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35-480: Four Seasons Health Care is a British provider of health and social care services. It also owns The Huntercombe Group , a provider of inpatient mental healthcare and brain injury rehabilitation as well as care home operator brighterkind. Four Seasons, as it is today, was created both organically and by the buying out of smaller chains of care homes and rebranding them, as evidenced by the takeovers of Tamaris (formerly Quality Care Homes) and Bettercare. At its largest it

70-436: A market square . In 1683, King Charles II granted a royal patent to Ballynahinch allowing it the right to open the market square on Thursdays and hold two fairs every 1 February and 29 June. Settlers from lowland Scotland increased the population and Ballynahinch grew as a market town with the sale of livestock, corn, potatoes and increasingly, flax was being cultivated. Sir John Rawdon, descendant of Sir George and now

105-528: A downturn in the property markets was unable to refinance, and the owners walked away, losing their investment. Peter Calveley was appointed CEO in 2007 and his senior management team were left to resolve debts of circa £1.5 billion as a result of borrowings by its owners to buy the homes. The Group completed a financial restructuring in December 2009, with lenders – banks and other financial institutions – agreeing to swap about £780 million of debt for equity in

140-534: A full day until the United Irishmen retreated. Following this, the victorious troops burnt sixty-three houses in Ballynahinch and its hinterland. The commander of the United Irishmen, Henry Munro , was betrayed, captured and executed shortly after. Montalto and Ballynahinch was sold in 1802 to David Ker Esq. who took advantage of the rising fashion for 'taking the waters' amongst tourists with money and developed

175-464: A major bondholder – the US hedge fund H/2 Capital Partners – was scheduled for April or June 2018 but the firm was unlikely to be able to restructure before then. The following month the company warned it could not meet a £26m payment due in December without restructuring and if this was delayed the bondholders could potentially seize its assets of 360 nursing homes. This would probably lead to an intervention by

210-785: A young person climb a fence and abscond. It was told by the Care Quality Commission to improve its corporate governance in 2018, and to recruit more experienced Child and Adolescent Mental Health Services staff. Cedar House, a low secure unit for 39 people with learning disabilities and autism, in Barham, Kent was inspected by the Care Quality Commission in February 2020 and put into special measures because of excessive use of restraint measures, much on one inappropriately placed patient. The Maidenhead hospital, which provides specialist child and adolescent mental health inpatient services,

245-463: Is a 90% reduction in the number of EU nurses and a cut in state funding. In October 2018 H/2 Capital Partners replaced the management and put the business up for sale. In April 2019 the holding companies Elli Finance (UK) and Elli Investments were put into administration. The company handed over 44 care homes to rivals Roseberry, Harbour Healthcare, Belsize Healthcare and Barchester Healthcare in December 2019. Administrators from Mazars arranged

280-548: Is the site of Montalto Estate, Montalto House and The Carriage Rooms. The latter of which was the setting for Disney's The Lodge . Ballynahinch is classified as a Small Town by the NI Statistics and Research Agency (NISRA) (i.e. with population between 4,500 and 10,000). On census day (21 March 2021) there were 6,164 people living in Ballynahinch. Of these: On census day (27 March 2011) there were 5,703 people living in Ballynahinch (2,326 households), accounting for 0.31% of

315-749: The Earl of Moira took up residence in Montalto house in Ballynahinch. He made significant improvements to the estate and to the town by promoting the linen market and causing Ballynahinch Market House to be built. By the end of the eighteenth century sales in the market were grossing around £300 per week and the town was prospering. The Society of United Irishmen launched a rebellion in 1798 . It began in Leinster and quickly spread to Ulster . The United Irishmen had been founded in 1791 by liberal Protestants in Belfast . Its goal

350-489: The Care Quality Commission (CQC). A restructuring was planned for November and Four Seasons' owners would add 24 care homes in exchange for reduced and delayed repayments of 175m of bonds maturing in 2020. In December the company narrowly avoided collapse after the principle bondholder agreed to wait until February 2018 for a restructuring proposal. According to The Daily Telegraph , the cause of Four Seasons' problem

385-619: The Group’s performance was Calveley’s strategy of anticipating market changes in order to provide specialist care. Four Seasons has 80% nursing or high dependency beds and 20% residential, in contrast to the sector average of 55% residential. It developed services for people who are physically frail or suffering from the onset of dementia or chronic neurological conditions, respite care , intermediate care and rehabilitation, and terminal care . Because there are few readily available alternatives for high dependency care – such as care provision at home –

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420-603: The Northern Ireland total and representing an increase of 6.3% on the census 2001 figure of 5,363. Of these: The town is well known for its heavy congestion. A bypass is proposed for the town. Geological surveys were conducted over twenty years ago to determine the route of the bypass but money has never been allocated by the Department of the Environment. In the 1990s various traffic control measures were introduced including

