CT
Appellant
v
The General Social Care Council
Respondent
[2007] 1014.SW
Before
Mr. Stewart Hunter (Nominated Chairman)
Ms. Carole Alford
Mrs. Carol Caporn
Sitting at the Care Standards Tribunal, Pocock Street, London
on the 8th and 9th October 2007
DECISION
Representation
At the hearing Mr D Fadina, a solicitor represented CT. Mr. A. Ruck Keene of Counsel, instructed by Bevan Brittan LLP, represented the Respondent.
Appeal
Preliminary matters
Evidence
Background
"Is there a current disciplinary finding against you by an employer, educational establishment or other organisation?"
The appellant had replied;
"No".
In response to the question:
"Are you currently the subject of a disciplinary investigation by an employer, educational establishment or other organisation?........."
The appellant had replied;
"No".
Under the heading of "Summary of issues of suitability" he stated the following: -
"The student is on the BA (Hons) Social Works course at Chichester University and began her studies in September 2005.
On page 6 of her application form the student has "tippexed" out a declaration relating to her disciplinary record. This stated that she failed to follow instructions during a fire incident and was dismissed from her employment at B H, a residential home for the elderly mentally infirm, in August 2005. The student failed to report this dismissal and the reason for it to Chichester University and to her second employer, Cornelius House."
The recommendation of Robin Weekes was that: -
"… the applicant be refused registration for the reasons outlined…"
(a) The appellant had been dismissed for gross misconduct by Eldra Caru (the owners of B H) on the 16th August 2005 following an incident at B H on the night of the 3rd of August 2005. The appellant had not appealed against the decision. The appellant's acts on the night of the fire indicated a lack of judgement and a failure properly to protect service users. A service user's life was put at risk. In particular the committee noted the appellant's failure to previously close the fire doors and undertake a thorough check of both floors.
(b) The appellant had consistently downplayed the gravity of the incident and her involvement in it to the GSCC, her university and her employer, Cornelius House, because no service user came to any harm.
(c) The appellant subsequently showed a lack of openness about the matter with her current employer, university and the GSCC.
(d) The committee found that the appellant's action in tippexing out the reference to her instant dismissal in her application form for the GSCC was dishonest.
(e) The committee had not heard anything from the appellant to show that she had any insight, understanding or had reflected upon her actions."
Facts
"Staff training is ongoing according to available records. However, all staff must be fully aware of procedures to be adopted in the event of the fire alarm activating.
It was indicated by staff of the time of the above incident that only the ground floor had been searched. However there was obvious smoke evident on the first floor.
"On Duty" staff must remain vigilant at all times."
The Tribunal were shown a copy of the article from the Worthing Herald which included the following paragraph: -
"A fire service spokesman said the incident was potentially life threatening. He said "people die more from smoke inhalation than anything else. Another few minutes and she wouldn't have made it."
The appellant was also questioned as to why she had not attended fire training at B H on the 26th July 2005. Ms LS had said that the appellant did have a valid excuse for not attending the fire training.
It was also put to the appellant that the fire procedure in operation at the home was that carers must check all rooms in the home both upstairs and on the ground floor when the fire alarm went off. Mr Patel stated that he had explained to the appellant that given her lack of action on the night of the incident the Commission for Social Care Inspection would be making an unannounced visit to the home. Mr Patel was concerned that the incident could lead to the home having enforcement action taken out against it. Accordingly as he considered that the appellant had been negligent in her duty of care to the service users, particularly in not advising the on call manager, then it would not be appropriate to allow the appellant to continue to work at the home, he went on to state: -
"I considered that CT's actions, along with her colleagues, had been that of gross misconduct and there was no alternative but to release CT from her duties with immediate effect."
Mr Patel stated in his witness statement that the appellant was given the minutes of the meeting and her right to appeal. A dismissal letter should have been sent to the appellant, but Mr Patel had no record of that.
The following was stated: -
"Proceed to fire control panel closing doors en route to ascertain the zone/detector actuated.
Ascertain danger zone/detector showing (at night unlock main entrance for the fire brigade).
As a team (two or more) carryout a search use the door checking procedure. Note: -Initially adopt a "stay put" procedure. DO NOT enter a smoke logged area.
If a fire is discovered where and if possible evacuate those in immediate risk laterally to behind two fire doors.
Continue evacuation vertically (staircases) where necessary.
Note: - DO NOT use a lift
Brief the fire and rescue service on their arrival
Note: an up- to- date roll call of all occupants should always be available.
