CADAS Annual Report 2012/2013
Transcription
CADAS Annual Report 2012/2013
annual report 2012/2013 Cadas is a local independent provider of quality care. Our services are delivered by paid and unpaid professionals throughout Cumbria. Vision Cadas’ vision is to ensure appropriate nonjudgmental and confidential help is easily available and accessible to those people living in Cumbria, who are involved in addictive behaviours. We offer: Recovery Service A free, confidential and non-judgmental one to one service for anyone who has an alcohol and/or drug issue. These services are delivered by paid staff, trained volunteers and community ambassadors. Cadas also works with families, parents. carers, and individuals or couples whose lives are affected by someone else’s alcohol and/or drug use. Communication and Mediation Service A free service for neighbourhood disputes, family crisis and young people and homelessness. Training and Workshops in Alcohol, Drug Awareness, Nutrition & Lifestyles Cadas delivers free certificated alcohol and drug awareness courses together with Nutrition & Lifestyle workshops and courses. All our courses are mapped to DANOS. Training and education is available to all members of the general public and professionals. Acu-Stimulation Therapy Cadas also offers free Acu-Stimulation therapy which is where gentle pulses are passed through the body’s different acu-pressure points. The relaxation treatment can help with withdrawal symptoms and cravings from alcohol and drugs as well as helping with stress, depression and sleep disturbance. Information Cadas offers a free and confidential information service. Independence We believe Cadas’ strength is built on the passion of individuals and communities who want to make a positive difference to their lives and those around them. Values Open : Honest : Congruent : Integrity : Innovative : Flexible : Creative : Committed : Reliable : Passionate Mission Cadas’ primary objective is to enhance the lives of people in Cumbria through the reduction of harm caused to them by the use or misuse of alcohol and drugs, by providing them with an opportunity to work towards living in a more satisfying and resourceful way. Community Cadas seeks to help prevent alcohol and other drug use problems through a programme of community awareness initiatives. Commitment Cadas is committed to offering early interventions and preventative services for the people of Cumbria of all ages. Commitment Cadas is an Independent Provider of Care Cadas is both a Registered Charity (registration number 1002201) and a Company Limited by Guarantee in England (number 0258199). 2 Cadas Is . . . 3 Contents 4 About Us 5 President’s Report 6 Service Managers’ Reports 7 Service Reports 14 Outcome Measurements 16 Financial Report 17 Treasurer’s Report 18 Balance Sheet 19 Sofa 20 Supporters 22 Staff and Volunteers 24 Cadas Centres Our grateful thanks go to all those who, in the past, have played their part within Cadas. Charity number: 1002201 Company registration number: 2585199 The Cadas Executive who meets quarterly at various locations around Cumbria governs Cadas. Registered office: 17a West Tower Street, Carlisle Cumbria CA3 8QT An Annual General Meeting is held once a year. Trustees: Annual audited accounts are prepared and submitted to Companies House, England and the Charity Commission each year after the Annual General Meeting. Staff and volunteers deliver this range of services by appointment at all the Cadas centres and in the community. Claire Hensman President David McKinlay Chairman Carol Eland Vice-Chair Nick Cusick Treasurer Kit Scott-Harden Secretary Executive Committee: Charlie Jones Staff attend monthly line management and drug and alcohol volunteers attend mandatory monthly supervision to monitor their clinical practise and to continue with their learning. Thereby developing their skills as effective drug and alcohol professionals. Jan Sharp Ralph Howard Tony Stephenson David Foot Sol Gray Cadas is committed to offering a quality and courteous service to everyone that comes into contact with us. Helen Horne Cadas Management Team Robert Whitson Paul Brown, B.A. (Hons), Director Colin Laxton Annie Brown, Operations Director Wendy Maddox Anne Connolly, Training & Development Manager J McCarthy Alison Lancaster Lindy Dodds Helen Davies, Young People and Family Manager Janice Routledge, Finance Controller Natalia Wealleans-Turner, Barrow Centre Manager Cadas external and internal supervisors and/or trainers: Helen Garnett, B.A. (Hons), Cert. Ed. Anne Connolly, NLP Master Co-opted representatives: Cumbria County Council Inspira NHS Public Health Auditors: Grainger and Platt 3 Fisher Street, Carlisle, Cumbria CA3 8RR Solicitors: Cartmell Shepherd Viaduct House, Carlisle CA3 8EZ I have been observing with dismay the damage that has been inflicted on the voluntary sector by the blunt application of a tendering process by the local authorities, in the name of ‘transparency’. There has been a steady attrition of voluntary services offered in the County over the last year and Cadas has not escaped this trend. Without some new source of funding to pay for the ongoing core administration and volunteer costs, the Cadas one-to-one service will gradually have to be withdrawn from Carlisle as it has been from several other areas already. The knock-on effect is the increase in unmet need and growing pressure on the statutory offering whose capacity is limited anyway to the most difficult cases. Whilst the charitable grant giving sector or the Lottery might be expected to help bridge the funding gap, grant givers seem to give priority to funding for ‘new projects’ while the real need is for the underpinning of core services during these difficult times. Two to three year ‘revenue’ funding would really help! Cadas has had another very tough year. The Trustees were very sorry to have to make redundant Annie Brown, the Operations Director, who left at the end of March. (following Paul Brown’s departure the previous September which was mentioned in last year’s report.) We are enormously grateful to both Paul and Annie for their dedication and expertise. Annie worked very hard during the last few months to ensure a smooth handover on her departure. Another great loss