Monitoring and Review Report (Quarterly)

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Monitoring and Review Report (Quarterly)

Project/Service CCP HoPES – Worcester City

Project/Service Commissioning Manager Kathryn Jones

Project/Service Sponsor CCP – Caring for Communities and People

Version One Date 12/11/2020

Document Location

Monitoring Period: 1st October 2019 to 30th September 2020

1. Progress report from the Provider for above period: The Provider section is to record a précis of how the service, which is covered by the contract name and number, has progressed, developed or functioned during the monitoring period. They must ensure they address the outcomes as set out in the contract. This section should also highlight any unmet needs of service users.

Annual Summary for Worcester City October 2019 – September 2020 CCP’s ongoing response to The Covid 19 Pandemic Covid- 19 CCP Business Continuity Plan Implemented (16th March 2020) Prior to the government’s implementation of lockdown, CCP triggered its continuity plan to ensure that the safety of staff and service users was given the utmost priority. This initially involved screening of service users accessing emergency provision settings such as SWEP, NSNO and Somewhere Safe to Stay. Also implemented were daily cleaning rotas for all of our projects and consistent but limited staffing across all sites. NSNO and SSTS were moved from a shared setting to individual placements within rooms on 2nd April. CCP contributed to the County Wide response for Rough Sleepers in Covid-19 in the following ways:

• Support staff provided 24/7 at the Fownes Hotel where 56 rough sleepers were housed at one stage. The project is continuing until March 31st 2021 with 16 rough sleepers accommodated currently. The Fownes will also host this year’s Worcester City SWEP provision.

• Support staff provided 24/7 at Ombersley Road which housed 13 entrenched rough sleepers with complex needs initially and has now become the counties NSNO facility

• At the height of the initial lockdown period CCP were in attendance at 12 multi agency operational digital meetings per week in support of the “Everyone In” Emergency Response to the Pandemic. This incudes: The Homeless Task Force Meeting, Homeless Sector Plan – Covid 19 Care and Protect, Drug and Alcohol Task & Finish Group and The Covid 19 Recovery Plan.

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November 2020

• The CCP HoPES Service continues remotely with 97 open cases at the end of Q4. • Support workers report weekly on contact with clients to ensure no one goes off our radar. • Winter Weather Workers continue to support clients at The Fownes with the Project being extended

beyond the 31st October 2020 and ongoing month by month.

• CCP staff receive regular updates on Government Advice related to Covid 19 and we attended the recent Task & Finish Exercise Scenario Testing.

• NSNO outreach continues at Ombersley Road and has now become the mid-term home of NSNO until December.

We have continued to adapt our approach to client and partner agency support in all aspects, providing a quality and fluid service to meet the needs of our clients and partner agencies during the pandemic. Over the past 12 months for Worcester City CCP HoPES Service has:

Supported 94 individuals to accessed or remain in their accommodation at the end of support.

Provided shelter and safety to 72 people recently homeless at NSNO

Prevented 34 of 72 people from becoming rough sleepers via the NSNO (47%)

Prevented 60 of 78 people from losing their tenancies. (77%)

Provided shelter and safety from freezing conditions for 83 people over 39 SWEP activations, (including 16 due to flooding), at the Worcester City shelter.

Ensured that the waiting list has remained at or close to 0 throughout the year

Assessed 94% of referrals within 72hours (77% within 24 hours)

Economic Wellbeing

Supported 67 of 88 people to reduce their debt (76%)

Supported 40 of 49 people to maximise their income via receipt of entitled benefits (82%)

Improved Health and Wellbeing

Supported 27 of 36 people to engage with primary health care (75%)

Supported 40 of 54 people to engage with mental health care (74%)

Supported 56 of 77 people to engage with substance misuse services (73%)

Promoting Safety

Supported 43 of 55 people to reduce their offending behaviour (78%)

Supported 34 of 42 people to follow statutory orders and licences (81%)

CCP Support workers also delivered 66 modules of Rent Ready Training this year SWEP 2019/20 CCP very much campaigned for and welcomed the addition of 5 local SWEP shelters into this new HoPES contract. The contract went live in October 2019 and CCP was able to set up 4 new SWEP shelters in addition to the existing one in Worcester City in time for the official start of SWEP on the 1st November. In doing so we have developed additional partnership working with: St John The Baptist Church in Kidderminster The Salvation Army in Malvern All Saints Church in Evesham The Baptist Church in Redditch (A move from the previous location at the Salvation Army).

