Welcome to my Warrior Mums, a collection of family journeys from parents of children/adults with special needs.
Some of our mums are advocates or established campaigners, one is a midwife, then we have two nurses, three teachers, two solicitors and a GP....
Their stories have been a learning curve for parents and professionals alike.

We've had to adapt to so many government cuts and policies in the last few years and it's taken its toll on families. This blog has given parents the opportunity to share their individual experience of their unplanned life with a vulnerable adult/child.

Some parents have had great support with wonderful professional guidance, whilst others, sadly, have been lied about and deceived, blamed for their child's 'problems' by some who have no understanding of their disability. Facts about their family life have been distorted and manipulated into many untruths, making parents aware their reputation precedes them in every meeting they attend. They feel judged, disrespected and ganged up on. Telling their story in Warrior Mums puts their truth 'out there' for all to see.

A major concern is that when a young person reaches the age of 18, regardless of whether they have autism or a severe learning disability, legally, they are classed as an adult. As a parent you can no longer make decisions on their behalf. If your loved one is in the care of the state and you upset the care staff or social workers then the chances are they will stop you from visiting or from having any contact. Information regarding medication or any other health issues about your loved one's welfare is withheld, all under the guise of your loved one's 'best interest', pulling out the Court of Protection/Mental Capacity Act gagging cards. The cruel message to parents is clear - - toe the line, stop asking questions and taking too much interest or lose contact with your child.

It's hard to believe this government are locking up people with special needs, people who would have had more freedom in the 70s living in big 'institutions' than they do in 'independent living' today...

We have to do something to stop this abuse of power. We have to do something today...

Michelle Daly


Showing posts with label Adult Care. Show all posts
Showing posts with label Adult Care. Show all posts

11 April 2020

There's No Place Like Home..



It is quite a long time since I wrote on the Warrior Mums, mainly because my medication makes my brain a bit foggy but today I felt compelled to make an effort. I wanted to share good things about our lives as most of us are in lock-down and could do with a bit of cheering up.
So many loved ones are dying, ravaged by the Corona virus, often with no time to say goodbye as families hear over the phone that their relative has just become another statistic. I couldn't begin to imagine the grief and shock at these sudden deaths. Thank God for our marvelous NHS and social care staff who are working tirelessly, putting their own lives in danger to save others. Supermarket staff, refuse collectors, postal workers, food supply chains and the lorry drivers, pharmacists and GP receptionists and many others, are all heroes in my eyes and I suspect in yours too. Some days I sit in the garden listening to the sound of silence. No planes from the nearby airport or the usual chirpy sound of neighbours ­or children playing. Everybody is respecting the lock-down and doing their bit to save lives. Then the local church bells ring out at 12 for the Angelus and I am filled with gratitude for the life we have and the stress free environment in which we live. Our garden would be a luxury to millions of families cramped into small houses or high rise flats. They must feel like they’re living in a prison as the hot sun teases them through their windows and they are confined to four walls.

I thank God Marie returned home 18 months ago after almost 2 years in residential care even though she was a shell of herself and took a good while to recover as the photos show.


 











  




 




I am also mindful of parents who today have sons or daughters in NHS units where visiting was restricted at the best of times. Now they are completely isolated and must be out of their minds with worry. I suspect there will be many changes for the better when this pandemic is over and one of the priorities has to be to close these NHS units down so that these vulnerable people will never be isolated in large numbers again. 
To the Government I say, don’t just talk about it – bloody get on and do it!!

I realise as I write this that it’s 50 years today since I met Marie. Most of my friends and followers will know through my books and blog posts that I’ve spent many or even most of those years battling with bureaucracy for Marie’s rights and for decent care. I didn’t put a tooth in naming and shaming those (and not all) who were deliberately unhelpful and often abused their power to make our lives a misery. My mantra has always been ‘No voice – no choice’ So from 1970 when I first met Marie I have been her voice.
I made many enemies and was often told my reputation preceded me. I just had to live with that. Like most parents of people with special needs, I did what I had to do.
Today I am happy to tell you that the wars are over and we are in a good place with the care package that I fought so so hard to get even though I am still responsible for a small part of the care each day. Ideally Marie needs 2-1 support especially when she goes out in the car, so you could say I am the back-up staff permanently on call despite my poor health.


