Coleg Gwent Fact Finding Report 2014/15 Usk Equine Centre Distribution List: Final Report Vice Principal (Finance, Estates and Information Services) Date of fieldwork: Date of draft report: Date of final report: November 2014 to January 2015 January 2015 February 2015 This report and the work connected therewith are subject to the Terms and Conditions of the letter of engagement dated 25 November 2014 between Coleg Gwent and Deloitte LLP. The report is produced solely for the use of Coleg Gwent for the purpose of providing internal audit services. Its contents should not be quoted or referred to in whole or in part without our prior written consent except as required by law. Deloitte LLP will accept no duty or responsibility to any third party, as the report has not been prepared, and is not intended for any other purpose. This report has been prepared on the basis of the limitations set out at Appendix C. Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP Contents Page 1. 2. EXECUTIVE SUMMARY ........................................................................................................... 1 1.1 Introduction ........................................................................................................................ 1 1.2 Agreed Investigation Plan ............................................................................................... 1 1.4 Restriction of Use.............................................................................................................. 5 1.5 Acknowledgement............................................................................................................. 5 OBSERVATIONS AND RECOMMENDATIONS................................................................... 6 2.1 DIY Livery Services Records .......................................................................................... 6 2.2 Records of Loaned Horse Usage................................................................................... 7 2.3 Facilities Booking Segregation of Duty.......................................................................... 8 APPENDIX A – REPORTING DEFINITIONS................................................................................... 9 APPENDIX B – EXTRACT OF LETTER OF ENGAGEMENT 25 NOVEMBER 2014............. 10 APPENDIX C – STATEMENT OF RESPONSIBILITY ................................................................. 11 Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 1. Executive Summary 1.1 Introduction This report summarises the fact finding work that has been conducted in respect of a concern raised by the family of a College Employee received by the College’s Principal on 4 November 2014 (the ‘Allegation’). The allegation relates to inappropriate provision of livery services and facility hire at the Equine Centre, at the Usk Campus by an employee of the College (the ‘Subject’). The Allegation detailed concerns that the Assistant Yard Manager (who had previously held the post of Acting Yard Manager while the Yard Manager post was vacant) was abusing her position by allowing a College Lecturer to receive livery services which were not paid for, and using College facilities for a local Pony Club (the ‘Pony Club’) for whom she was on the organising committee. Additional allegations were raised relating to theft of student clothing, and a failure to work contracted hours, however in order to focus on the key allegations these were not included in the scope of this fact finding investigation. 1.2 Agreed Investigation Plan The letter of engagement (an extract of which is included at Appendix B to this report) requested our work cover the following points: • • • • • Meet with the source of the allegations being investigated, to obtain better understanding of their concerns detailed in their email to the College Principal. Discuss previous related reviews of the Usk College Equine Centre administration performed by the Pontypool and Usk Corporate Finance Team, in order to identify related concerns and understand the operation of the Stables. Obtain from Finance copies of all Usk Equine Centre invoices relating to facility hire covering a period of one year in relation to the Pony Club, and seek to reconcile this against records of room bookings at the Stables, and evidence of Pony Club events identified from their website. Obtain from Finance copies of all Usk Equine Centre invoices relating to livery services and seek to reconcile these records with records collected from the Equine Centre detailing the horses receiving livery Services from the College. Review emails you have informed us have been obtained by your IT department from the Subject of the investigation for evidence of knowingly failing to bill for livery services and for evidence of the extent to which the working day and college resources as being used for Pony Club administration Dependent on the outcome of the above enquiries, we would support the HR department in interviewing the Subject of the investigation, in order to obtain their account for findings arising from the above steps. 