value or at the non-controlling 
interest’s proportionate share of the acquired entity’s net identifiable 
assets. This decision is made on an acquisition-by-acquisition basis. 
For the non-controlling interests in the AS Group, the Group elected 
to recognise the non-controlling interests at its proportionate share 
of the acquired net identifiable assets.

(s) Government grants
Government grants are recognised only when there is reasonable 
assurance that the Group will comply with any conditions attached 
to the grant and the grant will be received. The grants are recognised 
as income over the period necessary to match them with the related 
costs, for which they are intended to compensate, on a systematic 
basis. A grant receivable as compensation for costs already incurred 
or for immediate financial support, with no future related costs, 
is recognised as income in the period in which it is receivable.

3. Accounting estimates and judgements

The preparation of financial statements in conformity with IFRS requires 
management to make judgements, estimates and assumptions which 
affect the application of accounting policies and the reported amounts 
of assets, liabilities, income and expenses. Actual results may differ 
from these estimates.

In the process of applying the Group’s accounting policies, the 
Directors have made the following estimates and judgements which 
have the most significant effect on the amounts recognised in the 
financial statements:

Estimates
Estimates and underlying assumptions are reviewed on an ongoing 
basis. Revisions to accounting estimates are recognised in the period 
in which the estimates are revised and in any future periods affected.

Goodwill
The Group annually tests whether there is any impairment in goodwill, 
in accordance with the accounting policy outlined in note 2(e). 
Determining whether goodwill is impaired requires comparison of the 
value in use for the relevant CGUs to the net assets attributable to these 
CGUs. The value-in-use calculation is based on an estimate of future 
cash flows expected to arise from the CGUs and these are discounted 
to net present value using an appropriate discount rate. In calculating 
value in use, management judgement is required in forecasting 
cash flows of cash-generating units, in determining terminal growth 
values and in calculating an appropriate discount rate. The goodwill 
impairment test is sensitive to these estimates. The Group has 
performed sensitivity analysis over the value-in-use calculation with 
respect to the key estimates. The discount rates applied in these 
calculations are disclosed in note 15.

Incremental borrowing rate
Implementation of the new leasing standard IFRS 16 requires the 
Group to apply judgement in determining an appropriate incremental 
borrowing rate to use as the discount rate when the interest rate 
implicit in the lease cannot be readily determined. Further information 
is given in note 2(a).

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97

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

3. Accounting estimates and judgements continued

Judgements
Business combination
Judgement is required in determining the date of acquisition and 
when control was obtained of AS Investment Holdings Limited and 
AS1 Investment Holdings Limited (AS holding companies) and their 
operating subsidiaries (together collectively, the AS Group). Where the 
economic interest in the operating entities of the AS Group was less 
than 50%, judgement has been used in determining control of the 
underlying subsidiaries. Due to the absence of explicit substantive 
control (on the basis of voting rights held), the Company considered 
other aspects detailed in IFRS 10 around design and purpose of the 
investee and their current ability to control and direct the relevant 
activities of the AS Group and also the rights of the other investors and 
their powers before making a judgement around existence of control. 
As part of the assessment, the Company noted that the board of AS 
holding companies, over which the Company held explicit substantive 
control, was in charge of the key operating and financial decisions of 
the operating entities. 

In determining the date of acquisition, the Board has assessed this as 
the date on which it obtained control over the AS Group in accordance 
with IFRS 3 paragraph 8, as 4 February 2020. This is also the date in 
which the exposure, or rights, to variable returns from its involvement 
with the AS Group were obtained. Disclosure in respect of the business 
combination is given in note 5a.

Provisions
As part of the Cambian business combination, certain provisions 
were identified including sleep-in payments and onerous contracts. 
A “sleep-in” payment refers to a type of work, common in the care 
sector, where employees “sleep-in” and are paid an allowance for doing 
so. HMRC’s initial view was that hours spent by employees performing 
sleep-in count as “working time” and therefore should be included 
when calculating whether or not someone has been paid in 
accordance with the National Minimum Wage Regulations 2015. 
In November 2017, HMRC reiterated its position and invited companies 
to join the Social Care Compliance Scheme, a self-reporting scheme 
aimed at concluding historic payments regarding sleep-ins. Whilst 
a number of other care service providers have challenged HMRC’s 
original view, if it is ultimately individually determined that the Group 
had to pay each individual engaged in a sleep-in an amount by 
reference to the National Minimum Wage, the additional cost could 
be material. A Court of Appeal judgment in the case of Royal Mencap 
Society v Tomlinson-Blake (2018) EWCA 1641 found that the care 
workers who did “sleep-ins” overnight in that case were available 
for work during their sleeping shift, rather than actually working. 
Accordingly, HMRC are considering the implications of this judgment. 
Since this Court of Appeal ruling, the Supreme Court has heard the 
appeal to the judgment, however it has yet to give its position. The 
outcome of the case and therefore the implication on HMRC’s position 
is uncertain and the Directors have used their judgement to provide for 
this matter for the affected employees. Amounts in respect of sleeps 
are not separately disclosed to avoid any potential prejudice in the 
outcome of each matter.

Capitalised development costs
Capitalisation of development costs within software and licences 
requires the Directors to make judgements in allocating staff time 
appropriately to relevant projects and in assessing the technical 
feasibility and economic potential of those projects as well as forecasts 
for the useful economic life of each asset have been used. The useful 
economic life of development costs is determined to be five years.

CareTech Charitable Foundation
Judgement is required in determining whether the Group has control 
of the CareTech Charitable Foundation (the “Foundation”). In assessing 
control, the Group has assessed whether it is exposed, or has rights, 
to variable returns from its involvement in the Foundation. Consideration 
has been given to the fact the Group cannot directly appoint or remove 
a Trustee but can remove a member and veto the appointment of a 
new member. The membership of the charitable company is restricted 
to the independent trustees and relevant activities of the charity 
governed by the Board of Trustees. Given the majority of the Trustees 
are Group employees, an assessment has been made as to whether 
the Group employees are able to exercise control and therefore 
generate variable returns. 

The Foundation’s Trustees owe very strict legal duties under the 
Charity Commission to act as fiduciaries and each trustee must act 
independent of its own interest or indeed anyone else’s save for those 
of the charity. Based on these legal duties, the Directors have used their 
judgement that a Foundation trustee could not act on behalf of a third 
party if acting in compliance with their duties and how the law permits 
and therefore the Group does not control the Foundation.

4. Segmental information

IFRS 8 requires operating segments to be determined based on 
the Group’s internal reporting to the Chief Operating Decision Maker 
(“CODM”). The CODM has been determined to be the Group Chief 
Executive Officer as he is primarily responsible for the allocation of 
resources to segments and the assessment of the performance 
of each of the segments.

The CODM uses EBITDA as reviewed at monthly Executive Committee 
meetings as the key measure of the segments’ results as it reflects the 
segments’ underlying trading performance for the period under 
evaluation. EBITDA is a consistent measure within the Group.

Inter-segment turnover between the operating segments is not material.

The Group’s operating segments have been determined based on the 
services that are summarised as follows:
 – Adults Services – the provision of care and residential services 
for adults with learning disabilities, individuals recovering from 
mental health disorders, adults with autistic spectrum disorder, 
those with one or more physical impairment and adults with 
acquired brain injury.

 – Children’s Services – the provision of assessment, residential care 
and education for young people with challenging behaviours, and 
those with behavioural and emotional disorders.

 – Foster Care – the provision of foster care for both mainstream and 
specialist foster care in small supportive groups across England and 
Wales for children with disabilities.

The results as at the balance sheet date report segmental information 
on the Group’s three operating divisions. 

The segmental results for the current financial year ending 
30 September 2020 and prior year ending 30 September 2019 and 
the reconciliation of the segment measures to the respective statutory 
items included in the consolidated financial information are as follows: 

CareTech Holdings PLC
Annual Report and Accounts 2020
98

Adults Services

Client capacity

Revenue £000

Pre IFRS 16 EBITDA before unallocated costs £000

IFRS 16 adjustment £000

EBITDA before unallocated costs £000

Children’s Services

Client capacity

Revenue £000

Pre IFRS 16 EBITDA before unallocated costs £000

IFRS 16 adjustment £000

EBITDA before unallocated costs £000

Foster Care

Client capacity

Revenue £000

Pre IFRS 16 EBITDA before unallocated costs £000

IFRS 16 adjustment £000

EBITDA before unallocated costs £000

Total

Client capacity

Revenue £000

Pre IFRS 16 EBITDA before unallocated costs £000

IFRS 16 adjustment £000

EBITDA before unallocated costs £000

Reconciliation of EBITDA to profit after tax:

EBITDA before unallocated costs

Unallocated corporate overheads

EBITDA

Depreciation

Share-based payments charge

Non-underlying items

Operating profit

Finance expenses

Profit before tax

Taxation

Non-controlling interest

Profit after tax

Year ended 
30 September 
2020 
Total
£000

Year ended 
30 September 
2019 
Total
£000

1,997

136,219

33,585

2,091

35,676

1,968

123,635

32,726

–

32,726

1,959

1,933

252,863 

 230,575 

65,874 

3,687

69,561

 55,632 

–

55,632

1,028

40,884

8,047 

516

8,563

1,178

 40,784 

 7,551 

–

7,551

4,984

429,966

107,506 

6,294

113,800

5,079

 394,994 

 95,909 

–

95,909

Year ended 
30 September 
2020 
£000

Year ended 
30 September 
2019 
£000

113,800

(22,868)

90,932

(17,021)

(330)

(20,219)

53,362

(15,539)

37,823

(10,772)

(1,933)

25,118

95,909

(22,363)

73,546

(10,631)

(60)

(23,379)

39,476

(15,136)

24,340

(4,214)

(422)

19,704

Operations of the Group are primarily carried out in the UK, the Company’s country of domicile. On 4 February 2020 the Group completed the 
acquisition of the AS Group, registered in the United Arab Emirates (“UAE”). Revenue of £15.5m has been generated in the UAE. All other revenues 
arise within the UK. No single external customer amounts to 10% or more of the Group’s revenues. £14.3m of intangible assets, and £0.4m of 
property, plant and equipment are located in the UAE. All other non-current assets are located in the UK.

No asset and liability information is presented above as this information is not allocated to operating segments in the regular reporting to the Group’s 
CODM and are not measures used by the CODM to assess performance and to make resource allocation decisions.

CareTech Holdings PLC
Annual Report and Accounts 2020
99

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

5. Business combinations 

(a) Acquisition of “the AS Group”
On 4 February 2020, the Group acquired controlling interest in AS Investments Holding Limited and AS1 Investments Holding Limited and their 
respective operating entities (collectively “the AS Group”). The Group indirectly controls 33% and 46% voting rights in the operating entities of 
AS Investments Holding Limited and AS1 Investments Holdings Limited respectively. Note 29 details the list of entities and the direct voting rights 
held in each of the entities comprising the AS Group.

The initial consideration for the investment is £7.4m (which included £0.7m deferred consideration satisfied in May 2020), and a performance 
driven earn-out mechanism of up to £1.6m to be paid out in 2021. The Group expects this amount to be paid within one year from the date 
of acquisition and accordingly this amount is deemed to be at fair value. The expected range of the amount payable is between £0 to £1.6m.

As part of the acquisition, the acquiree shareholders who are now shareholders of the Company have provided a cash loan to the AS Group 
of £1.8m to be used for investment in future growth. This has resulted in a shareholder loan as noted in the cash flow statement. 50% of the 
unutilised amount will be repaid on 4 February 2021, and the remaining balance on 4 August 2021.

The AS Group is the largest provider of outpatient mental health services in the UAE and comprises two well-established brands, Maudsley Health 
and ACPN. Services provided by the AS Group have been cited earlier in this note.

The book values attributable to the acquisition were £2.0m net assets and the fair value and adjustments were £10.2m. The AS Group operates 
in the UAE which is a 0% tax jurisdiction. Accordingly, there are no deferred tax assets and liabilities recognised.

The acquisition table is as follows:

Intangible assets
Property plant & equipment
Trade and other receivables
Prepayments
Other current assets
Inventory
Cash
Trade and other payables
Deferred income

Net assets on acquisition

Less: Non-controlling interest

Consideration paid
Goodwill

Consideration paid:

Cash
Settled in shares
Contingent consideration

Total consideration

Reconciliation to the cash flow statement 
Cash paid
Cash acquired

Payments for business combination net of cash acquired

Book values
£000s

Fair value
adjustments
£000s

–
399
2,827
534
925
893
2,704
(5,364)
(875)

2,044

10,443
–
(211)
–
–
–
–
–
–

10,232

Total
£000s

10,443
399
2,616
534
925
893
2,704
(5,364)
(875)

12,276

(7,927)

4,349
9,052
4,703

£000

4,704
2,040
2,308

9,052

£000

4,704
(2,704)

2,000

Goodwill of £4.7m, which is not expected to be deductible for tax purposes, has been recognised. The goodwill represents the value of the 
workforce acquired. The non-controlling interest in the AS Group has been calculated by applying the proportionate share in the fair value of the 
net assets acquired and represents their share of the AS Group.

