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Yes,
the Service Mangers did hold the so-called 'case conferences' in the absence
if some of the relatives, who were unable to attend. They replied to the
relatives' legal representative, who, too, was unable to attend the conferences
because of prior commitments, saying that the conferences had to go ahead
because of the time-scale for the closure if Leslie House and because
the interests of those incapable of making their own decisions had to
be safeguarded. In that regard, it would seem that the Service Managers
refused to accept that the relatives and their solicitor had the interests
of the residents at heart.
As
far as the time-scale for the closure of Leslie House was concerned, the
Church of Scotland could not close Leslie house as long as there were
people living there, as there is no legal machinery to enable the Church
to force people out of their home. What the Service Mangers had in mind
was to help the Church force these old frail, vulnerable people from their
home by trying to acquire Guardianship Orders in terms of the Adults
With Incapacity (Scotland) Act 2000. The so-called case conferences
were simply part of the process, which would enable the Council to make
application for the Orders. So much for protecting the interests of the
residents. It was simply a case of the Church and the Council working
together to enable the Church to get vacant possession of Leslie House.
The
concept of Guardianship Orders is interesting - and frightening. If an
individual does not have capacity in terms of the Act, for example, is
incapable of making decisions or remembering decisions another individual,
including the Council, who can claim an interest in the property, financial
affairs or welfare of person who is incapable, can apply to the Sheriff
for a Guardianship Order. If granted, the Order enables the person to
whom it is granted to make decisions about the property, financial affairs
or welfare of the person concerned. The Council wanted to acquire Guardianship
Orders in terms of the welfare of the residents and the only item of welfare
to which the Council wanted the Order to apply was to enable the Council
to decide where the person may live. The Council did not want to seek
any of the other duties or responsibilities that would normally be undertaken
by someone who really cares about the person. The Guardianship Orders,
therefore, were clearly no more than convenient legal instruments to enable
the Council to force the old people from their home on behalf of the Church.
As
it happens, a Guardianship Order of itself is not enough. In order to
get someone removed from their home, the Council would have to invoke
the provisions of Section 70 of the Act. That means that they would have
to get a Warrant and then, on the strength of that Warrant, have a police
officer apprehend the individual and remove him or her to a new home.
In this day and age when civil rights are at the forefront of every political
agenda, here we have the third largest local authority in Scotland prepared
to have old, frail people suffering from dementia apprehended by the police
and forcibly removed from their home. There are stories of Officers of
the Board of Social Responsibility describing to staff how the police
would be involved and how there would be ambulances standing by to cart
the old people off.
As
it happened, the case conferences were almost farcical. The Minutes were
prepared by the Council and left much to be desired. None of that, however,
is of any importance. The only important outcome is that the Council,
as a consequence of the findings of the conferences, determined that it
had to make application for Guardianship Orders, if the residents were
to be protected.
In
making an application for a Guardianship order a several reports are required.
One from a medical practitioner, usually a GP, and another from a medical
practitioner registered in terms of Section 20 of the Mental Health (Scotland)
Act 1984, in other words, a psychiatrist who specialises in the psychiatry
of old age. The Council commissioned such a psychiatrist, who was able
to certify what everyone already knew, viz. that the eight residents who
were the targets of the Council's applications for Guardianship Orders
were incapable in terms of the Act
That
psychiatrist prepared two reports. There is the one that was commissioned
by the Council and which says that the residents are incapable. There
is, however, another report, which was prepared on the initiative of the
psychiatrist and which criticises the Council for what the psychiatrist
sees as an abuse of the Act, in that it was never meant for the purpose
to which the Council was seeking to put it. That report also expresses
other views which would have gone a long way towards thwarting the Council's
applications of Guardianship Orders.
Another report that is required in the course of making an application
for a Guardianship Order is one from a mental health officer. The Council
also obtained those reports. The Council employs all the mental health
officers. They work for the Head of Social Work. They all supported the
Council's applications and had no objections to their boss being made
guardian. That is not surprising, but it is certainly interesting. It
is also profoundly wrong that such reports are not from an independent
authority.
In
any event, the Council pursued the applications, which were first called
in Court on March 12th. The Council, on that day, made separate application
for the hearings to be in private (on the grounds that it may be necessary
to reveal personal details of some of the residents.) There are those
who may conclude that the Council was simply pursuing it desire to protect
the residents. There may be others who might come to a different conclusion.
In any event, the Council representatives didn't look too pleased when
the Sheriff ruled that the hearings would be in private but that the media
would be present as he was wanted justice to be seen to be done. The Sheriff
also ruled that the hearings would be adjourned for a week to permit the
relatives to take legal advice. It would seem that the Sheriff, too, was
sensitive to the indecent haste that has been employed by the Council.
It is important to say that the arguments about the Council's application
that the hearings be in private and the relatives' application that the
hearings be adjourned to permit them time to take legal advice were heard
in private in the Sheriff's chambers and were at length. In the course
of these arguments, reference was made to the critical report that had
been prepared by the psychiatrist commissioned by the Council. The Sheriff
did not announce his decisions until almost three hours had elapsed, subsequent
to which a most surprising development transpired.
Out
of the blue, the Council invited representatives of the relatives and
their solicitor to talks with a view to finding a solution to the problem.
Meetings took place on March 13th, and 14th and on April 30th. The applications
for Guardianship orders were continued by the Council while the talks
were ongoing. There are many disturbing characteristics of these meetings,
the most serious being the failure on the part of the Council to produce
Minutes and its failure also to produce terms of reference for individuals
whose contributions were seen to be essential to finding a mutually acceptable
solution. These shortcomings, however, are of no consequence meantime.
What is of consequence is that the Council agreed to conduct multi-disciplinary
needs lead assessments of the residents with a view to determining their
needs and thereafter to seek to find a care provision, which met those
needs. There was much toing and froing, but the outcome was that the remaining
seven residents, (one had died during the time of the talks), on May 27th
and 28th were moved by their relatives together with the staff with which
they were familiar and, as far as possible, their furnishings and other
personal effects into one of the Council's care homes.
It
had taken a year, but finally the Council had done its job, perhaps only
because the true levels of its ineptitude were about to be demonstrated
in Court.
The
Council ultimately abandoned the applications for Guardianship Orders.
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