in March to Cadas was Anne Connolly who contributed so much to the organisation: training and supporting the volunteers and, with the Browns, creating the high standards and hence the reputation of Cadas. We are grateful that Anne is still available for volunteer supervision and support. At the same time we also had to say goodbye to our much valued Finance Officer, Janice Routledge and our highly regarded IT Manager, Jayne Campbell. Both of whom were long-term dedicated members of staff who are sorely missed by the team. We thank them for all their contribution to Cadas. Claire Hensman President Finally, our thanks go to Nick Cusick, our retiring Treasurer, who has provided over many years much wise advice and, crucially, financial expertise and input. All is not gloom however! The Barrow Centre is still fully operational, fulfilling the targets set by the Big Lottery and the services are continuing, albeit at a lower level, from a new base in Carlisle. Natalia Wealleans-Turner in Barrow and Helen Davies in Carlisle have taken over the management and are energetically pursuing all prospective funding opportunities while not only maintaining the operation but also growing their partnership working with other organisations. They are doing a terrific job! Cadas would not be able to offer its services without volunteers; several have stepped up to help cover the hours and tasks that staff, on reduced contracts, no longer can deliver and to help facilitate the training sessions. Increased volunteer involvement is a very positive enhancement of the team. Our thanks to all those who are contributing so much. North Service Manager’s Report South Service Manager’s Report The theme for this year in Cadas has been challenge and change. We have had to say goodbye to a number of significant people from our Cadas family. Some of this has been due to loss of funding and some to decisions made that will help to save money and therefore sustain Cadas services for longer. Whatever the reasons, the impact and sadness felt by the team cannot be under estimated. This year has been filled with many challenges, changes and ultimately opportunities. Certainly one of the biggest and saddest challenges faced by our county wide team was saying goodbye to members of the Cadas family who thanks to their passion, drive and innovation have created the Cadas that so many Cumbrians are familiar with today. Yet it is by no means all doom and gloom. Where there is challenge there is an opportunity to prevail, where there is change there is opportunity to learn, grow and open new doors. As an organisation whose main focus is to help people make positive changes, even when it seems life can’t be any different, we wanted to model how to do this. Through maintaining connections and open communication with each other and other organisations, facing up to problems and upholding our ethos and belief in Cadas and what we do, we are moving this organisation into the future. We continue to attract funding, deliver successful services, meet outcomes and gain recognition from external organisations and standards such as Investors in People. We still have a way to go to ensure Cadas’ sustainability and we are determined to make this happen, for the benefit of the communities of Cumbria. Difficult and brave financial decisions were made to preserve Cadas, to support its longevity and to ensure its sustainability enabling the continued delivery of a much needed and valued service across Cumbria. Today we see an evolving Cadas, a Cadas that is collaborative in nature, streamlined, focused and using learning to face future challenges, seizing future opportunities with honesty and integrity whilst remaining true to our ethos and vision. As we reflect on the year what is truly evident is how our Cadas team have demonstrated their passion, their enthusiasm for and commitment to not only our organisation, but also to the community members they support. Cadas has and will continue to model weathering change effectively and navigating transitions positively just as we invite our service users to do in their own recovery. Our staff and volunteers remain our most precious resource. Cadas will continue to recognise and value the richness of skill and depth of knowledge our staff and volunteers bring to our organisation and to the benefit of our service users. Helen Davies We continue forward in our journey where partnership work, open and honest communication, the development of staff and volunteers, the securing of funding and the continued delivery of quality services to meet need and our funding outcomes is high on our collective agenda. Cadas will continue to evolve, to adapt demonstrating flexibility and tenacity to surmount the challenges we face and together we will continue to proudly serve the Cumbrian communities in which we work and live. Natalia Wealleans-Turner “The brightest stars emerge out of the blackest darkness.” Shri Radhe Mae Carlisle Big Lottery Reaching Communities Project This year at a glance: • 189 referrals of which 87 were male and 102 were female • 127 referrals relate to alcohol • 62 referrals relate to other substances • 141 Care Plan Assessments attended • 27 Care Plan Assessments cancelled • 22 Care Plan Assessments not attended • 439 1:1 sessions attended • 79 1:1 sessions cancelled • 15 1:1 sessions not attended • 1056 ‘telephone contacts’ with the Centre • 647 requests for information from the Centre Volunteers 21 one to one volunteers were recruited and trained and 13 completed the course and were working with our clients by July 2012. 3 other volunteers have been trained to carry our care plan assessments and assist in the office. 