Premium Care Homes Ltd v Commission for Social Care Inspection [2006] EWCST 838(EA) (07 June 2007)
Premium Care Homes Ltd
(Appellant)
-v-
Commission for Social Care Inspection
(Respondent)
[2006] 0838.EA
-Before-
Mrs. C. A. Singleton (Chairman)
Ms. C. Joffe
Dr. S. Ariyanayagam
Heard at the offices of the Care Standards Tribunal at Pocock Street, London from 16th to 20th April, 2007, inclusive.
Representation
1.The Appellant was represented by Mr. P. Engelman of counsel. The Respondent was represented by Mr. M.Curtis of counsel.
Appeal
2.The appeal lay against the Notice of Proposal to Cancel Registration issued by the respondent on 3/08/06 under section 17 of the Care Standards Act 2000, in respect of Penhellis Care Home, Helston, Cornwall. The tribunal was provided with a bundle of papers comprising 2080 sheets of evidence. That bundle was added to both in the period immediately preceding the hearing and during the hearing itself. An amended schedule of allegations was provided which, in itself, amended the details in the proposed notice of cancellation which was the subject of this appeal. In the final analysis, the tribunal was asked to make decisions regarding alleged breaches of Care Homes Regulations, regulation 7, regulation 10, NCSC Registration Regulations, Regulation 13 and 14, Regulation 19, Regulation 25 and Regulation 26. The burden of proof lies with the Respondent.
Preliminary Matters
3. Application was made by Mr. Engelman on behalf of the Appellant, for the evidence of the Solicitors Disciplinary Tribunal in respect of Mr. Awan, who was the Operations Manager of PCH ( the Appellant Company) at the relevant time, and the subsequent findings and decision of the Court of Appeal to be excluded from the hearing. That application was opposed by Mr. Curtis on behalf of the Respondent. Having heard legal argument from both sides, the tribunal allowed the Appellant's application under regulation 14 (3)(1) of the 2002 Procedural Regulations.
Background Information
4. On 15/03/04, the Appellant, Premium Care Homes Limited (PCHL), became the Registered Provider of Penhellis, a care home with nursing providing care for a maximum of 33 service users within the categories of Old Age not falling within any other category, Physical Disability and Terminally Ill. The directors of PCHL were Mrs. Isabelle Awan and Mr. Arnaud de Malglaive, neither of whom had any previous experience of managing or carrying on a care home. By an agreement dated 16th February, 2004 between the Appellant and Sarfaraz Awan the Appellant engaged Mr. Awan as its Operation's Manager. In that capacity he was to (inter alia):
(a) attend from time to time Penhellis House Nursing Home
(b) coordinate with the Matron and the Responsible Individual of Penhellis, the management of staff, the daily care of service users, and the supply of goods and services to Penhellis
(e) communicate directly with the Commission on behalf of the Company with regard to any issue relating to the provision of care at Penhellis and to implement any directions which the Commission may reasonably require.
5. Document 243 of the papers is a letter dated 18/02/04 signed by Mr. Awan on behalf of the Appellant. It states "The Company structure was devised by our accountant and was solely tax driven so that I could operate at arm's length and invoice the Company for my professional services. However my wife Mrs. Awan owns 100% of the shares in the Company and is a director and Company Secretary. The other director Mr. De Malglaive was appointed to the Board solely under a condition of his loan agreement with the Company in order to protect his financial interest. He takes no part in the day to day operations of the Company save that he is informed of all decisions which might affect him....................You will see from the enclosed Consultancy Agreement that my job description is very comprehensive and places the responsibility of managing Penhellis fully on my shoulders."
6. On 23/02/07 a Winding up Petition filed by the Inland Revenue was served on the Appellant.
7. On 12th April 2007 a Validation Order was made by Mr. Justice Pumphrey
Evidence for the Respondent.
John McEachern
8. Mr. McEachern is a Regulation Manager for the Respondent responsible for the inspection and regulation of care services in the west of Cornwall and the Isles of Scilly. He is the manager of Paul Freeman, Regulatory Inspector responsible for the respondent's dealings with the Home.
He gave evidence as to the position with regard to the Home at the date the hearing commenced, dealing with matters that were changing on an almost daily basis.