1.3 Investigation & Findings Discussion with the source of the allegations On 27 November and 5 December 2014 we emailed the source of the Allegation, a father of a colleague of the Subject (the ‘Source’), without receiving a response. A third email sent on 8 December 2014 by the Vice Principal (Resources & Financial Planning) was received by the Source who contacted us by telephone to schedule a meeting. We met with the Source on 19 December 2014 at his home. During the meeting the Source repeated allegations made in his email to the College Principal on 4 November 2014. The allegations raised include: • A College Lecturer’s horse (we have identified horses called ‘Eve’ and ‘Brook’ who are recorded as being owned by the College Lecturer named and who have at times over the year been in receipt of DIY Livery Services)) had stayed at the College but Livery Services had not been paid for. It was not clear if this was for full livery services or “DIY” livery (e.g. accommodation and straw only). • A second College Lecturer’s horse (or relative of a College Lecturer, the Source was not certain) (‘Suzie) had stayed in College facilities receiving full livery while being unsuitable for lessons (and so should not Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP have been on the College premises or should have been there on a DIY livery basis, at a cost of £26 per week). • On 31 October 2014 the Pony Club was booked to use College facilities but subsequently cancelled. At 4pm on the same day the Subject was seen teaching a private riding lesson at the College by the Source’s daughter, an employee at the College’s Equine Centre, but this was not recorded in the Calendar used to manage bookings and invoicing for facility hire. • Allegations of bullying against the Source’s daughter raised in his email dated 24 November 2014 were repeated, however these are not part of the scope of our fact finding investigation. DIY Livery Services On 14 January 2015 we met with the Equine Centre Co-ordinator (the ‘Centre Co-ordinator’) The Centre Coordinator was not given advance notice of our visit, and during the course of our visit the Subject was not present at the College. The purpose of our visit was described to the Centre Co-ordinator as being ‘part of an audit’. The Centre Co-ordinator explained to us that the College currently has three horses staying in College Stables on a ‘DIY’ Livery basis, at a cost of £26 per week. It was explained to us that this service is not advertised, and is typically used by College staff. Three stables are available for DIY Livery. On the date of our visit the Horses present at the College did not include any of the horses noted in the Source’s allegations. The Centre Co-ordinator informed us that the DIY Livery includes provision of a stable, hay/haylage and access to fields to exercise a horse, and College exercise facilities when these are not in use for College purposes. We were not able to identify historical records detailing what horses have stayed at the College on a DIY livery basis in the past, as we have been informed by the Centre Co-ordinator these are not retained. We have reviewed invoices provided to us by Finance that show for the period August 2013 to September 2014 invoices were raised by the College for DIY Livery of three horses every month. While we are unable to confirm the accuracy of the invoices against records of horses staying at the College, we can confirm that invoices have been raised for at least three horses every month during this period. These invoices include invoices to a college Lecturer relating to the Horse ‘Eve’ from August 2013 to February 2014 and ‘Brook’ from January 2014 to March 2014. ‘Eve’ and ‘Brook’ were not present on our visit to the Equine Centre on 14 January 2015. The centre Co-Ordinator was not aware of historical records detailing when DIY Livery horses have been present at the College in the past, so we are unable to verify the completeness of invoices the College have passed to us, or the exact nature of the services provided to each horse. The DIY Livery Invoices passed to us, covering the period from August 2013 to September 2014 did not include any reference to the Horse ‘Suzie’. We also note that the Centre Co-ordinator informed us that there is not currently a contract in place with owners of DIY Livery Horses. We were informed that the Equine Centre has requested a proforma contract is prepared by the College’s Legal Advisors. Conclusion 1 Due to the lack of records detailing when DIY Livery horses have stayed at the College in the past and the services provided, we are unable to refute the allegations: • that ’’Eve’ and or ‘Brook’ had stayed at the College without payment, although we can confirm that invoices were raised in respect of these Horses for the periods of time detailed above. We also note that at the time of our visit on 14 January 2015 only three stables were used for DIY Liveries, and that for the period August 2013 to September 2014 invoices were raised in respect of all three horses every month. Neither could we evidence that all horses on DIY livery have been invoiced appropriately, although we note that invoices have been raised for three horses over the period August 2013 to September 2014, and at the time of our visit only three stables were available for DIY Livery. Due to a lack of records of horse Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP arrival/departure for DIY Liveries, we cannot rule out that additional stables have been used for DIY Livery services that have not been invoiced. We have raised one recommendation relating to the record keeping around DIY liveries in Section 2.1 “Loaned” Horses At the time of our visit to the College on 14 January 2015 the Centre Co-ordinator informed us that there were seven horses ‘loaned’ to the College on site, with an eighth due to return to the College at a future date. When a horse is loaned to the College, the College takes on responsibility for care of the horse with the exception of Farrier bills (invoiced directly by the Farrier to the horse owner) and Vet’s bills in excess of £100. During term time the horses are available to the College for educational purposes. During Christmas, Easter and Summer Holidays owners can either pay £70 per week for full livery services, or take their