455-460: The Parliamentarian authorities and sold to Sir George Rawdon , an associate of Sir William Petty . Prior to his death in 1678, Petty leased his interest in the former McCartan lands purchased by Rawdon, leaving the latter in sole possession of the estate; Rawdon subsequently ordered the construction of two gristmills on the estate and established the town of Ballynahinch, which was founded with

490-463: The business, so becoming its new shareholders . Maturity of the remaining debt was extended to September 2012. Four Seasons was then trading profitably with an EBITDA of over £100m pa. Under Calveley’s leadership, the quality of care performance changed from below the sector’s average to having 89% of its homes rated good or excellent by the Care Quality Commission . This turnaround in quality helped to drive up occupancy to around 88%. Another factor in

525-592: The changes in NHS commissioning, provides some of its services under the NHS England Contract. The Huntercombe Hospital, Stafford was criticised heavily for a lack of staff and failing to intervene when a patient self-harmed with contraband items in 2016. The Care Quality Commission rated it as good in 2018 but in 2022 downgraded it to ‘inadequate’, saying that the staff failed to provide kind and compassionate care and did not treat children with respect. Linden House

560-575: The company in early 2000, when with 101 homes it was the UK’s 5th largest care home operator. He made his final financial exit from the company in 2004.) There followed a rapid expansion programme for the business, which transformed it within seven years into the largest care home operator in the UK (it was subsequently overtaken). The business was attractive to many suitors, and as a result it was sold for £775 million in 2004. Anstead ceased to be CEO in 2005. The company

595-615: The development of the town and the surrounding Spa and Drumaness areas. Prior to the 17th century, the area around Ballynahinch was controlled by the McCartan clan. During the Wars of the Three Kingdoms , Catholic military officer Patrick McCartan captured a Parliamentarian -controlled castle in Downpatrick . After he was captured, McCartan was executed in 1653 and his lands were confiscated by

630-687: The eastern outskirts and adjacent to the development limit of the town. That line will run from the junction of the A24 Belfast Road and the A21 Saintfield Road, which is north of the town, to the junction of the A24 Drumaness Road and the B2 Downpatrick Road, which is south of the town, at a distance of approximately 3.1 km. The scheme will involve substantial earthworks to traverse the drumlin topography and ground conditions along

665-516: The evidence at the inquest into her death criticised the hospital’s management of her physical health and obesity. It was alleged that hospital staff failed to act in her best interests regarding her weight gain, contrary to the requirements of the Mental Capacity Act 2005 . However, the inquest into the death of Miss Bincliffe found there was no evidence of neglect and that her weight could not have been easily managed due to her severe autism and

700-534: The island/water-meadow') is a town in County Down , Northern Ireland. It had a population of 6,164 people in the 2021 census . Ballynahinch was traditionally a market town, and the market still takes place in the square every Thursday. The town lies on the main A24 road from Belfast to Clough , near Newcastle . Facilities in the town include a leisure centre. In recent years a regeneration committee has been formed for

735-680: The level of self-harming which would have resulted from any attempt to alter her diet or get her to exercise more. Furthermore, due to a pre-existing heart condition (which ultimately proved fatal) surgery was not an option. Watcombe Hall in Torquay, was closed to new admissions on the second day of an inspection by the Care Quality Commission in May 2017. Young people with malnutrition and dehydration had been repeatedly admitted to Torbay Hospital . The CQC found staff had not received specific training in caring for young people with eating disorders. Inspectors saw

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770-447: The market for higher dependency care is more resilient than the market for residential care . As of July 2011 the Group had achieved substantial expansion without new borrowings by acquiring the operations of Care Principles with 17 hospitals and homes – nearly doubling the size of FSHC’s specialist care business – and 1,000 additional care home places (c. 6% growth) through acquisitions over

805-722: The medicinal spa wells just over two miles outside the town. The village continued to expand thereafter. In mid-1920, the Royal Irish Constabulary (RIC) barracks at Ballynahinch was subject to a bomb attack by the Irish Republican Army (IRA). On 16 October 1986 Terence Mullan age 31 and Kathleen Mullan age 79, both Catholic civilians, were shot dead by the Ulster Freedom Fighters at their home, Dromore Road, Ballynahinch. Then British Prime Minister John Major visited Ballynahinch in December 1996. Ballynahinch

840-569: The preceding year from Craegmoor and Eton Square Healthcare. As of September 2011 the group was expected to acquire over 100 care homes from the collapsed provider Southern Cross , which would make it the largest provider in the UK. In 2012 the company was bought by Terra Firma Capital Partners for £825 million. It has three divisions: brighterkind, with 70 private pay-focused care homes; Four Seasons, which has around 300 homes; and The Huntercombe Group, with around 35 specialist mental health facilities and around 25,000 staff. The underlying bond debt