So how are you all coping with lock-down? I have been told not to go out for 3 months but I am a bit of a home bird anyway so it doesn't affect me that much. I do miss nipping out when I choose though, even if it's only once a week. Marie's PAs do our shopping and anything else I would normally have to leave the house for. 
Isolation, or being housebound, is a way of life to many parents of special needs and this lock-down might give the public a window into their often lonely disconnected lives. Maybe we'll all come out of this pandemic, kinder, more thoughtful people.


One of my worries was how quickly the supermarket shelves emptied and if we would ever run out of Marie's staple diet of eggs. Marie has dysphagia and some days she copes better than others. There  are times she'll only have a liquid diet like soup and rice pudding because she's choking and struggling to eat and other days she's able to enjoy most foods except for meat which is permanently excluded from her diet because she is unable to chew properly. Eggs, however are something Marie  will never refuse.
A very kind friend brought Marie a tray of 30 eggs and I wondered if there was any way of preserving them so I searched good old You Tube and found an American farmer who freezes her eggs for the winter. 

I suspect most of you are rolling your eyes because you've been freezing eggs for years but I had no idea this could be done.

Three eggs gently mixed in a jug and poured into a sandwich bag to lay flat in the freezer so they take up very little space when frozen and can be stored like post cards. You can use as many eggs as you want but I chose 3 for Marie's omelette. I am also freezing mashed potatoes too although I get someone to mash them for me because I wear splints most of the time due to arthritis in my hands and wrists.. I would love to do so much more but I can't.




          

My last post was about my stuggle to bring Marie back home and the snidey social worker putting Marie under the Court of Protection, but only for a weekend, to try to prevent me from bringing her out of the Home where she was so desperately unhappy and had been put up for eviction. I am happy to tell you that Marie has settled at home and is loved by all her carers. I employ them myself through Direct Payments from LCC and shared NHS funding. They all sing from the same hymn sheet and work well as a team.



One thing that’s for sure, that’s always been a problem and will remain so is Marie’s screeching. Stuck in the terrible two’s and being non verbal has closed many doors over the years limiting the opportunity of mixing with her peers. At home we have strategies in place to avoid these situations. 
There’s no build up to Marie's outbursts, just a piercing screech that goes from 1-100 in  a second and can continue for hours until she is so stressed it can be difficult to bring her out of it. Night time is the worst, especially with new staff. Marie uses her screeching as a weapon and has the staff over a barrel. Leaving her to screech at 3am because she refuses to get back into bed can be very unnerving, especially with neighbours on the adjoining wall which I unsuccessfully tried to soundproof. Every few months we'll try Marie in a different bedroom and all I seemed to be doing was moving furniture around the house.
Last year I had an idea that might solve the problem, to turn the lounge, which has double doors onto the wheelchair ramp and garden, into a self-contained unit. However, I quickly put the idea out of my head. The lounge was full of my Bronte books and other treasure that most people would see as junk. I must be a very sentimental person because I keep everything, although every now and again I might fill a few bags for charity, usually what I have bought but never what someone else has bought for me. 
And what about my other books, the ones I've had for years that I re-read every so often. Those original self help books that came out before the market was saturated with them. Feel The Fear and Do It Anyway that I first bought in the mid 80s and Norman Vincent Peals old book The Power of Positive Thinking that remained under my pillow for years as I dipped into it every night. 
So last year I was sitting in the lounge realizing it would be the ideal solution for Marie and staff to have this room but still reluctant to give it up. What would I do with all of my stuff? Cupboards and shelves I’d bought from charity shops and painstakingly stripped and painted over the years would have to be given (or more likely thrown) away.
Christmas came and went and I kept putting the idea out of my head until an incident that I felt left me no choice but to use this last resort; to bring some peace to this house. This screaming and screeching at 3am didn't happen an awful lot but it happening once was too many times..
And so the mammoth task began.
Shelves and cupboards were emptied of books and ornaments as I half-heartedly turned my little bedroom into my new lounge. When you have carers in the house all the time you have no privacy, so having a room to call my own was a benefit. It meant I could sit in peace and quiet when I didn't feel well and the carers, who are like family, were thrilled about this.
Miraculously my cupboards fitted on one wall enabling me to put everything back in its place and I began to see the silver lining as my 12x14 bedroom transformed into a lounge and Marie moved into her new sunny unit that opens onto the garden. 