90% of people who accessed Cadas services and completed our Compliments, Complaints and Comments slips rated us as Excellent. Service User Feedback: “I’ve managed not to drink alcohol what so ever, I think my better lifestyle and happiness I’ve got now is partly from the counselling I received from you, I can’t thank you enough. Take care and thanks again” “I was listened to and was able to talk properly and some of it was the first time I had talked about some things. Thank you from the bottom of my heart x” “This has been very helpful and has had a dramatic affect on my addiction as well as my way of thinking. I hope to take what I have learnt and build upon it to help in the future. Thank you so much for your help.” Open Day An Annual Open Day was held on 23rd October 2012 with over 60 attendees from the local community. We trained 43 Community Ambassadors who have improved on their communication skills and who act as a link between Cadas and the wider community by signposting and supporting people to access our services and promoting our training courses. Community Training & Workshops 24 Stage 1 Alcohol and Drug awareness courses. 292 people were trained in Alcohol and Drug awareness. Sport Relief One year funding form Sport Relief gave us the opportunity to recruit and train 10 Recovery Ambassadors from across the county. These Ambassadors were people who had accessed our 1-1 service for support with their own substance use or our Parent/Carer/Family Support Service. They attended a number of workshops and residentials where they learned group facilitation skills. They used these skills to develop sessions, which they then delivered to clients on our waiting list. Barrow-in-Furness Big Lottery Reaching Communities Project This year has seen yet another successful and productive period where the Barrow team have consistently worked to support their fellow community members through effective and tailored one to one support, training and workshops, events and activities. The Barrow team have worked hard to ensure that Cadas has a high visibility and presence within the local and wider community through on-going partnership work, attendance at Multi-agency meetings, training and events. This year at a glance: Psycho-Social One to One Support: • 181 referrals • 110 Care Plan Assessments attended Training, undertaken Care Plan Assessments and engaged in the planning of fundraising activities and events. The volunteers also attended annual reviews, which informed the development and delivery of the 6 bespoke workshops to support their ongoing professional development. Social Work & Work Experience Students: The Barrow team have continued to host Social Work students on placement to support their development and to enhance their understanding of the drug and alcohol field. This year we have hosted 2 students from Lancaster University. The team have also continued to host students from local secondary schools and colleges to provide positive experiences of work and again to foster a better understanding of the drug and alcohol field and to break down stigma and challenge stereotypes. • 444 sessions of 1:1 support delivered • 65 Acu-Stimulation (Black-box) referrals Open Day: • 818 ‘telephone contacts’ with the Centre Our Annual Open Day was held in May 2012 with over 50 attendees from the local community. • 2916 People have attended the Centre Health & Well-being Support: • 45 new referrals Activities: • 105 1:1 sessions attended This year the centre has offered weekly tai chi classes, weekly visits to the Green Heart Den community garden, monthly meditation classes and a series of art classes delivered by a local artist. • 50 1:1 sessions cancelled • 35 1:1 sessions not attended • 37 attended weekly tai chi classes • 17 attended monthly meditation classes Volunteers New Volunteers: 18 people were recruited and embarked upon the Stage II Volunteer Training this year in April. 10 people successfully met the necessary volunteer competencies and have been inducted. The new volunteers joined our existing team of 20 volunteers and have been working to support service users in their recovery. Existing Volunteers: Existing volunteers have been afforded opportunities to develop their roles and skills through internal and external training. Volunteers this year have participated in the delivery of the Junior Citizenship Scheme, facilitated Stage II Volunteer Training and Stage I Drug & Alcohol Awareness Community Training & Workshops: This year the team offered the community a variety of workshops and training opportunities to raise awareness about drugs and alcohol and to improve health and well-being. Junior Citizenship Scheme: The Cadas team delivered drug and alcohol awareness sessions to 854 Year 6 school children as part of the annual Junior Citizenship Scheme delivered in partnership with the Fire Service, Police, Health and other local organisations. Stage I and Bespoke Drug & Alcohol Awareness Workshops: 206 people attended Stage I and bespoke Drug & Alcohol Awareness workshops delivered from the Cadas Barrow Centre, in the community at schools and community centres. Health & Well-being Training & Workshops: 111 people attended across 11 health & well-being workshops. Attendees represented the diverse nature of our local community e.g. Victoria High & Multi-Cultural Women’s Network. Workshops were designed to empower community members to improve their health & well-being. Some of the topics covered were sleep hyg iene, healthy weight management, stress management and life after addictions. Barrow Centre Service User Feedback Service Users: “Really helpful person centred, tailored to my own problems, found the holistic support helpful. Cadas approaches in a different way to other services.” “Motivated, feeling more healthy” Training & Workshops: “The training was interesting and well delivered.” “Highly informative.” Open Day: “Very helpful day. Please keep doing these!” “Was good informational day, pleasant atmosphere and very friendly.” Students: Events: A number of events have been attended by the Barrow team this year to support the community, to network, to learn and to promote Cadas services. “My six months at Cadas was an amazing journey. I met some truly amazing people who have certainly impacted upon my life and my future.” Lancaster University Student • Love Learning Event Partner Agencies: • Shark Stoppers & Advice Event “Cadas has made New Roots very welcome.” New Roots recovery Group • GP Third Sector Event • Health & Well-being Community Event • Conversation Cafe Event • CAADA National Conference in London Partnership Work: The Barrow team continues to work in partnership with other agencies including local education institutes through attending monthly Multi-agency meetings such as MARAC, attending training, conferences and