In addition all staff should have knowledge of the following: -
Portable fire fighting equipment
Structure and electronic fire plan of the building."
"I was working on a night duty in an EMI residential home of 21 residents. There were only 2 of us on duty with no senior carers. At around 1.30-1.45am we had done one of our night rounds and nothing seemed to have been amiss with the residents or the home. At around 2.20 the fire alarm went off and the first task we did was call the fire brigade. After that we went to the control panel to try and locate where the fire was originating.
The control panel didn't just indicate upstairs or downstairs, we had PHASE 1 having some rooms upstairs and interlocking with other rooms downstairs, therefore we decided to first check all rooms downstairs which were 7 bedrooms and 3 toilets, kitchen, dining, lounge, passageway, laundry and staffroom. As we were finishing checking the rooms downstairs, which were all clear, the fire brigade arrived, within 5 minutes of the phone call, hence us opening the door together since we didn't think lone working was advisable.
Unfortunately, we couldn't be much help to the fire brigade of where the dictator was coming from as we hadn't yet reached upstairs where the actual smoke dictator was lighting but we told them "downstairs was clear". "
Although in an e-mail to the GSCC dated the 6th March 2007 addressed to Chris Lynch the appellant had stated that after the fire alarm had rung she had used her initiative to check the downstairs rooms closing fire doors and doing a head count to ensure that all the residents were in their rooms.
"The call to fire brigade had not been made properly. The applicant and her colleague did not appear to have read the fire regulations and had made no attempt to go upstairs which was smoke logged. He suspected, but had not proof, that the applicant and her colleague had been sleeping as he didn't see how it was possible for such a lot of smoke to have developed upstairs if they had done the check of the residents in the timescale they said they had and made the checks 20 minutes beforehand. The resident had stuffed tissues down the bedside lamp on top of a light bulb and these had slowly smoked and then burst into flames. If the check had been done, Mr Innocent believed that this should have been obvious."
"Anyway, the resident came out of the room smiling and walking unaided and even talking cheerfully. When the ambulance got called for her by the brigade, they gave her the all clear. There was nothing wrong with her and her breathing and pulse were just fine after 20 minutes of being rescued."
The appellant made similar comments in subsequent communications to the GSCC.
In her statement to the Tribunal dated the 12th September 2007 the appellant stated at paragraph 8: -
"In terms of my understanding of the risks involved, undoubtedly Mrs DN was in grave danger as she would have inhaled a lot of smoke and potentially died. The risk was also extended to other clients and staff as well as damage to property. From looking at the case notes, I may have written my statements to seem as I did not grasp the level of risk involved to the client due to my employers statement that care standards were on their case and that the client came to no harm. I did understand the level of risk involved but those statements are included to argue against the assumptions that were brought forward that the client may have been left in a smoke filled room for up to two hours."
"We went to check the fire panel which was confusing to understand because some of the rooms it had indicated upstairs were also indicated downstairs, therefore when Ms CT stated she could smell smoke downstairs, we felt we had to do a thorough check downstairs to ensure clients downstairs were not in extreme danger of an explosion, as both the kitchen and laundry room were downstairs."
Later in the same statement WM said: -
"I know for a fact that I called the person on call but found her mobile switched off."
Mr Patel in his witness statement had stated at paragraph 14: -
"CT did have a valid excuse for not attending the fire training, (not sure what her reason was for not attending the training.) Ms LS told CT that in her view she had the confidence, ability and awareness to know how to handle a situation such as that of the 3rd August but that she had let herself down in dealing with it. In stating this, Ms LS relied on the fact that CT was studying for NVQ Level 3, which she had almost completed but already completed NVQ Level 2 in any event. "
"Mr Divya Patel introduced the hearing and explained that CT had the right for an independent witness to sit in on the meeting. CT declined to have anyone else present."
Later in the notes of the meeting it is recorded as follows: -
"Mr Divya Patel said that because of the "gross misconduct" shown by the actions of CT there was no alternative but to release CT of her duties with immediate effect."
"As I stated on that letter BH failed to provide me with a dismissal letter even until now, therefore legally I left on amicable terms with them."
The appellant accepted at the Tribunal hearing that it had been a misstatement on her part to say that she had left B H "amicably". She went on to say that she had known at the end of the hearing that she had been dismissed. However, she had never received a copy of the notes of the meeting nor any dismissal letter, despite several telephone calls and therefore she had considered that she had not been technically dismissed.