Costs relating to this acquisition are expensed in the income statement in accordance with IFRS 3 and are identified in note 6, non-underlying items.

The AS Group contributed revenue of £15.5m and £1.8m to the Group’s profit after tax for the year between the date of acquisition and the 
balance sheet date. Had the acquisition of the AS Group been completed on the first day of the financial year, Group revenues for the year would 
have been higher by £7.7m and Group profit after tax would have been higher by £0.9m for the current year ended.

CareTech Holdings PLC
Annual Report and Accounts 2020
100

(b) Acquisition after the balance sheet date
Non-adjusting subsequent event
Subsequent to the year end, on 5 October 2020, the Group acquired a majority holding in Smartbox Assistive Technology Limited and associated 
subsidiaries, and Sensory Software International Limited (Collectively “Smartbox”) a creator of augmentative and alternative communication (AAC) 
solutions (the “Investment”).

The Group will pay up to £10.6m comprising of an aggregate initial purchase price £7.0m, funded through an equity contribution and loan 
note from the Group and equity contribution from the minority holders of Smartbox Holdings Limited. Earn-outs of up to £3.6m payable over 
a two-year period from completion. The Group’s contribution will be funded from existing cash resources.

Smartbox is a market-leading creator of software and hardware that helps disabled people without speech to have a voice and live more 
independently. It makes communication as quick, simple and effective as possible for those service users for whom speech difficulties can be 
a challenge. Its solutions include communication aids, environmental control devices, computer control technology and interactive learning.

Smartbox, headquartered in Malvern, UK with offices in Bristol and Pennsylvania US, was acquired by Tobii AB in 2018. Following a full inquiry 
from the UK Competition and Markets Authority, Tobii was required to sell Smartbox on competition grounds, providing the Group an opportunity 
to secure a majority equity stake in the innovative tech firm. 

To facilitate the acquisition, the Group has established a new subsidiary, Smartbox Holdings Ltd, which is 70% owned by the Group, with the 
remaining minority ownership held by the Smartbox management team.

On 30 November 2020, the Group completed the transfer of seven services previously operated by The Huntercombe Group. These services are 
highly specialised facilities for the treatment and care of adults with complex learning disabilities, autism and mental health diagnoses. They consist 
of three hospitals, two care homes with nursing, a number of single accommodation units with residential care registration and the support of 
people in their own tenancies in a step-down facility. The capacity of the services today is 125 beds. The transfer was structured with no capital 
outlay and is expected to be immediately earnings accretive.

Given the proximity of the acquisition to the announcement date it is not possible to provide an estimate of the financial effect at this time.

CareTech Holdings PLC
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101

Strategic ReportGovernanceFinancial Statements 
 
Notes to the Financial Statements
continued

6. Non-underlying items

Non-underlying items are those items of financial performance which, in the opinion of the Directors, should be disclosed separately in order 
to improve the reader’s understanding of the trading performance of the Group. Non-underlying items comprise the following:

COVID-19 income

Amortisation of intangible assets

COVID-19 cost

Acquisition expenses

Profit arising from the ground rent transaction

Integration and restructuring costs

Onerous leases

Charitable donations

Share-based payments charge

Other non-underlying expenses

Included in operating profit

Finance expenses

Fair value movements relating to derivative financial instruments

Charges relating to derivative financial instruments 

Ground rent imputed interest

Termination of old banking arrangements

Included in finance expenses

Tax on non-underlying items 

Current tax

Deferred tax

Included in taxation

Total non-underlying items

Note

(i)

(i)

(ii)

(iii)

(iv)

(v)

(vi)

(vii)

(viii)

(viii) 

(ix)

(x)

2020
£000

(2,550)

10,186

3,422

545

–

3,769

–

728

4,119

12,583

20,219

557

591

463

–

1,611

(5,988)

5,435

(553)

21,277

2019
£000

–

10,188

–

10,331

(4,565)

5,597

1,092

736

–

13,191

23,379

1,487

217

345

397

2,446

(1,090)

(4,119)

(5,209)

20,616

(i)   

(ii)   

(iii)  

(iv)  

(v)   

(vi)  

(vii)  

(viii) 

 The Group has incurred additional costs as a results of COVID-19 in relation to higher sickness absence rates, personal protective equipment (PPE) costs, infection control 
and higher administration costs. The Group has received additional funding by way of Government grants through local authorities to assist in dealing with this. The Group 
has worked closely with all local authorities in establishing a dedicated funding arrangement to support our services which has been collected to offset the additional 
costs, as noted above, that the Group has incurred in relation to COVID-19.
 In accordance with IFRS 3 (as revised) items associated with business combinations have been taken to the income statement as incurred and includes costs relating 
to the review by the Competition and Markets Authority (“CMA”). CMA costs relate to prior year only.
 In the prior year, profit arises from a ground rent transaction with Alpha Real Capital LLP at a net yield of 2.85% which raised £31.0m in cash to further support growth 
strategy. The £31.0m proceeds are categorised as £23.1m relating to the operating lease element and £7.9m relating to IAS 17 ground rent liabilities. 
 The Group incurred a number of costs relating to the integration of the Cambian acquisition and reorganisation of the internal operating, finance and management 
structures as outlined in the Scheme of Arrangement dated 19 September 2018.
 During the previous year, the Group implemented a reorganisation of its internal operating, finance, IT and management structures with a view to achieving the integration 
of the Cambian business combination into the Group, achieving greater flexibility, accountability and performance of a number of its back office divisions. Costs incurred 
in the year include redundancy costs, post termination payments and transformation project delivery costs which comprise the costs of staff teams incurred in respect 
of the reorganisation, costs related to the dual running and knowledge transfer of the back office division as part of the integration project and professional fees incurred 
in respect of advice and consultancy activities associated with the integration and restructuring.
 These charges represent charitable donations made to the CareTech Foundation, an independent grant-making corporate foundation registered with the Charity 
Commission. Funded and founded by the Group, the Foundation has a number of independent Trustees responsible for delivering its Charitable Objects. The Trustees 
also include Haroon and Farouq Sheikh, Christopher Dickinson and Mike Adams, Directors of the Group.
 To further support the CareTech Foundation, the Group has donated one million new ordinary Company shares to the Foundation. This donation will provide the Foundation 
with additional income and demonstrates the Group’s commitment to wider society, to its staff, and its desire to play a strong leadership role within the social care sector. 
In connection with the donation, the CareTech Foundation has entered into a lock-up undertaking not to sell the new shares without the Company Board’s approval.
 Non-underlying items relating to the derivative financial instruments include the movements during the year in the fair value of the Group’s interest rate swaps which 
are not designated as hedging instruments and therefore do not qualify for hedge accounting, together with the quarterly cash settlements and accrual thereof. 
 Represents the current tax on items (i), (iii), (iv) and (v) above. and includes a prior year adjustment of £3.4m, see note 10.

(ix)  
(x)    Deferred tax arises in respect of the following:

Derivative financial instruments 

Change in rate (note 10)

Intangible assets

Fixed asset

Prior year adjustments

Other adjustments

Other adjustments comprise a number of deferred tax movements which are individually insignificant.

CareTech Holdings PLC
Annual Report and Accounts 2020
102

2020
£000

107

(7,592)

1,373

1,925

(966)

(282)

(5,435)

2019
£000

219

–

2,357

–

–

1,543

4,119

7. Auditor’s remuneration

Fees payable to the Group’s auditor for the audit of the consolidated and parent company’s annual accounts

Audit of the accounts of subsidiaries 

Audit related assurance services

Company secretarial

All other non-assurance services

2020
£000

397

16

25

–

11

2019
£000

397

14

28

13

214

Other non-assurance services of £11,000 in 2020 (2019: £214,000) represents the reporting accountant work carried out on the acquisition 
of Cambian Group plc.

8. Staff numbers and costs

The average number of persons employed by the Group (including Directors) during the year, analysed by category, was as follows:

Operational and service delivery staff

Maintenance

Management and administration

The aggregate payroll costs of these persons (including Directors) were as follows:

Wages and salaries

Share-based payments charge 

Social security costs

Other pension costs

9. Finance expenses

Interest expense on financial liabilities at amortised cost:

On bank loans and overdrafts

Finance charges in respect of leases

Underlying financial expenses 

Derivative financial instruments (note 6)

Ground rent lease imputed interest (note 6)

Termination of old banking arrangements (note 6)

Total finance expenses

Number of employees

2020

9,074

108

947

10,129

2019

9,111

111

707

9,929

2020
£000

2019
£000

214,105

203,387

330

19,473

5,250

239,158

2020
£000

11,186

2,742

13,928

1,148

463

–

60

19,523

4,467

227,437

2019
£000

12,345

345

12,690

1,704

345

397

15,539

15,136

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103

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

10. Taxation

(a) Recognised in the consolidated income statement 

Current tax expense

Current year

Current tax on non-underlying items (note 6)

Prior year adjustments

Total current tax

Deferred tax expense

Current year

Deferred tax on non-underlying items (note 6)

Prior year adjustments

Total deferred tax

Total tax in the consolidated income statement 

(b) Reconciliation of effective tax rate

Profit before tax for the year

Tax using the UK corporation tax rate of 19.0% (2019: 19.0%) 

Non-deductible expenses including impairment charge

Income not taxable

Other tax adjustments

Change in tax rate

Current tax prior year adjustments

Deferred tax prior year adjustments

Total tax in the consolidated income statement 

2020
£000

(10,494)

5,988

(374)

(4,880)

(840)

(5,434)

382

(5,892)

(10,772)

2020
£000

37,791

7,180

1,549

(500)

(1,644)

7,592

(3,988)

583

10,772

2019
£000

(8,842)

1,090

–

(7,752)

(581)

4,119

–

3,538

(4,214)

2019
£000

24,340

4,625

2,438

–

(2,849)

–

–

4,214

Included in the current tax prior year adjustments is an amount of £3.4m previously recognised on the acquisition of the Cambian Group PLC. 
Following a review of the tax position and the Cambian tax liabilities this liability is no longer required.

Deferred tax assets and liabilities have been measured in line with IAS 12 using the tax rates and laws that have been enacted or substantively 
enacted by the reporting date that are expected to apply when the asset is realised or the liability is settled. As the rate of 19% was substantively 
enacted on 17 March 2020 this is the rate used (2019: 17%). The tax rate has remained constant at 19% from 1 April 2020. Deferred taxes at the 
balance sheet date have been measured using this enacted tax rate and reflected in these financial statements. Other tax adjustments comprise 
a number of items which are individually insignificant.

11. Earnings per share 

Profit attributable to ordinary shareholders

Weighted number of shares in issue for basic earnings per share

Effects of share options in issue

Weighted number of shares for diluted earnings per share

2020
£000

25,118

2019
£000

19,704

109,772,214

107,231,912

4,220,077

365,090

113,992,292

107,597,002

Diluted earnings per share is the basic earnings per share adjusted for the dilutive effect of the conversion into fully paid shares of the weighted 
average number of share options outstanding during the period.

Earnings per share (pence per share)

  Basic

  Diluted

CareTech Holdings PLC
Annual Report and Accounts 2020
104

2020

2019

22.88p

22.03p

18.38p

18.31p

12. Underlying earnings per share

A measure of underlying earnings and underlying earnings per share has been presented in order to present the earnings of the Group after adjusting 
for non-underlying items which are not considered to reflect the underlying trading performance of the Group.