My old bedroom

Marie has always suffered from claustrophobia due to the nuns locking her in a room on her own where she was placed in the middle of the floor (because she couldn’t walk due to cerebral palsy) and only brought out at mealtimes.

Hindsight is a wonderful thing, Isn’t it? I should have taken these steps long ago, but what seems extreme yesterday is plain common sense today. I must stress though, that I have no other children at home and nobody but Marie to consider. Had there been other family members, Marie having the lounge would not have been an option.






Would it surprise you to know that Marie was 55 in February? Every year it gets harder and harder wondering what to buy. Very little impresses her. She loves to unwrap sweet and crisp and maybe a new catalogue. I haven’t had a dog since I lived in Ireland but deep down I have always wanted one. Now that Marie had her own little living space with access for a dog to go straight onto the garden why not buy her one for her birthday? No sooner had I mentioned it to Clare, one of Marie’s PAs, when she brought me a large crate her dogs no longer needed and Sandy and Sarah volunteered to go and pick the puppy at the farm. Of course I’d considered a rescue dog but most of them were too big and we had to consider Marie’s safety and the smaller breeds seemed to be snapped up as soon as they arrived.

So on the day Sandy and Sarah drove off to buy our pup I waited in anticipation unable to share the excitement with Marie as she would not have understood.
Before long Sandy rang me from the farm telling me there were lots of pups scrambling for attention but there was one little pup that stood on it’s own away from all the others and she was trying to coax it to come over to her. The phone call ended and I continued to wait. Then it pinged again. Sandy had managed to scoop the 14 week old pup up and Sarah sent me a photo that would melt anybody’s heart. 




How sad did she look? No wonder she stood alone. She could barely see through that unkempt fur.
And so Maisie, as we called her, was the chosen one. 




Maisie arrived home looking a bit more cared for having been tidied up by the owners before she left.




From the day Maisie came into our home she’s been a little dream and brought nothing but joy. She's house trained now and due to lock-down we have been unable to take her to have fur cut so it was done at home. Now she skips around the garden looking like a spring lamb. 




Maisie is so loved and I think she loves us too. There are times when Marie can hardly get her breath for laughing at Maisie’s antics and other times when Marie is so switched off that she hardly notices the pup. Maisie’s crate, where she sleeps every night, has remained under the table in Marie’s room and is a soothing presence in the dark. I don’t think I could move her if I wanted to.







One thing I know for sure is that it's easier to remember the professionals that were good to us rather than those that tried to do us harm. I think of people like Dr Sheila Kidd, Consultant Psychiatrist at Peterborough General Hospital and later of Gloucester Centre, which was a special needs residential facility.. We were referred to Dr Kidd when at the age of 8 Marie started having epileptic fits. Dr Kidd was a refreshing change to the stuffy 'specialists' I was used to meeting. Dr Kidd wrote the foreword for my book With a Little Help from my Friends and I am happy to say we are still in touch today.


Also  Helen Laverty MBE who has injected tons of motivation into the world of learning disability nursing. Helen was a nurse when Marie went to Harmston Hall Hospital in Lincoln for respite care in the 80s. We caught up again on Facebook a decade or so ago and have followed each other ever since.