events such as the Conversation Cafe hosted by Unity, the Women’s Centre Project Consultation Day and the Barrow Alcohol Enquiry. The team continue to support partner agencies by conducting web chats alongside the police, being Trustees on the Boards of Furness Multi-Cultural Forum and Furness Carers as well as hosting three grass root community groups in the Barrow centre- Trans Lakes Nights, Friends & Supporters of Furness LGBT and New Roots Recovery group. “Due to the standing of Cadas within the community our inclusion has been given further weight.” Chair, Trans Lakes Night Group “Cadas are a trusted and valued local agency.” Neighbourhood Management Team “Cadas work very closely with Unity in Barrow and are always ready to support joint initiatives that benefit people who need help.” Community Development Lead, Unity Our Funders Our warmest thanks and sincere gratitude goes to our funders the Big Lottery Reaching Communities grant and the Sir John Fisher Foundation. Sir John Fisher Foundation Cumbria Youth Offending Service (CYOS) Training & Opportunities: The grant from Northern Rock supports the salaries of two CYOS Volunteer Co-ordinators based in the North and South of the county, the recruitment, the initial and ongoing training and supervision of the COS volunteers. The CYOS Co-ordinators under the direction of the Cadas North and South Service Managers and appointed CYOS contacts are responsible for co-ordinating the volunteer service for young people involved in the criminal justice system. All volunteers have been offered a range of workshops to support them in their development and to ensure they feel supported with the necessary skills to effectively support young people. Volunteers have also been offered opportunities to shadow and or work alongside Cadas staff to gain a stronger insight into the drug and alcohol field, gain vital experience and to support the development of their practice. Training & opportunities have been offered in the following areas: • Equality & Diversity Aim of the CYOS Project: • Restorative Justice 1. Recruitment, training and co-ordinating the CYOS volunteers • Legal Highs 2. Provide on-going training, support, supervision and appraisal of all YOS volunteers • Safeguarding 3. Coordinate all volunteer activities and maintain and develop service delivery • Facilitation on Junior Citizenship Scheme 4. Co - deliver CADAS/CYOS Training Programme Outcomes to benefit young offenders. • Drug & Alcohol Awareness • Domestic Violence • Attendance at Cadas Open Days & Events • Blue Sky Thinking Days • Shadowing CYOS & Cadas staff Achievements so far: The Co-ordinators have worked steadily this year with the CYOS teams including existing volunteers to develop the existing service, including Handbook policies and procedures including a new ‘De-Brief’ form as well as creating new opportunities for both volunteers and young people alike including training programmes. This has been achieved through excellent partnership work between the two organisations, paid staff and of course volunteers. Recruitment of new volunteers: This year saw 4 volunteer recruitment drives take place across the county attracting high volumes of applicants and interest. CYOS Co-ordinators designed a robust recruitment and selection process seeing young people support the interview process. Over 20 people of varying backgrounds in the North and South of the county were selected. The new volunteers have completed the initial CYOS Volunteer Training, induction and have joined the existing volunteers where they are adhering to the newly reconfigured Handbook. The CYOS volunteers have more opportunities to work with young people through mentoring, indirect reparation, Panels and the Co-ordinators continue to liaise with the volunteers to establish future opportunities. Supervision: All CYOS volunteers are expected to attend mandatory supervision hosted by the Co-ordinators as a way of maintaining contact with CYOS, to engage in peer learning and to share ideas about service development for example to source indirect reparation activities in the community for young people. Feedback from trainees about what they liked about the course: “Enjoyed new ideas and concepts” “Very relaxed and very interesting” “I thought the training was excellent and much better than I presumed it would be from other training I have been involved with. I feel really well supported as a volunteer and equipped for most eventualities, all questions I have had have been answered quickly and thoroughly. I can't wait to get started now.“ “The course is a great idea and hope it continues” “The chance to learn new things” “I found the refresher training useful and the fact that you are there for us to raise any concerns and training requirements, it’s good that we have someone to listen to us.” The YOS Volunteers have also been trained in Mentoring, Reparation, Safeguarding and attending ongoing Panel Matters training, which they have begun to use in their work with young people involved with CYOS. Feedback from those involved in interview process: “The update on current drug use was good, hopefully you will keep us informed on any future changes to the system and referrals procedures....” “Prepared me for getting interviewed myself in the future” Young person, CYOS service user CYOS Volunteer Feedback: “Felt greater involvement in the organisation... very worthwhile in allowing existing volunteers to feel that they are playing a greater part in the team” Existing CYOS male volunteer “This course has not only been education, a learning curve for myself and to help others – but so interesting and enriching.” “Loved it! Wish my uni course could be more like it.” “I have really valued this training.” “Best training yet.” “My experience of volunteer training sessions prior to YOS/Cadas has been very different, so yours had quite an impact in the style that was used. Usually training has been around the policies of the organisation and information, with a few activities thrown in! The fact that its delivery was to use a selection of different theories aimed at listening, supporting and understanding behaviours made the course interesting and relevant to the young people that we will be supporting. Yourself and Anne