90 Wellington Street Leicester LE1 6HG |
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B e f o r e :
____________________
LEICESTERSHIRE COUNTY COUNCIL |
APPLICANT |
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- and - |
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Amy |
(1) RESPONDENT |
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Brad |
(2) RESPONDENT |
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Carl |
(3) RESPONDENT |
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X, Y, Z (By their Children's Guardian) |
(4-6) RESPONDENTS |
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(Lack of Multiagency Approach to Deaf Parents) |
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Mr Nick Brown (Counsel) on behalf of the Applicant Local Authority
Mr James Cleary (Counsel) on behalf of the First Respondent Mother
Mr Ben Mansfield (Counsel) on behalf of the Second Respondent Father
Ms Hannah Fountain (Counsel) on behalf of the Third Respondent Father
Ms Rhianna Manani (Counsel) on behalf of the Fourth – Sixth Respondent Children
Other Parties Present and their status
None.
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Crown Copyright ©
Her Honour Judge Patel:
Introduction
The parties
Background
Threshold
Positions of the parties for the final hearing
a. The local authority seeks final care orders for all three children with a plan of removal from the mother's care and placement in foster care. If such a placement is not available for all three children together (which it is not), it proposes that X is placed with her paternal grandparents under an SGO and Y and Z are placed in foster care together;
b. The mother seeks for the three children to remain in her care. She says she has separated from Brad and does not seek to resume a relationship with him. She has argued that LCC have not treated her and the father fairly under the Equality Act and have failed to appropriately offer practical support to her with effective interventions that might remove the need for the children to live elsewhere;
c. Brad supports all three children remaining in the mother's care. He has told the SW that he recognises that he needs to remain living away from the home;
d. Carl supports X being removed from the mother's care. His preference would be for X to be placed with her paternal grandparents, but if she would like to be placed in foster care with her siblings, he will respect that. He is pleased that X recently passed her GCSEs and has now started college;
e. The children's guardian has previously been supportive of the local authority's position. His final report was received on day two, due to an emergency in his personal circumstances. He remains supportive of the LCC plan but disagrees that X should be made the subject of an SGO. He reminds the court that she is 16, articulate but also a compliant young person and so she should be supported, if she decides that she would rather remain at home if her siblings are removed, which she is very concerned about.
Potential placement options
a. Children stay at home - no order;
b. Children stay at home – Supervision Order (SO) and possibly Child Arrangements Order spend time with to the respective fathers (maybe not for X);
c. Children stay at home – Care Order (CO) (subject to the 'exceptional circumstances' test set out in the President's judgment of JW (Child at home under a care order [2023] EWCA Civ 944)) and LCC changes its plan or seeks to appeal my decision ('A stand-off scenario');
d. X stays at home under no order /or SO /or CO, children separated and Y & Z into foster care;
e. X goes to PGPs under CAO or SGO or no order (X accepts my decision that she cannot live at home but will comply), children separated, and X & Y go to foster care.
The implications of both parents' deafness in this case and the relevant law
"How should a deaf person be treated in law?
6(1) A person (P) has a disability if –
(a) P has a physical or mental impairment, and
(b) the impairment has a substantial and long-term adverse effect on P's ability to carry out normal day-to-day activities.
'States Parties shall ensure effective access to justice for persons with disabilities on an equal basis with others, including through the provision of procedural and age-appropriate accommodations, in order to facilitate their effective role as direct and indirect participants, including as witnesses, in all legal proceedings, including at investigative and other preliminary stages.'
"This court fully accepts that parents with learning difficulties can often be "good enough" parents when provided with the ongoing emotional and practical support they need. The concept of "parenting with support" must underpin the way in which the courts and professionals approach wherever possible parents with learning difficulties…..
'Children of parents with learning difficulties often do not enter the child protection system as the result of abuse by their parents. More regularly the prevailing concerns centre on a perceived risk of neglect, both as the result of the parents' intellectual impairments, and the impact of the social and economic deprivation commonly faced by adults with learning difficulties. It is in this context that a shift must be made from the old assumption that adults with learning difficulties could not parent to a process of questioning why appropriate levels of support are not provided to them so that they can parent successfully and why their children should often be taken into care. At its simplest, this means a court carefully inquiring as to what support is needed to enable parents to show whether or not they can become good enough parents rather than automatically assuming that they are destined to fail. The concept of "parenting with support" must move from the margins to the mainstream in court determination.'
