CORPORATE PRESENTATION DOSSIER - "Committed to people"
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Table of contents 1. What is Amma ……………………………….………….………….. 3 2. Amma mission, vision and values ……………………………… 4 3. The Amma Model……………………………………………………. 5 4. History of Amma ……………………..………………………........ 6 5. Amma shareholders …………………………………….…………. 8 6. Company organisation …………………..……………....…........ 9 7. Organisational chart..…………………………………………….. 10 8. Important figures ….………………..……………………….…… 11 9. Amma Centres …………………….……………………………….. 14 10. Amma Services …………………………………………………….. 24 11. Amma Professionals ……………………………………………… 26 12. Customised care ……………..............…………………….……. 27 13. Striving for quality .……………….……………………….…….. 28 14. Research ............................................................................ 30 15. Amma Network .................................................................. 31 16. Social Commitment ............................................................ 32 17. Amma Contact …..………………………………….……….……... 33
What is Amma? Since its foundation over a decade ago, the Amma Group has become one of Spain's leading companies providing care for elderly, dependent and disabled people. The company has a workforce of more than 2,400 people, all outstanding for their professionalism and motivation to offer top- quality care to elderly people and their families. We know that elderly and dependent people require flexible, innovative services, adaptable to a wide variety of situations, which is why the Amma Group offers customised services through a network that covers everything from domiciliary care and remote assistance to more specialised resources, such as residential homes. We also provide intermediate solutions such as sheltered apartments and day centres. This allows us to provide elderly people and their families with the services they need at all times. Amma currently manages 30 geriatric centres and almost 5,300 places (in homes and day centres) in seven autonomous regions (Madrid, Catalonia, Navarre, Castile and León, Castile-La Mancha, the Canary Islands and Cantabria). 3
Amma mission, vision and values Mission.- The Amma Group is a company comprised of a team of professionals and technical resources which designs, promotes and manages high quality gerontological centres and innovative services to assure that the needs of people, care centres and other entities and institutions are fully met. Vision.- The goal of the Amma Group is to expand nationwide, being a leader in the sector and recognised for its high quality internal services for its own centres as well as for external services to the community. Values From the users’ perspective From the staff’s perspective - Focus on the individual using the service, demonstrated by - A culture of continuous improvement of all those complete dedication to their needs with a view to providing involved, as a foundation for the Total Quality concept. them with the highest care quality possible. - Innovation and initiative that releases the creative - Sensitivity towards the individual user, respecting their right potential of the organisation and places us as at the to privacy, dignity, independence and the encouragement to forefront of the sector. meet these goals. - On-going learning based on training, best example - Ongoing commitment to innovation through research, design comparison and consideration of accomplishments and and development of products and services. shortcomings. - Committed ethical behaviour, integrity and mutual From the company’s perspective respect. - Leadership as a management style, based on fostering the initiatives taken by Amma professionals and based on solidarity, commitment and setting an example through actions. -Generating profits and added value via our activities, making From the society’s perspective our project viable for the future. - Social outreach activities that allow the community to - Teamwork based on mutual trust, transparency and common benefit from our knowledge and achievements. objectives to take full advantage of the synergy between the professional team and shareholders and suppliers within our network to the benefit of our users. 4
The Amma Model The Amma Group works according to its own welfare-health model, which has been designed by renowned experts in geriatrics, gerontology and care for dependent persons. This care model, common in all its centres, is one of the Amma Group's greatest competitive advantages with respect to the rest of the sector, and has made the Amma brand a recognised guarantee of quality care, excellent management and attention, optimum user satisfaction and commitment to innovation and research, for unique, customised services. Since it was formed, all the work done by the Amma Group is inspired by three ethical principles based on human values: Respect for individual privacy and rights. Consideration for individual dignity, independence and freedom of choice. Independence in all areas and encouragement to fully achieve this. People are treated with the greatest of care and respect for their uniqueness. This philosophy is evident in way that our care services are conceived, the architectural design of our centres and the way they operate. 5
