Annual Report
At Surrey Place we provide an inclusive, interdisciplinary approach to support infants, children, youth and adults living with developmental disabilities, autism spectrum disorders and blind low vision.
Message from our CEO and Board President
As we look back on the past year — in fact, the last five years — it is noteworthy how our organization has continued to grow and make positive impacts in the lives of our clients, families and caregivers but also take on new programs and services with passion and commitment.
At Surrey Place we provide an inclusive, interdisciplinary approach to support infants, children, youth and adults living with developmental disabilities, autism spectrum disorders and blind low vision. Offering cohesiveness and continuity in our services, we support clients at various points in their journey. We believe that taking a community based approach is integral for encouraging lasting change. We stand for inclusive, integrated and innovative practices that help our clients live their best lives.
As a leader in the sector, we set standards, delivering specialized, evidence based services that use the most effective treatments available. Continuous improvement has been a priority for Surrey Place and we have always found ways to be more efficient, more innovative and more effective. We continue to rise to the challenge to support more clients, families and caregivers through collaborative partnerships. We believe in building capacity across the sectors in which we work and by being a knowledgeable and generous partner.
We say this with confidence – our compassionate, committed staff and volunteers make a difference in the lives of clients served. Approaching all we do with respect; Surrey Place seeks to understand and accept differences in a professional and caring manner. Thank you to our staff and volunteers who have dedicated their careers to make a profound impact in our clients lives.
Thank you to our dedicated and valuable members of our Board of Directors who give so generously of their time. Over the last few years, you have each been instrumental in providing innovative ideas, strategic thinking and increasing our visibility in our sector. Your energy and devotion to our organization makes us better and stronger. You have been an inspiration to us all.
Surrey Place is an exceptional organization with an extraordinary culture and a promising future.
Steven Finlay, MSW, RSW
Chief Executive Officer
Andre Greenwood
Board President
“Thank you to our staff and volunteers who have dedicated their careers to make a profound impact in our clients lives.”
Our Values
With a passionate commitment to improving the lives of people with developmental disabilities, autism spectrum disorders, blind low vision and their families, we believe in providing an inclusive, interdisciplinary approach to programs and services.
Click on the value to learn more:
Collaboration Accountability Innovation Respect and Responsiveness
Collaboration
We succeed by working together with our clients, families, community and government partners.
Accountability
We do what we say we will do and deliver the best possible results for the people we serve.
Innovation
We develop new ideas and approaches to share with the world.
Respect
We seek to understand before being understood and accept differences in a professional and caring manner.
Responsiveness
We respond to the needs of our clients and partners promptly and with excellence.
Highlighted Achievements
Continuous improvement has been a priority for Surrey Place and we have always found ways to be more efficient, more innovative and more effective. We continue to rise to the challenge to support more clients, families and caregivers through collaborative partnerships. We believe in building capacity across the sectors in which we work.
Mouse over each achievement to learn more.
Launched Provincial Learning Management System
Blind Low Vision and Early Intervention Program
Surrey Place Training and Development Centre for the Ontario Blind Low Vision Early Intervention Program launched a new dynamic and interactive learning management system that supports the Ministry of Children, Community and Social Services’ training requirement for all new Early Childhood Vision Consultants (ECVC) working in Ontario.
Partnerships Make a Difference
Community Network of Specialized Care Program
The Cross-Sector Convalescent Care Program for Adults with Developmental Disabilities at Hawthorne Place Care Centre is a partnership between Hawthorne Place, Surrey Place, Community Network of Specialized Care, Developmental Services Ontario, Griffin Centre, Reena and Central LHIN. Adults with developmental disabilities often have unique support needs that can become barriers to accessing appropriate convalescent care and/or rehab services.
Collaborations Help Improve Services
Interprofessional Team
We created a new Interprofessional Team at Surrey Place to support children with autism. Disciplines include psychology, social work, occupational therapy, speech language therapy, behaviour therapy and audiology. The team is committed to reducing wait times and improving service to children diagnosed with autism spectrum disorders and their families through three service levels: Wellness, Core Services, and Intensive.
Committed to Continuous Quality Improvement
Surrey Place
At Surrey Place we are committed to incorporating Lean Six Sigma as a continuous quality improvement methodology and are training staff in partnership with SickKids Hospital.
Supporting Caregivers
Children and Youth Program
The Augmentative Communication and Writing Aids (ACWA) Program piloted an Augmentative and Alternative Communication (AAC) Strategies Caregiver Workshop for 27 families whose children were waiting for ACWA services.
Expanding Specialized Clinical Services
MMW Videoconferencing Program
For the past 14 years Surrey Place‘s MMW Videoconferencing Program has provided specialized clinical support services to individuals 18 years of age and older living in Northwestern Ontario. The MMW Program has now begun working with the Sioux Lookout First Nation Health Authority (SLFNHA) to expand its specialized clinical services to include children and youth from 33 First Nation communities. The new specialized clinical service is funded by the federal government of Canada, as part of Jordan’s Principle.