Nurse Helen Laverty

Helen says:
'I have been a registered nurse in learning disabilities for 40 years, and it remains a passion! My career has taken me from training in a long stay facility right up to today to the giddy tidal wave of inclusion! Nursing people who have a learning disability is a real POSITIVE CHOICE and one if given the chance of being 18 again I would choose again! I have experience in care situations across the age spectrum, and in both health and social care. I made the shift to nurse education in 1987 as I wanted to take the inclusion message to a wider audience. I am very fortunate in that my career has given me opportunity to have my life and career touched by such a rich and diverse group of people.'


Helen receiving her much deserved MBE




So I hope all you warrior mums are keeping ok. I bet between us we have loads of people to thank.
Michelle xx



20 April 2017

FREEDOM OF INFORMATION - CARE PORTAL COMMISSIONING PROCESS FOR VULNERABLE ADULTS - PART 3 OF 4

FOLLOW UP POST TO

COUNCIL TENDER ADULTS WITH A LEARNING DISABILITY TO THE CHEAPEST BIDDER


 






Well, it's been quite a while since I last blogged and I hope everybody's doing ok.
Many of you will remember the long drawn out saga with my local authority last year when I applied for my daughter to go into residential care. She was offered a place from a residential home where she had spent many happy years in respite. The Home was outside of our County and originally chosen by LCC because there had been nowhere suitable within the boundary to meet Marie's needs. Link to original story Council Tender Adults with a Learning Disability 

When it came to LA decision making the Home of our choice and where we were led to believe Marie had been assessed for was excluded from her selection by the local authority. I was informed daughter could not have the Home of preference because other clients would see it as favouritism and then they'd have to give everybody what they wanted. (And we couldn't have that now, could we?)

When the social worker first told me Marie’s residential care application would be put up for tender I told him in no uncertain terms that was not going to happen. He said it had to happen because it was the law since April 2016 and in compliance with the Care Act.. (I have since learnt that the amendment to the 2014 Care Act implemented in April 2016 states that people applying for residential care must be given a certain amount of Homes to choose from.)

I was in poor health at the time but still hit the ground running as I shared our story with an unaware public. You see the steps our local authority took to put Marie up for tender and against our wishes, as if she was some kind of ebay object, shocked and appalled not only myself but thousands of others around the country.  

Weeks passed and I thought they had reconsidered and were making headway with Marie's preferred choice when the social worker rang me late one afternoon to tell me Marie had been uploaded onto the care portal 2 days ago and would be on it for 7 days and that if nobody bid for her she would be uploaded for another 7. I nearly collapsed with shock.

Nobody bid for my daughter that first week. No bids for your daughter is bittersweet and shows how heartless and cruel the tendering process is. Our story and Marie's cruel treatment went viral and in the middle of the following week I had a visit from two social workers to tell me they had reconsidered and that Marie could go to the home of her choice. Hallelujah..


The biggest question was why were so many people unaware of the tendering process?

Why did so many parents, support workers and learning disability nurses from around the country contact me to express their distress after hearing the way vulnerable people were treated by those who are supposed to care?

  
I needed to find out if this was how every local authority treated its vulnerable people so I randomly selected 28 authorities through What do They Know - Freedom of Information site FOI to see how they dealt with applications for residential care for adults with a learning disability.

I asked the four following questions:


1. Since April 2014 how many adults with a learning disability applying for residential care has xxxx County Council submitted for tender on the internet care portal for care providers to bid for their care packages?

2. How many of these people lacked capacity?

3. How many adults with a learning disability has xxxx County Council successfully placed through the tendering process since April 2014?

4. How many of those successfully placed lacked capacity?



As the FOI results trickled in my heart began to lift; all was not lost. Despite their poor funding and whilst there may be many Councils around the country that still use care portals most of the authorities I contacted did not.



Tendering on care portals is clearly controversial. To submit the details of those who lack the capacity to give their permission is despicable. I am told that no personal details are submitted but that's a contradiction in terms because every word written about my daughter pertains to who she is.