History of Amma Amma was founded in 1997 at the initiative of Caja Navarra, in response to the need for residential places for elderly and dependent people detected in the 2nd Gerontological Plan for Navarre. After eight years of activity and continuous growth, both in Navarre and beyond its borders, Amma took a decisive step in 2005 and merged with Gerogestión, another of the sector's big operators, with which it shared a similar care model. They clearly complemented each other in terms of the geographical distribution of their centres. The new Grupo Amma became one of Spain's leading companies specialising in care to dependent and elderly people, and at the same time started a new expansion process, receiving finance in 2006 from 21 banks and savings banks, to establish its intention to lead in the sector. 6
History of Amma: main landmarks Amma receives the Prize for Amma Mutilva, Openings in: Excellence in the company's Amma Puente Residential Centre Openings in: first residential de Vallecas Management Amma Las Anjanas home, opens Amma Amma El Encinar Aptos. in Navarre Valdebernardo Amma Oblatas Amma signs a Amma El Pinar Amma, pioneer pioneering in using animal The Amma Group agreement with therapy signed a syndicated Amma Mutilva, the USP Hospitales bank loan for 136 for socio-sanitary first residence in Amma started million euros with 21 Spain to obtain Openings in: its home care attention banks to finance its ISO 9001-2000 Amma Betelu activities 2006-2009 expansion certification Amma Argaray (Pamplona) plan 1997 2000 2001 2003 2004 2005 2006 2007 2008 2009 Amma obtains Caja Navarra Europe's Amma and Gerogestión merge: forms Amma Bronze Seal Caja Duero and Caja de Burgos Care of join as shareholders Excellence Openings in: Resources Amma Humanes (29/04/97) Openings in: Openings in: Amma Tejina Amma Ibañeta Openings in: Amma Coslada Amma Hellín Amma El Encinar Amma Arganzuela Amma Villanueva del Rey Amma Colmenar Amma El Balconcillo Amma Alcorcón Amma Pozuelo The Amma Amma Teià Amma Tías SEPI grants to Integral Services Amma Haría Amma a Network starts Amma Horta The company's participative credit operating Amma Vilanova corporate image is of 3 mill. euros Employees from Amma and approved: the Navarre University Clinic Amma daisy has Openings in: create the QPEA Elderly Amma Usera arrived Research Forum Amma Santa Cruz Amma Sant Cugat
Amma Shareholders In the beginning, Amma's sole shareholder was Caja Navarra. However, after merging with Gerogestión, Inversiones ALARIS now has a majority shareholding with 66.12%, which is owned in equal parts by Caja Navarra, Caja Duero and Caja de Burgos. Its minority shareholders include Grupo Norte (11.47%), Inverduero (9.67%), Kintoa Investment (6.26%), UVE (3.35%), Bella Castilla (1.75%) and Horizontes de Castilla (1.38%). 8
Company organisation The Amma Group comprises the AmmaNavarra NavarraS.L. S.L. following companies: Amma (CentresininNavarre) Navarre) (Centres AmmaGerogestión GerogestiónS.L. S.L. AmmaRecursos Amma Recursos Amma AsistencialesS.A. S.A. Asistenciales (othermainland (other mainlandcentres) centres) ResidenciasAtlántida Residencias AtlántidaS.A. S.A. (centresininthe (centres theCanary CanaryIslands) Islands) AmmaGestión Amma Gestiónde de AmmaAsistencial Amma AsistencialS.L. S.L. (domiciliarycare) care) InnovaciónS.L. Innovación S.L. (domiciliary (Consultancy) (Consultancy) 9
Organisational chart General Shareholders' General Shareholders' Meeting Meeting Board of Board of Directors Directors Executive Committee Executive Committee Presidency Presidency General General Management Management Deputy General Deputy General Management Management Technical & Human Territorial Territorial Territorial Sales Communications IT Diversification Financial Operations Quality resources Management Management Management Management Management Management Management Management Management Management Management North Central South 10
Important figures Evolution number of centres (owned and Distribution, in percentages, managed) 30 between private and 27 subsidised places 25 subsidised plazas 17 places concertadas 38% plazas private 2006 2007 2008 2009 places privadas 62% Evolution number of places (residential and 4390 day centre) 3941 3526 2006 2007 2335 2008 2009 893 798 688 413 Resident ial Day cent r e 11
Important figures Number of places by Autonomous Regions Cantabria (2010) Navarre 49 residential places 616 residential places 98 day centre places Castile and Leon 381 residential places Catalonia 30 day centre places 721 residential places 150 day centre places Madrid 1,800 residential places Canary Islands 400 day centre places 383 residential places 105 day centre places Castile-La Mancha 440 residential places 110 day centre places 12