Profit attributable to ordinary shareholders

Non-underlying items (note 6)

Underlying profit attributable to ordinary shareholders

Underlying earnings per share (pence per share)

  Basic

  Diluted

13. Property, plant and equipment 

Cost
At 1 October 2018
Acquisitions through business combinations
Additions
Disposals
At 30 September 2019

At 1 October 2019
Acquisitions through business combinations
Additions
Reclassified as ROU asset (note 14)
Disposals

At 30 September 2020

Depreciation and impairment 
At 1 October 2018
Depreciation charge for the year
Disposals
At 30 September 2019

At 1 October 2019
Depreciation charge for the year
Disposals

At 30 September 2020

Net book value
At 1 October 2018
At 30 September 2019

At 30 September 2020

2020
£000

25,118

21,277

46,395

42.26p

40.70p

Land and 
buildings 
£000

284,305
295,208
16,342
(15,803)
580,052

580,052
–
11,529
(15,098)
(1,294)

575,189

6,489
1,717
(213)
7,993

7,993
1,183
(62)

9,114

Fixtures, 
fittings and 
equipment 
£000

Motor 
vehicles 
£000

28,412
11,599
11,866
(3,061)
48,816

48,816
399
12,813
–
–

62,028

11,181
7,430
(630)
17,981

17,981
8,648
–

26,629

11,798
390
2,305
(1,076)
13,417

13,417
–
1,769
(4,437)
(1,307)

9,442

5,736
1,484
(567)
6,653

6,653
1,133
(966)

6,820

2019
£000

19,704

20,616

40,320

37.60p

37.48p

Total 
£000

324,515
307,197
30,513
(19,940)
642,285

642,285
399
26,111
(19,535)
(2,601)

646,659

23,406
10,631
(1,410)
32,627

32,627
10,964
(1,028)

42,563

277,816
572,059

566,075

17,231
30,835

35,399

6,062
6,764

2,622

301,109
609,658

604,096

Included in the result for the year is a loss of £135,000 (2019: £4,565,000) on the disposal of freehold property, plant and equipment and motor 
vehicles. Included in property, plant and equipment are amounts held under leases of nil (2019: £19,535,000).

CareTech Holdings PLC
Annual Report and Accounts 2020
105

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

14. Leases 

Right-of-use assets

Gross carrying amount
Balance 1 October 2019
Additions

Balance at 30 September 2020

Depreciation and impairment
Balance 1 October 2019
Depreciation

Balance at 30 September 2020

Carrying amount 30 September 2020

 Land and 
buildings
£000

Motor
vehicles
£000

Equipment 
£000

Total 
right-of-use 
assets 
£000

82,537
2,497

85,034

–
3,686

3,686

81,348

8,030
85

8,115

–
2,027

2,027

6,088

698
–

698

–
344

344

354

91,265
2,582

93,847

–
6,057

6,057

87,790

The right-of-use assets are included in the same line item as where the corresponding underlying assets would be presented if they were owned.

Lease liability
Lease liabilities are presented in the statement of financial position as follows:

Current

Non-current

2020
£000

6,208

82,480

88,688

2019
£000

1,763

17,805

19,568

The Group has leases for land and buildings, motor vehicles and office equipment. With the exception of short-term leases and leases of low-value 
underlying assets, each lease is reflected on the balance sheet as a right-of-use asset and a lease liability. The Group classifies its right-of-use assets 
in a consistent manner to its property, plant and equipment.

Lease liabilities recognised under IAS 17 and previously presented in loans and borrowings, and ground rent liabilities arising under IAS 17, have been 
represented as lease liabilities.

Each lease generally imposes a restriction that, unless there is a contractual right for the Group to sublet the asset to another party, the right-of-use 
asset can only be used by the Group. Leases are either non-cancellable or may only be cancelled by incurring a substantive termination fee. Some 
leases contain an option to purchase the underlying leased asset outright at the end of the lease, or to extend the lease for a further term. The 
Group is prohibited from selling or pledging the underlying leased assets as security. For leases over land and buildings the Group must keep those 
properties in a good state of repair and return the properties in their original condition at the end of the lease. Further, the Group must insure items 
of property, plant and equipment and incur maintenance fees on such items in accordance with the lease contracts.

The lease liabilities are secured by the related underlying assets. Future minimum lease payments at 30 September 2020 were as follows:

Within 1 year

1 - 2 years

2- 3 years

3 - 4 years

4- 5 years

After 5 years

Total

30 September 2020
Lease payments
Finance charges

Net present values
30 September 2019
Lease payments
Finance charges

Net present values

9,086
(2,878)

6,208

2,339
(576)

1,763

7,600
(2,713)

4,887

1,758
(523)

1,235

5,423
(2,595)

2,828

1,445
(506)

939

4,394
(2,520)

1,874

1,133
(471)

662

4,103
(2,461)

1,642

552
(456)

96

324,188
(252,939)

71,249

354,794
(266,106)

88,688

72,489
(57,616)

14,873

79,716
(60,148)

19,568

Lease payments not recognised as a liability
The Group has elected not to recognise a lease liability for short-term leases (leases with an expected term of 12 months or less) or for leases 
of low-value assets. Payments made under such leases are expensed on a straight-line basis. In addition, certain variable lease payments are 
not permitted to be recognised as lease liabilities and are expensed as incurred.

Interest expense on lease liabilities for the year ended 30 September 2020 was £2,181,000.

CareTech Holdings PLC
Annual Report and Accounts 2020
106

 
The expense relating to payments not included in the measurement of the lease liability is as follows:

Short-term leases

Leases of low-value assets

2020 
£000

3,783

10

3,793

At 30 September 2020 the Group was committed to short-term leases and the total commitment at that date was £3,793,000.

Total cash outflow for leases for the year ended 30 September 2020 was £3,793 (2019: £2,200).

Lease liabilities recognised under IAS 17 and previously presented in loans and borrowings, and ground rent liabilities arising under IAS 17, have been 
represented as lease liabilities.

15. Intangible assets 

Cost
At 1 October 2018
Acquisitions through business combinations
Additions
At 30 September 2019

At 1 October 2019
Acquisitions through business combinations
Exchange adjustments
Additions for the year

At 30 September 2020

Amortisation and impairment 
At 1 October 2018
Amortisation for the year
At 30 September 2019

At 1 October 2019
Amortisation for the year

At 30 September 2020

Net book value
At 1 October 2018
At 30 September 2019

At 30 September 2020

Goodwill
£000

Software
and licences
£000

Customer 
relationships 
£000

45,717
35,392
375
81,484

81,484
4,703
27
418

86,632

2,028
–
2,028

2,028
–

2,028

43,689
79,456

84,604

19,951
–
3,054
23,005

23,005
–

2,429

25,434

12,597
3,066
15,663

15,663
3,044

18,707

7,354
7,342

6,727

63,344
47,354
–
110,698

110,698
10,433
60
–

121,191

30,570
7,122
37,692

37,692
7,142

44,834

32,774
73,006

76,357

Total 
£000

129,012
82,746
3,429
215,187

215,187
15,136
87
2,847

233,257

45,195
10,188
55,383

55,383
10,186

65,569

83,817
159,804

167,688

Amortisation
The amortisation charge is recognised in the following line items in the consolidated income statement:

Administrative expenses

2020
£000

10,186

2019
£000

10,188

Impairment testing for cash-generating units containing goodwill
The Group tests goodwill for impairment on an annual basis by considering the recoverable amount of individual cash-generating units (“CGUs”) 
against carrying value.

For the purpose of annual impairment testing, goodwill is allocated into four identifiable CGUs, Adults Services. Children’s Services, Foster Care 
and Middle East. This broadly aligns to the reported operating segments expected to benefit from the synergies of the business combinations in 
which the goodwill arises, with exception to Middle East. Whilst Middle East performs Adults Services and Children’s services, given its geographical 
location, it has been identified as a separate CGU. This is the lowest level at which goodwill is monitored for impairment by management. 
There are no intangible assets with indefinite useful lives (other than goodwill).

CareTech Holdings PLC
Annual Report and Accounts 2020
107

Strategic ReportGovernanceFinancial Statements 
Notes to the Financial Statements
continued

15. Intangible assets continued

The carrying value of goodwill is split between the following cash-generating units:

Adults Services

Children’s Services

Foster Care

Middle East

2020
£000

27,944

44,769

7,162

4,729

84,604

2019
£000

27,525

44,769

7,162

–

79,456

During the year the Group carried out a review of the recoverable amount of its goodwill throughout the business. The recoverable amount, 
which is the higher of fair value less cost to sell and the value in use, has been determined initially based on value-in-use calculations. These 
calculations use cash flow projections for operational assets at the balance sheet date based on financial budgets approved by the Board of 
Directors for the forthcoming year which are based on assumptions of the business, industry and economic growth. Cash flows beyond this 
year are extrapolated using growth rates, which do not exceed the expected long-term economic growth rate of 2%, into perpetuity. 

The key assumptions for the period over which management approved forecasts are based and, beyond this, for the value-in-use calculations 
overall, are those regarding discount rates, growth and occupancy rates, achievement of future revenues and expected changes in direct costs 
during the periods. Management estimates discount rates using pre-tax rates that reflect the market assessment of the time value of money 
as at each balance sheet date, adjusted for the risks specific to the Group. 

In arriving at the values assigned to each key assumption management make reference to past experience and external sources of information 
regarding the future – for example changes in tax rates. The key features of these calculations are shown below:

Period over which management approved forecasts are based

Growth rate applied beyond approved forecast period

Pre-tax discount rate

Adults Services

Children’s Services

Foster Care

Middle East

2020

1 year

2%

8.4%

9.7%

9.6%

14.7%

2019

1 year

2%

8%

10%

12%

–

Sensitivities
A sensitivity analysis has been performed on each of the base case assumptions used for assessing the goodwill with other variables held constant. 
Consideration of sensitivities to key assumptions can evolve from one financial year to the next. The Directors consider that a reasonable possible 
change in assumptions would be an increase in pre-tax discount rate of 50 basis points, or a reduction in budgeted cash flows of 5%. 

None of these sensitivities would result in an impairment in Children’s Services or Foster Care.

For Adults Services the current headroom £4.7m. The impact of the above reasonable changes are as follows:
 – An increase in pre-tax discount rate of 50 basis points results in an impairment of £18.5m.
 – A reduction in budgeted cash flows of 5% results in an impairment of £13.2m.

The Directors have also considered the amount by which the value assigned to each key assumption must change, after incorporating any 
consequential effects of that change on the other variables used to measure recoverable amount, in order for the Adults Services CGUs 
recoverable amount to be equal to its carrying amount as follows:
 – An increase in pre-tax discount rate of 10 basis points.
 – A reduction in budgeted cash flows of 1.1%.

For Middle East the current headroom £0.1m. The impact of the above reasonable changes are as follows:
 – An increase in pre-tax discount rate of 50 basis points results in an impairment of £0.8m.
 – A reduction in budgeted cash flows of 5% results in an impairment of £1.1m.

The Directors have also considered the amount by which the value assigned to each key assumption must change, after incorporating any 
consequential effects of that change on the other variables used to measure recoverable amount, in order for the Middle East CGUs recoverable 
amount to be equal to its carrying amount as follows:
 – An increase in pre-tax discount rate of 6 basis points.
 – A reduction in budgeted cash flows of 0.4%.

The Directors believe that, notwithstanding the sensitivity of Adults Services and Middle East, there is no requirement for an impairment 
on the carrying value of the existing CGUs.

CareTech Holdings PLC
Annual Report and Accounts 2020
108

 
 
16. Trade and other receivables

Trade receivables (note 26)

Other debtors and prepayments

Accrued income (note 17)

On 30 September 2019 a balance of £2m has been restated from accrued expenses to a reduction in trade receivables.

17. Accrued income and deferred income

At 1 October 2019
Amounts acquired at acquisition
Accrued revenue invoiced
Revenue recognised in the reporting period.
Revenue billed in period but relates to future periods
New accrued revenue

At 30 September 2020

2020
£000

37,604

5,025

8,426

51,055

Accrued 
income
£000

6,369
–
(6,369)
–
–
8,426

8,426

2019
£000

36,299

8,343

6,369

51,011

Deferred 
income
£000

(28,710)
(875)

29,585
(30,309)
–

(30,309)

The Directors consider that the carrying value of accrued income and deferred income approximates to its fair value.

18. Interest-bearing loans and borrowings

This note provides information about the contractual terms of the Group’s interest-bearing loans and borrowings. For more information about 
the Group’s exposure to interest rate risk, see note 26.

Non-current liabilities

Secured bank loans

Shareholder loans (note 5)

Terms and debt repayment schedule 

Term loan

Term loan

Revolving credit facility term loan

2020
£000

2019
£000

317,122

1,833

318,955

315,878

–

315,878

Currency

Nominal
interest rate (%)

Year of 
maturity

Book value 
2020 
£000

Book value 
2019
 £000

£

£

£

2.25 (2019: 2.25)1

2.50 (2019: 2.50)1

2.50 (2019: 2.75)1

2022

2023

2023

158,561

158,561

–

167,000

148,878

–

317,122

315,878

1  The margin on the facilities is stated at the current rate and can change between 1.50% and 3.25% based on the ratio of the Group’s net debt to EBITDA. 

