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Summaries of cases that
concern more than one category of complaint appear under
all relevant category headings
Adult
care services 11 case
summaries - 3 NEW
Mar-Apr 2008
Children and family services 3 case summaries - 1
NEW April 2008
Adult care services
Trafford Metropolitan Borough Council (04/C/17057)
Further report (first report found maladministration causing
injustice)
Trafford Council’s rejection of an Ombudsman’s
recommendation to waive the repayment of a housing grant acts
against the legitimate interests of an elderly woman with mental
health problems who it has wronged, said the Ombudsman. She had
asked the Council to remedy the injustice caused, but in her
second critical report she says “I am dismayed that it
has responded in what I can only describe as a cavalier
manner to the prejudice of a very vulnerable citizen.”
In her first report, issued on 30 November 2006 following an independent
and thoroughly researched investigation, the Ombudsman criticised
the Council for not having ensured that the woman fully understood
the terms and conditions of the housing renovation grant at the
time she signed the application, and for officers advising councillors
that the woman’s mental state was not relevant. She recommended
that, in the unusual circumstances, it should exercise its discretion
and waive the repayment of the grant.
‘Ms Walker’ complained on behalf of her mother, ‘Mrs
Walker’ (not their real names) who suffered from severe
mental illness over a long period. In spring 1996 Mrs Walker
enquired about a renovation grant for her home.
If someone who received a renovation grant sold or moved out of
their property within a specified time period, the council could
require partial repayment. Between the time when Mrs Walker first
enquired about a grant and the time she applied for one, the
time period when this rule applied was extended from three to
five years. But no-one appears to have explained this to Mrs
Walker who, when she signed the application in January 1998,
was an in-patient in a psychiatric ward. In June 1998, the grant
was approved.
The result of this was that Ms Walker, who by then had power of
attorney for her mother, arranged to sell the house in the erroneous
belief that the old rules applied. Had those rules applied then
the Council could have recovered none of the grant. Had the daughter
known the truth she could have acted to delay the sale for another
year, after which no recovery could have been made. In the event
the grant conditions were breached and the Council insisted on
a full repayment.
The Council did agree to review its existing policy on the repayment
of grants and to identify possible improvements, but it is now
obliged to consider this further report.
“I deplore the officers’ continued resistance to accepting
my findings of fact, contrary to established case law.” said
the Ombudsman, “I ask the Council to reconsider its position
and waive the payment of this grant.”
15 May 2007
North Yorkshire County Council (05/C/13158)
Maladministration causing injustice
North
Yorkshire County Council failed to properly consider the assessed needs
of a woman who required mental health aftercare. The Ombudsman found that
the Council failed to consider whether its choice of care home for the
woman would meet her need for frequent family contact, a key part of her
assessment. She was also critical of the Council’s delay in making
a decision about who could contribute to the cost of the home.
‘Mrs Trent’
(not her real name) needed aftercare under Section 117 of
the Mental Health Act 1983 (following compulsory detention for
treatment) and became a resident in a care home. Her daughter, ‘Mrs Medway’ (not
her real name) complained about the issues of payment for care, and
whether the home selected by the Council could meet her mother’s
assessed needs.
The
law and guidance on local authority responsibility for fully funding the
costs of aftercare under Section 117 of the Mental Health Act was clear.
However, there was no specific statutory provision, case
law or guidance on whether someone needing Section 117 aftercare and wanting
to go into a more expensive home can meet the difference between those costs
and the costs that a council would incur for a home that could equally well
meet assessed needs.
The
Council initially said that only a third party could meet the additional
costs of a home chosen by the family for their mother. It then reviewed
that decision and concluded that it would be reasonable for the mother
to meet the difference in costs from her own resources.
A
home in the Council’s area had vacancies, and the Council said that
this home could meet the mother’s needs. The Council therefore refused
to pay any more than the amount of that home’s fees. Her care plan
included frequent contact with family members. The home that the Council
said could meet her needs was in a rural location and difficult for family
members to reach.
The
Council now accepts that the home chosen by the family was appropriate,
and it will meet the full costs.
The
Ombudsman found that the Council:
- had not properly considered whether
the home it had identified would meet the mother’s assessed needs,
nor taken into account the impact on family contact; and
- had delayed reviewing its initial
decision about third party ‘top-up’ payments after representations
from the daughter, her MP and her solicitors.