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This was the result of many meetings with ministers, church wardens and congregations, often in the evenings, where Q&A sessions have been held to answer questions, allay fears and promote good relationships. The county now has a full complement of local SWEP solutions for rough sleepers when the temperatures hit 0 or below. This would not be possible without some fantastic people from the above partners.

CCP successfully mobilised and staffed the 5 SWEP shelters each time they were required from 1st November 2019 – 26st March 2020. This includes 2 activations outside of protocol, over a weekend at short notice due to storms.

• 39 Nights ( Inc. 16 in Worcester City for flooding) • 131 Individuals accessed – (83 at the Worcester City Shelter) • 479 sleep spaces provided – (353 at the Worcester City Shelter) • 262 Night Shifts Covered – (78 at the Worcester City Shelter) • 20 consecutive nights in Worcester City due to flooding

The full SWEP has been activated 23 times in total with a further 16 nights offered in Worcester City due to flooding. Take up overall remained minimal in Malvern and Kidderminster. Outreach has been conducted in each district every time SWEP has been activated by CCP in partnership with Local District Councils and the MOATS/ Maggs Navigator teams. Winter Weather Workers End of Season Report 19/ 20 Rapid Response Officers were in post from the 14th of January 2020 until 3rd of April 2020. Over these twelve weeks they provided support to rough sleepers across Worcestershire. Significant outcomes have been achieved:

Responded to a total of 85 StreetLinks and general outreach enquiries County wide.

Attended Local Intelligence Group, (LIG), rough sleeper Meetings County wide, some of which were

initially set up by last year’s Rapid Response Officer Pilot.

Worked in partnership with Local District Council housing teams and key partners on outreach to

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support outputs from the LIG meetings.

Located and referred 10 individuals who subsequently attended SWEP in Worcester City.

Identified and made positive contact with 52% of the 42 StreetLink referrals made into the service

with almost all being responded to within 24 hours.

Been a supportive presence at/ worked overnight at SWEP shelters across the county.

StreetLink & Outreach The Winter Weather Workers have had a total of 41 StreetLinks in the past 12 weeks. 22 of these StreetLinks have been identified and supported by WWW team (i.e. names have been recorded and contact has been made). Most StreetLink alerts were responded to in 24 hours although at times this has been longer due to days off. WWW’s have provided initial support with: housing options, homelessness applications, welfare and wellbeing, and liaised with other housing partners to ensure everyone they encounter receives the correct and appropriate advice for their situation. Their aim has been to make every contact count. A furhter 20 Streetlinks were picked up by the CCP Redditch & Bromsgrove Rough Sleeper Service. StreetLink By District: 32 for Worcester City 6 for Wyre Forest 2 for Malvern 1 for Wychavon 7 for Redditch (CCP R&B Rough Sleeper Service) 13 for Bromsgrove (CCP R&B Rough Sleeper Service) WWW SWEP The 2 WWWs have attended the majority of the 39 SWEP nights. This has been either by flexing to an 11pm finish in Worcester City making the service users aware that SWEP is scheduled or staffing the shelters across the county overnight. RROs have guided 10 new service users to SWEP and from that point were able to establish a connection and guide them for further support. Feedback from service users One of the service users who was initially found by RROs during a Streetlink alert said: “I was found sleeping around the back of Nando’s and since then I have had lots of help from CCP and have been placed into accommodation by the council. I am very grateful”. Another Service User who recently moved into the Ombersley Road Facility said: “Really this is the best thing that ever happened to me!” Feedback from Winter Weather Workers The “Team of Two” have enjoyed this role very much. “It has been a pleasure to go out and help people who are desperate need of it, who feel lost and often don’t know how to help themselves.” Oleg (WWW) “It has been great to be able to reach those people and offer the help they require and deserve.” Rick (WWW) Some opportunities to develop the role ahead of this coming winter have been identified.

Enhanced promotion of the StreetLink Service which could involve active advertising to the general

public, local businesses/ Services that operate in relevant hot spots. Areas would include Town/City

Centres but also the railway and canal operators, Farms/ other land owners and country pubs.

Social media would play a key role in this with Winter Weather Workers heading up the

communication operation.