The Group entered into new banking facilities in August 2018 to facilitate the acquisition of Cambian and the previous banking facilities were 
extinguished. The facility is a term loan of £322m and revolving credit facility of £25m to a group of banks comprising Barclays Bank PLC, HSBC UK 
Banks PLC, Santander UK PLC, AIB Group (UK) PLC, Clydesdale Bank PLC, Credit Suisse AG, Lloyds Bank PLC and National Westminster Bank PLC 
and is stated net of loan finance costs in accordance in IAS 23.

CareTech Holdings PLC
Annual Report and Accounts 2020
109

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

19. Trade and other payables

Trade payables

Accrued expenses 

2020
£000

15,576

39,441

55,017

2019
£000

12,378

44,559

56,937

On 30 September 2019, a balance of £2m has been restated from accrued expenses to a reduction in trade receivables, see note 16.

20. Deferred tax assets and liabilities 

Recognised deferred tax assets and liabilities
Deferred tax assets and liabilities are attributable to the following:

Assets
£000

–

–

(418)

(163)

–

(27)

(309)

(917)

2020

Liabilities
£000

52,552

11,616

–

–

6,593

–

–

70,761

(917)

69,844

Assets
£000

–

–

(278)

(90)

–

–

–

(368)

2019

Liabilities
£000

42,213

18,270

–

–

3,836

–

–

64,319

(368)

63,951

1 October 
2019
£000

Recognised in 
income
£000

Reclassification 
balances
£000

Prior year 
adjustment
£000

30 September 
2020
£000

42,213

(278)

18,270

(90)

3,836

–

–

4,521

(140)

(5)

(73)

946

(2)

62

63,951

5,309

5,685

–

(5,685)

–

–

–

–

–

133

–

(964)

–

1,811

(25)

(371)

584

52,552

(418)

11,616

(163)

6,593

(27)

(309)

69,844

1 October 
2018
£000

Recognised in 
income
£000

Acquired in 
business 
combination 
£000

30 September 
2019
£000

1,901
(59)
14,395
(443)
3,060
18,854

(141)
(219)
(4,311)
353
776
(3,542)

40,453
–
8,186
–
–
48,639

42,213
(278)
18,270
(90)
3,836
63,951

Property, plant and equipment

Intangible assets

Derivative financial instruments

Share-based payments

Rolled-over gains on property, plant and equipment

Trading losses carried forward

Short-term timing differences

Tax (assets)/liabilities

Net of tax assets

Net deferred tax liabilities

There are no unrecognised deferred tax assets or liabilities.

Movement in deferred tax during the year:

Property, plant and equipment

Derivative financial instruments

Intangible assets

Share options

Rolled-over gains on property

Trading losses carried forward

Short-term timing differences

Movement in deferred tax during the previous year:

Property, plant and equipment
Derivative financial instruments
Intangible assets
Share options
Rolled-over gains on property

CareTech Holdings PLC
Annual Report and Accounts 2020
110

21. Provisions

At 1 October 2019
Provisions raised during the period
Amounts used during the period
Unused amounts reversed

At 30 September 2020

£000

14,884
8,218
(1,388)
(428)

21,286

Provisions principally comprise an amount provided for “sleep-in payments” and a provision for dilapidations. These have been explained in note 3 
to the financial statements.

22. Employee benefits

Share-based payments
The Group operates four share option schemes: The CareTech Holdings 2017 Sharesave Scheme, the CareTech Holdings 2020 Sharesave 
Scheme, the CareTech Holdings 2015 Approved Share Option Scheme and the Executive Shared Ownership Plan. All share options are equity 
settled. 

The Executive Shared Ownership Plan (ExSOP) was formed in March 2017. Under the provisions of the ExSOP, shares (the ExSOP shares) are jointly 
owned by nominated senior employees and by an employees’ share trust. The ExSOP awards are subject to a time-related performance condition 
measured over a three-year period beginning with the date of the grant. To the extent the performance condition is satisfied, the participant can 
benefit from any growth of the share price in excess of the issue price. 

The grant of the ExSOP scheme requires specific performance conditions being satisfied. The EPS Target requires the growth in the Company’s 
underlying Diluted EPS over the Performance Period to be at least 15% (being an average 5% annual growth rate, calculated without compounding) 
during the year.

On 8 November 2019, the Group issued 2,504,475 new ordinary shares of 0.5p in the Company (the New Ordinary Shares) under the Executive 
Shared Ownership Plan (Share Plan) to 30 members of the senior and executive management team. An award under the Share Plan enables the 
participant to benefit only from the future growth in the value of the New Ordinary Shares above their market value on the award date, in excess 
of a “carrying cost” of 3% per annum. 

The vesting of the Share Plan requires specific performance conditions being satisfied. As with the previous issuance of the Share Plan, the target 
is an EPS Target which requires the growth in the Group’s underlying Diluted EPS over the three-year period beginning on the date of issue of the 
awards to be at least 15% (being an average 5% annual growth rate, calculated without compounding). Participants may not normally realise any 
such benefit from the Share Plan awards before 8 November 2022.

The options have been valued using the Black-Scholes option pricing model in line with IFRS 2 ‘Share Based Payments’. The assumptions used 
as part of the model include the following:

Expected volatility 
Expected dividend yield 
Risk free interest rate 
Vesting period

29 March 
2016

8 November 
2019

25%
3.90%
2.39%
3 years

25%
3.5%
1.25%
3 years

CareTech Holdings PLC
Annual Report and Accounts 2020
111

Strategic ReportGovernanceFinancial Statements 
Notes to the Financial Statements
continued

22. Employee benefits continued

Approved and Unapproved scheme options are exercisable at any time from the third anniversary of the date of grant to the tenth anniversary, 
other than nominal cost options which may become exercisable at the earliest after a period of 30 dealing days following the third anniversary 
of being granted. SAYE scheme options are normally exercisable within six months following the third anniversary of the date of grant. Options 
granted under the above schemes, together with those remaining at 30 September 2020 are as follows:

Date of grant

3 Aug 2010

3 Aug 2010

17 Mar 2016 

29 Mar 2016

1 Dec 2017 

23 Oct 2019

5 Nov 2019

8 Nov 2019

21 Sep 2020

Scheme

Approved
 Scheme
Unapproved 
Scheme
Sharesave 
Scheme 
2016
Executive 
Share
 Ownership 
Plan
Sharesave 
Scheme 
2017
Approved 
Share Option
 Plan 2015
Approved 
Share Option
 Plan 2015
Executive
 Share 
Ownership
 Plan
Sharesave 
Scheme 
2020

Options 
remaining as 
at 30 Sep 2019

Options 
granted 
30 Sep 2020

Options 
lapsed to 
30 Sep 2020

Options 
exercised to 
30 Sep 2020

Options 
remaining 
as at 
30 Sep 2020

Exercise price 
of share 
option 
(pence) 
30 Sep 2020

Average 
exercised price 
(pence) 
30 Sep 2020

(22,890)

(10,656)

–

(33,873)

(27,937)

(49,154)

–

–

–

305

305

194

451

455

382

33,546

33,873

77,071

1,429,000

220,600

–

–

–

–

–

–

–

(92,400)

1,336,600*

247.5

 407

–

–

–

220,600*

308

857,772**

380

898,106**

380

– 2,504,475**

399

–

480,678**

355

–

–

–

–

–

–

–

–

–

1,190,000

(332,228)

898,106

2,504,475

480,678

–

–

–

*  All options exercisable at 30 September 2020.
**  No options exercisable at 30 September 2020.

The charge for the year was £330,000 (2019: £60,000) which relates to the Executive Share Ownership Scheme, the Sharesave Scheme 2017 and 
the Approved Share Option Plan 2015. The weighted average exercise price of the remaining options is 398.7p. 

The weighted average remaining contractual life of all share options outstanding is 7.6 years.

CareTech Holdings PLC
Annual Report and Accounts 2020
112

23. Equity

Share Capital

Allotted, called up and fully paid:

113,173,992 (2019: 109,144,369) ordinary shares of 0.5p each

53,402 deferred shares of 0.5p each

2020
£000

565

–

565

2019
£000

545

–

545

Share capital represents the nominal (par) value of shares that have been issued. The holders of ordinary shares are entitled to receive dividends 
as declared from time to time and are entitled to one vote per share at meetings of the Company. The deferred shares have no such rights.

Movements in the number of issued shares were as follows: 

2020

Ordinary shares of 0.5p each

Deferred shares of 0.5p each

2019

Ordinary shares of 0.5p each
Deferred shares of 0.5p each

24. Reserves

At 1 October 
2019

Issued during 
the acquisition 
of AS Group

Issued to the 
CareTech 
Charitable 
Foundation

Issued under 
Share 
Schemes

At 30 
September 
2020

109,144,369

431,465

1,000,000

2,598,158 113,173,992

53,402

–

–

–

53,402

At 1 October 
2018

75,691,423
53,402

Issued during 
the acquisition 
of Cambian

Issued under 
Save as You 
Earn Scheme

At 30 
September 
2019

33,188,817
–

264,129 109,144,369
53,402

–

(a) Share premium account 
During the year, the issue of new shares charged to the share premium account are as follows:

Opening balance 1 October 2019

Premium on issue of shares

At 30 September 2020

2020
£000

121,304

11,775

133,079

2019
£000

120,820

484

121,304

Share premium includes any premiums received on issue of share capital, with the exception of shares issued in consideration in acquisitions. 
Any transaction costs associated with the issuing of shares are deducted from share premium, net of any related income tax benefits.

(b) Merger reserve
The merger reserve represents the premium arising on the ordinary shares issued as consideration for the acquisition of shares in another 
company (merger relief) (note 5). 

Opening balance 1 October 

Issue of shares 

Costs associated with share issue

At 30 September 

2020

£000

125,536

306

–

125,842

2019

£000

9,023

118,182

(1,669)

125,536

(c) Shares held by Executive Shared Ownership Plan
Further information relating to the EBT reserve of the Group is detailed in note 22 to the consolidated financial statements of the Group.

(d) Retained earnings 
Retained earnings includes all current and prior period retained profits and share-based employee remuneration. Dividend distributions payable 
to equity shareholders are included in other liabilities when the dividends have been approved in a general meeting prior to the reporting date. 

(e) Foreign currency translation reserves
A foreign currency translation reserve exists following the acquisition of the AS Group. This consists of exchange differences that arise on the 
translation on overseas net assets.

CareTech Holdings PLC
Annual Report and Accounts 2020
113

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

25. Dividends 

The aggregate amount of dividends comprises:

Interim dividend paid in respect of prior year but not recognised as liabilities in that year  
(3.75p per share, (2019: 3.50p per share))

Final dividend paid in respect of the prior year (7.95p per share, (2019: 7.50p per share))

Aggregate amount of dividends paid in the financial year (11.70p per share (2019: 11.00p per share))

2020 
£000

4,093

8,913

13,006

2019
£000

2,645

8,157

10,802

The aggregate amount of dividends proposed and not recognised as liabilities as at the year end is 12.75p per share, £14,000,000 
(2019: 11.7p per share, £13,000,000).

26. Financial instruments

The use of financial instruments is managed under policies and procedures approved by the Board. These are designed to reduce the financial 
risks faced by the Group, which primarily relate to credit, interest and liquidity risks, which arise in the normal course of the Group’s business.

Credit risk
Financial instruments which potentially expose the Group to credit risk consist primarily of cash equivalents and trade receivables. Cash equivalents 
are deposited only with major financial institutions that satisfy certain credit criteria.

Management has a credit policy in place and exposure to credit risk is monitored on an ongoing basis. Credit evaluations are carried out on all 
significant prospective customers and all existing customers requiring credit beyond a certain threshold. Varying approval levels are set on the 
extension of credit depending upon the value of the sale.

Where credit risk is deemed to have risen to an unacceptable level, remedial actions including the variation of terms of trade are implemented 
under the guidance of senior management until the level of credit risk has been normalised.

The Group provides credit to customers in the normal course of business. The amounts presented in balance sheet in relation to the Group’s trade 
receivables are presented net of loss allowances. The Group measures loss allowances at an amount equal to the lifetime expected credit losses 
(ECLs) using both quantitative and qualitative information and analysis based on the Group’s historical experience and forward looking information. 
During the year there was a credit to the consolidated income statement of £28,000 (2019: £403,000 charge) to decrease the loss allowance. 

At the balance sheet date, there were no significant concentrations of credit risk. The maximum exposure to credit risk is represented by 
the carrying amount of each financial asset. Based on past experience, the Group believes that no further impairment allowance is necessary 
in respect of trade receivables not past due. The Group considers that the carrying value of trade receivables approximates to its fair value. 