If
the Council had properly considered Mrs Trent’s assessed needs and
reviewed its decision about ‘top-up’ payments sooner, unnecessary
distress to Mrs Medway would have been avoided.
The
Ombudsman found maladministration causing injustice and recommended the
Council to pay Mrs Medway £500.
24 July 2007
Trafford Metropolitan Borough Council (05/C/11921)
Maladministration causing injustice
Trafford
Metropolitan Borough Council failed in its legal duty to meet the needs
of a disabled young woman. The Ombudsman recommended that the Council
pay the young woman’s parents £1,000 per week for each week
they had to care for her since August 2005, excluding weeks they have
received respite care, plus
£3,000 for distress, anxiety, and time and trouble taken in pursuing
their complaint.
‘Mr
and Mrs Kaye’ complained that the Council failed to meet the needs
of their adult disabled daughter, ‘Daisy (not their real names).
Daisy
had been living at a centre partly funded by the Learning and Skills Council
with the aim that this would provide a transition to her permanent adult
placement. This transition placement finished in July 2005. The Council
offered one permanent placement at an adult centre, which the family rejected.
The Council did not reply to Mr and Mrs Kaye’s concerns about this
centre, nor did it address their reasons for rejecting the centre. As
no further offer was made, Mr and Mrs Kaye felt they had no choice but
to care for their daughter in the family home. She remains there. Since
September 2005 the Council has proposed a number of centres, none of which
have been able to care for Daisy.
The
Ombudsman found maladministration as the Council failed to meet Daisy’s
needs and:
- failed to use the transition
period appropriately to find a permanent placement for Daisy - no serious
attempt was made to find a placement until the end of the transition
placement;
- has not provided any evidence
for its assertion that a centre could meet her needs nor provided any
sort of transition plan for her move to it;
- carried out a flawed needs assessment before
she left her transition placement and failed to carry out a proper,
thorough, agreed, up-to-date needs assessment for Daisy since July 2005;
and
- delayed considering and offering
any support and help to the family whilst they struggled to care for
Daisy at home - when provided, the ‘help’ was at best sporadic.
The
Council believed that it could have insisted on the one placement it offered
in August 2005, but did not do so because it wanted to forge a good
working relationship with the family. The family feel they have been blamed
for the lack of long term provision. The Ombudsman’s view is that
Daisy’s needs have not been met and that should have been the most
important aim for the Council.
The
Ombudsman proposed that, as a remedy for the injustice, the Council:
- pays Mr and Mrs Kaye £1,000
per week for every week they have had to care for Daisy since August
2005, but not including any weeks she has received respite care;
- pays them £3,000 for their
distress, anxiety, and time and trouble in pursuing the complaint with
the Council;
- ensures that an independent,
impartial, credible and comprehensive assessment is made of Daisy’s
needs and of Mr and Mrs Kaye’s;
- produces a plan with a clear
timescale for the action that it will take to identify and secure a
long term placement for Daisy capable of meeting her assessed needs;
and
- reports to the Ombudsman six
monthly on the progress it has made.
26 July 2007
Poole Borough Council (06/B/7542)
Maladministration causing injustice
Poole Borough Council did not deal properly with the change
in circumstances of a woman who was receiving mental health aftercare.
The Ombudsman found that, when the woman was moved to a new nursing home
out of the Council’s area so that she could be nearer her son, it
did not conduct a proper assessment of her mental health to establish
whether she still needed aftercare. As a result, her son paid over £33,000
in nursing home fees until her death.
The late Mrs Arnold had a history of mental illness and had
been detained in hospital under section 3 of the Mental Health Act 1983
on several occasions. She was discharged on 11 January 2000 with
a care package provided under section 117 of the Act. In November 2000,
her husband, Mr F Arnold, who was his wife’s main carer, had a stroke
and so was incapable of caring for his wife or himself. The Council placed
Mrs Arnold in a nursing home and funded her care there.
