MENTAL CAPACITY ACT 2005
42-49 High Holborn, London WC1V 6NP |
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B e f o r e :
Re DT
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THE PUBLIC GUARDIAN |
Applicant |
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- and - |
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(1) IT (2) PT (3) MT |
Respondents |
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The respondents attended in person and were not represented
Hearing date: 19 February 2015
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Crown Copyright ©
Senior Judge Lush:
(a) is proportionate;
(b) is less restrictive in terms of DT's rights and freedom of action;
(c) respects DT's rights, will and preferences;
(d) warrants public interference in his private and family life; or
(e) is in his best interests.
The facts
(a) IT, who was born in 1967, and is an information technology consultant;
(b) PT, who was born in 1969, and is an information technology manager; and
(c) MT, who was born in 1972, and is a company director.
(a) vascular disease;
(b) an acquired brain injury; and
(c) chronic alcoholism.
The application
"The applicant makes this application and asks for a declaration as to DT's mental capacity to make decisions in relation to a matter or matters concerning his financial affairs.In the event that the court declares that DT lacks mental capacity, an order under Schedule 4 paragraph 16(2)(b)(ii) of the Mental Capacity Act 2005 directing IT, PT and MT to provide within 28 days full detailed accounts with supported documentation to the Public Guardian for their dealings with the management of DT's property and financial affairs from 26th September 2011 to the date of the order.
Should IT, PT and MT fail within 28 days to provide satisfactory accounts then the applicant seeks and order under Schedule 4 paragraph 16(4)(g) and sub-paragraph (5) directing the Public Guardian to revoke the EPA and to cancel the registration of the EPA made by DT.
An order directing that Suffolk County Council be invited to make an application for appointment as deputy to manage DT's property and affairs."
(a) On 14 June 2013 Suffolk County Council had contacted the OPG expressing its concern about arrears of care home fees, which at that time amounted to £19,624.
(b) IT responds to all attempts at contact by Suffolk County Council by asking questions and is underpaying DT's care home fees by £100 a week.
(c) DT and his wife are joint owners of the former matrimonial home in Lowestoft, which is currently let at a rent of £550 per month. The rent is paid directly into his wife's account.
(d) On 21 May 2014 Suffolk County Council confirmed to the OPG that it would be willing to act as DT's deputy for property and affairs.
The Court of Protection Visitors' reports
(a) Special Visitors, who are registered medical practitioners and have a special knowledge of, and experience in, cases of impairment of or disturbance in the functioning of the mind or brain: Mental Capacity Act 2005, section 61(2); and
(b) General Visitors, who need not have a medical qualification: section 61(3).
"I spoke to the client and put to him the questions that required a response for the investigation. With regard to a general opinion about the EPA, the client was fully aware that his sons were jointly responsible and said he was very happy with the arrangement. He said they were 'good lads'. It was evident the client considers his estranged wife to be the problem and says she is taking his money. He was knowledgeable about his income but complained that it was going into her pocket. He believes his sons to be in a difficult position because she is their 'Mum'. He feels he is in a 'Catch 22' situation because of that."
"I visited DT on 24.03.14. … Staff warned me that he could scream at me and would not engage and, even if he does engage, it is likely he would not engage for more than a few minutes. At my request the staff had informed him of my visit and the purpose of my visit.I assessed DT in a large room to which he walked unsteadily with the help of staff and sat in a chair. He was well dressed with clean clothes. He was kempt. The staff left him with me and, as I introduced myself, he understood the purpose of my visit and immediately shouted, "I wanted my sons to have the power of attorney, I don't want my wife to be involved." I then asked him what he meant by the power of attorney and he became extremely hostile and shouted again reasserting that his wife should not be involved. I distracted him by talking about his interest in films. He then talked at length about film actors from the 1960s to the 1980s, often repeating the same statement over and over again. After diverting his attention I thought I could proceed with the mental state examination, but as soon as I started assessing his mental state, he would scream at me, shouting loudly to the point that staff came into the room to make certain that I was alright. After the staff left I once again distracted him by talking about his various interests, and when I recommenced the mental examination, he once again started screaming and shouted repeatedly that he had had 'enough' and wanted me to leave. The staff arrived and I suggested that they could take him out, as he was demanding cigarettes, and that I would see him after he had smoked his cigarette.
When I recommenced the mental state examination, he shouted that he did not wish his wife to be involved and that he wanted his sons to have the power of attorney. When I asked him what he understood about the power of attorney, he once again became very angry, but later I was able to elicit that he wished to convey that all his finances should be managed by his sons. He stated that he trusted them implicitly and did not wish anyone else to be involved. He stated clearly "of course I am happy for my sons to have the power of attorney. My wife does not have the power of attorney." When I asked him how much money he has, he shouted "I don't know. The boys have the money and give me whatever money I need. I don't have to go out anywhere." As he screamed, ordering me out of the room, I had to terminate the assessment.