Important figures 75 Evolution number of Evolution turnover (in workers 2450 millions of euros) 62 2190 1840 45 1237 32 2006 2007 2008 2009 2006 2007 2008 2009 Basic profile of Amma residents Sex Average age men 27% women 84,2 men 81,4 women 73% 13
Amma Centres Amma Group has centres in 7 Madrid Amma Alcorcón Autonomous regions and is planning Amma Arganzuela Amma Colmenar to expand nationwide Amma Puente de Vallecas Catalonia Amma Valdebernardo Amma Teià Amma Coslada Amma Horta Amma Pozuelo Amma Vilanova Amma Villanueva Amma Sant Cugat Amma Humanes Amma Usera Cantabria Amma Las Anjanas Navarre Amma Mutilva Canary Islands Amma Ibañeta Amma Tías Amma Oblatas Amma Haría Amma Betelu Amma Tejina Amma Argaray Amma Santa Cruz Castile and Leon Amma El Encinar del Rey Amma Apartamentos Castile-La Mancha Amma El Pinar Amma Guadalajara - El Balconcillo Amma Hellín - Las Hazas Current establishments Short & medium-term development zones Managed residential homes Long-term development zone Residencia Caja de Burgos (Burgos) 14
Amma Centres MADRID Name Location Residential places Day places Opening year Amma Arganzuela Madrid 180 40 2005 Amma Alcorcón Alcorcón 180 40 2005 Amma Colmenar Colmenar Viejo 180 40 2005 Amma Valdebernardo Madrid 180 40 2006 Amma Puente de Vallecas Madrid 180 40 2006 Amma Coslada Coslada 180 40 2007 Amma Pozuelo Pozuelo de Alarcón 180 40 2007 Amma Villanueva Villanueva de la Cañada 180 40 2007 Amma Humanes Humanes de Madrid 180 40 2008 Amma Usera Madrid 180 40 2009 The Amma group has established itself as the primary supplier of care to dependent and elderly people of the Government of the Autonomous Region of Madrid, with ten centres and 1,800 places 15
Amma Centres Alcorcón Arganzuela Colmenar Valdebernardo Puente de Vallecas Villanueva Pozuelo de Alarcón Coslada Humanes Usera 16
Amma Centres NAVARRE Name Location Residential places Day places Opening year Amma Mutilva Mutilva Alta 180 30 2000 Amma Ibañeta Erro 50 0 2001 Amma Oblatas Pamplona 173 30 2003 Amma Betelu Betelu 45 8 2004 Amma Argaray Pamplona 168 30 2004 Mutilva Oblatas Argaray Betelu Ibañeta 17
Amma Centres CANARY ISLANDS Name Location Residential places Day places Opening year Amma Tías Tías (Lanzarote) 90 20 2007 Amma Haría Haría (Lanzarote) 40 15 2007 Amma Tejina San Cristóbal de la Laguna 75 30 2008 (Tenerife) Amma Santa Cruz Santa Cruz de Tenerife 178 40 2009 Santa Cruz Tejina Haría Tías 18
Amma Centres CATALONIA Name Location Residential Day places Opening year places Amma Teià Teià (Barcelona) 180 40 2005 Amma Horta Barcelona 181 40 2007 Amma Vilanova Vilanova del Camí (Barcelona) 180 40 2007 Amma Sant Cugat Sant Cugat del Vallés (Barcelona) 180 30 2009 Teiá Horta Vilanova Sant Cugat 19
Amma Centres CASTILE AND LEON Name Location Residential places Day places Opening year Amma El Encinar del Rey Valladolid 160 30 2001 Amma El Encinar del Rey Valladolid 101 0 2003 Apartamentos Residencia Caja de Burgos 120 0 2004 Burgos (managed) Residencia Caja de Burgos El Encinar del Rey El Encinar del Rey Apartamentos 20
Amma Centres CASTILE-LA MANCHA Name Location Residential places Day places Opening year Amma El Pinar Chillarón de Cuenca 120 30 2003 Amma Guadalajara - El Balconcillo Guadalajara 160 40 2007 Amma Hellín - Las Hazas Hellín (Albacete) 160 40 2008 Hellín El Balconcillo El Pinar 21
Amma Centres CANTABRIA Name Location Residential places Day places Opening year Amma Las Anjanas Los Corrales de Buelna 49 0 2003 Las Anjanas 22
Amma Centres All Grupo Amma centres are designed with comfortable rooms and welcoming atmospheres where elderly people and their families can feel at ease, as well as offering top quality customised care. All the residential homes have at least 50% single rooms, each with their own adapted geriatric bathroom, with a minimum of 50 m² overall built area per resident. Rooms have telephones, television point, alarm buttons and adapted furnishings, and can be decorated to the user’s taste. Centres have the most modern infrastructures and equipment, and spacious garden zones and access control. We combine catering and clinical care, adapted to our users' changing needs. To make our residents' daily lives easier, Amma invests in new buildings, although in exceptional circumstances it may adapt existing spaces to previously established quality indicators. Centres are no more than three floors high and are divided into coexistence units occupied by people with a similar state of health. In practice, these units function independently like small residential homes that can be monitored individually by professionals. All the centres have a specific unit for patients suffering from Alzheimer's disease and severe dementia. Amma centres provide extensive activity programmes and are also open to the community, meaning their services and facilities can be used by non- residents during the day. 23