In December 2000, the couple’s son, Mr B Arnold, asked
the Council to move both his parents to a home nearer his, in a different
part of the country. The Council said that, as Mrs Arnold received
section 117 aftercare, it would need to get legal advice. It decided that
Mrs Arnold could move, but did not mention the effect that her discharge
from the home would have on payment for her aftercare. Mr F Arnold died
shortly after the move, and Mrs Arnold lived at the new nursing home
until her death in April 2002; her son paid the fees.
In March 2003, Mr B Arnold enquired about the way the section
117 aftercare order had been discharged. The Council decided that this
was done correctly, although it could not provide evidence to substantiate
its view.
The Ombudsman found that the Council failed to carry out a
proper assessment of Mrs Arnold’s mental health needs to establish
if section 117 aftercare was no longer required. It also failed to hold
a multi-disciplinary meeting with the relevant professionals, the patient
and her carer or nearest relative to review the care plan. As a result
of these failures, Mr B Arnold had to bear the full cost of care for his
mother until she died in April 2002.
The Ombudsman finds maladministration causing injustice and
recommends that the Council compensates Mr B Arnold for the cost of his
mother’s nursing home fees between 17 December 2000 and 17
April 2002 (£33,455.58), plus interest at the relevant county court rate.
5 September 2007
London Borough of Havering (06/A/10428)
Maladministration causing injustice
Failures by Havering Council meant that an elderly, disabled
woman had to live in completely unsuitable accommodation for at least
five years longer than necessary. The Ombudsman said that the Council
failed to consider the woman’s housing needs and her human rights,
and recommended it to pay £10,000 compensation.
Sadly, the complainant died before the issue of the Ombudsman’s
report, so the compensation should be paid to her daughter.
‘Mrs Oak’ (not her real name) was 86 years old,
partially sighted, deaf, and suffered from bronchial asthma and arthritis
in all major joints. She lived with her daughter and grand-daughter in
a second-floor three-bedroom maisonette, which was reached from street
level by three sets of 14 steps. There was no lift. She could not manage
the stairs to reach the property or those within the maisonette to her
bedroom and the only bathroom without assistance.
Her daughter, the tenant, applied for a transfer for the family
to a property with level access and asked the Council to award her additional
priority due to Mrs Oak’s medical problems. Mrs Oak complained that
the Council took too long to deal properly with the housing transfer application
and, as a result, she had to live in completely unsuitable accommodation.
In January 2003, a Council officer visited Mrs Oak to assess
her housing needs, and reported that she was “practically a prisoner
in the home”. The Ombudsman added: “That tragic, deplorable
and wholly preventable circumstance did not improve in the intervening
years.”
The Ombudsman found that the Council had delayed in dealing
properly with the transfer application and that Mrs Oak had had to live
in unsuitable accommodation for at least five years longer than she should
have. Sadly, between the issuing of the draft and this final report, Mrs Oak
died.
The Ombudsman also concluded that the Council neglected to
consider Article 8 of the Human Rights Act 1998, which says that everyone
has the right to respect for his/her private and family life.
The Ombudsman found maladministration causing injustice. The
Council’s recent offer of suitable accommodation addressed the family’s
housing needs, but in addition, the Ombudsman recommended that the Council:
- pays compensation of £10,000
to Mrs Oak’s daughter; and
- reviews all rehousing
applications over the last five years to see whether others have been
affected in a similar way, and apply appropriate compensation to anyone
so affected.
31 October 2007
Leeds City Council (05/C/13157)
Maladministration
causing injustice
Leeds City Council’s faults meant that a seriously
ill and profoundly disabled woman was confined to bed in one room of her
house for two years longer than necessary. The Ombudsman criticised the
Council’s failure recognise its legal duties to the woman and its
handling of her disabled facilities grant (DFG) application, and recommended
it to pay £6,605 compensation and review its administrative procedures.
The Council accepted all the Ombudsman’s recommendations.
A man (called ‘Mr E’ in the report) complained
about the Council’s provision of assistance to his wife, who is
profoundly disabled, in particular about its handling of their DFG application.
The Ombudsman criticised the Council’s failure to recognise its
duties under Section 2 of the Chronically Sick and Disabled Persons Act
and its failure to have any direct social work contact with the family
for over 15 months.