Apart from noting that he becomes impulsively aggressive with a very low level of tolerance, and often became frustrated when he found it difficult to answer any question, I did not find any evidence of depression or elation of mood. Though I could not conduct a mini-mental state examination, as he became angry, I am certain that he does present with cognitive deficits which add to his frustration when he finds it difficult to answer simple questions. His long term memory was, however, very good when he detailed the private lives of film stars from films he has seen in the past.
Conclusion
DT suffered dementia which is due to several factors. There is evidence of vascular cause as well as brain damage following a head injury and it is likely that chronic alcoholism has contributed towards the cognitive defects. The brain scan had shown evidence of brain damage with particular focus on the frontal lobe which is involved in behaviour and aggression. It is likely that his impulsive aggressive behaviour is due to the damage to the frontal lobe.
In spite of the diagnosis of dementia, he still has the ability to indicate who should have the power of attorney. He has asserted strongly his view that his sons should continue to have the power of attorney and manage his personal and financial affairs.
Response to questions raised in the commissioning document
(1) DT has the capacity to revoke or suspend the EPA.
(2) DT has the capacity to make a new LPA.
(3) DT has capacity to direct the attorney to make decisions on his behalf regarding the management of his affairs and has entrusted the attorneys to make all decisions on his behalf and has implicit trust in his sons.
(4) DT does not have the capacity to manage his own affairs.
(5) Though DT has the capacity to instruct his attorneys to provide an account I do not think he will instruct them as he does not find the need for it, having implicit faith in their ability.
(6) DT has capacity to choose or say who he would like to manage his affairs, should he not be happy with the existing attorney.
(7) DT does not have any awareness of his financial situation.
(8) DT is being well cared for.
(9) Whilst his needs are currently being met within the care home, the manager of the care home informed me that, because he soils his clothes, being doubly incontinent, there is a need to purchase new clothes quite often, and hence a supplementary sum of money should be made available each month to cater for this need. She suggested an additional sum of £50-£100 per month. In my opinion, his current placement at the care home is the best place for him.
(10) DT has clearly expressed his opinion that he is happy with the attorneys' management of his affairs.
(11) There are no other issues I wish to bring to the attention of the Public Guardian.
(12) DT is not capable of dealing with the complaint. I did not discuss the complaint with him, as I felt he could then misinterpret the complaint and became hostile towards his carers.
(13) I did not confirm whether he had made any financial gifts from his estate as he clearly did not wish me to probe in his financial affairs and became increasingly hostile when I tried to ascertain his current financial state.
The objections
(a) the OPG to serve the application on the attorneys by 8 August 2014;
(b) the attorneys to account to the OPG by 5 September 2014; and
(c) the OPG to confirm by 26 September 2014 whether the attorneys had complied with the order and whether their accounts were satisfactory.
"We feel the options provided are not in best interests in terms of financial health and welfare. As stated in [the Special Visitor's report] DT has stated he is happy with the current attorney arrangement."
(a) the attorneys to produce their accounts by 3 October 2014; and
(b) the OPG to confirm by 24 October 2014 whether or not the accounts were satisfactory.
"The property [address] was the former matrimonial home. If our father was not in need of residential care, our parents would no doubt be living in that property together as one household. Our mother has only limited income in her own right and our father's pension income would have maintained both of them. Consequently, we the attorneys have tried to balance the needs of both of our parents. Our mother needed to move to Essex so that we, the attorneys, could provide her with a support mechanism, as she was so low and depressed by the events involving our father's illness. The family are satisfied that DT is quite clear that he wishes his three sons to have full control of his finances. They consider that DT's views in this matter should be paramount."
The Public Guardian's response
"On 22nd October 2014 I spoke to the manager of the care home who told me that [DT's sons and wife] visit DT very infrequently i.e. approximately once or twice a year and only one of his sons (unknown) telephones to see how he is in the interim.[The manager] mentioned that she had initially raised concerns to Suffolk Safeguarding Unit on 30th March 2011 as DT's wife had asked him to sign "pieces of paper".
[The manager] stated that DT often complains that his wife is taking his money and using it to buy petrol. [The manager] said that in light of this, Social Services had asked the attorneys to provide an account of their financial dealings to DT on numerous occasions, so that he would be aware of how his money was being spent but to date this had not happened.
I received an email from Suffolk County Council on 24th October 2014 confirming that there is currently £68,997.40 outstanding in unpaid care home fees.
Whilst it is understandable that, as DT's wife and children would consider all aspects of the family needs when making financial decisions, as DT's attorneys it is their duty under the Mental Capacity Act 2005 to act in his best interests. The evidence shows that they are therefore conflicted in their interests and have failed in their duties as DT's attorneys by not keeping accurate accounts, allowing his care home fees to accrue to £68,997.40, and failing to provide him with sufficient personal allowance. The Public Guardian, therefore, asks the court to revoke the EPA and invite Suffolk County Council to become deputy for DT."