If Marie applied for residential care and had no preference, since April 2016 under the Care Act she should be offered several choices of accommodation.

If Marie had a preference, under the Care Act SW could present her with more options in order to ensure Marie has a fair choice. It’s face to face personalised planning that takes Marie’s needs and preferences into account though we would still have opted for her preferred home that had been keeping her bed for months. Instead they rejected Marie's preferred choice and offered her to three strangers.

So the Care Act promotes a selection of choices to ensure a person's needs will be met. What the Care Act does not do is promote mandatory use of care portals as the SW tried to make us believe. 
 
To ignore the family's wishes and replace the Home of Marie's choice with a one shoe fits all high-handed approach was obviously designed to bully us into doing something I found totally abhorrent. Putting adults with a learning disability out for tender did make SW job easier and I do accept how heavy their work-load can be but by doing so they turned my daughter into a commodity and devastated all the family. Just throw all the vulnerable adults into the drum, give it a spin and see which unknown care providers scroll through their details to see if it’s worth bidding for the care package - or not. Thankfully most local authorities I approached did not resort to using portals and preferred to meet individual needs in a more dignified way.


Click blue links below to individual What Do They Know Freedom of Information requests.


Birmingham City Council
How many adults with a learning disability has Birmingham City Council successfully placed through the tendering process since April 2014?
358*
*This includes both domiciliary care and supported living packages
Birmingham City Council - Freedom of Information

Blackpool Borough Council
“This is not something that Blackpool Council does for clients going into residential care as the choice of care home  would  be  with  the  client  and/or  their  representative;  it  is
is  not  something  Blackpool  Council  would impose.”
Blackpool Borough Council - Freedom of Information 

Bradford City Council
City of Bradford Metropolitan District Council does not make placements on this basis.”
Bristol City Council
“None.”
Buckinghamshire County Council
“I am sorry, but I understand that we do not operate a ‘Tendering Process’ as per the original request and, therefore, cannot assist with this request.”
Buckinghamshire County Council - Freedom of Information 

Cambridgeshire County Council
“We do not use an online portal for care providers to bid for individual care packages. 
Therefore, we do not hold this information for the purposes of the Freedom of Information Act 2000.”
Cambridge County Council - Freedom of Information

Cheshire West and Chester Council
“We can confirm 15 adults with a learning disability accessed residential
care during the period of 2016. Due to changes in the Council’s computer
systems data prior to 2016, and any further information or more accurate
assessment of how this care was tendered, is not held.”

Cheshire West and Chester Council - Freedom of Information

Doncaster Borough Council
“None, we currently spot purchase residential care by the social worker and/or
family identifying a residential home and then the social worker would present this to panel
for approval.”

Essex County Council
“I can confirm that Essex County Council does not hold this information. In response to your clarification question, Essex County Council have never used an 'internet care portal for care providers' where packages have been uploaded and providers invited to outbid each other for care packages.
Essex County Council did pilot a Dynamic Purchasing System, for Adult Social care, for a 6 month period, from November 2014 – May 2015. This system enabled individual care packages to be circulated to the pre-approved Supply Chain and subsequently awarded on a cost / quality basis. If this is the system your question refers to, Essex County Council made 9 Learning Disability Placements via this system.”
Essex County Council - Freedom of Information  


Gloucestershire County Council

I am pleased to provide a response to your request for information, received on 29 December 2016: Since April 2014 how many adults with a learning disability applying for residential care has Gloucestershire County Council submitted for tender on the internet care portal for care providers to bid for their care packages?             Answer = 91

 
Hammersmith and Fulham Borough Council
“None – this is not how we purchase packages.”
Hampshire County Council
“Hampshire County Council does not use this process in order to commission residential
care for adults who have a learning disability
.” 
Hampshire County Council - freedom of information



Islington Council
"None as all residential care in our borough is in-house and all out of borough placements are spot purchases." Obtained directly through email so no link.