The court must be rigorous and exploring and probing the local authority's thinking in cases where its offer of support may be affected by resource limitations (Re H (Parents with Learning Difficulties, Risk of Harm) [2023] EWCA Civ 59, [2023] 3 FCR 181, [2023 2 FLR 50.) In particular, it should scrutinise with care arguments that the support a parent would require would amount to 'substituted parenting'.
"The task for the judge is to identify and describe the level of support needed; to ascertain what can and should be done under the local authority's obligations; and then to determine whether, with that in place, the child's welfare needs will be met. This involved 'a careful assessment of what the package would look like, how practical it is and how intrusive it would be for the child."
"Parents with learning disability/Parenting with support
i) Parents with learning difficulties can often be 'good enough' parents when provided with the ongoing emotional and practical support they need.
ii) The concept of 'parenting with support' must underpin the way in which courts and professionals approach parents with learning difficulties.
iii) Courts must make sure that parents with learning difficulties are not at risk of having their parental responsibilities terminated on the basis of evidence that would not hold up against parents without such difficulties. To that end parents with learning disability should not be measured against parents without disability and the court should be alive to the risk of direct and indirect discrimination.
iv) Multi-agency working is critical if parents are to be supported effectively and the court has a duty to make sure that has been done effectively.
v) The court should not focus so narrowly on the child's welfare that the needs of the parent arising from their disability, and impacting on their parenting capacity, are ignored.
vi) Courts should be careful to ensure that the supposed inability of the parents to change is not itself an artefact of professionals' ineffectiveness in engaging with the parents in an appropriate way.
a. By the date of this final hearing there will still have been no MDT.
b. LCC have let the OT referral for mother expire apparently without any direct mention from the SW or family support worker as to the importance of it, to Amy, serving a statement on 31 October stating that the referral would expire that day. This is despite the careful approach recommended by Dr Austen of repeating back, verbal embedding of the importance of written communications and the need for particular caution due to Amy's PTSD;
c. There is still no clear outline of the precise resources and how they could be tailored to the specific needs of the parents, especially the mother, which father supports, to meet the Equality Act duties;
d. No clear outline of the potential package of support/resources available to mother and the children living at home from either the National Deaf Mental Health Service or any Specialist Deaf Service or even Adult Social Care so the court can:
i. Be in a position to conduct a holistic Re:B-S analysis of pros and cons of each realistic option, properly.
ii. Enable a Re: W [2013] EWCA Civ 1227 evaluation (a clear outline of potential provision of services to prevent the state's intervention from becoming disproportionate).
e. There remains no proper analysis of the individual impact of removal for Y and Z, and no meaningful analysis of the potential separation of siblings.
i) The decision to adjourn a trial, as was being sought in this case, is a case management decision;
ii) The welfare paramountcy principle under s. 1 (1) of the Children Act 1989 (which basically means that the child's welfare is the paramount consideration for the Court) applies when a court determines any question with respect to the upbringing of a child. It does not apply to case management decisions;
iii) The 'touchstone' for case management decisions is justice, not welfare, though in a family case welfare plays an important part in the assessment;
iv) The overriding objective in Rule 1 of the Family Procedure Rules 2010, which requires the court to deal with a case justly, having regard to any welfare issues involved. That includes ensuring that it is dealt with expeditiously and fairly;
v) The delay principle under s. 1 (2) Children Act 1989 – which provides that in any proceedings in which any question with respect to the upbringing of a child arises, the court shall have regard to the general principle that any delay in determining the question is likely to prejudice the welfare of the child – does apply to case management decisions;
vi) The 26 week timetable for proceedings to be disposed of, which is also set by statute, also applied.
Expert Assessment on the implications of the parents' disabilities and how to fairly and effectively work with them
41. In these proceedings, and in the previous proceedings, the parents, the court and all the parties have had the very helpful expert input of Dr Sally Austen, who is a Specialist Consultant Clinical Psychologist for Deaf People. Since qualifying in 1992, she has worked for more than 90% of that time in the assessment and treatment of deaf adults with mental health problems and/or learning disabilities and presently works in the National Deaf Mental Health Services (Birmingham).