It was acknowledged on behalf of the GSCC by Mr Ruck Keene that CT had not attempted to conceal the fact that she had tippexed out the information and that she had given an explanation as to why this had occurred when she was first contacted by the case worker following receipt by the GSCC of the form.
"Call to student to request an explanation about her tippexing out the disciplinary declaration on page 6 of her application form. Student said her sister had told her that she did not need to disclose that she had been sacked."
"I wish to acknowledge that tippexing the application form was an unthought out action. I am remorseful about this. This is due to the reasons I have stated before that there was an absence of a disciplinary letter which I and my sister discussed. We felt that in the absence of a dismissal letter, I had not been dismissed. I also stress that she did not in anyway force me to tippex on the application form. Although it may appear an unsound judgement, I used the latter rationale my sister gave me."
In oral evidence to the Tribunal the appellant acknowledged that it had been a mistake to tippex out the information.
The appellant's attention at the hearing was drawn to paragraph 2.1 of the Code of Practice which states that a social worker needs to be "honest and trustworthy" and also to section 5.8 which states that a social worker must not, "behave in a way, in work or outside work which would call into question your suitability to work in social care services."
The appellant said that at the time of completing the application form she had just started her social work course at university and that she now understood far more about the meaning and understanding of the Code of Practice than she had then.
"I am writing to verify that CT has been seeing me from March 23rd 2006 and finished sessions on 11th July. She came in distress concerning her failed application to the GSCC and we discussed what had happened in that process, including the situation which led to her dismissal following a fire in her place of employment.
She now realises that she should have included this information in her application, but in mitigation, the advice from her older sister needs to be taken in context, that this sister, was at the time her closest relative in the UK, and in families from CT's ethnic background, older sisters have considerably more authority than in Anglo culture."
The Tribunal were not shown a copy of the appellant's application form or copies of the documents that had been enclosed, but instead documents which were said to be similar to those sent to the appellant were produced. The form relating to criminal record bureau disclosure contained the following statement: -
"In order to register with the General Social Care Council as a student social worker, you will also need to have a satisfactory disciplinary record.
If there is a current disciplinary finding against you, or if you are the subject of a current disciplinary investigation, by an employer, educational establishment or other organisation, you should write to the university's admission officer as described above."
And later in the same form: -
"It is your responsibility to inform the university of any change in any of the circumstances mentioned above whilst a social work student."
The Tribunal were told by the applicant that on being advised by Chris Lynch on the 13th December 2005 that she should tell the university immediately of her dismissal, she had explained to the university about her disciplinary matters but she acknowledged a failure on her part to disclose the full circumstances.
The Tribunal were shown a note of an interview between the appellant and Gill Butler (programme coordinator) and Elizabeth Kemp (admissions tutor) from Chichester University dated 17th January 2006. The note indicated that the appellant had been asked to see staff at Chichester University by the GSCC as the appellant had disclosed that she had a disciplinary offence. Ms Butler and Ms Kemp then proceeded to discuss with the appellant what had happened in relation to the fire. The appellant is recorded as saying that she felt that she had been unfairly blamed and that both she and her colleague had been sacked as a result of the fire officers concerns. The tutor's interviewing the appellant noted that: -
"We agree from this interview that we are satisfied that CT recognises where she went wrong, she is distressed by what happened and has clearly learned from the situation. We agree that we will confirm our view with the GSCC case worker, Chris Lynch."
"Confirmed she had received a letter from GSCC and is in the process of responding. Is working at Cornelius House doing 18 hours during the day.. Matron is Pam Venus. Asked student if she had informed her employer that she had been dismissed from B H and the reason for that. She said she had not. I asked why and she said she had started work at Cornelius House prior to BH and only did one night shift there. She had not thought she needed to do this. I suggested that as her actions had put the life of the service users at risk, she needed to inform her current employer so that they could ensure that residents were protected and the student received all the training and support she needed."
"The exact words, I am not sure whether the conversation that I had with Ms Venus was that there was an investigation with the GSCC were having towards me over a dismissal which happened at B H, my formal employment, and that investigation, whether I could actually be allowed on to the Social Care Council or not. So that is what I said, an investigation was pending. I also told her the reason for the dismissal…"
In her witness statement dated 12th September 2007 the appellant also indicated that she had made a full disclosure to her manager at Cornelius House about the fire incident after discussions with Chris Lynch.
"Telephone call to Pam Venus, manager of Cornelius House as I need to confirm and clarify the contents of the character reference she had provided. I asked Ms Venus about what the student had explained to her about why she needed the reference. Ms Venus said it was to do with a fire at B H where someone had nearly died and there was an ongoing investigation as to how they had handled that. I asked whether CT had informed her of her dismissal from B H. Ms Venus said she was not made aware of this."