In cross examination Mr. McEachern agreed that Mr. Awan was not the Registered Provider and that he was not the Manager of the Home. He was referred to his statement at page 1862 of the papers, in particular the details appertaining to the meeting which took place between him, the former owner of the Home, Stephen Baber, Inspector for the respondent and Mr. Awan. This meeting took place pre-registration. Paragraph 5 of his statement states that Mr. Awan told him he was a solicitor, had experience of legal work with care homes and had got the Registered Managers Award. No notes exist of these comments. According to Mr. McEachern, this is because the conversation took place after the meeting had concluded. He stated that he did not attach any particular importance to it save for the fact that it had been said. At this stage, Mr. McEachern assumed that Mr. Awan would be the registered provider. It was not until the Respondent received the application for registration that he realized Mr. Awan formed no part of it. Having made enquiries of the Appellant Company as to who would be appointed to deal with the registration on its behalf, a reply was received that it was Mr. Awan. Having received a copy of the consultancy agreement, Mr. McEachern believed that Mr. Awan was the person in control of the Home. He accepted that the Home's Statement of Purpose does not specify that Mr. Awan is a solicitor and it states that he has undertaken the RMA award, not that he has actually attained it.
Diana Penrose
Paul Freeman
Victoria Osborne
David Carmichael
Evidence for the Appellant
Sarfaraz Awan
Evidence as to the financial position
The Tribunal's Findings
"Employment" or "Engagement"?
Did Mr. Awan work at the Home?
The Question of Fitness
Regulation 19
(a) the person is fit to work at the care home
(b) subject to............., he has obtained in respect of that person the information and documents specified in paras 1-9 of Schedule 2"
Schedule 2 sets out the information and documents required in respect of persons carrying on, managing or working at a care home.
Regulation 7
Those requirements are that "he is of integrity and good character and.............full and satisfactory information is available in relation to him in respect of the following matter......... The matters specified in paragraphs 1 to 5 and 7 of Schedule 2."
Regulation 26
(2) Where the registered provider is an organisation......., the care home shall be visited....by -
(a) the responsible individual or one of the partners, as the case may be.
(4) The person carrying out
the visit shall (inter alia) prepare a written report on the conduct of the care home.
The regulation further states that a visit shall take place at least once a month and a copy of the written report will be provided to, amongst others, the Commission.
Regulation 25
82. Regulation 25 states -
(1) The registered provider shall carry on the care home in such a manner as is likely to ensure that the care home will be financially viable for the purpose of achieving the aims and objectives set out in the statement of purpose.
(2) The registered person shall, if the Commission so requests, provide the Commission with such information and documents as it may require for the purpose of considering the financial viability of the home.........
Regulation 13 NCSC(Registration) Regulations 2001
"If it appears to the registered person that the establishment or agency is likely to cease to be financially viable at any time within the next following six months the registered person shall give a report to the Commission of the relevant circumstances."
Regulation 14 NCSC (Registration) Regulations
"The following grounds are specified....... as grounds on which the Commission may cancel the registration.....-
(a) he has failed to pay at the time prescribed under subsection (3) of section 16 of the Act the annual fee payable by him by virtue of that subsection."
89. The Appellant failed to pay the registration fees for 2004, 2005 and 2006 on time. The fees for 2007 have not been paid but the Appellant's bank account has, in any event, been frozen.
Regulation 10 Care Home Regulations
90. Reg 10 states:
"(1) The registered provider and the registered manager shall, having regard to the size of the care home, the statement of purpose, and the number and needs of the service users, carry on or manage the care home ...........with sufficient care competence and skill.
(2) If the registered provider is -
(b) an organisation, it shall ensure that the RI undertakes from time to time such training as is appropriate to ensure that he has the experience and skills necessary for managing the care home."
You will see from the enclosed consultancy agreement that my job description is very comprehensive and places the responsibility of managing Penhellis fully on my shoulders."
Furthermore, the evidence from witnesses attending the hearing was that, for the most part, Mr. Awan was the point of contact. Only when relations broke down between the Inspectors and Mr. Awan did Mr. De Malglaive become involved. Indeed, Mr. Carmichael stated that he had never heard of him. Significantly, so far as the Tribunal is concerned, neither Mrs. Awan nor Mr. De Malglaive provided witness statements for the appeal. They did not attend to give oral evidence either.
The Tribunal's Conclusions
93. The Respondent has responsibilities placed upon it by statute. Its duties are set out in legislation. A significant purpose of the Respondent's existence is to protect service users and to ensure their well-being. In order to do this they are, to a large extent, dependant on organisations providing information to prove that they and the people who work for them are fit, in this instance, to operate a care home with nursing for very vulnerable people. The Respondent has to adhere to statutory requirements as does the registered provider. In order for those requirements to be fulfilled a dialogue is of paramount importance.
Mrs. C. A. Singleton (Chairman)
Ms. C. Joffe
Dr. S. Ariyanayagam
7 June 2007