made the training very enjoyable.” “It was a benefit to see other people’s potential and possible colleagues” Existing CYOS female volunteer Kendal and Workington Centres STARS - Supporting Teenagers At Risk Service Our Kendal and Workington offices are small yet buzzing hives of activity. They host a number of passionate and committed Volunteers. They and the staff based in these centres go above and beyond their general duties to ensure the smooth running of a welcoming and safe place for people to access. STARS is a county wide service funded by Comic Relief. The STARS team delivers alcohol workshops to young people and 1-1 sessions, including Black Box treatment to young people struggling with their alcohol use. Direct beneficiaries 11-18 19-25 Total unique beneficiaries 95 413 Kendal Adult Service West Cumbria Male 318 25 New Referrals 23 New Referrals Female 329 82 411 25 Care Plans 23 Care Plans TOTAL 647 177 824 61 PSI 66 PSI 3 Black Box Sessions 19 Black Box Sessions Service User Feedback: “Audrey is a credit to Cadas and could not have got through this bad time in my life without her. PS thanks.” “Loved the black box, felt very relaxing.” “Helpful with starting to figure out what the root of my problem and starting to think about how to deal with it.” During this period 63 alcohol workshops were delivered. Of the above figures 790 attended these workshops and 34 were new referrals into the 1-1 therapeutic service. STARS Service User Feedback: “In all honesty I was very sceptical about how helpful counselling and black box would be after 10 years of a bottle of wine a night, but after 4 weeks alcohol free so far I had 2 weeks between my last appointments, I realise in fact how important it has been to come here. Black box has been great I felt no cravings until I went 2 weeks without so it definitely worked!” (24 year old female) “The service has been very helpful to me well-being, staff are friendly and been great to fit me in at various times and short notice!” The Parent/Carer/Family Support service provides much need support to family members who are effected by someone else’s substance use. People in this situation often feel isolated and fear being stigmatised. Being able to access a service where they can confidentially talk about these issues and meet other people in similar situations is of immense comfort and relief. Even when the person using the substance does not want to stop using, it is amazing to see what positive changes can occur in a family when one person decides to respond differently to the situation. New Contacts to the service in the period West – Copeland/Allerdale = 45 East – Carlisle/Eden = 160 South – Barrow = 38 / Kendal = 69 Repeat Referrals (Repeat referrals are parents/carers who access the service regularly (weekly/monthly) either by telephone / face to face or are members of the support groups) West – Copeland/Allerdale = 177 East – Carlisle/Eden = 203 South – Barrow = 83 / Kendal = 221 Number of 1-1 (1 hour) Newly Referred for psychosocial intervention sessions delivered at the Cadas Centres West – Copeland/Allerdale = 153 East – Carlisle/Eden = 102 South – Barrow = 62 / Kendal = 183 Number of 1-1 Auricular Stimulation - Black Box sessions (1 hour) West – Copeland/Allerdale = 66 East – Carlisle/Eden = 44 South – Barrow = 36 / Kendal = 104 Number of Support groups facilitated by the West – Copeland/Allerdale = 39 East – Carlisle/Eden = 17 South – Barrow = 12 / Kendal = 15 Numbers of brief interventions sessions delivered West – Copeland/Allerdale = 121 East – Carlisle/Eden = 118 South – Barrow = 8 / Kendal = 181 Number of information packs sent to Parents/Carers & Family members West – Copeland/Allerdale = 65 East – Carlisle/Eden = 6 South – Barrow = 14 / Kendal = 11 Service User Feedback: “Cadas gave me the support, time and guidance when I was at the lowest point in my life. I have revisited many deep seated issues and feel ready to move forward into a new chapter of my life. Thank you! Xxx” “This has been very helpful and has had a dramatic affect on my family as well as my way of thinking. I hope to take what I have learnt and build upon it to help in the future. Thank you so much for your help.” “Very professional, caring, and considerate, informed, extremely useful.” “Made to feel at ease, explained things clearly for me to understand, helped me find ways to deal with different situations.” 1. Cadas S.U.C.E.S., (Substance Use Client Evaluation Scales), consists of five separate scales: Alcohol, Drugs, Health, Social, and Personal. Normally only four of the scales will be completed for any client, although exceptionally the Alcohol and Drugs scales will be used in tandem - for example when a client is using one or more substances. In these cases, both scales are completed at each assessment point until the client leaves. The scales are completed by the client at every session. 2. The scales are used for each new client as part of the initial assessment process and at every session agreed thereafter. This will take place on the client’s first contact with the agency. It is there to help both clients and the Cadas volunteer describe where they are at present, and where they hope to be when they cease contact with Cadas. Accordingly, the position given to each new client on each scale will be the result of discussion and agreement between the volunteer and client. 3. The scales measure movement along five separate dimensions, travelling from left to right across the page. 5. There may also be occasions where in the judgment of the volunteer, use of the scales would prejudice the counselling relationship - for example if the client is very distressed. In such cases the volunteer should postpone the use/completion of the scales until a more appropriate session. 6. The system is confidential. Neither the name of the client nor that of the volunteer should appear on the Cadas SUCES Scale sheet only the referral number should exist. 7. A final assessment is completed as part of the planned discharge/exit from Cadas. SUCES - Alcohol Use SUCES - Drug Use General Position General Position 3 Drink beginning to take hold; signs of physical/psychological damage. Unsuccessful attempts to cut down or stop. 4 Drinking interferes with eating and sleeping patterns, e.g. meals replaced by a trip to the pub, early morning waking. 