42. Dr Austen carried out assessments of Amy and Brad in the 2016 proceedings and also updated assessments in these proceedings in April and May 2024.
43. Further she is the co-author of a book called An Introductory Guide for Professionals Working with Deaf and Hard of Hearing Clients in Clinical, Legal, Educational and Social Care Settings. She recommends professionals working with the parents read chapters D8-10 of her book because of the very detailed information within it about the implications of only using oral communication with a deaf parent, which relies on lip reading. Mr Mansfield provided the court and all the witnesses with those chapters at this hearing.
44. In this chapter she points out that lip reading is incredibly difficult. Estimates typically report up to around 30-40% effectiveness but there is evidence that at a sentence level people accurately identify as little as 12% of what they see (Altieri 2011).
45. In order to maximize the effectiveness of lipreading various factors should be considered like the language used, who is the speaker, the behavior of the speaker, the positioning of the speaker, the environment, the emotional and cognitive well being of the lip reader and the requirement for a clear context.
46. Bringing together all of what Dr Austen has recommended, it would appear that without getting all of those things right and simply allowing a parent who says they can lip read to indeed attempt to lip read and rely on oral communication in the context of professionals from social care engaging with them (which is likely to be anxiety invoking) massively risks the exchanges, the delivery of information and/or intervention to cause change, being at best ineffective, or at worst, a complete waste of time.
47. The degree of a person's deafness depends on the extent of hearing loss (ranging from mild, through moderate and severe, to profound deafness), therefore, in the courtroom setting the use of equipment to facilitate communication e.g. hearing aids and hearing loop systems are often present. However, there is considerable variability, with some severely deaf people still wanting to make use of their residual hearing. In addition, some severely or profoundly deaf people communicate orally without sign language, either through choice or lack of opportunity to learn British Sign Language (BSL) or SSE.
48. The court recognises that deafness is not a learning disability itself. But that a substantial number of Deaf/deaf people are said to experience language and educational deprivation during development and may not have fulfilled their true intellectual potential. Such Deaf/deaf persons may become very vulnerable, with limited language, poor social awareness and reduced understanding of complex topics.
49. Bearing in mind the legal principles and the practical issues relevant to deaf parents within the recommendations of Dr Austen and considering the degree to which these principles have been adhered to by LCC, my starting point has been to look at the specific recommendations made to assist LCC in approaching this family with 'parenting with support' in mind, and effective multi-agency planning.
50. However, given that I have not heard all of the evidence, I have deliberately limited this exercise to the last 12 months in order to consider whether ultimately it is in the interests of justice to adjourn this matter for what is likely to be another 3-4 months and knowing the impact of delay in determining the welfare of these children will have on them, including X who will turn 17 in Summer 2025.
Dr Austen's assessments
a. Amy is described as being profoundly prelingually deaf, has no hearing and is not a very able lip reader. She communicates expressly through speech which is unclear and in 2016 had virtually no signing skills. She has severe hip/pelvis pain when walking or sitting for long periods. Dr Austen highlighted her significant symptoms of depression, anxiety and agoraphobia which was severely disabling her. Referral to the Deaf Specialist Mental Health Team was recommended.
b. Referral for the then children to be made to the National Deaf Child and Adolescent Mental Health Services (CAMHS) the service is 'set up to work alongside local generic CAMHS and works with deaf children as well as hearing children of deaf parents'.
c. Mother was assessed as having extremely poor working memory (0.1th percentile).
d. Verbal scores showed that Mother scored well on information but poorly on comprehension so 'one should not assume that mother has understood an issue on the basis of her having the information/facts but to question her further to ensure that she has understood how the information needs to be applied in real life, how to deal with contradictory information or how one piece of information may impact on another piece of information.'
e. Because she has no hearing at all her lipreading 'at best allows 50% of words to be understood but this requires very good concentration and confidence. She is likely to be understanding significantly less than 50% of what is being said.' She needs a lip speaker who is willing to augment communication with writing and in court she will need an intermediary.