Amma Services Residential Day services Domiciliary Healthcare Services services Day centre Comprehensive geriatric Permanent places Direct care assessment residence in Social care Medical service residential homes Day attendance Nursing care Nursing service or sheltered Medical care Memory units apartments Out-patient Physiotherapy Alzheimer units Temporary stays treatments Remote assistance Psychology (respite for family Physiotherapy and rehabilitation members, Podiatry convalescence and Cognitive stimulation rehabilitation) Pharmacy Medical oxygen therapy 24
Amma Services General services Comfort, leisure and free time services Cleaning Classrooms Assembly hall Laundry Hair stylists Lounges with TV Meal service Religious services Gymnasium Reception Café Landscaped areas Mantenance Library and Internet access Occupational therapy Surveillance Dining room for family celebrations Children's playgrounds Cremation Social work Social and Cultural Visitors' car park entertainment 25
Amma Professionals The technical and personal skills of the workforce are what guarantees the success of a care centre. Grupo Amma takes particular care to select professionals specialising in the care of elderly and dependent people, providing them with on-going training and ways of reconciling their work and their family lives. Amma does this, because we know that the best way to ensure our clients are satisfied is by having a satisfied, motivated workforce. The staff at all Amma centres are trained by experts from varying fields to provide residents and their families with the most comprehensive service possible: medicine, nursing, psychology, physiotherapy, occupational therapy, social work, social-cultural entertainment, among others. Amma centres have an average 80 members of staff, which is a one of the highest personnel/resident ratios in the sector, which explains the excellent care we provide. The Amma Group also gives regular on-going training to enable our employees to update their knowledge and qualifications. 26
Customised care As soon as a person requests services from Amma, the care team studies her/his state of health and establishes an Personal Care Plan , which is subject to regular review and includes treatment, diet, physical rehabilitation, psychological care, cognitive stimulation and leisure activities. This plan is prepared using the Integral Geriatric Assessment RAI-NH tool, which encourages teamwork and raises standards of care. Amma also works closely with families, because we know that they are an essential part of the care process. That is why we stay in regular contact with them, keeping them informed about the condition and evolution of their family member and the therapeutic goals set by the team at the centre. We also provide specific training to carer families and the centres have generous visiting hours to allow families to spend time with residents and share their lives at the centre. Residential homes also have private rooms for family celebrations and children's areas where elderly people can have fun with their grandchildren. The Amma Group was a pioneer in these aspects, which have since been incorporated by other sector companies. 27
Striving for quality Quality and highly specialised skills are among the characteristics that make Grupo Amma stand out in this sector. Our investment in quality, its own specific social-healthcare model and commitment to on-going innovation have enabled Amma to gain our clients' trust and recognition. Amma gives the utmost importance to understanding its users' and their families' opinions of its care services, for which we provide tools that encourage them to participate: – We conduct regular satisfaction surveys and hold scheduled meetings with family members and users with a view to improving the quality of care. – Our pioneering User Care Service has been operating since 2005. The Amma Group has also gained the trust of government authorities, which is evident from the high percentage of places subsidised by the Autonomous Regions where it operates. 28
Striving for quality The Amma Group applies the European Foundation for Quality Management (EFQM) standard and ISO, and has developed quality indicators for all its centres and services. It is precisely the quality of its services and the care given to residents, as well as the development of specific models in areas such as management procedures, therapies and improvement groups, that made one of Amma's centres (Amma Mutilva, in Navarre) Spain's first gerontology residential home to achieve ISO certification. The Amma Group was also the first Spanish company in the gerontology sector to be awarded the European Bronze Seal of Excellence, a distinction that is granted after an independent audit has been carried out showing that the level of satisfaction of clients is excellent, and the existence of activities and plans for on-going improvements. Amma also received the National Prize for Excellence in Residential Management awarded by the Júbilo Group in 2009. Amma's pivotal role in quality has led it to sponsor Fundación Edad&Vida, the Navarre Quality Foundation and Castile and Leon quality foundation (EXCYL) and its membership of the Spanish Quality Association and Excellence in Management Club, as well as being an active collaborator with the Geriatric and Gerontology Society. 29