5 Alcohol becoming increasingly significant part of lifestyle, e.g. social life revolves around drinking occasions, access to alcohol an important factor. 6 Pattern of occasional excessive or continued use, causing problems at home, at work or with the law, e.g. rows with family, lost time at work, court appearance for drink-driving. 7 Frequent and/or heavy alcohol use but no apparent problems, e.g. large proportion of life spent in pubs/clubs. 8 Occasional use in moderation, e.g. drinking with meals, at celebrations, etc. 9 No alcohol use. Complete abstainer. Critical Area Attempts to cut down/stop increasingly short-lived and unsuccessful. Unable to control propensity to binge drink. 1 Regular List of injectable opiates several times a day; used to maintain intoxication. Often for days with no voluntary breaks. 2 Regular mixing of any substances, dependency on at least one substance; injecting opiates daily; voluntary breaks uncommon. 3 Regular use injecting three to five times a week; almost continuous use of tranquillisers, some breaks of times where control is re-asserted. Problem Area 2 Examples of Situations 4 Regular use of oral drugs or mixing; injecting once or twice a week; occasional opiate use, not using tranquillisers for daily support. 5 Moderate use of cannabis; oral drugs but situation can be controlled, some experimental mixing, maybe trial injecting of tranquillisers. 6 Moderate use of small cannabis able to stop whenever required. Short term use of minor tranquillisers. Recreational drug use. Normal Area Critical Area Physical and psychological dependence. Day focused round continued access to alcohol to ward off effects of withdrawal. Problem Area Examples of Situations 1 S.U.C.E.S. Substance Use Client Evaluation Scales 4. The client’s position on each of the relevant scales is recorded at every session. The information from the scales sheets is finally transferred onto the referral form when the case is closed. Normal Area Cumbria Alcohol & Drug Advisory Service Text describing each scale has been kept to a minimum to allow for the greatest flexibility in its use. 7 Non problematic consumption of quantities of alcohol, tobacco, minor tranquilliser use but not on a regular basis; minimal use of drugs such as cannabis. 8 Moderate consumption of tobacco and tablets such as prescribed minor tranquillisers at appropriate times. 9 No drug use. Personal Social Results of clients who completed Cadas Outcome Measures during April 2012 - March 2013 66% Improved 74% Improved 10% Worsened 11% Worsened 16% No Change Drug Use Alcohol Use Health 24% No Change 46% Improved 18% Worsened 71% Improved 82% Improved 13% Worsened 36% No Change 10% Worsened 16% No Change 8% No Change SUCES - Personal Situation SUCES - Social Situation SUCES - State of Health General Position General Position General Position Problem Area 4 Completely integrated into drinking/drug use culture. No motivation or hope of change. 5 Absorbence into drinking culture - with drinking cronies or as a loner. Some motivation for change present. 6 Relationship with family dominated by conflict. Drink/drug friends most important. 7 Completely integrated into drinking/drug use culture. No motivation or hope of change. 8 Absorbence into drinking culture - with drinking cronies or as a loner. Some motivation for change present. 9 Relationship with family dominated by conflict. Drink/drug friends most important. Regular criminality or social support career, but not as planned/designed future. No clear attitude for change. 3 No job for some time. Motivated to find work/ start course, but no attempts. Dependency on criminality or social support. 4 Attempts to get work/start courses/develop interests, but generally unsuccessful. Economic dependency. May resort to theft. 5 Casual odd jobs/courses, periods of unemployment. Some activities/hobbies or interests. Time often hangs heavy. 6 Irregularly occupied/employed. Actively seeking such. Rehabilitation/adult training etc. 7 Full-time occupation but no career path/ end in sight. Active dissatisfaction. Frequent job or other occupation changes. 8 Full time occupation, psychological needs not necessarily met. Mild dissatisfaction with circumstances. 9 Full time occupation (inc employment, education, childcare, household duties etc). Economic independence, psychological needs met through occupation and others. Critical Area Relationship with family dominated by conflict. Drink/drug friends most important. 2 1 Severe damage to organs; potentially lethal infections - pneumonia, gangrene etc. 2 Some damage to liver, brain or other organs; prone to fits, hallucinations, loss of short-term memory. Serious infections. 3 Frequent accidents; abnormal liver tests; weakness, chronic tiredness and inability to cope. Persistent general infections. Problem Area 3 No occupation/interests and no motivation. Examples of Situations 4 Growing health problems, e.g. impotence, period problems, digestion problems. Definite feeling of being unwell. Persistent localised infections. 5 Frequent illness episodes and/or accidents. Stress/tiredness a common problem. One or two continuing health problems. 6 Short bouts of illness, missed work, things to do due to hangover. One or two days illnesses. Normal Area Absorbence into drinking culture - with drinking cronies or as a loner. Some motivation for change present. Critical Area 2 1 Problem Area Completely integrated into drinking/drug use culture. No motivation or hope of change. Examples of Situations Normal Area Critical Area 1 Normal Area Examples of Situations 7 Some signs of ill health, e.g. high blood pressure, but general functioning impaired. 