The appellant referred to a document that had been prepared by her and signed by Ms Venus as being a correct version of events, that document being dated 22nd May 2007. The document was said to be an account of what the appellant had told Ms Venus and Ms Venus had been asked to confirm the contents of the document and add any comments. Ms Venus had so confirmed and added the comment: -
"I was not informed of a dismissal letter and asking CT, she said she did not get one."
"I advised Ms Lynch that I had been told by CT that a fire incident had taken place at B H where someone had nearly died. Because of this incident, there was an ongoing investigation as to how CT and her colleague, who were both on duty on the evening of the incident had handled the incident. Ms Lynch then asked me whether CT had informed me of her dismissal from B H following the incident. I was surprised to hear that CT was dismissed from B H as she had told me that the investigation was ongoing."
Later in her statement at paragraph 9 Ms Venus stated: -
"Following my discussion with Ms Lynch, I agreed to speak to CT. I interviewed CT on the 16th September 2006 after my discussion with Ms Lynch. CT told me that she had not received a dismissal letter and that this was why she had not said anything to me about it. I had a meeting with Mr Kellas and it was decided that CT would remain in our employment."
"My observations of the student lead me to believe she is ready and safe to undertake professional assessed practice learning. She is very keen to learn all aspects of the role and would benefit from being placed with a Practice Assessor and spend quality time with her."
There was also a report from her tutor Sam Baeza dated 11th July 2006 the opening sentence of the report being: -
"CT has a good understanding of the social work role particularly in respect of her placement within a learning disabled setting."
"I have always found CT to be kind and diligent in her care of the residents. She follows the policies and procedures of the home."
In her witness statement dated 12th September 2007 at paragraph 8 the appellant stated that: -
"I apologise for the danger Mrs DN was in and have come to realise that when I worked at BH, I was not as skilled as I thought I was. I did everything the best as I could. On reflection, I now see the areas I could have done better. I have gone out to better myself. I have returned to school to be a better practitioner and have undertaken extra in-house training courses in health and safety which are manual handling, first aid, infection control and most importantly fire training."
In oral evidence the appellant told the Tribunal that she had learnt from her experiences at B H and from the submission of her application to the GSCC for registration. She knew she needed to be honest and that disclosure was important and asking appropriate people for advice.
The Law
"4 (10) (a)
It is satisfied as to the applicant's good character and conduct;…"
Section 68 (2) of the Act states that the Tribunal may confirm the decision of the GSCC or direct that it shall not have effect.
Conclusions
The evidence concerning the fire doors was a little confusing in the sense that there appears to have been two types of fire doors at B H. There were fire doors into each of the service user's rooms, which the appellant said she had opened when she had gone around the home at about 1.45am to check on the service users and then shut the doors after her. Once the fire alarm had gone off she and her colleague had searched the ground floor, again the fire doors into the service user's rooms had been opened in the search for the location of the fire and then closed. There was however, also a different type of fire door in the corridors. At one point we were told by the appellant that these were automatic doors which closed when the fire alarm was sounded so that even if they had been left open they would have closed automatically.
The appellant refers in her e-mail of the 6th March 2006 to checking downstairs rooms "closing fire doors" and doing a head count to ensure all residents were in their rooms. We take that to be the fire doors into the individual service user's rooms. We do not consider, therefore, based on this evidence, that she behaved inappropriately in relation to the fire doors.
"As a team (2 or more) carryout a search use the door checking procedure."
It therefore appears to us that the appellant and WM were acting in accordance with this procedure. Moreover as they had not been able to identify from the control panel precisely where the fire had started and they could smell smoke, we cannot see anything unreasonable with them starting their search on the ground floor. In addition a call had been made to the fire brigade who arrived promptly and were able to be told that the ground floor had already been searched.
Mr Patel in his statement records that the appellant had said at the disciplinary meeting that she had evaluated the situation on the night of the fire and decided that it was not worth calling the on call duty manager. The appellant's evidence does appear to be consistent throughout on this point and we accept that given the appellant's previous experiences with contacting on duty managers, that it was not unreasonable for her to assume that she would either not be able to speak to the on duty manager or would have been told that the matter could wait until the following morning.
The submissions made to us on behalf of the GSCC indicated that the GSCC accepted that the appellant had no intention of putting any service user's lives at risk on the night of the fire and that she had done what she thought was best in the circumstances. As regards the appellant's actions on the night of the fire we consider that in the main she followed the fire procedures in place for the home and that whilst a service user was placed at risk, that risk was not as a direct result of the appellant's actions.