f. 'She complains (as does her partner Brad) that when her social workers and other professionals have met during their safeguarding and Family Court experiences, they often talk while looking down at their notes, or while chewing gum and that they therefore do not understand them. They also report that professionals stood side on to them or moved around while talking and they could not understand them.'
g. 'Based on this feedback and my experience of how unreliable lipreading is, I think the communication used with this mother has probably been inadequate and that she has not understood what is being said, what is being asked of her or advice that she has been given.'
h. Mother's 'psychological reaction to her profound deafness (as well as her other traumatic life experiences) has left her anxious, unassertive and hopeless. She will need help to move on from this. I would recommend a referral to the specialist deaf mental health services, to lip reading classes locally and/or to a residential course run by Hearing Link.
i. Express caution about 'nodding' for professionals (it is polite when receiving information and common for someone to nod throughout but have not understood); hoping for clarification or understanding that will come later; wanting to please the other party; agreeing to end a frustrating situation; not wanting to show oneself as less intelligent. This applies to both parents. It is 'vital that after an important question or explanation mother is asked to repeat back what has just been said.'
j. There may be massive knowledge gaps for deaf people as much knowledge is acquired incidentally through overhearing so it is common for 'massive knowledge gaps' in various areas despite normal IQ, so this 'needs to be taken into account in the assessment procedure and throughout the CJS procedure'
k. Mother has unclear speech, which has deteriorated since removal of her cochlear implant. Mother may benefit from speech and language therapy. Professionals may not understand Mother and it is crucial that they ask her to repeat things more than once even if socially challenging.
l. Whilst Mother will understand laminated sheets 'she will have missed a lot of the verbal pre-amble, and may not have understand why she is being given these instructions, which may affect her motivation to follow these instructions.'
m. Mother is unusually bad at maths; unable to add 4 plus 4 and was described by Father as 'needing help with all mathematical aspects of budgeting' (p16).
n. It would be useful for professionals assessing Mother to explore Theory of Mind, (appreciation of cognitive differences and empathy) which would need to be done or co-worked by a professional with deaf expertise.
o. 'In their home or in less formal settings mother and Brad may be able to use the same communication support. It may be possible that a SSE interpreter could support both parents in family settings but it is up to the professional to keep checking that both partners are following and to ask them to repeat back what they have understood. Ideally a professional with deaf expertise would be making these judgments. Social Workers for the deaf and indeed deaf social workers are available for parenting assessment and interventions.'
p. Brad needed help from Mother in terms of literacy, but he managed budgeting. He had no problems with his memory.
q. Brad's low verbal comprehension score was reflective of his deafness, not cognitive disability;
r. He is a better lip reader than Mother and this is 'also maximised when the person knows how to maximise their lip-readability e.g. standing still, facing the deaf person, in good light, with minimal other visual distractions, with nothing in their mouths, no facial hair, etc'. He would be best supported in court by a clear speaking SSE interpreter.
s. He had been able to understand basic laminated written sheets re parenting, but had relied on Mother to follow those instructions as she is more literate.
t. 'For the reliable distribution of information and directions Brad will need the professionals to write bespoke lists for him, going over them in speech and SSE, checking that he has understood. He will not always be able to make use of the same list as his partner who has much better literacy.'
u. Brad would also benefit from Theory of Mind work.
Dr Austen's reports in these proceedings
a. Brad's report: Previous recommendations/considerations appear not to have been done. ADHD investigation no longer recommended. Brad's cognitive functioning remains firmly in the average range however Brad has a maximum reading age of 8.5 years old, and his speech is affected by his deafness such that many people have assumed he has a learning disability. Giving him instructions by asking him to read something is not going to be effective therefore.
b. Notably Dr Austen says that from the tone and information in the bundle she was surprised at the disparity between her expectation and her experience of meeting the father again. His presentation was cheerful and positive.
c. Further assessment and observation of communication between hearing professionals and Brad was recommended to see whether his criticism of the manner of hearing professionals' communication is warranted. This is because put quite simply – if the hearing professionals communication is sufficient and Brad is not following instruction and/or advice then the blame is removed from them, however if his criticisms are true then he has not been able to communicate and social work assessments might need repeating.