8 No signs of apparent ill-health or illness, but not generally fit. 9 Physically fit. Able to participate in appropriate exercise/sport. Feeling good physically and mentally. Independent auditor's report to the trustees of Cumbria Alcohol and Drug Advisory Service Ltd. Opinion on other matter prescribed by the Companies Act 2006 We have audited the financial statements of Cumbria Alcohol and Drug Advisory Service Ltd for the year ended 31st March 2013 which comprise the Statement of Financial Activities, the Balance Sheet and the the related Notes. These financial reporting framework that has been applied in their preparation is applicable law and the Financial Reporting Standard for Smaller Entities (effective April 2008) (United Kingdom Generally Accepted Accounting Practice applicable to Smaller Entities). In our opinion the information given in the Trustees’ Annual Report for the financial year for which the financial statements are prepared is consistent with the financial statements. This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed. • adequate accounting records have not been kept or returns adequate for our audit have not been received from branches not visited by us; or Respective responsibilities of the trustees and auditors • the trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies exemption in preparing the directors’ report. As explained more fully in the Trustees’ Responsibilities Statement set out on page 4, the trustees who are also the directors of the charitable company for the purposes of company law are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view. Our responsibility is to audit and express an opinion on the financial statements in accordance with applicable law and International Standards on Auditing (UK and Ireland). Those standards require us to comply with the Auditing Practices Board’s (APB’s) Ethical Standards for Auditors. Scope of the audit of the financial statements A description of the scope of an audit of financial statements is provided on the APB’s website at www.frc.org.uk/apb/scope/ private.cfm. Opinion In our opinion the financial statements: • give a true and fair view of the charitable company’s affairs as at 31st March 2013, and of its incoming resources and application of resources, including its income and expenditure, for the year then ended; • have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice applicable to smaller entities; and • have been prepared in accordance with the requirements of the Companies Act 2006. Matters on which we are required to report by exception We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in our opinion: • the financial statements are not in agreement with the accounting records and returns; or • certain disclosures of trustees’ remuneration specified by law are not made; or • we have not received all the information and explanations we require for our audit. Emphasis of matter-Going concern In forming our opinion on the financial statements, which is not modified, we have considered the adequacy of the disclosure made in the Financial Review section of the Trustees’ Report in the financial statements regarding the company’s ability to continue as a going concern. The company incurred a net deficit of £43,751 (2012: £15,471) during the year ended 31 March 2013. At that date the company’s current assets exceeded its current liabilities by £169,907 (2012: £195,459) and it had net assets of £239,137 (2012: £282,887). These conditions, along with the other matters explained in the Trustees’ Report, suggest a material uncertainty which may cast doubt on the company’s ability to continue as a going concern. However, because of the restructuring programme and available funding beyond 31 March 2014, the financial statements do not include the adjustments that would result if the company was unable to continue as a going concern. Richard Platt For and on behalf of Grainger & Platt Chartered Certified Accountants and Registered Auditors 3 Fisher Street, Carlisle, Cumbria CA3 8RR The year to 31st March 2013 has been difficult in terms of securing funding streams for the future sustainability of the business. We have had to make some extremely hard decisions, to enable Cadas to survive in a reconfigured format. These decisions were made to ensure that Cadas could survive as a volunteer and support service to help its clients. Incoming resources decreased to £601,000 from £704,000 the previous year a decrease of 15%. The decrease is mainly attributable to the loss of local government contracts. Expenditure decreased by 10% to £645,000, the decrease is related to the provision of services due to the loss of contracts referred to above, however extra costs were incurred due to redundancy payments. Charitable activities costs decreased by £83,000 (-14%), governance costs increased by £6,000 (+6%). Rigorous cost control was maintained with the governance costs increase solely down to redundancy payments. Net resources show an increase of net expenditure during the year of £29,000 to £44,000. At the end of the financial year, total reserves stood at £239,000 of which unrestricted funding accounted for £151,000 a decrease of £56,000 on the previous year. Throughout the year the Directors and senior management met to monitor the company’s financial situation, 2013/2014 will continue to prove to be a very difficult year. Once again our sincere gratitude goes to all our supporters, and I must congratulate the team at Cadas for continuing to deliver exceptional results against the backdrop of difficult times financially. Nick Cusick Treasurer Finally this my last report after 13 years and I would like to thank everyone who has helped, cajoled, and inspired me at Cadas throughout my time as treasurer. The work you do always reminds me that we should help those around us as much as we can. There is remarkable life changing work going on here and you should all be very proud of what you do …… I know I am. Go well and Good luck. Balance sheet as at 31 March 2013 Notes Fixed assets Tangible assets Current assets Debtors Cash at bank and in hand Creditors: amounts falling due within one year 15 £ 2012 £ 69,230 6,353 265,289 ________ 271,642 26,302 261,113 ________ 287,415 17 (101,735) ________ (91,956) ________ Net assets £ 87,428 16 Net current assets Funds Restricted income funds Unrestricted income funds 2013 £ 169,907 ________ 239,137 ====== 195,459 ________ 282,887 ====== 86,611 151,526 ________ 239,137 ====== 75,133 207,754 ________ 282,887 ====== 18 Total funds The financial statements are prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies and in accordance with the Financial Reporting Standard for Smaller Entities (effective April 2008). The financial statements were approved by