SITTING AT NEWCASTLE-UPON-TYNE
IN THE MATTER OF THE CHILDREN ACT 1989
AND THE ADOPTION AND CHILDREN ACT 2002
AND IN THE MATTER OF: X (A CHILD: PROFOUND NEEDS)
The Quayside Newcastle-Upon-Tyne NE1 3LA |
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B e f o r e :
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Re: X (A Child: Profound Needs) |
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Counsel for the Mother: Miss C Middleton
Counsel for the Father: Miss N Choudhury
Counsel for the Child: Mr K Armstrong
Hearing dates: 11-14, 22 April 2016
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Crown Copyright ©
HIS HONOUR JUDGE SIMON WOOD:
Introduction
The Law
"The test for severing the relationship between parent and child is very strict – only in exceptional circumstances and where motivated by overriding requirements pertaining to the child's welfare, in short where nothing else will do."
That was a reflection of what the European Court had said in Y v The United Kingdom:
"Family ties may only be severed in very exceptional circumstances and everything must be done to preserve personal relations and where appropriate to rebuild the family. It is not enough to show that a child could be placed in a more beneficial environment for his upbringing. However, where the maintenance of family ties would harm the child's health and development a parent is not entitled under Article 8 to insist that such ties be maintained."
The litigation
The local authority case
The subject child: X
The mother
The wider maternal family
Background history
The history of assessment
"In my opinion X's complex but also very severe difficulties, especially his now more apparent challenging behaviour, require parenting that I do not think mother would be able to provide even with support. It seems clear from the foster carer's recent information that X cannot be left alone for a minute. This is especially important to hold in mind given that there were historical concerns about M's supervision of X. In my view X's needs are severe and so much so that nothing can be taken for granted.
The demands that a child with X's needs would make on a parent are huge and in my clinical experience parental burnout is common. In my opinion X's slow development progress in the context of high quality schooling and excellent foster care highlight the severity of his global delay and challenging behaviour.
It is quite common for children who have been neglected to demonstrate rapid developmental gains, for example, in speech and language and toileting, when they go into foster care. This was not the case for X. This indicates that his difficulties are not environmental in origin. In X's case his developmental problems are becoming more pronounced and more challenging to meet. X still needs to achieve some degree of mastery of many basic functional skills, for example, bladder and bowel control. This alone can be extremely stressful for parents to deal with. X is unlikely to respond to approaches that work for typically developing or less developmentally delayed children. Making small development gains will require disproportionate input.
Similarly, in order for his speech to develop he will require daily, constant and persistent prompts and teaching. He will, in all likelihood, need to be taught alternative means for communication. Understanding his behaviour is also going to be very demanding. His behaviour is a clue as to what is going on for him emotionally."
"In M's case I do not think she is capable of understanding the complexity and severity of X's needs, but more importantly I do not think she has the ability to develop an appropriate repertoire of skills to meet X's needs."
The oral evidence
"Caring for X is extremely challenging. It is physically and mentally exhausting and can be very frustrating. He requires structure and a high level of supervision to ensure he does not injure himself as he has absolutely no sense of danger,"
she said it was entirely accurate.
"I almost feel that the mother would have to have someone walking alongside her in every aspect of her parenting so that X's needs could adequately be met and X safeguarded in terms of anticipating his behaviour."
Submissions
(i) The failure to act on the initial recommendation in the parenting assessments, an assessment that was conducted before proceedings were even issued;
(ii) In particular there was a failure to refer this mother to the learning disability team. She reminded me of the President's endorsement of the comprehensive guidance of Mr Justice Gillen in a Northern Irish case as to the approach necessary for parents with learning difficulties to which I will return;
(iii) There was the failure to act on the recommendations of Dr Swart, or indeed of [the charity], to identify a specialist provider to work with the mother in respect of domestic abuse and to note that the mother herself referred herself to Mind without any assistance from the local authority;
(iv) There was then a failure to work with the mother in a meaningful way during the period of X's pre-issue accommodation, a period of eight months;
(v) There was the failure of the local authority to share the parenting assessment with the grandparents for ten months;
(vi) There was the failure of the local authority to carry out what would be recognised as a proper parenting assessment of the maternal grandparents after directed so to do in August 2015;
(vii) There was the lack of any evidence of support that the local authority was prepared to offer;
(viii) There was a very late change in plan from long term foster care to adoption, not evidenced by any minutes justifying the change.