On the handling of the DFG, the Ombudsman found fault in
that the Council:
- delayed in completing a financial assessment;
- failed to review the Grant Section’s stance that a DFG could not be used
to provide or retain a family room when legislation says that a DFG
can be used for ‘…facilitating access by the disabled occupant
to a room used or usable as the principal family room…’;
and
- failed to resolve the conflict between what the Grants Section would fund and
what the Community Occupational Therapist and the complainant felt was
necessary to meet his wife’s needs.
As a result, for two years longer than necessary Mrs E was:
- confined to bed in the front living room of her home;
- unable to use a special wheelchair provided by the NHS that would have relieved
her pain and discomfort;
- unable to use a toilet, bath or shower, having to be ‘strip-washed’ on
her bed by her carers, adding to her pain and discomfort; and
- unable to sit outside or with her family.
To remedy the injustice, the Council agreed to:
- pay £6,605 to the complainant;
- establish a mechanism for resolving disputes about what adaptations are required
to meet a disabled person’s needs;
- ensure that all relevant officers are aware, and are periodically reminded
of, the Council’s duty under section 2 of the Chronically Sick
and Disabled Person’s Act; and
- produce a report about the lessons to be learnt from the complainant’s
experience and the changes it will make to its practice and procedures.
In March 2007 a suitable property was identified for Mr and
Mrs E and the Council agreed to provide a prefabricated ‘pod’ extension
with bedroom, toilet and bathroom. The works were due to be completed
soon. Meanwhile the Council used DFG funding to widen the doors and other
work in the present home allowing wheelchair access. The Council also
set up an appeal panel to resolve disputes about adaptations, and invited
Mr E to take part in meetings about improving services.
The Ombudsman found no fault by the Council in handling Mr
and Mrs E’s rehousing applications, but commented that, “It
is some measure of the extreme pressure on social housing, especially
properties adapted to be wheelchair accessible, that all the higher priority
cases were in even more difficult situations than the complainant and
his wife and that allocations had been properly made to applicants with
higher priority.”
20
November 2007
Bath & North
East Somerset Council (06/B/16774)
Maladministration
causing injustice
Bath
and North East Somerset Council decided that a woman who had been detained
in hospital for her mental health no longer needed aftercare - but its criteria
for making that decision were “seriously flawed”. The Ombudsman
said “the practical effect of the Council’s criteria is to remove
long term nursing or residential home accommodation from the definition
of aftercare services”, and this would allow the Council to “…avoid
its public responsibilities under section 117 of the Mental Health Act 1983.”
‘Mrs
Fletcher’ (not her real name) was discharged from hospital following
a period of detention under Section 3 of the Mental Health Act 1983. Initially
the Council funded her aftercare in a residential care home under Section
117 of the Act. But, following a review of her case, the Council determined
that Mrs Fletcher no longer needed aftercare and so could be discharged
from Section 117.
The
Ombudsman found that the discharge criteria applied by the Council were
seriously flawed and its decision about Mrs Fletcher’s continuing
need for aftercare was, therefore, unsafe.
The
Ombudsman found maladministration causing injustice and the Council agreed
to:
- review its Section 117 discharge criteria with the assistance of external
legal advice and then reassess Mrs Fletcher’s need for continuing
aftercare services;
- pay Mrs Fletcher’s residential care costs until such time as a
new review properly determines whether she needs aftercare services under
Section 117; and
- pay Mrs Fletcher’s family compensation of £250.
12
December 2007
Trafford
Metropolitan Borough Council (05/C/11921)
Further
report: first report found maladministration causing injustice
Trafford
Metropolitan Borough Council did not comply with the Ombudsman’s recommendation
to pay appropriate compensation for its failure to meet the needs of a young
disabled woman. The Council accepted there had been shortcomings and offered
to pay £10,000 compensation, but the Ombudsman considered this was
insufficient. She said “I am disappointed by the Council’s response
and its unwillingness to recognise that the payment I recommended … reflected
the payments that it should have made for [the young woman’s] care
over the period.”
The
Ombudsman recommended a payment to the young woman’s parents of £1,000
for each week they have had to care for her since August 2005, excluding
weeks they have received respite care, plus £3,000 for distress, anxiety,
and the time and trouble they have taken in pursuing their complaint. The
Council calculated this would cost it £100,000.