d. Amy's report: she does not have a global learning disability but in 2016 an issue was identified with her memory….the degree and depression she was experiencing in 2016 having left an abusive relationship was severely impacting on her concentration and thus memory. She has a specific learning disability of dyscalculia given her borderline mathematical ability.
e. Notably Amy said that she had given up trying to tell professionals when she had not understood them as she is worried that she has annoyed them and that they did not change their communication to benefit her anyway.
f. She has agreed to be referred to the Birmingham National Deaf Mental Health Service to help address her long term anxiety, agoraphobia and PTSD related to past relationships and a history of depression – Dr Austen saw no evidence that this recommendation from 2016 had been complied with.
g. Key techniques for both:
i. Asking for repetition.
ii. Recommendation of reading chapters 8-10 of An Introductory Guide for Professionals Working with Deaf and Hard of Hearing Clients, to aid with understanding ('Introductory Guide') – both parents.
iii. Awareness of Deaf Nodding (B2 Introductory Guide) – both parents (as above);
iv. Amy: communication assertiveness 'will be particularly difficult for Amy who is both deaf and has PTSD. She needs to be encouraged at every instance to say if she has not understood.'
v. Brad would best be supported by a Lip Speaker who is able to use SSE. Amy needs to be able to use lip reading augmented with SSE.
h. Sensitive recommendations as to audiological environment (applicable to both parents).
i. Reduce background noise: no fish tanks, radios, roadworks outside, vacuum cleaners. Reduce competing noise: one person speaks at a time;
ii. Acoustics that echo will distort the quality of the sound that is heard. Avoid minimalist rooms that are echoey. Rooms that are carpeted and have curtains/table cloths, tend to be less echoey.
iii. Many words have the same lip patterns. So, if the deaf person doesn't understand you, try rewording your statement.
i. Visual environment recommendations
i. Deaf and HOH people need their eyes to maximise communication. Ensure the deaf person is close enough to see the speaker's mouth and face clearly. Ensure the lighting is good but not dazzling. Ensure that light falls on the speakers' faces.
ii. Ensure there are no flickering lights that will increase cognitive load and/or distraction. Keep hair off your face. Keep visual distractions such as sparkly earring or stripey/busy shirts to a minimum. Allow Brad to be in a position of his choice such that he is most able to hear and lipread the relevant people.
j. Behavioural environment recommendations
i. Look at the deaf person you are speaking to, at all times. This can feel awkward if you are directing your comments to someone else. Speak slowly and clearly. Don't shout.
ii. Don't slow down such that it distorts the flow of your sentences. Avoiding complex, long sentences.
iii. Allow small pauses between the paragraphs of your speech (i.e. when you change topics) Make it explicit when you are changing topic or context.
iv. Avoid using double negatives.
v. Avoid using long explanations that are negated at the end (e.g. It was the red car with blue lights, that arrived on Thursday, drove really fast and hit the wall – that we do not need to pay attention to. Instead say 'We do not need to pay attention to the red car with the blue lights.... Etc).
k. Cognitive load:
i. Lipreading and straining to hear is exhausting. It takes more brain power than hearing clearly. Allow plenty of breaks for the brain and the eyes to recover.
ii. If certain pieces of information are crucial, it is always beneficial to ask the client to repeat back what you have said.
Summary of the evidence and impression of the witnesses
Dawn Knighton
"completing direct sessions with Amy, focusing on parenting needs and specific areas of support, such as budgeting, cleaning, cooking nutritious meals for the children and adopting good family routines. It is hoped that the worker will be able to see mother once or twice a week until the next hearing, at home during school hours with the assistance of an interpreter. The worker is currently in the process of booking in weekly sessions in advance so Amy can put them in her diary and ensure she is available. The worker will use visual aids and demonstrations to ensure Amy is able to engage meaningfully and accurately put things into practice. In the absence of an interpreter, the worker will ensure that she uses written communication in simple language and large text to ensure Amy's understanding.."
…and it was asserted that even though this work only started on 28th October 2024 it is showing some real positives in home conditions being maintained, mother engaging with sessions, the children presenting well and no evidence of Brad being in the home.