The trade receivables as at 30 September are aged as follows:

Not due

Not more than three months past due

More than three months but not more than six months past due

Trade receivables (note 16)

The movement in provisions for impairment of trade receivables are as follows:

At 1 October 2018
Adoption of IFRS 9
Charged to the consolidated income statement
At 30 September 2019
Credit to the consolidated income statement

At 30 September 2020

Included in the provision for impairment of trade receivables is an expected credit loss of £220,000 (2019: £525,000).

2020
£000

26,304

10,494

805

37,604

2019
£000

23,417

12,217

2,665

38,299

£000

761
525
403
1,689
(28)

1,661

CareTech Holdings PLC
Annual Report and Accounts 2020
114

Interest rate risk
The Group finances its operations through called up share capital, retained profits, bank borrowings, and the sale of assets if appropriate. 
The Group’s income is by its nature relatively stable and its growth is, inter alia, impacted by inflation. Group policy is to balance interest rate fixes 
between the short, medium and long term. The benchmark rate for bank borrowings is LIBOR. The Group has not adopted hedge accounting. 
As at 30 September, the Group carried five hedging instruments, details of which are as follows:
 – a 3 year swap commencing 16 May 2019 at pre-determined amounts initially starting at £21.6 million at LIBOR fixed at 1.076%
 – a 3 year swap commencing 16 May 2019 at pre-determined amounts initially starting at £21.6 million at LIBOR fixed at 1.056%
 – a 3 year swap commencing 16 May 2019 at pre-determined amounts initially starting at £27.6 million at LIBOR fixed at 1.076%
 – a 3 year swap commencing 16 May 2019 at pre-determined amounts initially starting at £21.6 million at LIBOR fixed at 1.071%
 – a 3 year swap commencing 16 May 2019 at pre-determined amounts initially starting at £27.6 million at LIBOR fixed at 1.066%

Liquidity risk
The Group prepares annual cash flow forecasts reflecting known commitments and anticipated projects. Borrowing facilities are arranged as 
necessary to finance requirements. The Group has available bank facilities, sufficient, with cash flow from profits, to fund present commitments. 
Term facilities are utilised to fund capital expenditure and short-term flexibility is achieved by the utilisation of cash resources in respect of financial 
liabilities. The following table indicates their contractual cash flow maturities.

Trade and other payables

Secured bank loans

Shareholder loans

Lease liabilities

Derivative financial instruments

Trade and other payables
IAS 17 Ground rent
Secured bank loans
Lease liabilities
Derivative financial instruments

Effective
interest
rate %

Carrying
amount
£000

2020

Contractual
cash
flows
£000

< 1
year
£000

(49,843)

(49,843)

(49,843)

1 – 5
years
£000

–

3.5%

(317,122)

(338,457)

(7,116)

(331,341)

(1,833)

(1,833)

–

(1,833)

5 years 
& over
£000

–

–

–

(88,688)

(293,452)

(8,581)

(19,897)

(264,974)

(2,198)

(2,198)

–

(2,198)

–

(459,684)

(685,783)

(65,540)

(355,269)

(264,974)

Effective
interest
rate %

3.5%
6%

2019

Contractual
cash
flows
£000

(52,369)
(15,131)
(355,569)
(4,689)
(1,640)
(429,398)

Carrying
amount
£000

(52,369)
(15,131)
(315,878)
(4,437)
(1,640)
(389,455)

< 1
year
£000

(52,369)
(100)
(10,146)
(1,783)
–
(64,398)

1 – 5
years
£000

–
(500)
(345,423)
(2,906)
(1,640)
(350,469)

5 years 
& over
£000

–
(14,531)
–
–
–
(14,531)

See note 18 for the maturity dates and interest rates charged on the secured bank loans. 

CareTech Holdings PLC
Annual Report and Accounts 2020
115

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

26. Financial instruments continued

Analysis of changes in liabilities from financing activities
The below table represents the movement in liabilities from financing activities:

1 October 2018
Cash flows
New leases
Changes in fair value
Acquisitions
Other

30 September 2019
Cash flows
Adoption of IFRS 16
New leases
Changes in fair value
Effect of foreign exchange
Other

30 September 2020

Secured bank 
loans
£000

Lease liabilities
£000

Shareholders 
loan
£000

Derivative 
financial 
instruments
£000

151,748
163,638
–
–
–
492

315,878
–
–
–
–
–
1,244

317,122

11,956
4,806
2,305
–
515
(14)

19,568
(8,797)
71,730
6,187
–
–
–

88,688

–
–
–
–
–
–

–
1,808
–
–
–
25
–

1,833

152
(308)
–
1,796
–
–

1,640
(1,053)
–
–
1,611
–
–

2,198

Total 
£000

163,856
168,136
2,305
1,796
515
478

337,086
(8,042)
71,730
6,187
1,611
25
1,244

409,841

CareTech’s three key covenant ratios are leverage (ratio of net debt to covenant EBITDA to be no more than 4.5), interest cover (ratio of covenant 
EBITDA to net finance costs to be no less than 4x) and LTV (ratio of property value to net debt to be no more than 62.5%). As at 30 September 
2020, we were operating comfortably within these ratios at 3.1x, 7.8x and 42% respectively. The Board believes the Group will achieve its target 
of reducing net debt/EBITDA to below 3.0x for the year ended 30 September 2021.

Capital risk management
The Group manages its capital to ensure that activities of the Group will be able to continue as a going concern whilst maximising returns 
for shareholders through the optimisation of debt and equity.

The Group’s capital structure is as follows:

Net debt 

Equity (see note 23)

2020
£000

268,886

364,216

2019
£000

291,077

335,364

Our policy is to increase the total dividend per year broadly in line with the movement in underlying diluted earnings per share. The final dividend 
will therefore increase to 7.95p per share demonstrating a confident view of the Group’s fundamental strength.

Net debt
Net debt comprises cash and cash equivalents net of bank loans and borrowings and HP leases previously accounted for under IAS 17 excluding 
Project Teak sale and leaseback. Net debt remains unchanged following the adoption of IFRS 16.

Note

2020
£000

2019
£000

18

18

54,273

29,238

(317,122)

(315,878)

(1,833)

(4,204)

–

(4,437)

(268,886)

(291,077)

Net debt in the balance sheet comprises:

Cash and cash equivalents 

Bank loans

Shareholder loan

Lease and hire purchase contracts

Net debt at 30 September

CareTech Holdings PLC
Annual Report and Accounts 2020
116

Foreign currency risk
Most of The Group’s transactions are carried out in GBP. Exposures to currency exchange rates arise from the Group’s investment in “the AS Group”, 
registered in the United Arab Emirates, which is denominated in AED. All other revenues arise within the UK and all non-current assets are likewise 
located in the UK. No single external customer amounts to 10% or more of the Group’s revenues.

Sensitivity analysis
In managing interest rate risks the Group aims to reduce the impact of short-term fluctuations on the Group’s earnings. Over the longer term, 
however, permanent changes in interest rates would have an impact on consolidated earnings.

At 30 September 2020, it is estimated that a general increase of 1% in interest rates would impact finance expense and decrease the Group’s profit 
before tax and equity by approximately £2,020,000 (2019: £1,950,000). Economic hedging instruments have been included in this calculation.

Fair values
The fair values together with the carrying amounts shown in the balance sheet are as follows:

Financial Instruments at amortised cost

Cash at bank and in hand 

Trade receivables (note 16)

Trade payables (note 19)

Secured bank loans (note 18)

Contingent consideration 

Shareholder loan

Held at fair value through profit and loss:

Derivative financial instruments 

Carrying
amount
2020
£000

Fair 
value
2020
£000

54,273

37,604

54,273

37,604

(15,576)

(15,576)

Carrying
amount
2019
£000

29,328

38,299

(12,378)

Fair
value
2019
£000

29,328

38,299

(12,378)

(317,122)

(317,122)

(315,878)

(315,878)

(1,569)

(1,833)

(1,569)

(1,833)

–

–

–

–

(2,198)

(2,198)

(1,640)

(1,640)

Where market values are not available, fair values of financial assets and liabilities have been calculated by discounting expected future cash flows 
at prevailing interest rates with the following assumptions being applied:
 – for trade and other receivables and payables with a remaining life of less than one year the carrying amount is deemed to reflect the fair value;
 – for cash and cash equivalents the amounts reported on the balance sheet approximates to fair value;
 – for secured bank loans at floating rate the carrying value is deemed to reflect the fair value as it represents the price of the instruments in the 

market place;

 – for shareholder loans the amount is repayable in less than one year and the carrying amount is deemed to reflect the fair value;
 – for contingent consideration the amount is repayable in less than one year and the carrying amount is deemed to reflect the fair value; and
 – for the derivatives financial instruments, these were entered into to manage the Group’s exposure to interest rate risk on its external borrowings. 

Fair value hierarchy
The financial instruments carried at fair value by valuation methods are:

Level 1 – unadjusted quoted prices in active markets for identical assets or liabilities
Level 2 – inputs other than quoted prices included within level 1 that are observable for the asset or liability 
either as a direct price or indirectly derived from prices

Level 3 – inputs for the asset or liabilities that are not based on observable market data

The fair values for all financial instruments carried at amortised costs are within level 3 of the fair value hierarchy.

2020
£000

–

(2,198)

(1,569)

2019
£000

–

(1,640)

–

CareTech Holdings PLC
Annual Report and Accounts 2020
117

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

27. Operating leases

Prior year only
Non-cancellable operating lease rentals are payable as follows:

Within one year
Between two and five years
More than five years

2019

Land and
buildings
£000

6,426
12,425
228,127
246,978

Other
£000

1,935
2,726
–
4,661

Included in the operating lease rentals for land and buildings in more than five years are leases relating to the land element for the properties sold 
to third parties and then leased back on 150 year leases. During the year the following was recognised as an expense in the consolidated income 
statement in respect of operating leases:

Charge for amounts currently payable 
Total recognised in the consolidated income statement 

28. Related parties

2019

Land and
buildings
£000

6,300
6,300

Other
£000

1,841
1,841

During the year, the Group paid rent totalling £408,343 (2019: £226,000) in respect of properties in which Farouq Sheikh and Haroon Sheikh 
have an interest. At the year-end rent of £240,595 (2019: £20,000) was outstanding. The current lease liability recognised at 30 September 2020 
is £2,705,000. The corresponding liability at 1 October 2019 under IFRS 16 was £3,018,000.

Dividends paid to Directors in the year totalled £192,000 (2019: £157,000).

Transactions with key management personnel

Salary 

Benefits

Bonus

Total short-term remuneration

Post-employment benefits

Share-based payments

Key management personnel are defined as Directors of the Group and members of the Senior Management Team.

Directors’ emoluments are set out on page 75.

During the year, the Group made donations to the CareTech Charitable Foundation which are set out in note 6. 

2020
£000

4,131

322

1,348

5,801

255

220

6,276

2019
£000

4,775

354

1,110

6,239

288

50

6,577

CareTech Holdings PLC
Annual Report and Accounts 2020
118

29. Group undertakings 

The Group has the following investments in trading subsidiaries included in the consolidated results for the year. The operating subsidiaries are 
engaged in either owning property (“Property”) or in the provision of services to adults or children (“Trading”). Additionally, the Group has subsidiaries 
that are non-trading, act as holding companies, or are dormant (“Non-trading”).