Reducing Waitlist for Speech and Language Pathology Services for Adult Clients
Adult Program
Prior to this new service, the wait period for Speech and Language Pathology (SLP) services was upwards of 2.5 years. In July 2017 we implemented a Rapid SLP assessment for clients who did not qualify for the comprehensive SLP assessment due to their level of cognitive impairment. By implementing the Rapid Assessment, we decreased our wait time by 40%.
Supporting Students with Autism Transitioning to High School
School Support Program
School Support Program and the Toronto Catholic District School Board have been working collaboratively since 2005, specifically around the implementation of resources and services to support students with Autism Spectrum Disorder (ASD) transitioning to High School. As a result of the collaboration, there is now an official “Transition to High School Service” within the TCDSB for students with ASD.
New Provincial Housing Coordinator Role
DSO Toronto Region
The Developmental Services Ontario (DSO) has introduced a new Housing Coordinator role to support individuals, their caregivers and support network with their visions for individualized housing options.
Supporting Seamless Transitions
Autism Services
Treatment Research and Education for Autism and Developmental Disability (TRE-ADD) developed an operational pathway and integration with the Ontario Autism Program across 3 regions (Toronto Autism Services, Kerry’s Place and ErinoakKids). The outcome has been to support a seamless transition between programs and for ease of communications to best serve joint clients and families.
Training the Next Generation of Medical Students
Medical Services
Physicians from the Medical Services team were instrumental in co-leading a week of the University of Toronto’s new curriculum for 2nd year medical students. Following the Complexity and Chronicity theme, the team focused on teaching the next generation of doctors about intellectual and developmental disability (IDD). Prior to this revision to the medical program, IDD was not a standard teaching of the curriculum; we are proud of this accomplishment.
Expanding Services
Toronto Autism Services
This past year we added many new services for families, including new caregiver education workshops, individual follow up sessions, the introduction of Family Service Plans, piloting of a new Brief Parent Consultation Clinic, and increased support for families in navigating community resources and programming.
Financials
These summary financial statements were prepared from the audited financial statements for the year ended March 31, 2018 that are available at www.surreyplace.on.ca/accountability
Three Year Annual Expenditure Trend ($'000)
Revenues at a Glance
Summarized Statement of Financial Position
As of March 31, 2018, with comparative figures for 2017
| Assets | 2017 | 2018 |
| Cash and cash equivalents | 5,982,629 | 7,646,105 |
| Receivables and prepaids | 1,180,112 | 1,800,232 |
| 7,162,741 | 9,446,337 | |
| Property and equipment | 4,080,648 | 4,462,587 |
| 11,243,389 | 13,908,924 | |
| Liabilities | ||
| Accounts payable and accrued liabilities | 5,303,791 | 5,432,709 |
| Deferred revenue | 1,331,188 | 3,477,690 |
| 6,634,979 | 8,910,399 | |
| Deferred contributions for property and equipment | 3,714,844 | 4,096,931 |
| 10,349,823 | 13,007,330 | |
| Net Assets | ||
| Invested in property and equipment | 365,129 | 367,079 |
| Internally restricted reserve fund | 157,284 | 157,284 |
| Unrestricted operating | 371,153 | 377,231 |
| 893,566 | 901,594 | |
| 11,243,389 | 13,908,924 | |
Summarized Statement of Operations
Year ended March 31, 2018, with comparative figures for 2017
| Revenue | 2017 | 2018 |
| Provincial government | 50,434,966 | 60,611,324 |
| Municipal Government | 840,668 | 852,736 |
| Grants | 355,890 | 427,998 |
| Amortization of deferred contributions | 753,386 | 775,195 |
| Other revenue | 1,001,673 | 1,143,773 |
| 53,386,583 | 63,811,026 | |
| Expenses | ||
| Programs | ||
| Autism services | 34,919,262 | 44,340,075 |
| Developmental services | 12,763,174 | 13,671,639 |
| Developmental Services Ontario, Toronto Region | 2,448,759 | 2,598,083 |
| Blind low vision services | 2,027,551 | 2,000,992 |
| 52,158,746 | 62,610,789 | |
| Administration | 4,158,791 | 4,968,526 |
| Administration recoveries | (3,703,491) | (4,553,610) |
| Amortization of property and equipment | 752,711 | 777,293 |
| 53,366,757 | 63,802,998 | |
| Excess of revenue over expenses | 19,826 | 8,028 |
2017-18 Key Performance Metrics
Key Performance Indicators for the Three Years Ended March 31, 2016, 2017 and 2018.
