www.carehome.co.uk/carehome.cfm/searchazref/10002512QUIAThis is the website of a care home for autistic adults, called Lammas Lodge. As with other care homes I have linked to, it sounds great. It is not to be expected that home sites will cry "stinking fish" but it does show how difficult it is for those who have to choose a care home for a relative: how is one to get good information? According to the neoclassical orthodoxy underpinning privatisation, all those in the market should have such information.
Part of the answer is supposed to be the regulator and once again, in this case, the regulator is CQC. To be fair to them, in this case they seem to have done some of their job. An inspection in 2011 was critical of Lammas Lodge and the press release about their findings is here:
www.cqc.org.uk/media/hereford-care-...-says-regulatorThe home was said to have inadequate staffing; poorly trained staff; risk of abuse of residents; poor management of medicine and poor record keeping re significant incidents; and a general failure to provide adequate care. Lammas Lodge was told to make improvements on pain of closure if it did not. It has since made those improvements, apparently,and is now said to meet the standards required. Fair enough
What is missing from these reports may not strike other people as important. Arguably the regulator is solely concerned with the current standard of care provided and it has no wider remit in terms of ownership and financial structure: but that is rather weak given the experience with Southern Cross. Long term viability is dependent on such things and if the CQC is not to take account of that who is?
I raise this because in the CQC report the home is said to be run by Parkcare Homes Ltd. It has a number of care homes but on its website the e-mail address shows that it is a subsidiary of Craegmoor: and Craegmoor is in turn a subsidiary of the Priory. Both are ultimately owned by Advent International, and Advent is an American private equity firm.
The Craegmore site gives this information about Advent
QUOTE
The firm focuses on international buyouts, strategic repositioning opportunities and growth buyouts in five core sectors, working actively with management teams to drive revenue growth and earnings improvements in portfolio companies. Since inception, Advent has raised $26 billion (€19.4 billion) in private equity capital and, through its buyout programs, has completed over 250 transactions valued at approximately $50 billion (€40 billion) in 35 countries.
Once again the actual quality of care is secondary: profit is the driver.
As noted above (
https://thosebigwords.forumcommunity.net/?t...951&p=327445831), the Priory was owned by RBS, from 2007, and they have been trying to get rid of it for some time: Advent agreed to buy it for £925 million in January 2011. They acquired Craegnoor in April the same year.
According to the Priory it achieved "significant growth" since RBS acquired it, and obviously Advent must think it is going to make profit: which rather begs the question as to why RBS was so keen to sell: though that is probably explained by the need to repair the capital position of RBS, currently largely owned by the state and aiming to be fixed and then sold back to the private sector, in line with the mainstream view that nothing is worse than nationalisation.At the end of 2009 the Priory had £789 million in debt. RBS said that after the settlement of the debt it would receive only £133 million in cash from the sale to Advent. But at least the liability is gone, from RBS point of view: and Advent starts with a clean sheet, if you don't count the sale price itself. Why wouldn't you? Since this group was owned by the taxpayer through the "nationalised" bank, RBS, it is a mystery to me why this makes any sense at all. If it is going to generate all that profit, in a reasonable time frame, as Advent must believe, why not keep it in house?
Advent presumably agree with the Priory that the Priory groups is
QUOTE
well placed to deliver value for money and outcomes to more healthcare and education commissioners as the basis for private sector supply to the public sector is defined over the coming year.
It is obvious that these equity firms assume that privatisation is irreversible: and they can be forgiven for believing that, given government approaches to that issue here and in many countries. But as with homes for the elderly, any failure will have to be bailed out by the state: for these care facilities cannot be allowed to go bust: the people needing the care have to be cared for. But perhaps RBS don't agree? I doubt that is the explanation because if it were, RBS, at least while "nationalised" would be well placed whichever way that goes: and either way the state would benefit: or so it seems to me.
It seems that Advent believe that £925 million can be recouped, and that is presumably on top of operational profit to provide a return for investors. Most of their income will come from tax: because the care will be largely paid for by local authorities and central government.
It should also be noted that the CEO of Circle is one Philip Scott. He, it will be recalled, was the CEO of Southern Cross (see earlier posts), and sold his holding of that company just before it crashed, for the tidy sum of £11 million. Private Eye reports in its latest issue that he has announced that he is to leave his post at the Priory. The magazine also reports that Priory's earnings forecast has been reduced by 7% due, they say, to the squeeze on the NHS budget. This is also reported here:
http://www.healthinvestor.co.uk/%28A%28Rpn...CookieSupport=1The daily telegraph reported, in January 2011, on the filings of a company called Priory Investment Holdings Ltd, based in the Cayman Islands. According to that report, Philip Scott has shares in two property companies called Zest, and Sistine properties, respectively. Zest owns three care homes and one facility for those with learning disabilities: and they were leased to the Priory for £1.33 million a year.
Sistine Properties is co-owned with Mr Scott's wife. They bought a school called Sheridan School in 2008 for £1.55 million and they lease that property to the Priory for £300,000 a year. So they will get the full sum back in 5 years if my sums are right.
RBS, who owned Priory at that time, said that this was not above a commercial rent: and you can believe that if you like. They assured that the CEO recused himself from all decisions about such agreements where he had a separate interest: the decisions were taken by the Priory Board, with full details disclosed to all "bidders", whatever that may mean.
Edited by FionaK - 7/8/2012, 12:14