Company 

Addington House Limited*

Company 
number

4404355

Country of 
incorporation

Type

Ownership 
2020%

Ownership 
2019%

England and Wales Operating

Advanced Childcare Services Limited*

07559570

England and Wales

Non-trading

Advances In Autism Care & Education Limited*

3252453

England and Wales

Non-trading

Applied Care and Development Ltd*

SC224352

Scotland

Operating

Ashcroft House Limited*

Ashring House Limited*

Ashview House Limited*

Barleycare Limited*

Beacon Care Holdings Limited*+

Beacon Care Investments Limited*+

Beacon Care Limited*

Beech Care Limited*

Branas Isaf (Ashfield House) Limited*

Branas Isaf (Bythnod & Hendre Llwyd) Limited*

Branas Isaf (Dewis) Limited*

Branas Isaf (Education Centre) Limited*

Branas Isaf (Llyn Coed) Ltd*

3390658

3370991

3304446

5156601

3293998

4351554

3160894

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

4050685

England and Wales Operating

5761962

4826628

4828115

4826662

4826774

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales Operating

Branas Isaf (personal development & approach training) Limited* 4826959

England and Wales

Non-trading

Branas Isaf (Therapeutic Provision Limited)*

Branas Isaf Holdings Ltd*

Branas Isaf Personal Development Centre Ltd*

Bright Care Limited*

By the Bridge Holdings*

By the Bridge Limited*

5355404

4827227

3744583

4050733

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

05712186

England and Wales

Non-trading

04050928

England and Wales Operating

By the Bridge Management Company Limited*

8587714

England and Wales

Non-trading

By the Bridge North West Limited*

05448746

England and Wales Operating

Cambian Asperger Syndrome Services Limited*

04117476

England and Wales Operating

Cambian Autism Services Limited*

Cambrian Care (Powys) Limited*

Cambian Childcare Limited*

Cambian Childcare Properties Limited*

Cambian Education Services Limited*

Cambian FS Limited*

Cambian Group Holdings Limited*

Cambian Group Limited*+

Cambian Heritage I Limited*

Cambian Heritage II Limited*

Interact Care Limited*

Cambian Properties (UK) Limited*

Cambian Signpost Limited*

Cambian Whinfell School Limited*

Cameron Care Limited*

Care Support Services Limited*

CareTech Community Services (No 2) Limited*

CareTech Community Services Limited*+

CareTech Consulting Limited*

CareTech Estates (No 2) Limited*+

CareTech Estates (No 3) Limited*+

CareTech Estates (No 4) Limited*+

CareTech Holdings PLC
Annual Report and Accounts 2020
119

03449214

England and Wales Operating

3813824

England and Wales

Non-trading

04280519

England and Wales Operating

05274924

05554772

England and Wales

Property

England and Wales

Non-trading

09501886

England and Wales

Non-trading

08929407

England and Wales

Non-trading

8929371

5150238

3898254

4822716

5554819

6253729

4617562

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Property

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

SC283940

Scotland

Operating

5356025

3894564

2804415

7186925

6518327

6518491

6543818

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales

Property

England and Wales

Property

England and Wales

Property

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

29. Group undertakings continued 

Company 

CareTech Estates (No 5) Limited*+

CareTech Estates (No 6) Limited*+

CareTech Estates (no 7) Limited*+

CareTech Estates Limited*+

CareTech Foster Care Limited*

CareTech Fostering Holdings Limited* 

CareTech Fostering Services*

CareTech Housing Services*
CareTech International (Previously Family Assessment Services 
Limited) Limited*

Clifford House Limited*

Colerne Community Care (kent) Limited*

Community Support Project Limited*+

Complete Care & Enablement Services Limited*

Continuum Care and Education Group Limited*

Counticare Limited*

Coveberry Limited*

Daisybrook Limited*

Dawn Hodge Associates Limited*

Delam Care Limited*

Delham Care Limited*

Elite Children’s Care Limited*

Emeraldpoint Limited*

EQL Solutions Limited*+

Farrow House Limited*

Fostering Support Group Limited*

Franklin Homes Limited*

Glenroyd House Limited*

Gloucestershire Autism Services Limited*

Green Corns Limited*

Greenfields Adolescent Development Limited*

Greenfields Care Group Limited*

Hereson House Limited*

Herts Care (Escort and Supervision Services) Limited*

Herts Care Group Limited*

Herts Care Limited*

Herts Care Property Limited*

Huntsmans Lodge Limited*

Independent Childcare Group of Schools Limited*

Inhoco 2993 Limited*

K O B Care Limited*

Kirkstall Lodge Limited*

Leigham Lodge Limited*

Lonsdale Midlands Limited*

Lyndhurst Psychiatric Residential Care Limited*

Magnolia Court Limited*

Mason Property Development Company Limited*

Oakleaf Care (Hartwell) Limited*

One Six One Limited*

One Step (Support) Limited*

Onetrue Step Limited*

Outlook Fostering Services Limited*

CareTech Holdings PLC
Annual Report and Accounts 2020
120

Company 
number

7027116

8420656

8628141

5964868

5185612

7206363

7205262

3438332

6902547

3320573

2755757

5941774

5905163

5804360

2585666

1208511

3026221

4130146

2995783

2748991

5251327

3098166

8758477

3504115

2359399

3002865

4326288

3091510

3918305

4068839

4642100

4385252

3648069

4539660

3400914

4132387

4668317

2525026

4495879

3039698

4778674

4583599

2834141

2958528

5444649

4308273

5225317

4136284

4534652

8339192

4357704

Country of 
incorporation

Type

Ownership 
2020%

Ownership 
2019%

England and Wales

Property

England and Wales

Property

England and Wales

Property

England and Wales

Property

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales

Property

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

Company 

Palm Care Limited*

Park Foster Care Ltd*

Park Foster Care Services Scotland Limited*

Phoenix Therapy and Care Limited*

Pinnacle Supported Living Limited*

Prestwood Residential Homes Ltd*

Primrose Court Limited*

Professional Integrated Care Services Limited*

Purple Zest Limited*+

Roborough House Limited*

ROC North West Ltd*

Rosedale Children’s Services Limited*

SACCS Care Limited*

SACCS Limited*

Selborne Care Limited*

Selwyn Care Limited*

South East Care Services Limited*

Spark of Genius Limited*

Spark Of Genius (North East) LLP 

Spark Of Genius (Training) Limited*

St Michael’s Support & Care Limited*

Sunnyside Care Homes Ltd*

The Community Care Company UK Limited*

TLC (Wales) Independent Fostering Limited*

Trojan Spark Limited*

Uplands (Fareham) Limited*

Valeo Community Projects Limited*

Valeo Limited*+

Victoria Lodge Limited*

Vosse Court Limited*

White Cliffs Lodge Limited*

Wyatt House Limited*

Advanced Childcare Capital Limited

Advanced Childcare Finance Limited

Advanced Childcare Group Limited

Advanced Childcare Holdings Limited

Cambian Capital Limited

Cambian Developments I Limited

Cambian Developments II Limited

Cambian Developments Limited

Cambian Finance Limited

Cambian Holdings Limited

Cambian Manco Limited

Care Aspirations Finance Limited 

Care Aspirations Holdings Limited 

Care Asprirations Capital Limited 

H2O Limited

Hazeldene UK Limited1

Cambian Properties II Limited

Caretech Cloud Limited*

CareTech Mena Social Care LLC

CareTech Holdings Limited

AS1 Investments Holding Ltd (ADGM)

CareTech Holdings PLC
Annual Report and Accounts 2020
121

Country of 
incorporation

Type

Ownership 
2020%

Ownership 
2019%

Company 
number

4050739

4861395

SC427502

SC254555

2736242

4129564

4803769

4771613

11421082

5054294

5564417

4932054

3400914

4497910

5513162

3737832

2296352

3488896

3941224

4099715

4454845

4778676

4351559

4319271

107650

107661

107672

107660

87311

106304

104724

102148

91181

87312

109922

101512

101522

101503

England and Wales Operating

England and Wales Operating

Scotland

Scotland

Operating

Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

SC479758

Scotland

Non-trading

OC384807

England and Wales Operating

SC196146

Scotland

Operating

5978585

4589719

2816119

4824925

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

SC453152

Scotland

Non-trading

England and Wales Operating

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales Operating

England and Wales

Non-trading

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Jersey2

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Non-trading

Operating

Property

FC97291

FC015967

91131

Gibraltar

Gibraltar

Jersey2

12392889

England and Wales

Non-trading

1010563230

Saudi Arabia

Non-trading

3381

3272

United Arab Emirates Non-trading

United Arab Emirates Non-trading

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

50

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

94

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

50

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

100

–

–

–

–

Strategic ReportGovernanceFinancial StatementsNotes to the Financial Statements
continued

29. Group undertakings continued 

Company 

AS Investments Holding Ltd (ADGM)

Macani Medical Centre

Country of 
incorporation

Type

Ownership 
2020%

Ownership 
2019%

Company 
number

3087

United Arab Emirates Non-trading

CN-1937451 United Arab Emirates Operating

AS Northwood Investments Holdings LLC (ADGM)

CN-2696945 United Arab Emirates Non-trading

ACPN Dubai

ACPN Abu Dhabi

ACPN Al Ain

Care Talent Advisors Limited*

Jobzooma Limited

Recruiterlink Limited

674030

United Arab Emirates Operating

CN-1142528 United Arab Emirates Operating

CN-1142528-1 United Arab Emirates Operating

12391623

10127824

11665920

England and Wales

Non-trading

England and Wales Operating

England and Wales Operating

52

49

99

65

65

65

60

29.4

29.4

–

–

–

–

–

–

–

–

–

1  Has a UK designated trading branch, Hazeldene UK Limited.
2  Registered office 9 Burrard Street, St Helier, Jersey JE4 5SE.
+  Owned directly by the Company.
* 

 These subsidiaries have taken advantage of the audit exemption under s479A and s479C of the Companies Act 2006 for the period ended 30 September 2020. 
As such, the Company has provided a guarantee against all debts and liabilities in these subsidiaries as at 30 September 2020.

Exemption from audit by parent guarantee
The Company being the ultimate sole shareholder of its subsidiaries has decided to take the exemption from audit of a number of subsidiaries 
for the year ended 30 September 2020 under Sections 479A and 479C of the Companies Act 2006 and the Company will provide a guarantee 
for all the liabilities of those entities as at 30 September 2020 detailed above with the exception of Hazeldene UK Limited, H2O Limited and Spark 
of Genius (North East) LLP and Advanced Childcare Capital Limited, Advanced Childcare Finance Limited, Advanced Childcare Group Limited, 
Advanced Childcare Holdings Limited, Cambian Capital Limited, Cambian Developments I Limited, Cambian Developments II Limited, Cambian 
Developments Limited, Cambian Finance Limited, Cambian Holdings Limited, Cambian Manco Limited, Care Aspirations Finance Limited, 
Care Aspirations Holdings Limited, Care Aspirations Capital Limited and Cambian Properties II Limited. 

Wholly owned subsidiaries incorporated in Gibraltar and Jersey will not be covered by the parent company guarantee as they are incorporated 
outside of the UK. 

Unless otherwise stated above, the registered offices of all subsidiaries is 5th Floor Metropolitan House, 3 Darkes Lane, Potters Bar, England, 
EN6 1AG with the exception of:

Company 

Address

Applied Care and Development Ltd
Cameron Care Limited
Dawn Hodge Associates Limited
Park Foster Care Services Scotland Limited
Phoenix Therapy and Care Limited
Professional Integrated Care Services Limited
Spark of Genius Limited
Spark Of Genius (North East) LLP 
Spark Of Genius (Training) Limited
Trojan Spark Limited
H2O Limited
Hazeldene UK Limited
CareTech Mena Social Care LLC

CareTech Holdings Limited

AS1 Investments Holding Ltd (ADGM)
AS Investments Holding Ltd (ADGM)
Macani Medical Centre

AS Northwood Investments Holdings LLC (ADGM)

ACPN Dubai
ACPN Abu Dhabi

ACPN Al Ain

CareTech Holdings PLC
Annual Report and Accounts 2020
122

Netherlea House, Bankend Road, Dumfries, DG1 4AL
Inspire Children Services, Lochview, Fort William, Inverness-Shire, PH33 7NP
Fiveways House, Buildwas Road, Neston, CH64 3RU
272 Bath Street, Glasgow, G2 4JR
1 Lodge Street, Haddington, East Lothian, EH41 3DX
Tan Y Fron, Pontardulais Road, Crosshands, Carmarthenshire, SA14 6PG
Trojan House Pegasus Avenue, Phoenix Business Park, Paisley, PA1 2BH
King Edwin School Mill Lane, Norton, Stockton-On-Tees, North Yorkshire, TS20 1LG
Trojan House Pegasus Avenue, Phoenix Business Park, Paisley, PA1 2BH
Trojan House Pegasus Avenue, Phoenix Business Park, Paisley, PA1 2BH
Montagu Pavillion, 8-10 Queensway, Gibraltar
Montagu Pavillion, 8-10 Queensway, Gibraltar
7534 King Abdul Aziz Road – Al Ghadeer District, Unit No 44, Riyadh 13311-4672, 
Kingdom of Saudi Arabia
2459, 24, Al Sila Tower, Abu Dhabi Global Market Square, Al Maryah Island, Abu Dhabi, 
United Arab Emirates
2458 Al Sila Tower, ADGM Square, Al Marya Island Abu Dhabi, UAE
2458 Al Sila Tower, ADGM Square, Al Marya Island Abu Dhabi, UAE
Ahmed Ali Mohamed Abdulla Alsayegh Building, Office 205,  
GH 10, Q 63, T 2, Al Khalidiah Street, Abu Dhabi, UAE
Unit of Ahmed Ali Mohamed Abdulla Alsayegh, West 10,0, P.O. Box No. 52613, 
Abu Dhabi, UAE
Jumeirah Sunset Mall, Jumeirah 3, PO Box 66026, Dubai, UAE
Khalid bin Abdul Aziz Street, Mounira Sheikh Ahmed Al Mubarak Building, 
PO Box 108699, Abu Dhabi, UAE
Villa of Mohammed Raashid Mohammed and others, Al Ghil, Al Ma’atarid, Al Ain, 
Abu Dhabi, UAE

Subsidiaries with material non-controlling interest (“NCI”)
The Group has aggregated the subsidiary financial information of the AS Group acquired on 4 February 2020. The Group has considered 
it appropriate to aggregate the information due to geographical location and the nature of the activities being performed being consistent. 
The below table shows the subsidiaries that form part of the Group.