"I would also like to highlight that Ms D came to no harm as she was able to walk out of her room, was cheerful and engaging in conversation."
However, as time has passed the appellant's attitude also appears to have changed. In her most recent statement dated the 12th September 2007 the appellant acknowledges that Ms D was in grave danger as she had inhaled a lot of smoke and potentially could have died. We had the opportunity to hear the appellant giving evidence and we take the view that the appellant's most recent comments on the risk to service users is her genuine view as to how she now sees the situation.
It was suggested by Janet Aldridge, the head of counselling at the University of Chichester, that there may have been cultural reasons why the appellant felt the need to follow her older sister's advice. We find this a difficult conclusion to reach in the absence of any evidence from the appellant's sister herself.
We do take into account the acceptance by the GSCC that the appellant had not deliberately set out to deceive them in altering her application form. Indeed the tippexing out of information was so blatant that it must have been obvious to the appellant that this would raise questions in the minds of anyone at the GSCC processing the application form.
As regards the University of Chichester the appellant told the Tribunal that she had applied for a place at the university in around March 2005 which would clearly pre date the date of the fire. Although the Tribunal were not shown copies of the documents sent by Chichester to the appellant at the time of her application, we were shown sample letters and enclosures. The appellant acknowledged that she had received a similar covering letter to the one produced to the Tribunal, which had enclosed information regarding criminal record checks. Those documents together with the Code of Practice which had been supplied to the appellant with her application form to the GSCC were said to be sufficient to have put the appellant on notice that she was under an obligation to disclose the fact of her dismissal to the university immediately after it had happened. As far as the Code of Practice was concerned we are not convinced that the paragraphs to which our attention was drawn, namely 2.1 and 5.8 are such that it would be obvious to a student that it was up to her to tell the university about her dismissal. However if the appellant did receive documents from the University of Chichester similar to the ones that were produced to the Tribunal, those do make it clear that not only should a current disciplinary finding be disclosed to the university, but that it is the students' responsibility to inform the university of any change in their circumstances whilst a social work student.
However, we are not persuaded that the appellant sought to deliberately withhold information from the university, she had after all informed them of her health situation. The university themselves through Gill Butler took the view that as the appellant had not been asked about her disciplinary record at her admission on to the course that it was not "fair to penalise her now". Ms Butler is also recorded as having told Ms Lynch in a telephone call on the 23rd January 2006 that she felt that the appellant "had learned from the experience and she needed to be more vigilant."
In terms of the fire itself our criticism would be that the appellant did not in the months immediately after the fire fully appreciate the risks which the service users had been placed at B H as a result of the fire. We accept that over time the appellant has had the benefit of further consideration and advice and as a result has acquired a greater understanding in relation to the risk of service users in such circumstances
As regards the disclosure of her dismissal, it was clearly an error of judgement not to have disclosed this to the GSCC in her application form, but there are mitigating circumstances, we take into account that there was no attempt to deceive the GSCC, the change in the form being obvious and the appellant informing the GSCC of the position immediately on being questioned. The fact of her dismissal should have been disclosed to both the University of Chichester and Cornelius House. In the case of Chichester we do not believe there was a deliberate attempt to conceal this from the university. In relation to Cornelius House we are prepared to accept there was a misunderstanding in relation to how the information was eventually given to Ms Venus.
The crucial question is the impact of all of this on the appellant's present character and conduct. We take into account what the appellant has said and done since her dismissal and since submitting her application for to the GSCC. In particular that she has continued at Chichester University on a degree course, she has undertaken further fire training and the evidence from Cornelius House is that she is a person who follows procedures. She has good reports from the University, from her tutor, from her placement supervisor and in addition a good character reference from her tutor.
More importantly the evidence from the appellant herself as set out in her witness statement in these proceedings and in the evidence given to us at the hearing indicates that she has learnt lessons from what has happened and developed a greater understanding and insight in to the requirements of a being social worker as set out in the Code of Practice. Therefore for all of these reasons we consider that the appellant as at the date of the hearing can now be considered somebody of good character and conduct.
We therefore direct that the GSCC's decision not to register the appellant as a student social worker should have no effect.
Accordingly our unanimous decision is to allow the appeal
ORDER
Appeal allowed
Mr. Stewart Hunter (Nominated Chairman)
Ms. Carole Alford
Mrs. Carol Caporn
Date: 5 November 2007