| Key Performance Indictors | Definition | 2015-16 | 2016-17 | 2017-18 | 3 Year Change |
| 1 Growth in clients served | Unique clients served per year | 8,492 | 9,796 | 9,701 | 14% |
| Growth in revenue for service delivery | Revenue from all sources | $46,717,067 | $53,386,583 | $63,811,026 | 42% |
| Budget management effectiveness | Surplus (deficit) for the year | $1,578 | $19,826 | $8,028 | 409% |
| Cash flow effectiveness | Current assets less current liabilities | $508,611 | $527,762 | $535,938 | 5% |
| Community partner service delivery support | Payments to partners for direct service delivery | $3,402,458 | $4,843,116 | $6,497,181 | 121% |
| Organization wide quality standards with Accreditation Canada | 4 year third party assessment against national health care standards | Accredited 2016-2020 status |
| Organization wide risk assessment (Transfer Payment Risk Assessment) | 3 year provincial government risk organizational risk assessment | 2016 low risk rating assessment status retained in May 2018 annual follow up review |
| Program specific quality standards (Quality Assurance Measures) | Ministry of Community and Social Services annual assessment against provincial service delivery standards | 2018 audit compliance achievement for adult and DSO Toronto. |
| Internship quality Standards (Canadian Psychology Association Internship Accreditation) | Third party 7 year cycle assessment of psychology internship program quality against national standards | Achieved accredited status in 2016-2022 |
Note that 1 above includes active DSO. Without DSO the numbers would be 6,059, 7,155 and 7,087 for 2015-16, 2016-17 and 2017-18 respectively.
Our Services Have Reached
Infants, children, youth and
adults served in 2017-18
Total unique individuals served during the period April 1, 2017 to March 31, 2018 – Reviewed and approved by Director, Quality and Decision Support
Parents of children and youth with autism reported that Applied Behaviour Analysis (ABA) programs led by Surrey Place across the Toronto partnership are respectful, well-coordinated and family-centered (sample size of 1,459)
MPOC 20 (Measure of Process of care 20)
Out of a sample of 875 clinicians supporting adults and children with developmental disabilities, in 85% of cases clinicians rated all goals as achieved for services provided.
Data from clinician ratings of goal achievement for client in Developmental Service Age programs/ All client received service through the new Service Model initiated in 2013 based on Service blocks. Clinician record goal achievement on the MIS form when closing a client
Out of a sample of 143 parents whose children received group interventions in Autism Services:
Data collected through satisfaction surveys given to parents after their child receives a group services
1,238 parents whose children received services through the Toronto Autism ABA Services rated the degree to which services were family- centred with: Average ratings in all domains ranging from “A Fairly Great Extent’ to “A Great Extent’ and the highest ratings achieved in the area of provision of Respectful and Supportive Care and Providing Specific Information.
MPOC 20 (Measure of Process of care 20)
Clients Reside in East Toronto
Clients Reside in South Toronto
Clients Reside in North Toronto
Clients Reside in West Toronto
Clients reside in Northern Ontario and other communities
of individuals are infants
0 to 6 years old 1
of individuals are children and
youth 6 to 18 years old1
individuals are adults
over 18 years old1
1Characteristics of individuals served during the period April 1, 2017 to March 31, 2018 – Reviewed and approved by Director, Quality and Decision Support
of individuals identify as Male 1
of individuals identify as Female1
individuals speak English as their second language1
individuals speak English as their first language1
1Characteristics of individuals served during the period April 1, 2017 to March 31, 2018 – Reviewed and approved by Director, Quality and Decision Support
Thank You
Thank you to our donors who have given so generously to the Surrey Place Charitable Foundation. The financial commitment to give has continued to make a difference in the lives of clients served. Because of our donors we can continue to focus on delivering specialized, evidence based services that use the most effective treatments available. Thank you for your generosity!
Afan Flint
Alain Mootoo
Alan Shar
Barry Isaacs
Ben Shih
Benevity Community Impact Fund
Bruce Edwards
Bruce Wilson
Canada Helps
Centre for Addiction and Mental Health
Cheryl Zinyk
Claire L. Staniforth
Cresa Toronto Inc.
Daniel Burns
David Toms
David Watson
Diana Petramala
DUCA Financial Services Credit Union Ltd.
Elizabeth Scott
Frank Dieterman
Frank Turner
Guy Beaudin
Health Force Ontario
Heidi Mitchell
Hilary Windover
James L. Green
Janet Vogt
Jeanny Scantlebury
Jennifer Howey
Jennifer Sutton
Joan Cullemore
Jo-Anne Kennedy
John and Maire Percy
Karen White
Larissa Rozdzilski
Laura Wells
Linette Partridge
Margaret Howard
Marja McKay
Mary Ann Nagel
Megan Primeau
Melissa Lavallee
Michael Demi
Michael Tarantino
Mo Ying W. Lam
Muriel Flynn
Nancy Freeman
Nancy Oomen
Norie Anlacan
Paul Szikszai
Paula Turner
Poul & Susan Hansen Family Foundation
Robert Perkins
Ruth Pedley
St. Francis Xavier School
St. George’s on the Hill
Steven Finlay
Subrata Banik
Susan Edmiston
Suzanne Advani
Suzanne Meagher
Tai-Hing Hui
TD Bank Group
Telus Community Affairs
Terri and Tom Hewitt
The Auxilium Foundation
United Way
Valerie Temple
William Crystal