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Further consideration needs to be made to the shift patterns as it was felt that some early morning

outreach would have given the opportunity to pick up StreetLinks before people move off for the

day. There is potential for a wider HoPES or partner agency solution to this that also included

picking up the WWW’s days off.

Mobilisation was delayed this season but the later winter has meant that the team were in place at

the most needed time. With this in mind we need to review the prescribed period of October to Jan

ahead of this coming winter.

CCP HoPES Service Age Statistics: based on 481 referrals into the service as a whole countywide.

18-24 15%

25-34 32% 34-50

38%

50-60 14%

60 plus 1%

Age

18-24

25-34

34-50

50-60

60 plus

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Primary Reason For Homelessness: based on 481 referrals into the service as a whole countywide.

Trends this year/ Possible Covid effects:

• Relatives/ Friends no longer able to accommodate remains the highest reason for homelessness – Consistant throughout the year

• Relationship breakdown with partner remains the second highest reason – Consistent throughout the year

• Rent Arrears in general have continued to trend down from 17% in Q1 to just 2% in Q4 • ASB has also continued to trend down from 9% in Q2 to just 1% in Q4 • Left Prison remains double for Q4 compared to the first 2 quarters, (Q1 8%, Q2 8%, Q3 20%, Q4

16%) • Harassment/ Violence seems to be on an upwards trend, (Q1 1%, Q2 1%, Q3 3%, Q4 6%)

What are the difficulties of getting people housed?

Government cap on private landlords related to housing benefits.

Reduced the number of landlords prepared to take HB.

The top up amount has increased and so JSA payments of £73 pw (£56 pw for under 25’s) does

not cover this.

Landlords are demanding large deposits upfront and asking for guarantors.

Emergence of “Rogue Landlords” who will rent out substandard homes. Although we were not

directly involved in the report this was also a feature in the latest City Life Issue 41 – Dec 2017.

We are seeing more younger people accessing our service and these barriers are particularly hard

on them.

33%

15%

14%

10%

6%

4%

4%

3%

3%

3% 2% 2%

1% 0%

Primary Reason For Homelessness Relatives/friends no longer able or willing toaccommodate - Parents/OtherRelationship breakdown with partner - Violent/ NonViolentLeft Prison

Rent Arrears - Social Housing/ Private Rented Sector

Sleeping Rough

Loss of rented accomodation not due to end of AST

Loss of hostel/ move on from Hostel

Loss of tenancy due to ASB - Social Housing/ PrivateRented SectorArrears due to HB

Harrasment/violence

Left Hospital/ Left Care

Loss of insecure/tied/LA Tenancy

End of AST

Homeless due to Emergency (Fire/Flood/NaturalDisaster)

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Housing Associations

“They are becoming more like detectives” and this is increasing the barriers.

Not just focussing on rent arrears for example costs such as repair bills and deep cleans are being

added to rent accounts.

Nature of our Client Base

Many of our clients have complex needs.

This presents problems when trying to find suitable housing solutions. An example is a client who

has mental health issues coupled with alcohol abuse. They cannot access mental health services

with dual diagnosis, but they cannot access rehab prior to an alcohol reduction plan. The issue then

is finding a facility to house him temporarily with all the complex needs so that the alcohol reduction

plan can be put into place.

Poor housing history in their local area - Some people declare that they would rather sleep on the

streets than accept some of our housing options.

Positive Engagement vs Criminalisation.

Prison Service

People released from prison as NFA

Clients incurring rent arrears and getting into debt while in prison.

Services in Worcester

St Paul’s Hostel

YMCA

Heenans Court (Platform/ Fortis Living)

Spring House

Bath Road Project 18-24

Spring Housing (where the Homeless Foundation’s ‘Pod’ is situated).

Bromford’s Charles Court Supported Accommodation.

Advance Housing Supported Accommodation for clients with learning difficulties.

Increasingly the criteria of these facilities is the barrier that leads to rough sleeping.