Research Another aspect in which the Amma Group is outstanding is its investment in innovation and research. research. This forms part of its care model, and is allowing it to harness the latest scientific and therapeutic therapeutic advances to improve elderly and dependent people's quality of life, life, in collaboration with universities, hospitals and research centres. The main lines of research developed by Amma focus on three areas: Animal therapy • Cerebral ageing. • Alzheimer's disease • Affective disorders. This research has led us to set up Memory Units in all Amma centres, and innovative therapies have been developed, such as specific psychomotor programmes, rehabilitation units, therapy assisted with animals, intergenerational encounters and cognitive stimulation exercises, that contribute to significant improvements in the mental Memory units capacity, sociability and well-being of elderly people. Since the very beginning, Amma has also been one the main collaborators to the QPEA Forum on Research and Education on Quality of Life of elderly persons. Members of this include staff from the company, workers from other centres and the Department of Psychiatry and Medical Psychology from the Clínica Universitaria de Navarre. Intergenerational camps 30
Amma Network Amma Group's experience in caring for elderly and dependent people has also led it to set up an innovative nationwide services network to offer advice and quality services to other residential centres, government authorities and sector workers. The Amma Network offers the following services: Quality consultancy: that allows it to provide advice on introducing on- going improvement systems, quality models and geriatric centre management, new project viability programmes, intermediation management in the sale of centres, information on technical aid and other types of activities. On-line training courses: the Amma Group has pioneered the staff training area, setting up the first Gerontology On-line Training Platform. This platform offers five courses, certified by the Continuous Training Committee of the Ministry of Health and Consumers: • Basic course for geriatrics assistants. • Advanced skills course for geriatrics assistants. • Training course in gerontology for family carers. • Integral geriatric assessment course. • Course in skills and competencies for middle management. As well as providing our own courses, the Amma Group collaborates with several universities (Universidad San Pablo CEU, Universidad de Navarra, Universidad Complutense de Madrid, Universidad de Barcelona, Universidad Alfonso X El Sabio and Universidad Pontificia de Comillas ICADE) in the development of Masters Degrees and training courses for future workers. 31
Social commitment The Amma Group was one of the first members of Forética, Spain's main organisation in the area of corporate social responsibility. In this area, in addition to its commitment to research, Amma carries out activities in the following fields: Commitment to the environment and to sustainability. Through efficient energy use policies (water and electricity consumption); work to raise awareness among staff, family members and residents, installation of solar panels and water accumulators; reduction of CO2 emissions and energy consumption of the company's computer support… Commitment to the underprivileged and disabled. Through collaborations with NGOs, foundations and charitable associations; donation of geriatric materials to developing countries, responsible merchandising… Commitment to workers. Through active policies that help reconcile working and personal lives; equality and multicultural plans; occupational risk prevention… Commitment to the development of the sector. Through participation with the main employers in the sector and development of the Law on Dependency. Commitment to cultural and educational activities. Through collaboration with public and private bodies to organise and sponsor exhibitions, congresses, conferences, publications and sports competitions… 32
Amma Contact Offices in Madrid Amma on the Internet C/ General Díaz Porlier 1, 3º izda. 28001 Madrid www.amma.es Telephone: 91 781 76 05 Fax: 91 577 57 06 E-mail: mfernandez@amma.es Citizen Services 902 100 999 sau@amma.es Offices in Navarre Parque Empresarial La Muga 11 Press Office 31160 Orkoien, Navarra 91 781 76 05 Telephone: 948 15 37 98 comunicacion@amma.es Fax: 948 29 18 12 E-mail: vlopez@amma.es mjsainz@amma.es 33
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