the board on 29th August 2013 and signed on its behalf by C G Scott-Harden Director Statement of financial activities (incorporating the income and expenditure account) For the year ended 31st March 2013 Unrestricted Funds £ Restricted Funds £ 2013 Total £ 2012 Total £ 30,448 4,018 18,946 2,471 47,702 23,766 ________ 108,405 ====== 489,376 493 996 0 2,780 ________ 492,649 ====== 519,824 4,511 19,942 2,471 47,702 26,546 ________ 601,054 ====== 591,356 12,911 4,341 82,289 12,552 ________ 704,546 ====== 35,816 135,332 ________ 171,148 ====== 473,658 ________ 473,658 ====== 509,474 135,332 ________ 644,806 ====== 602,720 117,297 ________ 720,017 ====== (62,743) 18,991 (43,752) (15,471) Transfers Between Funds 6,513 ________ (6,513) ________ ________ ________ Net Income (Outgoing) Resources (56,230) 12,478 (43,752) (15,471) Balances Brought Forward 1st April 2012 207,754 ________ 151,524 ====== 75,133 ________ 87,611 ====== 282,887 ________ 239,135 ====== 298,358 ________ 282,887 ====== Incoming Resources Health Authorities, Local Authorities, Social Services, Probation Service, Police, CDRP, CDAAT, Independent Funding - Grants & Agreements Donations & Gifts Activities for Generating Funds Bank Interest Training & Administrative Services Other Income Total Incoming Resources Resources Expended Charitable Activities Governance Costs Total Resources Expended Net Incoming (Outgoing) Resources before Transfers Balances Carried Forward 31st March 2013 Transfers between funds comprise the capitalisation of fixed assets and the writing-off of deficits on closed funds. Full sets of accounts available, by request, from CADAS HQ Sir John Fisher Foundation Donations received in the year 2012/13 include: Rotary Club of Furness ASDA Mrs J Clarke & Miss H Clarke CADAS Sponsored walk Systems Training Client(s) Holehird Trust NMP Community Foundation Co-operative Fund Our thanks go to all those generous individuals who kindly donated in the 2012/13 period. Together with those mentioned, we would like to acknowledge everyone who made a donation but wished to remain anonymous. Cadas values every donation made, great or small. Countywide Volunteers The volunteers work alongside staff in each locality. They enable Cadas to work with more people and offer invaluable services that improve the experience of our clients and the involvement of communities throughout Cumbria. Volunteering with Cadas provides experience for people interested in a career in the field of addictions. It also offers an opportunity for people with time on their hands to make a personal contribution to themselves, their families and their local community. Many of our volunteers go on to secure paid part time and full time positions in partner and associated organisations, become self employed or go on to further education This reintegration and recovery enhances Cadas’ aims to raise awareness and open up opportunities for individuals to learn skills, tolerance and understanding which is then disseminated within their own families, extended family members and their communities. Paid/Unpaid workers throughout the county:Based at Cadas Carlisle Headquarters Paul Brown, Chief Executive Officer F/T Annie Brown, Operations Director F/T Jayne Campbell, ICT Manager P/T Anne Connolly, Training & Development Manager F/T Helen Davies, Young People and Family Manager P/T Janice Routledge, County Finance Controller F/T Amy Madge, North YOS Co-ordinator F/T Emma Hughes, Countywide Service User Co-ordinator P/T Hel Lawrie, Carlisle Community Development Worker F/T Jennifer Marrs, DASH East Cumbria F/T Phil Sharp, STARS Co-ordinator and Cumbria Carer Support Co-ordinator East Cumbria F/T Based at Barrow-in-Furness Centre Natalia Wealleans-Turner, Centre Manager F/T Carrie Carpenter, Office Co-ordinator P/T Adam Greer, Health & Well-being Worker P/T Nicola Speirs, Volunteer & Community Development Co-ordinator P/T and PCFS Manager P/T Nanette Pyatt, South YOS Co-ordinator P/T Jolene Barker, DASH South Cumbria F/T Tony, Gaina, Marcia, Michelle, Chris & Lisa, Volunteer Training Facilitators Jason Farragher, Cumbria Carer Support Co-ordinator Barrow-in-Furness P/T Clare Rogan, Cumbria Carer Support Co-ordinator Barrow-in-Furness P/T Based at Workington Jackie May, Cumbria Carer Support Co-ordinator West Cumbria P/T Based at Kendal Centre Julie Oram, Cumbria Carer Support Co-ordinator Kendal/South Lakes P/T David, Volunteer Administrator As at 31st March 2013 Anne Edwina Kim Payal Bridget Emma Kirsty Penelope Adam Emma Lamine Peter Alan Fiona Lance Peter Alan Gary Laura Peter Alex Gemma Laverna Pippa Alison Gemma Lesley Rachel Amanda Hannah Linda Rebecca Andrea Hayley Linda Rebecca Andrew Hazel Lindzi Roger Anna Helen Lisa Sandra Anthony Holly Lisa Sandra Audrey Howard Liz Sara Aylisse Ian Louisa Sarah Bea Ivy Lyndsey Sarah Bernard Jackie Madeleine Sarah Bo Jacquline Mandi Sheila Brett Jane Marcia Sheila Bryan Jane Maria Simon Carol Janet Marie Stella Carole Janice Mary Stewart Carolyn Jean Maryann Stuart Cheryl Jean Maxine Stuart Chris Jennifer Megan Sue Chris Jenny Michael Sue Chris Jo Michael Sue Christian Joanne Michele Susan Christine Joanne Michelle Susan Christine John Michelle Suzannah Claire John Mike Suzanne Clare Johnathan Nadine Terry Collette Jolene Naomi Tim Cristie Julia Naomi Tracey Daisy Julie Nathan Valerie Dave Julie Nuala Vanessa David Karen Pamela Vicki David Karen Pat Wendy Deborah Kate Patrick Zara Deirdre Kate Paul Zoe Diane Kath Paul Dimitry Katrina Paul Donald Katrina Paulina Cadas Centres across the county Carlisle: 5 Victoria Place, Carlisle CA1 1EJ Tel 01228 544140 Fax 01228 599684 www.cadas.co.uk Kendal: Stricklandgate House, 92 Stricklandgate, Kendal LA9 4PU Tel 01539 742615 Barrow-in-Furness: 52 Paradise Street, Barrow-in-Furness LA14 1JG Tel 01229 811111 Fax 01229 811133 Workington: 4 Peter Street, Workington CA14 3DA Tel 01900 608498 Thank you to everyone who contributed to the 2012/13 Cadas Annual Report Compiled by Helen Davies, North Service Manager & Natalia Wealleans-Turner, South Service Manager Design and Artwork by: Benzie Graphics Limited 01228 533888 Cadas is a Registered Charity No. 1002201 and a company limited by guarantee. Registered in England and Wales No. 2585199 at 5 Victoria Place, Carlisle CA1 1EJ