In
these circumstances, the Ombudsman published a further (second) report in
which she repeated her recommendations, and hoped that the Council would
now implement them in full.
In
July 2007, the Ombudsman upheld the complaint made by ‘Mr and Mrs
Kaye’ (not their real names) that the Council had failed to meet the
needs of their adult disabled daughter. In particular it:
- failed to use the transition period appropriately to find a permanent
placement;
- provided no evidence for its assertion that a centre could meet her
needs nor provided any sort of transition plan for her move to it;
- carried out a flawed needs assessment before she left her transition
placement and failed to carry out an up-to-date needs assessment since
July 2005; and
- delayed considering and offering support and help to the couple while
they struggled to care for their daughter at home.
The
Council accepted two of the Ombudsman’s other recommendations: to
undertake an independent professional review of current and future plans
to ensure that they met Miss Kaye’s needs, and to produce a clear
plan for her to move to a long term placement capable of meeting her assessed
needs.
However,
it did not agree to a recommendation that it should report to Ombudsman
at six monthly intervals on the progress it has made. The Ombudsman said
this recommendation was included to ensure that the Kaye family did not
suffer from any further unwarranted delays.
3
January 2008
Birmingham City
Council (05/C/18474) NEW
Maladministration
causing injustice
Birmingham
City Council failed utterly in its duty towards ‘Miss D’, a
deaf young woman with learning disabilities who was in its care. The Ombudsman
said that the management and supervision of Miss D’s care
by Birmingham Adult Learning Disability Service was “woefully inadequate”.
Among
the many examples of failure were its long delay in allocating a social
worker, who was instructed to do reviews by telephone even though Miss D
was deaf and had learning disabilities, and who only saw Miss D once
and then without a signer to enable her to communicate.
Miss
D moved out of the Birmingham area with her childhood foster family, but
she remained in Birmingham City Council’s care. When she was a teenager
her first foster mother became unable to look after her and she was placed
in her second foster home through a private fostering agency. When Miss D
was 18 Birmingham’s Adult Learning Disability Service took over responsibility
for her. Miss D remained with the second foster family and Birmingham
continued to pay fees to them, even though they failed for eight years to
register as a small home providing board and personal care to vulnerable
adults.
Miss
D’s foster sister from her first foster family (called ‘Mrs
B’ in the report) had become increasingly concerned about Miss D’s
welfare. Among her concerns were that Miss D was:
- obstructed from contact with her first foster family;
- not allowed to use sign language – her preferred means of communication;
- treated like a child (for example being sent to bed at 7pm);
- prevented from developing a relationship she desired with a young man
at her work placement, and encouraged to form an inappropriate relationship
with an older man acquainted with the family; and
- punished for private sexual expression and prescribed drugs to reduce
her libido that made her overweight and sluggish.
Mrs
B was so disturbed by the situation and Birmingham’s lack of response
to her concerns that she involved MENCAP and the local Social Services.
After eliciting no sensible response to the situation from Birmingham, at
the end of 2004 the local Social Services initiated an Adult Protection
Investigation. This led to Miss D moving to a new placement.
Mrs
B made formal complaints to Birmingham on behalf of Miss D. An Independent
Investigating Officer and a Review Panel upheld almost all the complaints.
The Panel said it was “…appalled at the poor practices and
indifference which had permitted [Miss D] to be placed and remain in
a placement that was questionable from the beginning” and “The
evidence… is that Birmingham failed dismally to exercise adequate
care and responsibility for more than 10 years…”
The
Council delayed for six months before writing to Mrs B with its response
to the Review Panel’s findings. The response was inadequate and gave
Mrs B every justification for believing that the Council did not take
the issues seriously.
Miss
D settled in her new placement where she could communicate by signing and
has regular contact with Mrs B. Only the care and vigilance of Mrs B has
achieved this after more than five years of vigorous campaigning on Miss
D’s behalf. She was ignored by Birmingham Social Services, has had
good cause to doubt its ability to fulfil its obligations, and has felt,
with justification, that she has been ‘fobbed-off’ with platitudes.