horses away from the College. The Centre Co-ordinator has advised us that typically these horses will be returned to the College prior to the start of term so that they can be prepared (e.g. ridden) so that they are suitable for student use at the start of each term. The Centre Co-ordinator was unable to recall for us the last time a College Loaned horse was left at the College during College Holidays (excluding half term breaks, which are not charged for). During our visit on 14 January 2015 we noted that contracts were in place for all College Loaned Horses present in the stables, however as records are not maintained confirming when horses are removed from the College during College Holidays, we are unable to confirm if any loaned horses were at the College during holidays and therefore incurring a charge for the owner. The allegation made by the Source alleged that ”Suzie” was owned by a Lecturer at the College, or a member of a Lecturer’s family, and was recorded as being loaned to the College but was not used for educational purposes. We were informed by the Head of School that ”Suzie” was removed from the College in September 2014. During our visit to the Equine Centre, the Centre Co-ordinator informed us (while illustrating how horses may be considered suitable to be loaned to the College or not with an anecdote) that ”Suzie” was initially thought suitable for College use, however after two years on loan to the College it was deemed to be inappropriate for use by students We note that the College does not have in place detailed criteria for suitable horses to take on loan. The Centre Co-ordinator informed us that this would be difficult to implement, as the College requires a variety of horses to suit differing student requirements, so that should a vacancy arise, the College may need to identify a horse suitable (for example) for inexperienced riders. We did ask if records were held detailing how often horses were used at the College (and so demonstrating that loaned horses were used for educational purposes), however we were advised that this is not recorded. At the start of each day horses may be allocated to appropriate classes, however this allocation is not routinely retained. Conclusion 2 Due to the lack of records detailing Loaned horse use, we have been unable to refute the Allegation, nor obtain evidence to demonstrate that all horses on loan to the College are used for educational purposes. We have raised one recommendation relating to recording evidence of horse usage, which can be found in Section 2.2. Use of College Facilities The Allegation states that the Subject performed activities related to the Pony Club during her contracted hours at the College, and that the Pony Club used College Facilities, although rarely paid for these. We discussed the procedures for using College Facilities with the Centre Co-ordinator. The Centre Coordinator explained that prior to September 2014 (approximately) bookings were made by individuals/organisations wishing to use College facilities by contacting the Campus Director’s PA, however due to operational difficulties (e.g. the Campus Director’s PA being remote from the Equine Centre, and not available on evenings and weekends) the responsibility for managing bookings was passed to the Subject. The Subject takes bookings for facilities and records these on an Outlook Calendar. Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP The Outlook Calendar is then used by the Finance Officer at the Usk Campus to prepare an invoice requisition (in the form of a spreadsheet). Invoices are requested bi-weekly, and our Subject is notified prior to preparation of the invoice requisitions so that the facilities bookings calendar can be updated with any amendments required. We note that the current processes allow the Subject to make bookings for her own private lesson students, and the Pony Club on the facilities booking calendar. As the calendar is then used by administrators, who are based offsite to generate invoices there is a potential lack of segregation of duty in the booking/invoice process. There is also a risk that the Subject could make a booking on the facilities booking calendar, then delete the booking after it has taken place prior to the invoices being processed to avoid payment. We have obtained details of Pony Club events scheduled to be held at the College, and compared these to invoices sent to the Pony Club for facilities use and a copy of the facilities bookings calendar for 2014. We note that during our discussion with the Centre Co-ordinator it was explained to us that the scheduled events may frequently be cancelled due to a lack of members signing up to indicate they would be attending. Our comparison found six events detailed on the Pony Club website in the period January 2014 to September 2014 (the period for which we have both the facilities booking calendar and invoices for facilities use) for which we could not identify invoices. We note, however, that none of these events were recorded on the facilities calendar. This could be indicative of either cancelled events, or events deleted from the facilities calendar to avoid invoicing. In the period from August 2013 to October 2014 the Pony Club was invoiced for 59 event bookings, totalling £2,392. In addition to the above mentioned six events, we note one event on the Pony Club agenda was run jointly with a third party organisation. The third party organisation mentioned is recorded in the calendar (and annotated “invoiced”). The Allegation did state that the Subject used College facilities to hold private lessons (noting one such lesson took place on 31 October 2014). We note that the facilities booking calendar