Proportion of 
ownership 
interests held  
by non- 
controlling 
interests

Proportion of 
voting rights 
held by non- 
controlling 
interests

48%
1%
35%
35%
35%
6%
51%

2020
£’000

1,234

9,206

2020
£’000

8,139

274

(2,870)

(1,833)

15,548

1,881

2,202

(77)

(161)

1,964

48%
1%
35%
35%
35%
6%
51%

2019
£’000

–

–

2019
£’000

–

–

–

–

–

–

–

–

–

–

Subsidiary name

AS Investments Holding Ltd (ADGM)
AS Northwood Investments Holdings LLC (ADGM)
ACPN Dubai
ACPN Abu Dhabi
ACPN Al Ain
AS1 Investments Holding Ltd (ADGM)
Macani Medical Centre

Principal place of business

United Arab Emirates
United Arab Emirates
United Arab Emirates
United Arab Emirates
United Arab Emirates
United Arab Emirates
United Arab Emirates

Profit allocated to NCIs during the reporting period

Accumulated NCI at 30 September

Dividends of £1.9m were paid during the year to the NCI.

Summarised financial information for the AS Group is set out in the table below:

Current assets

Non-current assets

Current liabilities

Non-current liabilities

Revenue

Profit and total comprehensive income

Net cash from operating activities

Net cash used in investing activities

Net cash used in financing activities

Net cash inflow

CareTech Holdings PLC
Annual Report and Accounts 2020
123

Strategic ReportGovernanceFinancial StatementsCompany Statement of Financial Position
as at 30 September 2020

Non-current assets

Investments

Current assets

Trade and other receivables

Cash and cash equivalents

Total assets

Current liabilities

Trade and other payables

Non-current liabilities

Loans and borrowings

Total liabilities

Net assets

Equity 

Share capital

Share premium

Merger reserve

Retained earnings

Total equity attributable to equity shareholders of the parent

Note

32

2020
£000

2019
£000

399,859

399,859

395,822

395,822

33

247,171

485

247,656

647,515

257,731

1,012

258,743

654,565

35

34

37

48,411

48,411

44,065

44,065

318,592

367,003

280,512

565

133,080

125,842

21,025

280,512

317,358

361,423

293,142

545

121,304

125,536

45,757

293,142

Under section 408 of the Companies Act 2006 the Company is exempt from the requirement to present its own income statement. 
The loss for the year included in the financial statements of the Company was £15,845,000 (2019 profit: £25,778,000).

These financial statements were approved by the Board of Directors and authorised for issue on 10 December 2020 and were signed on its behalf by:

Farouq Sheikh 
Group Executive Chairman 
Company number: 04457287 

Christopher Dickinson
Chief Financial Officer

CareTech Holdings PLC
Annual Report and Accounts 2020
124

 
 
 
 
 
 
 
 
 
Company Statement of Changes in Equity
as at 30 September 2020

At 1 October 2018
Profit for the year and total comprehensive income
Issue of shares
Sharesave Scheme charge
Dividends
At 30 September 2019

At 1 October 2019

Profit for the year and total comprehensive income

Issue of shares

Share-based payment charge

Dividends

At 30 September 2020

Share 
capital
£000

Share 
premium
£000

379
–
166
–
–
545

120,820
–
–
484
–
121,304

Merger 
reserve
£000

9,023
–
116,513
–
–
125,536

Retained 
earnings
£000

30,781
25,778
–
–
(10,802)
45,757

Total
Equity
£000

161,003
25,778
116,679
484
(10,802)
293,142

545

121,304

125,536

45,757

293,142

–

20

–

–

–

11,776

–

–

–

306

–

–

(15,845)

(18,846)

–

4,119

2,058

4,119

(13,006)

(13,006)

565

133,080

125,842

21,025

280,512

CareTech Holdings PLC
Annual Report and Accounts 2020
125

Strategic ReportGovernanceFinancial StatementsNotes to the Company Financial Statements

30. Accounting policies

(a) Basis of preparation
CareTech Holdings PLC (the Company) meets the definition of a qualifying entity under Financial Reporting Standard (FRS) 100, issued by 
the Financial Reporting Council (FRC). Accordingly, the financial statements have been prepared in accordance with FRS 101 Reduced Disclosure 
Framework. The financial statements have been prepared on a historical cost basis except in respect of those financial instruments that have 
been measured at fair value at the end of each reporting period. Historical cost is generally based on the fair value of the consideration given 
in exchange for goods and services.

As permitted by FRS 101, the Company has taken advantage of the disclosure exemptions available under that standard in relation to share-based 
payment, financial instruments, capital management, presentation of comparative information in respect of certain assets, presentation of cash 
flow statement and certain related party transactions.

Accounting policies for financial instruments have been listed under part of the accounting policies for the main Group’s consolidated accounts.

(b) Investments
Investments in subsidiary undertakings are stated in the balance sheet of the Company at cost less impairment written off.

(c) Cash and liquid resources
Cash, for the purpose of the cash flow statement, comprises cash in hand and deposits repayable on demand and those with maturities of three 
months or less from inception, less overdrafts payable on demand.

(d) Interest-bearing borrowings
Interest-bearing borrowings are recognised initially at fair value less directly attributable transaction costs. Subsequent to initial recognition, 
interest-bearing borrowings are stated at amortised cost with any difference between proceeds (net of transaction costs) and the redemption 
value being recognised in the consolidated income statement over the period of the borrowings on an effective interest basis.

Borrowings are classified as current liabilities unless the Company has an unconditional right to defer settlement of the liability for at least 
12 months after the reporting date.

(e) Taxation
Tax on the profit or loss for the year comprises current and deferred tax. Tax is recognised in profit or loss except to the extent that it relates 
to items recognised directly in equity, in which case it is recognised in equity. 

Current tax is the expected tax payable on the taxable income for the year, using tax rates and laws enacted or substantively enacted at the 
balance sheet date, and any adjustment to tax payable in respect of previous years.

(f) Revenue
Revenue represents management fees receivable, in respect of the period to which management services relate.

(g) Share-based payments
The share option programme allows employees to acquire shares of the Company. The fair value of options granted is recognised as an employee 
expense with a corresponding increase in equity. The fair value is measured at grant date and spread over the period during which the employees 
become unconditionally entitled to the options. The fair value of the options granted is measured using an option pricing model, taking into 
account the terms and conditions upon which the options were granted. The amount recognised as an expense is adjusted to reflect the actual 
number of share options that vest except where forfeiture is only due to share prices not achieving the threshold for vesting.

Where the Company grants options over its own shares to the employees of its subsidiaries it recognises an increase in the cost of investment 
in its subsidiaries equivalent to the equity-settled share-based payment charge recognised in its subsidiary’s financial statements with the 
corresponding credit being recognised directly in equity.

(h) Employee Benefit Trust (EBT)
The Company has not elected to consolidate the employee benefit trust and consequently recognise it as an investment in subsidiary, and 
recognise a receivable balance for any shares issued to the trust, and is subsequently measured at amortised cost. These receivables are payable 
on demand and do not carry any interest. Considering these amounts are receivable on the sale of shares held by the trust and such shares are 
quoted higher than the value receivable, the Company are of the view that the there are no credit losses as at balance sheet date.

(i) Financial Instruments
Recognition, initial measurement and derecognition
Financial assets and financial liabilities are recognised when the Company becomes a party to the contractual provisions of the financial 
instrument. All financial assets are initially measured at fair value adjusted for transaction costs (where applicable). Financial liabilities are initially 
measured at fair value, and, where applicable, adjusted for transaction costs unless the Company designated a financial liability at fair value 
through profit or loss. Subsequent measurement of financial assets and financial liabilities are described below.

Financial assets are derecognised when the contractual rights to the cash flows from the financial asset expire, or when the financial asset 
and all substantial risks and rewards are transferred. A financial liability is derecognised when it is extinguished, discharged, cancelled or expires.

Classification and subsequent measurement of financial assets
For the purpose of subsequent measurement, financial assets are classified into the following categories upon initial recognition:
 – Financial assets at amortised cost.
 – Financial assets/liabilities held at fair value through profit or loss (FVTPL).

FVTPL assets in this category are measured at fair value with gains or losses recognised in profit or loss. The fair values of financial assets in this 
category are determined by reference to active market transactions or using a valuation technique where no active market exists.

CareTech Holdings PLC
Annual Report and Accounts 2020
126

All income and expenses relating to financial assets that are recognised in the consolidated income statement are presented within finance costs 
or finance income, except for impairment of trade receivables which is presented within other administrative expenses.

Financial assets at amortised cost
Financial assets are measured at amortised cost if the assets meet the following conditions (and are not designated as FVTPL):
 – they are held within a business model whose objective is to hold the financial assets and collect its contractual cash flows; and
 – the contractual terms of the financial assets give rise to cash flows that are solely payments of principal and interest on the principal 

amount outstanding.

After initial recognition, these are measured at amortised cost using the effective interest method. Discounting is omitted where the effect of 
discounting is immaterial. The Company’s cash and cash equivalents, trade and most other receivables fall into this category of financial instruments.

Financial assets at FVTPL
Financial assets that are held within a different business model other than “hold to collect” or “hold to collect and sell” are categorised at fair value 
through profit and loss. Further, irrespective of business model financial assets whose contractual cash flows are not solely payments of principal 
and interest are accounted for at FVTPL. All derivative financial instruments fall into this category, except for those designated and effective as 
hedging instruments, for which the hedge accounting requirements apply.

Assets in this category are measured at fair value with gains or losses recognised in profit or loss. The fair values of financial assets in this category 
are determined by reference to active market transactions or using a valuation technique where no active market exists.

Classification and subsequent measurement of financial liabilities
The Company’s financial liabilities include borrowings, trade and other payables and derivative financial instruments. Financial liabilities are 
measured subsequently at amortised cost using the effective interest method, except for financial liabilities held for trading or designated at FVTPL, 
that are carried subsequently at fair value with gains or losses recognised in the consolidated income statement. All derivative financial instruments 
that are not designated and effective as hedging instruments are accounted for at FVTPL.

All interest-related charges and, if applicable, changes in an instrument’s fair value that are reported in consolidated income statement are included 
within finance costs or finance income.

From time to time, the long-term debt held by the Company are either refinanced as these come to maturity, or the margin on these facilities 
moves in line with the ratio of the Group’s net debt to EBITDA. In either scenario, the Company reviews whether the debt is accounted for as a 
modification or an extinguishment of the liability. A substantial modification should be accounted for as an extinguishment of the existing liability 
and the recognition of a new liability. A non-substantial modification should be accounted for as an adjustment to the existing liability. Both the 
quantitative and qualitative aspects of the modification are taken into account to ascertain whether the modification is substantial and these can 
include the change in covenants, repayment dates and the effective interest rate. If modification accounting is adopted, the carrying value of the 
existing liability is adjusted for fees paid or costs incurred and the effective interest rate is amended at the modification date. If extinguishment 
accounting is adopted, the existing liability is de-recognised and the new or modified liability is recognised at its fair value, the gain or loss equal to 
the difference between the carrying value of the old liability and the fair value of the new one is recognised, any incremental costs or fees incurred 
and any consideration paid or received is recognised in profit or loss and a new effective interest rate for the modified liability is calculated and 
used in future periods.

Derivative financial instruments
From time to time, the Company enters into derivative financial instruments, such as interest rate swaps, to manage its exposure to interest rate risk.

Derivatives are initially recognised at fair value at the date a derivative is entered into and are subsequently remeasured to their fair value at each 
balance sheet date. A derivative with a positive fair value is recognised as a financial asset whereas a derivative with a negative fair value is recognised 
as a financial liability. The resulting gain or loss is recognised in the consolidated income statement immediately. A derivative is presented as a 
non-current asset or non-current liability if the Company has an unconditional right to defer payment beyond 12 months. Otherwise derivatives 
are presented as current assets or liabilities.