The
Ombudsman found maladministration causing injustice in that the Council:
- failed for eight years, after Miss D became an adult, to assess and
review her needs and only acted when forced to do so by an Adult Protection
investigation;
- placed Miss D with people who were only approved as foster carers for
children and who resisted registering as a small home;
- failed to respond to concerns expressed by Mrs B and professionals that
Miss D’s placement was inappropriate and damaging;
- delayed in providing funding for an advocate and alternative placement
for Miss D;
- delayed in responding to the Review Panel findings, and disregarded
them; and
- failed to review Miss D’s new placement.
The
Adult Learning Disability Service did not function as it should have done
and was in crisis with two thirds of its posts vacant. The Ombudsman said “In
these circumstances there is little point in criticising the staff and management.”
She
said “Birmingham must ask itself how such a crisis could develop and
endure for so long and how the Council, as a corporate body and a Social
Services authority, could fail so seriously to ensure adequate resourcing
and performance of its services to highly vulnerable adults.”
The
Ombudsman recommended that the Council:
- pays Miss D £5,000 compensation (to be used for social outings
and holidays);
- pays Mrs B £1,250 and donates a further £1,250 to MENCAP
to recognise her time and trouble in pursuing the complaint; and
- commissions and publicly reports the findings of an independent audit
of a representative sample of adults with learning disabilities to establish
whether proper arrangements for their care are now in place.
4
March 2008
Buckinghamshire
County Council (03/A/4618) NEW
Maladministration
causing injustice
JOINT
REPORT with the Parliamentary and Health Service Ombudsman on complaints
against Oxfordshire & Buckinghamshire Mental Health Partnership Trust
(ref HS-2608)
The
two Ombudsmen found that the level of care provided by Buckinghamshire County
Council and Oxfordshire & Buckinghamshire Mental Health Partnership
Trust for a man with severe learning disabilities was unacceptable. They
said that the care needs of ‘Frank’ (not his real name) were
never properly assessed. In their joint report they also identified a number
of significant failings in the level of care he received and in complaint
handling.
Frank’s
parents complained to the Local Government Ombudsman and the Parliamentary
and Health Service Ombudsman about the care their son received while
he was living for two years in a residential care home run jointly by the
County Council and the Health Trust. Frank needed one-to-one attention for
about 95 per cent of his waking time.
The
Ombudsmen’s report said Frank and his parents had a right to expect
that the Care Home would provide him with appropriate care in an environment
conducive to his development, but sadly that did not happen. The Ombudsmen
found that there had been fault by both the Council and the Health Trust
that caused adverse effects for Frank and his family including acute anxiety
and distress and some financial loss. The Ombudsmen recommended that the
Council and the Health Trust pay £32,000 compensation.
This
was the first time that the Local Government Ombudsman and Parliamentary
and Health Service Ombudsman had collaborated on an investigation in this
way. Although they had separate jurisdictions over different parts of the
complaints, they felt collaboration was in the best interest of Frank and
his parents as many aspects of the health and social care complaints were
inextricably linked.
The
Ombudsmen reported jointly using powers under the new Regulatory Reform
(Collaboration etc. between Ombudsmen) Order 2007, which has enabled them
to work together more effectively in investigating and reporting on complaints
which cross their jurisdictions.
Ann
Abraham, Parliamentary and Health Service Ombudsman, said: “Having
the powers to issue a joint report has been invaluable, and the Local Government
Ombudsman and I have therefore been able to consider maladministration and
the resulting injustice in a joined up manner.
“This
demonstrates the significant value of the Order and in turn has allowed
us to think about recommending a remedy to Frank and his parents which addresses,
in the round, the injustices they have experienced.”
Tony
Redmond, Local Government Ombudsman, said: “Collaborating with the
Parliamentary and Health Service Ombudsman in this way as a result of the
Order is an important step forward. One of the outcomes of this case has
been identifying the need for robust and transparent governance arrangements
to be in place, in order to provide clear accountability for the actions
of authorities. A complainant can then be more readily signposted to
the body that can better deal with a complaint.”
‘Injustice
in residential care: a joint report by the Local Government Ombudsman
and the Health Service Ombudsman for England’ was laid before Parliament
on 26 March 2008.