at the time of our visit did not include a 4pm booking. The Centre Co-ordinator informed us that facilities for private lessons would normally be invoiced to the individual receiving the lesson. Conclusion 3 Due to the possibility that published Pony Club events may have been cancelled, and the lack of audit trail to document booked and cancelled facilities bookings, we are unable to verify the completeness of invoices raised by the College, or refute that allegation that external bookings may have taken place but not been charged for. We have raised one recommendation in Section 2.3 relating to the facilities booking process. Enquiries not noted above In addition to our review of invoices raised, and interview with the Centre Co-ordinator we have performed a spot check on horses at the College on 14 January 2015. During this spot check we did not identify any horses for which there was not a loan agreement in place, or for whom a DIY livery invoice was not regularly produced in 2014. With the assistance of the College’s ICT Infrastructure Manager we have performed searches on inboxes of the Subject and the owner of Suzie using the search terms ”Suzie” [Name of the Pony Club], “Pony Club”, and “Livery”. During these searches we did not identify any emails relevant to this fact finding investigation. We have met with the Pontypool and Usk Campus Corporate Finance Officer whom we were informed had performed an internal review of processes at the Equine Centre in 2013. Notes from this meeting were used to provide back ground information prior to our visit to the equine centre. Next Steps In our letter of engagement we have indicated that we would support the College’s HR department in interviewing the subject of this investigation if appropriate. As we have not identified any evidence to support the Allegation or fully refute it, we do not propose to support an interview with the Subject unless further information comes to light. Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 1.4 Restriction of Use We wish to draw to your attention that this report may only be used in accordance with our contract and may not be made available to third parties, except as may be required by law. 1.5 Acknowledgement We would like to thank the staff who participated in this internal audit for their assistance and co-operation. Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 2. Observations and Recommendations 2.1 DIY Livery Services Records Recommendation It is recommended that the College implements a robust process to maintain records of horses/owners using the College’s stables for ‘DIY Livery Services’. This should include signed agreements detailing appropriate terms and conditions for the College and the horse owner, and records of arrival/departure(s). Once implemented, unannounced spot checks could be used to verify completeness of records. Rationale Priority An allegation has been raised that a College employee has received DIY Livery Services for which she has not been invoiced. Due to the lack of contemporaneous records of DIY Livery Services Provided, we have not been able to confirm the accuracy of this allegation as historical records of DIY Livery are not maintained. There are not currently contracts in place documenting agreements made with horse owners for horses currently residing at the College on a DIY Livery basis. We do note that invoices raised in September 2014 do correspond to horses at the College during our visit on 14 January 2015. Management Response Agreed. New procedures will be developed and implemented at the Equine centre in line with this recommendation Responsibility/ Deadline VP (R&FP) April 2015 Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 6 2.2 Records of Loaned Horse Usage Recommendation It is recommended that the College retains records to demonstrate that Loaned horses are used by the College for educational purposes. Once implemented, unannounced spot checks could be used to verify completeness of records. Rationale Priority We identified that records are not maintained recording use of horses loaned to the College. One of the allegations raised is that a member of staff was permitted by the Subject to receive full livery services without being charged. Without appropriate records demonstrating that horses loaned to the College (at no cost to the horse owner) are actually used by the College, we are unable to locate evidence to refute this allegation. Management Response Agreed. This will be reviewed and appropriate procedures developed and implemented at the Equine centre in line with this recommendation Responsibility/ Deadline VP (R&FP) April 2015 Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 7 2.3 Facilities Booking Segregation of Duty Recommendation It is recommended that the College considers the processes in place for booking Equine Centre facilities to enforce segregation of duties over the invoicing process. This could be achieved by removing Equine Centre Staff’s ability to edit the Outlook Calendar used, and require all bookings to be notified by Equine Centre Staff to an independent employee of the College (e.g. via email). Rationale Priority We identified that the Subject of our investigation maintains an Outlook Calendar of facilities bookings. This calendar is then used by a remote Finance Officer to create invoice requisitions on a bi-weekly basis. The Subject of this investigation may make bookings for facilities usage for either a Pony Club for whom she sits on the Committee of, or for individuals for whom she provides private tuition. There is a risk that the Subject may be able to remove bookings for facilities usage in the Outlook Calendar after the event, without