(i) After an initially relatively positive assessment of the mother by Dr Swart he ultimately felt that X's needs were beyond her and the family; and
(ii) After an initially wholly positive assessment of the maternal grandparents as supporters for the mother Mrs Gaskin did an about turn for the self same reasons
(i) Their commitment has never wavered;
(ii) As flesh and blood it never will in a way that it might with alternative carers;
(iii) They are there for X in the long term in the way that no foster carer or even an adopter might be, acknowledging the lack of alternatives;
(iv) X will have to move because FC cannot keep him but, in addition to that very real loss, X will also lose his family and his school which, on the evidence, may well have to change on a needs basis rather than for geographical reasons in any event.
(i) The likelihood of finding an adopter is remote;
(ii) X has no sense of his status;
(iii) The promise of continued contact with his family, which is meaningful to X, dictates that long term foster care is the best welfare option; and
(iv) In so arguing the care plan needs to be amended to identify that twin tracking means just that, so that if a foster carer is found first it should take precedence and the local authority must commit to returning promptly to court to seek a revocation of the placement order.
Discussion
The option of a return to the mother
(i) He would be cared for by his mother;
(ii) He would be able to maintain his link with his birth family, particularly B and his grandparents, as well as being able to see his father;
(iii) The love and affection as well as the commitment on offer are not in doubt; and
(iv) Ongoing cooperation can reasonably be anticipated.
(i) The enormity of X's needs now graphically spelled out;
(ii) The mother's parenting capacity arising from both historic and current concerns as to her ability to meet such comprehensively required needs throughout X's minority;
(iii) The risk to X's safety were he to be in her care, not by reason of any deliberate harm but by reference to the sheer task of constant monitoring, the need to anticipate and the need to avoid making risky decisions;
(iv) The concern that neither the mother nor her principal support, MGM, have the insight into the scale of the task or the level of care required.
The options of permanence outside the family
(i) In all likelihood X's emotional and physical needs would be met in an adoptive placement by a carer or carers who would by virtue of adopting him claim him lifelong;
(ii) X would be placed with carers who would have been comprehensively assessed as having capacity to look after a child with X's needs and specifically matched as suitable to meet his very particular needs;
(iii) There is no likelihood that X would suffer significant harm in the care of adopters. He would be safe and secure and not exposed to the degree of risk of harm that would exist through unintentional neglect;
(iv) As a consequence he would have the chance of leading as normal a life as would be possible for a child with his needs. In particular it would not be a relationship that ended on X achieving his majority, it would be a lifelong commitment in a secure environment in which he would have the best chance of growing up as safe as possible;
(v) Whatever pleasure he derives from the time he spends with his family there is in fact no evidence that X has the capacity to form attachments as they would ordinarily be understood. There will have to be a transition. X could make that as well or less well as would apply to any other carer.
(i) There is obviously the likelihood of the loss of the direct relationship with his mother, who loves X very much;
(ii) There is further the likelihood of the loss of relationships with his brother, B, his grandparents and his father and other extended family members which are of value to X and enjoyed by him;
(iii) There is clearly an identified risk of adoption breaking down in X's case, which plainly runs the risk of causing him further harm and disruption.