Added Value

Hamper Scamper 2019 – Hamper Scamper 2019 was completed with a total of 1,757 food hampers and around 2,000 gifts delivered to vulnerable individuals and families struggling at Christmas. Our

Worcestershire services took part in this and over 100 boxes and gifts were delivered to our client group. Students - We welcomed a Frontline fast track student from Gloucester University who supported our team with HoPES cases this quarter, with another two set to join us shortly alongside a further full 90 day placement in the coming weeks. CCP is very proud of its Social Work Placement Programme which is facilitated by our Placements Manager and a team of fully qualified Practice Educators and fully trained Practice Supervisors. Social Work Students on placement at CCP experience weekly supervision alternating between Educator and Supervisor. All CCP HoPES Support Workers are registered on PRS websites and receive daily real time info on

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vacancies. Commitment to CPD Over the past 12 months CCP Support Staff have participated in a range of training activities including:

- Crisis Renting Ready Facilitator Training - Physiological Informed Environments - Making Every Contact Count - Mental Health First Aid - First Aid at work - Working with Personality Disordered Offenders - ASIST – Suicide Prevention - Principals of Effective Client Support - Prevent Radicalisation Training - Safeguarding - Universal Credit Training - GDPR - Understanding disassociation

How are we working with partners? We are working alongside the following organisations with well established relationships formed over many years of partnership working. The existing network of forums, steering and working groups enabled the swift set up/ mobilisation of Task and Finish groups at the advent of the Global Pandemic. Worcestershire was able to get on with solving the problems without losing precious time gathering people to the table.

These relationships and partnership working networks are strengthened further by our attendance and

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commitment to:

Worcester Cares, (formerly City Response to Homelessness Forum), - Including being part of the steering group.

ODOC Meeting

Local Intelligence Group Meeting

Blue Light Meeting

ASB Meeting

Voluntary Organisations of Worcester (VOW)

Worcestershire Wellbeing Hub Provider Networking Meeting

Multi-Agency Meetings

VCS joined up approach Private rented accommodation

Actively search websites and set up daily alerts.

Set clients up with emails (at the Hive/libraries).

Check for landlords that accept DSS and housing benefits.

Refer to sheets.

Private Rented Accommodation Placements

Quarter Worcester Wyre Forest Wychavon Malvern Redditch & Bromsgrove

1 14 3 4 1 1

2 13 2 7 0 0

3 21 6 2 0 1

4 14 4 7 1 1

Total ytd 62 15 20 2 3

We also:

Support clients to complete Habitual Resident Tests, which includes funding for travel to Embassies

and ID costs etc.

Support clients by applying for Vicar’s relief fund (deposit, rent in advance and fees), WHABAC

(deposit bond).

Support clients on housing benefit to apply for DHP for deposits.

Support clients who need to move onto Universal Credit, and to request direct payments to

landlords and provide budgeting advice.

CCP £250 can go towards deposit/rent in advance.

CCP can support ex-forces clients to access organisations such as SSAFA, The British Legion,

Combat Stress, etc.

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2. Report on Service User involvement: This section allows the Provider to evidence how service users have been encouraged to be included in the development and functioning of the service provided. Examples of questionnaires, feedback forms or minutes of meetings attended by the service users can be attached to the report. Consultation

Our CCP feedback survey is on all our email signatures and so out to all stake holders and clients.

This is also available on our website giving external partners opportunity to feedback.

We appreciate that SMART Survey isn’t always one size fits all and once a quarter across all services, we gather face to face feedback from our service users

What feedback is telling us?

Clients tell us that they feel we achieve a lot with limited resources

Client’s feedback that they are frustrated with the housing outcomes due to lack of PRS tenancies

available to those on benefits, rather than the service they receive.

Formal complaints aimed at CCP are minimal with only this year.

Service User Involvement Survey “Everyone In” In July 2020 CCP carried out a Service User Involvement Survey to help inform the County wide NSAP bid. A sample of 28 clients, housed as part of the “Everyone In” project at various locations across Worcestershire, were invited to talk to Support Workers, reflect on their experiences and give their feedback. Drawing on learnings form “The Escape Plan”, a participatory research study by ‘Groundswell’, an exchange approach was employed rather than a questioning approach which allowed service users to express themselves more freely. This approach also recognises the service users as experts in their own situation. Instead of asking all of the questions directly, Support Workers allowed the conversation to be led by them. Support workers found that service users were often open and honest- their willingness to share their personal experiences was enlightening. CCP then asked for feedback on the experience and most service users commented that they felt valued being able to tell their story and feel listened to in a non-judgmental environment. The difference between asking and inviting someone to talk has been recognised as well as the benefit to them therapeutically. CCP Worked with partners to design the 11-question survey questionnaire and gain service user input into the bid. CCP also took the opportunity to gain specific feedback on its own services by adding 3 questions at the end.