an audit trail being created and with no third party involvement, and so avoid charges for usage. Once implemented, unannounced spot checks could be used to verify completeness of records. Management Response Agreed. We are currently reviewing the use of alternative software for administering Equine centre bookings and will implement this alongside new robust booking and invoicing procedures Responsibility/ Deadline VP (R&FP) April 2015 Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 8 Appendix A – Reporting Definitions Grading of Recommendations In order to assist management in using our reports, we categorise our recommendations according to their level of priority as follows: Priority Level Definition Recommendations which are fundamental to the system and upon which the organisation should take immediate action; Recommendations which, although not fundamental to the system, provide scope for improvements to be made; and Recommendations concerning issues which are considered to be of a minor nature, but which nevertheless need to be addressed. Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 9 Appendix B – Extract of Letter of Engagement 25 November 2014 1 Scope and Objectives We understand that you wish to appoint us to complete a Fact Finding Investigation (your “Objective”). You have asked us to provide the Services set out in Section 2 below and to prepare the report described in Section 2(d) for your internal use (the “Purpose”). For the purposes of this contract and any Scope Document all references in this Contract to “Client” or “You” shall be construed as referring to Coleg Gwent. 2 Our Services and Responsibilities a) The scope of our work will be limited to the tasks set out in the Proposed Investigation Strategy. b) Our Engagement Team Ian Howse will be the partner with overall responsibility for the services we provide to you. Katherine Rankin will be the Senior Manager responsible. David Fletcher will perform the Fact Finding Investigation. Together they comprise the “Engagement Team”. c) Proposed Investigation Strategy We propose to undertake the following steps to proceed with this investigation If, during the course of completing these steps, additional or alternative steps are identified as being necessary, we will agree these with you in writing. We have met with representatives of the College and identified the following steps as being for this Fact Finding investigation: • We will meet with the source of the allegations being investigated, to obtain better understanding of their concerns detailed in their email to the College Principal. • We will, discuss previous related reviews of the Usk College Equine Centre administration performed by the Pontypool and Usk Corporate Finance Team, in order to identify related concerns and understand the operation of the Stables. • We will obtain from Finance copies of all Usk Equine Centre invoices relating to facility hire covering a period of one year in relation to the Llangibby Hunt Pony Club, and seek to reconcile this against records of room bookings at the Stables, and evidence of Llangibby Hunt Pony Club events identified from their website. • We will obtain from Finance copies of all Usk Equine Centre invoices relating to livery services and seek to reconcile these records with records collected from the Equine Centre detailing the horses receiving livery Services from the College. • We will review emails you have informed us have been obtained by your IT department from the Subject of the investigation for evidence of knowingly failing to bill for livery services. • Dependent on the outcome of the above enquiries, we will support your HR department in interviewing the Subject of the investigation, in order to obtain their account for findings arising from the above steps. Coleg Gwent – Fact Finding Investigation – Equine Centre Private & Confidential © 2015 Deloitte LLP 10 Appendix C – Statement of Responsibility We take responsibility for this report which is prepared on the basis of the limitations set out below. The matters raised in this report are only those which came to our attention from examination of the documents made available to us and the information provided to us by Coleg Gwent. We have not independently audited, or otherwise tested or verified, any of the information with which we have been presented. The sole purpose of this report is to assist Coleg Gwent in deciding what further action it may wish to take in this matter. This report should not be referred to, quoted or relied on for any other purpose. The report should not be relied upon as the basis for any future legal action and should not be treated as evidence. This report should not be disclosed to any third party without prior written permission. In the event that we give our permission we cannot accept liability and do not owe nor accept any duty of care to any third parties. The exclusion of liability and limitation upon our owing or accepting any duty of care also covers any third party recipients of information which quotes, refers to, or publishes, our report under the Freedom of Information Act 2000. We ask that Coleg Gwent consult with us promptly should it receive any request for information under the Act which it considers requires disclosure of the contents of this report, whether in whole or in part. Our findings might change in the light of further work being performed or further information becoming available. Recommendations for improvements in control relate only to those matters during the course of our work and should not be taken to guarantee Coleg Gwent against any future occurrence of fraud or error. 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