17
March 2008
Medway
Council (06/B/12248) & Wigan Metropolitan Borough Council (06/B/12247) NEW
Maladministration
causing injustice (Medway) No
maladministration (Wigan)
A
solicitor complained that both Wigan Metropolitan Borough Council and Medway
Council, for different reasons, refused to fund mental health aftercare
for his client following his discharge from hospital. The Ombudsman found
that, as the man was ordinarily resident in Medway at the time of his compulsory
admission to hospital, Medway Council was responsible and should now reimburse
its share of the aftercare costs. He made no criticism of Wigan Council.
The
Ombudsman was also critical of Medway Council’s lack of involvement
in the arrangements for the man’s discharge from hospital, and commented, “In
my view, the Council’s contribution to the discharge process was both
limited and ill-informed.”
‘Mr
Conrad’ (not his real name) was detained in hospital under Section
3 of the Mental Health Act 1983. When he was discharged in 2000 he required
aftercare under Section 117 of the Act. Because he was discharged to a specialist
care facility outside its area, Medway Council refused to meet the cost
of Mr Conrad’s aftercare. Wigan Council, in whose area Mr Conrad
lived following his discharge, also declined to pay for his aftercare on
grounds that he had previously lived in Medway and because it was not party
to his placement. As a result, Mr Conrad had to fund his own aftercare for
a prolonged period and incurred legal costs in pursuit of his complaints
against both Councils.
The
Ombudsman considered that Mr Conrad was ‘ordinarily resident’ in
Medway at the time of his compulsory admission and so found that Medway
Council rather than Wigan Council was the authority responsible for funding
his aftercare.
The
Ombudsman found maladministration by Medway Council causing injustice to
Mr Conrad. He found no maladministration by Wigan Council. He recommended
that Medway Council should:
- determine and reimburse its share of the cost of Mr Conrad’s aftercare
to date with interest at the County Court rate, and discuss reimbursement
of the remainder with the relevant health authority;
- undertake the future funding of Mr Conrad’s aftercare in conjunction
with the relevant Health Authority for as long as it remains necessary;
and
- make a contribution of £1,000 to Mr Conrad’s legal costs.
29
April 2008
Children and family services
Wirral
Metropolitan Borough Council (06/C/00693)
Maladministration
causing injustice
Wirral
Council failed to make even basic checks before placing two young children
with a man and his adult daughter for fostering. The Ombudsman also found
that the Council failed to provide financial or other support, or make social
work visits to the children for several weeks after the placement began.
The
Council agreed to pay £10,350 compensation (which was the fostering
allowance for the period, plus £250 for time and trouble in making
the complaints) to the complainant.
‘Mr
Carlisle’ (not his real name) complained about a number of issues
connected with the placement of two young children with him and his adult
daughter for fostering. The children were those of Mr Carlisle’s ex-partner,
and were half-siblings to his adult daughter, but no relation to him. The
Council placed the children after reports from the children’s father
(who was separated from their mother) and others that the children were
neglected.
The
Ombudsman found that the Council:
- made no checks before it placed the children with Mr Carlisle and
his adult daughter;
- did not visit the children for several weeks after the placement began;
- gave no financial or other support to Mr Carlisle; and
- delayed in arranging a Review Panel when Mr Carlisle’s complaints
about these issues were considered through the Council’s statutory
social services complaints procedure.
The
Ombudsman commented: “The Council placed two vulnerable young children
in the care of Mr Carlisle and his daughter without even the most basic
checks on them, their home and their ability to look after young children.
Fortunately Mr Carlisle and his daughter have proved to be appropriate
carers who have apparently done an excellent job in looking after the children
who have come to no harm. This is no thanks to the Council.”
The
Ombudsman found maladministration causing injustice and the Council agreed
to pay Mr Carlisle and his daughter £10,350. She also proposed
that the Council should review its practices and procedures to ensure that
there will be no repetition of children being placed with carers without
proper checks being made, conduct an audit of other emergency placements,
and make quarterly reports to the appropriate Council committee on complaints
received under the statutory procedure.
3
December 2007
Dudley
Metropolitan Borough Council (06/B/9795)
Maladministration
causing injustice
Dudley
Metropolitan Borough Council acted unfairly over additional payments to
different categories of foster carers. The Ombudsman said that the Council “unreasonably
discriminated” in that it did not make the same additional payments
to foster carers who were related to the children they fostered as it did
to other foster carers. The Council accepted the Ombudsman’s recommendations
for resolving the complaint, and agreed to pay £2,872.39 to the complainant
and review its kinship care policy.
