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assessments thus giving her ~timate knowledge of the tasks needed by our clients. The supervisor of the aforementi4ned staff has had eight years experience with the CAP/DA Program and dealing with staffing iss _ties. The IHA supervisors also alert the CAP/DA case managers on a daily basis on any cases w~ch will not be staffed and assure that there will be family or friends available to assure that the clients activities of daily living will be met. At least monthly, and often more frequently the ca~e managers and IHA supervisors meet to discuss on-going service delivery. Problems arising ~ solved promptly and to the clients' best benefit. Presently, both the In-Home [ide Program and the CAP/DA lead agency complete annual surveys to assess client satis$ction with the delivery of services. The clients are found to have a high satisfaction rate with thd services provided by the in-home aides, the IHA supervisors, and the CAP/DA case managers. ! We review each survey. Suggestions are discussed to determine ways to improve service deli*cry. 2. Capacity of Applicant tq Implement a Consumer-Directed Care Option Within the Project Period Cabarrus County DSS is welljequipped and prepared to develop a Consumer Directed service option. Our CAP/DA progralin operates efficiently and effectively to bring consumers into the program on a timely basis, ~ coordinates services that help them delay or avoid long-term care. ;_ We will do the following to ~st ensure effective implementation as it relates to the items below: a. Staff arrangements: Cabarrus County will manage staffthe same as previously, up to a point. CAP i~ake will continue to come through the Crisis Services Unit, as well as the Adult Medi{aid Unit, and will be forwarded to the CAP Unit for assessment and processing. T~_e two CAP processors will assess and offer the option of traditional or cons_{aner directed care. If CDS is selected, they will determine the appropriateness o~this path. Initially, all CDS cases will be assigned to one CAP case manager/con~ltant. This is being done to ensure close supervisory monitoring. b. Ability to work v~i. th consumers in development of a service plan: Training will be provided prior to i~nplementation to ensure that consumers are appropriately informed of the expectation~ and consequences of CDS. This will better prepare CAP/DA staff to handle situatio~ where there is possibly conflict involved in dealing with difficult and/or controversi[l issues, including, but not limited to hiring/firing of in-home aides, changing b~k from CDS to traditional CAP/DA, and/or problems of appropriate care pi )vision. ¢. Population to be ffered this option: Initially, during the start-up phase of the CDS demonstration, all 2AP applicants will be given the option of CDS, but not all will qualify. Also, exi.' iing CAP/DA cases will be advised of the CDS option. 3. CONSUMER INVOLV,ENT It is essential to learn from co{hsumers how they feel about whom will determine their needs, and how these needs will be met. There also needs to be an inquiry into how additional services and 5