875-479: The present one way system, however all have failed to cope with the sheer volume of traffic which passes through the town daily, particularly evenings. In January 2012 The Minister for Regional Development made the following announcement: " Roads Service approved the stage 2 preferred options report for the scheme, including the recommendation for a preferred line for the A24 Ballynahinch bypass scheme around

910-644: The purchase in 2012. The business has to find annual interest payments of about £50 million. Earnings before interest, tax, debt and amortisation fell from £64.1 million in 2014 to £38.7 million in 2015. Its property portfolio has been revalued down by £224 million to £505 million and its credit rating has plummeted. In September 2017 the Daily Telegraph reported that a legal mistake meant that bondholders had inadvertently already been given ownership of 71 private patients care homes and hence could not use them as security to raise extra money. A High court hearing led by

945-751: The sale of 11 care homes to Barchester Healthcare in April 2020. They plan to sell more 33 care homes as going concerns. In June 2022 it appointed Christie's to oversee an auction of its core portfolio, not including the business in Northern Ireland, which consists of 111 sites across the UK. There are around 6000 residents and 10,000 staff. Its 29 homes in Northern Ireland, with 1415 beds, were sold to Beaumont Care Homes in August 2022. The last 111 Four Seasons facilities in England, Scotland, and Jersey were then up for sale. The Huntercombe Group In March 2021, Huntercombe

980-513: Was a Huntercombe assessment and treatment unit (ATU) in the East Riding , which has been closed since December 2014. Stephanie Bincliffe, who had a learning disability and autism, was placed there when she was 18 and kept in a padded room where she had little or no fresh air or exercise for almost seven years until her death. She gained ten stone during her time in the unit, becoming morbidly obese and yet she had no independent access to food. Some of

1015-637: Was acquired by Montreux Capital Management and the company has a new senior leadership team. Sites include included Huntercombe Brain Injury and Neurological Care Centre in Murdostoun, Scotland; Huntercombe Hospital Maidenhead; Frenchay Brain injury Centre; Huntercombe Hospital Stafford, Huntercombe Hospital Roehampton and Blackheath Brain Injury Centre. Patients are funded largely by the NHS and Local Authorities and, since

1050-402: Was acquired for around £1.5bn in 2006 by Three Delta LLP, the investment fund backed by the state of Qatar , and further expanded. The acquisition was funded by debt which was readily available in a market where investors saw rising property prices and continuing demand for care for the elderly, much of it paid for by the public sector . However, the company was unable to pay its debts and with

1085-1011: Was bought by H/2 Capital Partners which has investments in senior living or similar nursing homes in the United States. Terra Firma has offered to give the company to them. In November 2015 the company planned to sell 14 care homes as going concerns, and "a portfolio of homes currently run by third party operators" to assist its liquidity problems, hoping to raise £60 million. It has £565 million worth of debt, with annual interest and rent obligations of about £110 million. It later announced plans to close seven homes in Northern Ireland: Victoria Park and Stormont in Belfast; Antrim; Garvagh; Donaghcloney near Banbridge; Oakridge in Ballynahinch, County Down ; Hamilton Court in Armagh . In December 2015 it

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1120-655: Was put into special measures by the Care Quality Commission in February 2021 after young people ‘appeared to be over sedated’ during an inspection. The hospital’s overall rating was reduced from “good” to “inadequate”. Although it had been rated “good” by the CQC in 2016 and 2019 there had been earlier complaints. It was upgraded to “requires improvement” in September 2021, although there were still concerns about staffing levels. Ballynahinch, County Down Ballynahinch (from Irish Baile na hInse , meaning 'settlement of

1155-518: Was reported that the company had sold £20 million worth of properties to Monarch Alternative Capital, a US investment fund which claims to specialise in swooping on “distressed and bankrupt” companies. In April 2016 it reported a 39% drop in profits which was blamed on the cuts in the local government social care budget and the introduction of the UK living wage , although its average weekly care fees rose by 3.4 per cent. The company has net debt of £565 million, because Terra Firma borrowed heavily to fund

1190-622: Was the second-biggest care home operator in the UK. Founded in 1988 by Robert Kilgour, it opened its very first care home, Station Court in Kirkcaldy in Fife in Scotland in May 1989 and Four Seasons Health Care remained a small operator building up to just seven care homes in Fife by 1997. The size and fortunes of the business were dramatically changed with the appointment by Chief Executive Robert Kilgour of Hamilton Anstead as Joint Chief Executive. (Kilgour left

1225-418: Was to unite Catholics and Protestants and make Ireland an independent republic . Although its membership was mainly Catholic, many of its leaders and members in northeast Ulster were Protestant. The Battle of Ballynahinch began on 12 June 1798, when about 4,000 United Irishmen stationed at Ballynahinch were attacked by a government force led by George Nugent . Nugent's forces bombarded the town with cannon for

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