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Service users were overwhelmingly positive in their opinions of CCP, when asked if they would recommend CCP most responded with phrases such as: “100%”, “Definitely” or even “110%”. Service users felt that staff often go “above and beyond” by supporting them with more than their housing. Even where staff were unable to provide practical support service users appreciated staff that had a “genuine desire to help”. Service users felt that CCP where always there to listen and that sometimes that is all that was needed. Finally, service users felt CCP helped them organise and manage their appointments which many said are hard to keep track of when they are involved with so many organisations.

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Many service users were reluctant to give negative feedback and so we reminded them of the value of this and that the feedback remained anonymous. This encouraged them to be more open and honest about their opinions. One service user, who was based at the Fownes Hotel, felt that CCP could do more to approach and engage service users who were more introvert and less likely to approach the desk for help. He described this in the context of his own personality and suggested that he would have preferred to be invited to the desk for appointments. He said he felt intimidated by the walk-in approach as he did not feel confident enough to do so. He didn’t want to disturb the staff while they were busy or approach the desk while other service users were around. This recognises the difficulty in running a support service from a working hotel lobby. In addition to this some service users felt that their support worker was changed too often. Some felt they benefitted from their support worker being available on site, while others felt disadvantaged because they weren’t. Most appreciate that Covid-19 has impacted staff dynamics. This does however demonstrate the value of face-to-face support. In addition, employment proceeded housing as a priority for many who felt that homelessness was a barrier to employment. The CCP HoPES Service is not measured on supporting clients to access employment but Support Workers do offer this assistance and a more focussed approach on this could be considered for the future. One of our Social Work Students on placement who was involved with the survey has also recommended that CCP make better use of the ‘third party contacts’ tab on our case management system. While most identify the NOK it would be beneficial to have all regular contacts that the service user associates with (such as their housing officer or probation officer, for example).

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All of the feedback was presented at one of our monthly Team Meetings and Support Worker have subsequently given these areas some extra focus. A Sample of comments from the survey: “I will say one thing, you guys CCP, have been absolutely fantastic. 20 out of 10! CCP staff are friendly, helpful, sympathetic and morally supportive. I honestly think if it wasn’t for all of you and your kind natures, I would be six feet under by now.” “I was able to move from the flat that has bad memories as my baby was taken away from me in that flat. moving away helped with my mental health.” “Yes, my quality of life has increased even though I still drink but I have a home to go to. I have food bags

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and food voucher that keeps me going” “I have already recommended CCP to lots of people for their brilliant services and I will still do that.” “I was provided with roof over my head, received some help with other accommodation options.” “Yes, my life has become very stable and I am looking at getting a job in the nearest future.” “Yes, always there for me and ready to support me. did my budgeting plan even though I don't use it effectively as I am always out of money. I am able to get frequent voucher and food parcel which are very helpful.” “A massive positive difference! It's given me the space and support to reflect and to understand the anxieties and stresses that I had. It allowed me to think about my future. It was a bit of rest. I am more positive now. When I leave I will miss my fellow residents.” “You've made a big improvement towards my feelings. I feel cared for and nourished. The feeling of being lost is being eliminated. I feel like I've made the effort and it has been worth it.” “When I first arrived I was assigned a really good worker but staff have been great. They don't just help with housing.” “Yes, I would, definitely. I mean, I wouldn't advise someone to be homeless so that they can meet you but if someone is in need you I would.” “I have a home now. I am over the moon with the service I have been given.”

3. Report on Quality Assurance:

This section allows the Provider to evidence the quality assurance activities they undertake for this service. This could include how comments, complements and complaints from service users and other people have been acted upon, quality assurance accreditation you have received or hold and how you ensure continuous improvement of the service.

Our staff and volunteers are trained to the same standard through our OCN accredited in-house training programme – Principles of Effective Client Support (PECS). It covers a range of essential knowledge that is relevant to all services and staff, including: Personal skills and strengths, Basic client support principles, Professional and personal boundaries, Risk assessment, Data protection and information sharing, reporting professional concerns and allegations management, dealing with conflict and difficult situations, Assessment and action planning, Lone working guidance, Managing incidents, Professional concerns processes.