(j) Dividends on shares presented within shareholders’ funds
Dividends unpaid at the balance sheet date are only recognised as a liability at that date to the extent that they are appropriately authorised and are 
no longer at the discretion of the Company. Unpaid dividends that do not meet these criteria are disclosed in the notes to the financial statements.

(k) Merger reserve
The merger reserve represents the premium arising on the ordinary shares issued as consideration for the acquisition of shares in another 
company (merger relief).

Merger reserve

Opening balance 1 October 

Issue of shares (see note 23)

At 30 September

CareTech Holdings PLC
Annual Report and Accounts 2020
127

2020
£000

125,536

306

125,842

2019
£000

9,023

116,513

125,536

Strategic ReportGovernanceFinancial StatementsNotes to the Company Financial Statements
continued

31. Dividends

The aggregate amount of dividends comprises:

Interim dividend paid in respect of prior year but not recognised as liabilities in that year (3.75p per share, 
(2019: 3.50p per share))

Final dividend paid in respect of the prior year (7.95p per share, (2019: 7.50p per share))

Aggregate amount of dividends paid in the financial year (11.70p per share (2019: 11.00p per share))

2020
£000

4,093

8,913

13,006

2019
£000

2,645

8,157

10,802

The aggregate amount of dividends proposed and not recognised as liabilities as at the year end is 12.75p per share, £14,000,000 
(2019: 11.7p per share, £13,000,000).

32. Investments

Cost and net book value
At 1 October 2019
Acquisitions (see note 5)

At 30 September 2020

33. Trade and other receivables

Amounts owed by Group undertakings

Amounts owed by the Employment Benefit Trust

Shares in
Group
undertakings
£000

395,822
4,037

399,859

2019
£000

255,788

1,943

257,731

2020
£000

235,382

11,769

247,151

These balances owed by Group undertakings accrue intercompany interest at a rate of 3% per annum. Please refer to note 1 and the statement on 
going concern. Intercompany financial assets were assessed by management for impairment using the expected credit loss model under IFRS 9. 
The assets are considered to have low credit risk and consequentially an immaterial credit loss was assessed and no provision has been made.

The prior year balance has been restated for an amount of £40.2m due to a prior year amount owed by a Group undertaking being incorrectly 
netted off against other amounts receivable from Group undertakings. See note 35.

34. Interest-bearing loans and borrowings

This note provides information about the contractual terms of the Company’s interest-bearing loans and borrowings. For more information about 
the Group’s exposure to interest rate risk, please see note 25 in the Group accounts.

Terms and debt repayment schedule

Term loan

Term loan

Revolving credit facility term loan

Currency

Nominal
interest rate (%)

Year of 
maturity

Book value 
2020
£000

Book value 
2019
 £000

£

£

£

2.25 (2019: 2.25)1

2.50 (2019: 2.50)1

(2019: 2.75)1

2022

2023

2023

160,031

158,561

–

167,000

150,358

–

318,592

317,358

1  The margin on the facilities is stated at the current rate and can change between 1.50% and 3.25% based on the ratio of the Group’s net debt to EBITDA.

The facility is a term loan of £322m and revolving credit facility of £25m to a group of banks comprising Barclays Bank PLC, HSBC UK Banks PLC, 
Santander UK PLC, AIB Group (UK) PLC, Clydesdale Bank PLC, Credit Suisse AG, Lloyds Bank PLC and National Westminster Bank PLC and is stated 
net of loan finance costs in accordance in IAS 23.

CareTech Holdings PLC
Annual Report and Accounts 2020
128

35. Trade and other payables

Amounts due to Group undertakings

Other creditors

2020
£000

42,769

5,642

48,411

2019
£000

40,199

3,866

44,065

The prior year balance has been restated for an amount of £40.2m due to a prior year amount owed by a Group undertaking being incorrectly 
netted off against other amounts receivable from Group undertakings. See note 33.

36. Contingent liabilities

As per note 29, the Company have taken the audit exemption for a number of subsidiaries by virtue of s479A of the Companies Act. A parent 
company guarantee has been provided for these entities under s479C of the Companies Act.

37. Called up share capital

Allotted, called up and fully paid:

113,173,992 (2019: 109,144,369) ordinary shares of 0.5p each

53,402 deferred shares of 0.5p each

2020
£000

565

–

565

2019
£000

545

–

545

The holders of the ordinary shares are entitled to receive dividends as declared from time to time and are entitled to one vote per share at meetings 
of the Company. The deferred shares have no such rights. Details in respect of the movements in equity are given in note 22 to the Group 
financial statements.

Details in respect of the reserves are given in note 23 to the Group financial statements.

38. Staff numbers and costs

The Company has no employees (2019: none) other than the Directors. Directors’ emoluments are shown on page 75.

39. Employee benefits

Defined contribution plans
The Company operates a number of defined contribution pension plans. The total Company expense relating to these plans in the current year 
was £nil (2019: £nil).

Share-based payments
There was no expense for share-based payments relating to the Company’s employees in the year (2019: £nil). There was a grant of shares to 
the CareTech Charitable Foundation in the year, which is accounted for as a share-based payment with a charge of £4.1m (2019: nil) to the income 
statement in the year.

The grants and related accounting treatment adopted by the Company is identical to that operated by the Group under IFRS 2 ‘Share-Based 
Payments’ (see note 22).

40. Related parties

The Company receives dividends from its subsidiaries according to their ability to remit them and received interest in intergroup loans. Other details 
of related party transactions have been given in note 27 to the consolidated accounts.

Under FRS 101, the Company is exempt from disclosing key management personnel compensation and transactions with other entities wholly 
owned by the Company.

CareTech Holdings PLC
Annual Report and Accounts 2020
129

Strategic ReportGovernanceFinancial StatementsAppendix: Alternative Performance Measures

The Group reports certain non-IFRS performance measures, known as Alternative Performance Measures (APMs). The Directors believe that they 
provide useful supplemental information for the readers of the Annual Report and, when read in conjunction with the IFRS financial information, 
assist in providing a balanced view of the Group’s financial performance and financial position.

In assessing its performance, the Group has adopted a number of APMs because statutory measures can have limitations as analytical tools and 
are necessary to readers of the accounts when understanding our performance relative to other companies in our sector and in the wider economy.

We set out below those APMs which management use in assessing its own performance and a reconciliation of those APMs to the statutory 
IFRS financial statements.

a) EBITDA

EBITDA is defined as Earnings Before Interest, Tax, Depreciation, Amortisation, share-based payments and non-underlying items. EBITDA is 
considered the most relevant performance measure in our (and many other) sectors. We reconcile EBITDA to the statutory measure of operating 
profit on the face of the income statement as below:

EBITDA

Adjusted for:

COVID-19 income

Depreciation

Amortisation of intangible assets

Profit on ground rent transaction

Acquisition cost

Other non-underlying items

COVID-19 costs

Share-based payments charge

Operating profit

b) Non-underlying items

2020
£000

90,932

2,550

(17,021)

(10,186)

 –

(545)

(4,497)

(3,422)

(4,449)

53,362

2019
£000

73,546

 –

(10,631)

(10,188)

4,565

(10,331)

(7,425)

 –

(60)

39,476

6

13

6,14

6

6

6

Non-underlying items relate to events or transactions that, in the opinion of the Directors, by virtue of size and incidence are disclosed separately 
in order to improve a reader’s understanding of the financial statements. They include: costs relating to the acquisition of new businesses, 
the integration of acquisitions and the reorganisation of the internal operating and management structure, redundancy costs, costs associated 
with terminating lease agreements and profit arising on the ground rent transaction.

Also included are the non-cash charges of amortisation of intangible fixed assets together with any impairment of intangible assets or goodwill.
Non-underlying items also comprise costs relating to derivative financial instruments and include the movements during the year in the fair value 
of the Group’s interest rate hedging arrangements which do not qualify for hedge accounting, together with the quarterly cash settlement and 
accrual thereof.

They also include the current tax and deferred tax adjustments relating to the above.

We present a reconciliation of our underlying earnings to our statutory profit on a line by line basis including Operating profit, Finance expenses, 
Profit before Tax and Taxation as follows:

Operating profit

Financial expenses

Profit before tax 

Taxation

Profit for the year

Note

9

6,10

Underlying
£000

73,581

(13,928)

59,653

(11,325)

 48,328

2020

Non-
underlying
£000

(20,219)

(1,611)

(21,830)

553

(21,277)

Statutory
 £000

Underlying
£000

53,362

(15,539)

37,823

(10,772)

27,051

62,855

(12,690)

50,165

(9,423)

 40,742 

2019

Non-
underlying
£000

(23,379)

(2,446)

(25,825)

5,209

(20,616)

Statutory
£000

39,476

(15,136)

24,340

(4,214)

20,126 

CareTech Holdings PLC
Annual Report and Accounts 2020
130

c) Net debt

A key performance indicator for many readers of accounts is the level of net debt within the business. Net debt comprises cash net of all loans and 
borrowings as defined by the Group’s banking facilities. Accordingly, the Group provides information on its net debt which is reconciled to the 
statutory financial statements as follows:

Net debt in the balance sheet comprises:

Cash at bank and in hand 

Bank loans

Shareholder loan

Lease and hire purchase contracts

Net debt at 30 September

d) Working capital conversion

Note

2020
£000

2019
£000

18

18

54,273

29,238

(317,122)

(315,878)

(1,833)

(4,204)

–

(4,437)

(268,886)

(291,077)

The Group considers that a key element of its performance is the cash generation from its EBITDA and that there is a correlation between working 
capital performance and the quality of earnings. In the 2019 financial year, the working capital conversion is impacted by the fact that Cambian 
was acquired mid-October and as such cash receipts in the first few weeks of the month are excluded, whereas payroll payments and creditor 
payments, which typically fall at the end of each month, are included given a skewed working capital position. Accordingly, the Group provides 
a calculation of working capital conversion both including and excluding the first 19 days of October which is reconciled to the statutory financial 
statements as follows:

Operating cash flows before adjustment items

EBITDA

Working capital conversion

Operating cash flows before adjustment items

Cambian cash receipts and payments pre-acquisition

At 30 September

EBITDA

Working capital conversion

2020
£000

94,222

90,932

103.6%

2020
£000

94,222

–

94,222

90,932

103.6%

2019
£000

66,324

73,546

90.2%

2019
£000

66,324

 8,140

74,464

73,546

101.2%

CareTech Holdings PLC
Annual Report and Accounts 2020
131

Strategic ReportGovernanceFinancial StatementsDirectors and Advisers

Company Number
04457287

Registered Office
5th Floor
Metropolitan House
3 Darkes Lane
Potters Bar
Herts
EN6 1AG

Directors
Farouq Sheikh 
Haroon Sheikh 
Christopher Dickinson 
Mike Adams 
Karl Monaghan 
Jamie Cumming 
Moira Livingston  

Solicitors
Charles Russell Speechlys
5 Fleet Place
London
EC4M 7RD

Ashurst LLP
Broadwalk House
5 Appold Street
London
EC2A 2HA

(Group Executive Chairman)
(Group Chief Executive Officer)
(Chief Financial Officer)
(Executive Director)
(Non-Executive Director)
(Non-Executive Director)
(Non-Executive Director)

CareTech Holdings PLC
Annual Report and Accounts 2020
132

Nominated Adviser and Joint Broker
Panmure Gordon and Co
One New Change
London
EC4M 9AF

Joint Brokers
Numis Securities Ltd
10 Paternoster Square
London
EC4M 7LT

Auditor
Grant Thornton UK LLP
30 Finsbury Square
London
EC2A 1AG

Bankers
The Royal Bank of Scotland PLC
250 Bishopsgate
London
EC2M 4AA

Lloyds Bank PLC
Large Corporate
25 Gresham Street
London
EC2V 7HN

Santander Corporate Banking
2 Triton Square 
Regents Place
London
NW1 3AN

HSBC UK Bank PLC
60 Queen Victoria St
London
EC4N 4TR

AIB Group (UK) PLC
Corporate Banking
9-10 Angel Court
London
EC2R 7AB

Barclays
Level 12
1 Churchill Place
London
E14 5HP

Clydesdale Bank PLC
138 New Street
Birmingham
B2 4JQ

Credit Suisse AG
The Gate
Dubai
United Arab Emirates

Registrars
Link Asset Services
Northern House
Woodsome Park
Fenay Bridge
Huddersfield
West Yorkshire
HD8 OGA

 
 
 
 
 
 
Design and production:
Gather +44 (0)20 7610 6140 
www.gather.london

The paper used in this Report is  
derived from sustainable sources.

CareTech Holdings PLC   

Metropolitan House 
3 Darkes Lane 
Potters Bar 
Hertfordshire 
EN6 1AG

Tel: 01707 601800 
Fax: 01707 655265