Kent County Council
“Residential placements for adults with a learning disability are not
submitted for bids on the care portal. For Learning Disability, Mental
Health and Physical Disability, residential contracts are awarded to new
services/providers following the completion of the Residential Cost Model
process and fees being deemed as value for money, taking into account the
need for the specific service. Once the cost model process has been
completed individual placements are made to a service through the KCC
Adult Purchasing team, taking into consideration the needs of the
individual.”
Leeds City Council

Leicestershire County Council
Leicestershire County Council does not commission through a tender or care
portal bidding process. The authority has an overarching core agreement with
providers against which we commission individual placements that are the most suitable to meet an individual person’s care needs. 
Leicestershire County Council - Freedom of Information 


Lincolnshire County Council
"The Council is uncertain as to which specific portal the question
relates, however in general the Council does not use such a portal for
LD care tendering purposes. Ordinarily, up to three Providers are
short-listed and invited to Tender on the basis of the following
criteria; Ability to meet care/support needs; Service User / Family
preference; Cost; Geography; track record and experience; CQC/ LCC
quality status."
Lincolnshire County Council - Freedom of Information 

Liverpool City Council
“Since 1st April 2016 103 people have been supported through this
process. Eighty five have been placed in a residential setting included supported living, residential and nursing care.”  

Liverpool City Council - Freedom of Information   

Nottinghamshire County Council
“Nottinghamshire County Council can confirm no adults with a learning
disability applying for residential care have been 'offered for tender on
the internet to care providers'”

Nottingham County Council - Freedom of Information 

Oxfordshire County Council
“The Council does not purchase any residential care via the portal, but does
purchase supported living and community support services in this way.”

Oxfordshire County Council - Freedom of Information 

Peterborough City Council
“There has been no tender for Residential Care - placements are made
in accordance with the Care Act and ratified at a Quality and

Plymouth City Council 
“We do not use this tender process.” 
Plymouth City Council - Freedom of Information  

Rochdale Metropolitan Borough Council
“Rochdale Council operates a preferred provider list for learning disability. All packages are commissioned against this list via what is known as an “expression of interest”. Packages are subsequently reviewed against individual need prior to an award being made. 
We do not advertise these on the internet.”
 
Sheffield City Council
“Sheffield City Council does not tender on the
internet to care providers for people with learning disabilities applying
for residential care.”

Warrington Borough Council
Please note that the response to the above is zero because we currently do not tender for LD residential care placements on the internet.
 Warrington Borough Council - Freedom of Information

Wirral Metropolitan Borough Council
“Wirral Council can advise that we the response to Q1 is 'nil', therefore we are unable to assist you any further with your enquiry.”
Wirral Metropolitan Borough Council - Freedom of Information 

Wolverhampton City Council
“In response to your request, we can confirm that we do not tender individual
residential care placements.
Wolverhampton City Council - Freedom of Information 


Choice of accommodation
Annexe A paragraph 5

Where a local authority is responsible for meeting a person's care and support needs and their needs have been assessed as requiring a particular type of accommodation in order to ensure that they are met, the person must have the right to choose between different providers of that type of accommodation provided that:

a. the accommodation is suitable in relation to the person's assessed needs;

b.to do so would not cost the local authority more than the amount specified in the adult's personal budget for accommodation of that type;

c.the accommodation is available; and

d. the provider of the accommodation is willing to enter into a contract with the local authority to provide the identified in the person's personal budget on the local authority's terms and conditions.

6.This choice must not be limited to those settings or individual providers with which the local authority already contracts with or operates, or those  that are within the local authority's geographical boundary. It must be a genuine choice across the appropriate provision.

7. If a person chooses to be placed in a setting that is outside the local authority's area, the local authority must still arrange for their preferred care. in doing so, the local authority should have regard to the cost of care in that area when setting a person's personal budget. 


On behalf of myself and the rest of the Warrior Mums I would like to thank all the authorities who responded to my FOI request. Of course the Law stipulates they had to respond, but still, their attitude to using care portals spoke volumes and reminds us all how much compassion, respect and integrity still flourishes.