Suffolk's objection to the application
"The Public Guardian seeks an order appointing Suffolk County Council's Director for Adults and Communities as deputy for DT. The Council's finance team, which deals with the transactional aspects of estates for which the director is deputy, has advised that the contentious history of DT's property ownership and the complexity of his estate are such that they lack the expertise to deal with the matter. If a deputy is appointed, it would appear to be in DT's best interests for this to be an appointment from the panel. Regrettably, the social worker with whom the OPG investigator liaised was not aware that the Council does not accept an invitation to become deputy for all referrals and indicated that Suffolk County Council would accept the appointment, which is not the case."
The hearing
(a) Nadia Dhillon and Sandeep Heer of the OPG; and
(b) the three attorneys, IT, PT and MT, who were accompanied by their mother and a family friend.
(a) To agree a reasonable monthly figure to pay the care home, whilst also looking after their mother's interests by ensuring that reasonable financial provision is made for her.
(b) The house in Lowestoft is on the market and has been sold, subject to contract, for £140,000. Contracts are due to be exchanged in two weeks' time. They wish to negotiate a reasonable sum to pay off their father's debt to Suffolk County Council, but the Council won't talk to them about the debt or enter into negotiations.
(c) Ideally, they would like to move their father back to Essex. They are not entirely happy about the care he currently receives, and it is a six hour return journey for members of the family to visit him. This is the main reason why they are unable to visit him as often as they would like.
DT's assets and liabilities
The former matrimonial home | 140,000 |
Scottish Widows ISA | 11,147 |
Halifax account | 4,700 |
£155,647 |
The law relating to the revocation of an EPA
"The court must direct the Public Guardian to cancel the registration of an instrument registered under paragraph 13 in any of the following circumstances -
(g) on being satisfied that, having regard to all the circumstances and in particular the attorney's relationship to or connection with the donor, the attorney is unsuitable to be the donor's attorney."
"If the court directs the Public Guardian to cancel the registration of an instrument on being satisfied of the matters specified in sub-paragraph (4)(f) or (g) it must by order revoke the power created by the instrument."
(a) Re W (Enduring Power of Attorney) [2000] 3 WLR 45, where the decision of the first instance judge was subsequently upheld by the Court of Appeal in Re W (Enduring Power of Attorney) [2001] 2 WLR 957;
(b) Re E (Enduring Powers of Attorney) [2000] 3 WLR 1974; and
(c) Re F [2004] 3 All ER 277.
"It seems to me that to remove a chosen attorney because of hostility from a sibling or other relative, in the absence of any effective challenge to his competence or integrity, should require clear evidence either that the continuing hostility will impede the proper administration of the estate or will cause significant distress to the donor which would be avoided by the appointment of a receiver. Neither of these conditions is satisfied by the evidence in this case."
DT's present wishes and feelings
"It might further be tested by asking whether the seriousness of this countervailing factor in terms of detriment to P is such that it must outweigh the detriment to an adult of having one's wishes overruled, and the sense of impotence, and the frustration and anger, which living with that awareness (insofar as P appreciates it) will cause to P. Given the policy of the Act to empower people to make their own decisions wherever possible, justification for overruling P and "saving him from himself" must, in my judgment, be strong and cogent. Otherwise, taking a different course from that which P wishes would be likely to infringe the statutory direction in s 1(6) of the Act, that one must achieve any desired objective by the route which least restricts P's own rights and freedom of action."
Financial provision for DT's wife
"Subject to any conditions or restrictions contained in the instrument, and attorney under an enduring power, whether general or limited, may (without obtaining any consent) act under the power so as to benefit himself of other persons than the donor to the following extent but no further –(a) he may so act in relation to himself or in relation to any other person if the donor might be expected to provide for his or that person's needs respectively, and(b) he may do whatever the donor might be expected to do to meet those needs."
The costs of a panel deputy
(a) the geographical location of the panel deputy's practice;
(b) the various grades of fee earners involved in the matter;
(c) the nature, extent and complexity of property and affairs that need to be managed and administered;
(d) whether the costs relate to the first year of the deputyship or to the second and subsequent years;
(e) whether P is living in his own home or in an institutional environment;
(f) whether P's family are at loggerheads with one another; and
(g) whether there has been financial abuse, and it is necessary to make further investigations or to bring proceedings against the abuser in order to restore P's estate to its rightful level.
£ | |
Solicitors with more than 8 years' post qualification experience | 201 |
Solicitors with more than 4 years' post qualification experience | 177 |
Other solicitors and legal executives and fee earners with equivalent experience | 146 |
Trainee solicitors, paralegals and fee earners with equivalent experience | 111 |
£ | |
Solicitors with more than 8 years' post qualification experience | 217 |
Solicitors with more than 4 years' post qualification experience | 192 |
Other solicitors and legal executives and fee earners with equivalent experience | 161 |
Trainee solicitors, paralegals and fee earners with equivalent experience | 118 |
(a) VAT (£825.60);
(b) the cost draftsman's fee (say £335) plus VAT (£67);
(c) the premium payable in respect of any security bond required by the court; in this case a single one-off premium of £98, not recurring annually;
(d) the detailed assessment fee of £225 (which applies where the costs exceed £3,000 including VAT and disbursements);
(e) the OPG's initial deputy assessment fee of £100; and
(f) the OPG's annual deputy supervision fee of £320.