(i) That in the time since X was received into care the extent to which his needs have become understood has increased to the point that he needs complete and comprehensive care from either a specialist carer or carers, or those with the capacity to acquire such skills such as FC plainly did;
(ii) Whilst I do not criticise the mother for seeking to argue in her witness statement that the local authority had exaggerated X's needs and I consider that she has acquired a much better understanding during the course of this hearing leading to the concession that the local authority has not overstated them, having seen, watched and listened to her, I am quite satisfied that with the limitations identified particularly by Dr Swart, Mrs Gaskin and the guardian, it is a task beyond her;
(iii) Furthermore, her proposed support structure will simply not be able to make good the deficit notwithstanding the very best of intentions. The principal proposed support is MGM who, whether because of her own limitations or her own anxiety or a combination of those and other factors, has not felt able to engage in this case, to sit through the court hearing or to give evidence. Even more seriously she turned down sensible offers of meetings that would have educated and informed her, thereby depriving herself of valuable information she needed as a prospective support. By not giving evidence the court was denied the opportunity to make its own assessment, such as it could, and I do believe that she is reluctant to give up the job that she likes. She had not told the independent social worker that it was her plan, but even if she did the shortcomings identified are important. MGF works full time and has no particular wish to retire. I do not doubt that together they will help to a significant degree, but it will still fall short of the exceptionally high level of care that X needs, quite apart from the risk that frequent moves between the two homes would simply reduce the predictability of routines that X needs;
(iv) B desires special mention. His intentions are wholly good and not in question. There is evidence that he may already have compromised his career options by keeping himself available for X, but I agree with the local authority, the guardian and ultimately his mother, grandfather and B himself that he is a young man on the brink of adult life, close to completing his training and with his own life to lead. He neither could nor should sacrifice his prospects in these very sad circumstances;
(v) There is no additional package of support. Putting to one side the gaps in the local authority evidence the guardian really put her finger on it in explaining her inability to devise a package which did not in effect amount to a full time care package of both mother and X. Even if that is wrong, it would not be a sustainable level of care over X's minority;
(vi) That brings me to the final point about such a care package. Would it ultimately be in X's interests, because the reality of X's parenting would be that it would be by professionals and others and not by the family however much they were present and it would not be a substitute for a devoted and dedicated carer who knows X's routines, has developed the skills that X's needs would require and respond to them as well as anticipating signs of danger.
(i) To the family it was a late and seemingly inexplicably and inadequately explained change of plan on a matter of the utmost sensitivity; and
(ii) The finality of the plan, permanent separation from the family, has added an extra dimension to an already emotionally charged hearing that has not been helpful.
Conclusion
Lessons to be learned
(i) The section 20 accommodation in this case was abused for all of the reasons spelled out by the President in Re: N (Children)(Adoption: Jurisdiction) [2015] EWCA Civ 1112:
(ii) X was accommodated for eight months. As a consequence the case should have been all but trial ready on issue;
(iii) It was anything but. Although the mother had been assessed, no steps had been taken to address her limitations or work with her. As the President endorsed in Re: D (A Child)(No.3) [2016] EWFC1: "People with learning difficulties are individuals first and foremost and each has a right to be treated as an equal citizen." The court accepts fully that parents with learning difficulties can often be good enough parents provided with appropriate support. B is the living embodiment of that. This was a serious dereliction and the local authority needs to familiarise itself with the Re: D guidelines as a matter of urgency;
(iv) Although the maternal grandparents were assessed, inexplicably the assessment was kept from them and the mother for ten months. I do not know if the existence of that assessment was even drawn to the court's attention. As early as 2nd February last year it was recorded that the mother wished them to be assessed and it took a further four months for the assessment already in existence to be disclosed;
(v) Likewise, despite very early assessment of the mother by Dr Swart on 7th May, who in his capacity assessment on 20th March had described the mother as "painfully shy, poor self-esteem, quite literal in her understanding", as well as warning of the need to deliver verbal information carefully and then for it to be checked for understanding, that advice seems largely to have been ignored;
(vi) Equally absent until after the first final hearing appears to have been any proper effort to obtain the evidence that the court required to understand what X's issues and needs are. It is to the credit of the current social worker that she did recognise that gap and addressed it so comprehensively;
(vii) Set against that, whatever confusion there may have been in August about what the maternal grandparents were offering, they were not in the court's judgment reassessed as they should have been. Brief meetings at court and dipping into contact does not begin to amount to an assessment, particularly when what was central was the understanding of what this very particular boy needs and the extent to which his mother could not meet that;
(viii) If the social worker's evidence is correct that services can offer nothing over and above that which comes by education, that is the most serious indictment of a local authority which is at odds with the requirement to provide assistance and support set out so clearly in Re: B and re-emphasised in Re: B-S. It may be, as the court ultimately found, that there was no assistance and support that fell short of a form of substitute parenting, but the social worker was unable to identify any service even to dismiss it as inadequate to meet X's needs. That the foster carer had never even been offered respite care was a working example of the same issue. That she told me that she would not have taken it because of the break in routine is neither here nor there;
(ix) I have endorsed the plan for adoption, but its evolution was poor and insensitively handled. The guardian recognised it from the outset. The local authority did not consider it until nine months had elapsed since issue, long after the case should have been resolved.