Crisis’ ‘Renting Ready’ training will be an ongoing provision within HoPES, Ombersley Road and The Fownes Hotel.

We deliver Safeguarding training as an additional mandatory course, supplemented by a series of e-learning courses in Child Protection, Hidden Harm, Domestic Abuse, Safeguarding Leadership and Vulnerable Adult Awareness. The in-house training is supplemented by other more specialist training courses such as Mental Health Awareness.

Ongoing continual professional development is key and number of staff have recently attended a range of role specific training including: Mental Health First Aid Training, Safeguarding, Fire Marshall Training, IOSH accredited H&S training, First Aid Training and ACE’s conferences.

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The front line team structure includes a Project Manager and 2 Senior Support Workers who share the responsibility of providing case work guidance, supervisions and case reviews for the Support Worker Team.

Social work students on placements are expected to carry a full case load and this is supported with weekly supervision alternating between a fully qualified Practice Educator and a fully trained Practice Supervisor who is also a Senior Support Worker.

4. Case Studies:

Worcester City 1 Client was referred in to the service by WCC as a sofa surfer and occasional rough sleeper. Client had multiple diagnosed mental health conditions, suicidal ideation, was alcohol dependant and had a violent criminal history. Client accessed medical and emergency services on a regular basis due to issues related to his alcohol dependency. Client had arrears from a previous tenancy. Client was referred by CCP to a number of accommodation options, but due to his criminal history, rent arrears and high needs, these referrals were unsuccessful. Client was given support by CCP to engage with Swanswell for his alcohol dependency and support to attend medical appointments. CCP raised causes for concern on more than one occasion for client voicing suicidal thoughts and support was given during and following these incidents. CCP referred client in to the Blue Light service to try and access further support and to help reduce client use of emergency services. Client was housed in Temporary Accommodation after a deterioration in mental health. During this time client had a short period of sobriety. Client was then housed in a NACRO property. Soon after this tenancy started client spiralled in to further alcohol dependency and poor mental health. CCP encouraged and supported client to attend Swanswell appointments. Client was accepted on the Blue Light service. CCP supported Blue Light worker to engage client with appointments and look in to further housing options for client. Client has now been placed in a Rehabilitation facility and is doing well. Worcester City 2 The client was in accommodation where they felt threatened by other residents and told they were not able to have their pet living with them. They felt trapped as they had no other options of accommodation and were not prepared to give up their pet. The client was due to go into hospital for an operation and was required to self-isolate for 2 weeks prior to this, due to the current pandemic. Staff enquired about accommodation which they knew had previously allowed pets. The client has been accepted for a temporary placement while permanent accommodation is found. This allowed them to self-isolate and recover from their operation without the pressure of trying to find alternative accommodation.

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The client has great engagement with support workers and is much happier and more relaxed than when support began. Worcester City 3 Client was referred in to CCP by WCC after having a relationship breakdown and a period of sofa surfing. Client was given advice and support on how to get a UC account set up in preparation for housing support, which the client completed. Referrals were made to Spring Housing and the YMCA. Client was then accepted in to the YMCA. Application to Vicar’s Relief Fund was made to help with the 2 week rent in advance for the YMCA, which was successful and was then paid directly into the YMCA. Support was then given to client to set up Home Choice Plus account so they can bid on properties. Client is sustaining and doing well. Worcester City 4 A client with high and complex support needs who was referred into the HoPES service to gain support in sourcing and obtaining stable accommodation. Client has experienced an extended period of unstable accommodation and rough sleeping and frequently becomes involved in romantic and platonic relationships that result in them experiencing DVA. Alongside this they regularly report and display erratic, increasingly self-destructive behaviour and difficulties with their mental health. Which leads to them engaging in alcohol and substance misuse in reaction to their experiences and to ‘self-medicate’. Resulting from this is that they now have a substance misuse issue that they will engage in criminality to fund, and whilst under the influence. Even with the client’s very evident deterioration of mental health, Mental Health services have declined to put together any package of support until such a point that the client is able to achieve sobriety from substance misuse. However, this is much more difficult for the client to achieve when their misuse has developed as a result of their inefficiently supported mental health issues.

Name of person submitting monitoring report: Ross Webber Signature (not applicable for e-returns): Date: 12 November 2020 *Delete as appropriate

Documents

Monitoring and Review Report (Quarterly)