‘Mr
Carter’ (not his real name) and his wife looked after a relative’s
child between May 2005 and November 2006. This made them ‘kinship
carers’ (relatives or friends who care for another family’s
children) under the Council’s policy.
Kinship
carers may have children placed with them by the Council for longer term
care before the necessary checks are carried out and they are approved as
foster carers. Foster carers are entitled to weekly payments for each child
fostered and can claim additional payments for birthdays, Christmas etc.
The Council makes weekly payments to kinship carers at the same rate as
other foster carers, but it did not make the additional payments to kinship
carers. The Council then changed its policy to make these payments claimable
from 1 April 2007.
The
Council refused to make back payment of the additional payments to Mr Carter.
The
Ombudsman found that the Council was at fault in that it unreasonably discriminated
between categories of foster carer in the matter of additional payments.
The Council was also at fault in not making back payments of the difference
between the support payment made to Mr Carter and the payments it made to
foster carers, once it had placed the child with Mr and Mrs Carter and started
the process for assessing them as kinship carers.
The
Ombudsman found maladministration causing injustice and, in accordance with
his recommendations, the Council paid Mr Carter £2,872.39 and
reviewed its kinship care policy.
24
January 2008
Wiltshire County
Council (06/B/6454) NEW
Maladministration
causing injustice
Wiltshire
County Council mishandled the social care needs of a family, and failed
to provide properly for one of their daughters’ special educational
needs. The Ombudsman said “…education and social care professionals
did not work together effectively with one another and with the health care
professionals involved, to ensure that not only [the girl]’s needs,
but those of her parents and siblings were met.” He added “The
failures here had significant consequences for the health, happiness and
wellbeing of the whole family, as well as for [the girl]’s development
at an important stage of her life.”
He
recommended the Council to pay £10,000 compensation and review its
arrangements to avoid any recurrence of these problems.
‘Mr
and Mrs Taverner’ (not their real names) have three children. ‘Laura’ is
severely autistic with associated communication difficulties and has a statement
of special educational needs. At an annual review in June 2005, the professionals
present unanimously recommended that she should attend a residential school
from the point of transfer to secondary education, due in September 2006,
as her needs could not be met locally. At the time, her parents were appealing
to the Special Educational Needs Tribunal for that placement.
In
November 2005 Laura’s social care needs and those of her family were
assessed and a recommendation made that Laura’s needs should be met
outside the home, in a setting where she would receive 24-hour supervision
and care, with an educational programme integrated into her life both at
school and outside. Four months later, when the parents enquired why this
was not in place, the Council said that the recommendation should have been
removed from the draft report before it was issued, but had not been. The
Council considered that a support package already in place met Laura’s
needs; but did not explain how the need for a 24-hour curriculum could be
met without a residential school placement. No clear written policy was
in place to support this view. A review of the core assessment was carried
out which, while identifying unmet needs for respite care, made no additional
provision above what was already in place.
Meanwhile
Laura, who had transferred to a local secondary day school in September
2006, did not settle and from January 2007 refused to attend school. She
remained at home until September 2007, at which point she obtained a place
at a residential special school. In the meantime, the Council offered little
further support and in particular, no offer of further respite care was
made until May 2007. During this period Laura’s health and wellbeing,
as well as that of her parents and siblings, suffered significant adverse
effects.
The
Ombudsman considered that the Council’s removal of a recommendation
from a core assessment without full and proper consideration of the impact
of that amendment, and its failure to ensure that the needs of Laura and
her family were adequately met over a period of many months, together with
the lack of a clear written policy that the parents could challenge through
use of the statutory complaints procedure, was maladministration. But for
the maladministration, the needs of Laura and her family would have been
met either through a residential school placement or by some alternative
form of provision.
The
Ombudsman found maladministration causing injustice and recommended that
the Council should:
- apologise to Mr and Mrs Taverner;
- pay them £10,000; and
- review its administrative arrangements to prevent a recurrence of the
maladministration.
The
Ombudsman was pleased to report that Laura was now happily settled at a
residential school.
17
April 2008
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