"whatever the reason(s) for the specialist services not being done, and factoring in that even these may not have succeeded, particularly given Brad's attitude, and his lack of understanding of the need for change, the children are paramount in planning, and their needs are deeply compromised by the parental relationship."
a. Even she acknowledges that specialist services or supports have not been provided;
b. 'Factoring in' that specialist services might not have worked is grossly unfair to the parents and the children and defeats the whole point of a fair assessment;
c. Brad has moved out, and there is no allegation of him secretly being in the house, or of any further incidents of domestic abuse between the parents since May 2024, whatever his 'attitude to change', and he has repeated to professionals that he knows he needs to remain outside of the home.
Adult Social Worker
Team Manager
The Court's findings on the evidence
i. Part of the reason that the ASW's evidence was unhelpful was because the ASW had not engaged in any MDT, she had not done any joint visits with the SW to the mother's home, she didn't really understand what the court was looking for from ASC to assist the mother because she didn't really understand what it meant for the children to be at home on interim care orders and she certainly doesn't appear to have had access to the reports of Dr Austen which could have been shared between agencies either by consent of the parents or court order;
ii. It remains unclear whether the SW visits that were carried out in 2023 and 2024, including intensive FSW visits or those by Early Help, were supported by SSE and/or lipreading interpreters to ensure the parents' understanding;
iii. In the local authority's initial SWET there is only one reference to the fact that these parents are deaf. There is absolutely no reference to the reports of Dr Austen or to what extent her recommendations were implemented between 2017 and 2023, that therefore impedes the court's ability to properly consider the value of any interventions;
iv. The single reference to the parents being deaf in the initial SWET is to set out that the 'parents consistently refuse a sign interpreter'. There is no context to this, there is no detail as to whether this is because they have been presented with a BSL signer and not an SSE lip speaker or the reason for the refusal;
v. It concerns me that this information was set out as a means of absolving the local authority's duty to provide an interpreter in any event to ensure that everything said to the parents by the professionals is understood. If the parents spoke another language like Urdu or Turkish, refusal or not, the SW would not attempt to speak to that parent without an interpreter - the same responsibility applies for these parents and is in fact even more important given the severity of each of their disability on their communication and understanding;
vi. Although in November 2023 the Support and Assessment worker makes reference in her work with the parents from March 2023, to reading the reports of Dr Austen and having herself experience of a deaf family member, and records 'the potential of a lip reader (which is wrong because it should be a 'lip speaking' interpreter) – there is actually no evidence that the relevant interpreter was used with either parent for any of her sessions and no confirmation or detail as to how Dr Austen's recommendations were complied with;
vii. The TM's failure to read Dr Austen's 2016 reports did have an impact on her ability to provide oversight and strategic guidance to the SW, which should have been in line with the local authority's statutory duties under the Equality Act;
viii. It is incredibly disappointing to find 40 weeks into proceedings, the local authority's failure to comply with the court's directions in the October CMO to organise a MDT, to file a properly integrated care/support plan, to analyse the option of a care order at home and to properly address the impact of splitting the children on each of them;
ix. The totality of these failings leads me to the clear finding that the local authority has failed to approach the outcomes for these children on a multiagency basis and there remains huge gaps in the evidence about the fairness and/or effectiveness of interventions that could lead to change on the part of the parents with support;
x. There remains an unclear holistic picture of what support could be put in on a multiagency basis.
Decision and Reasons for Adjournment
What needs to happen now?
a. A referral to the National Deaf Mental Health Service for Amy;
b. A referral to Deaf Action and chasing to see if a worker can be allocated to the family;
c. All referrals need to be actively chased every 7 days;
d. The local authority shall look to access advice from a Deaf Specialist Service to oversee interventions and provide guidance and support;
e. A joint visit to the mother's home by the SW and the ASW to properly discuss PA support with LCC ensuring that the ASW team has seen Dr Austen's reports;
f. ASW Team need to progress Amy's financial eligibility assessment and look to allocate a local area coordinator for Amy;
h. SW needs to produce a bespoke calendar of work for each parent including for Amy her FREEVA appointments, for Brad 'Caring Dads' sessions and the continuation of the work to be done by the FSW including sessions on budgeting, cooking, transport and healthy relationships;
i. The FSW needs to be supported by a professional who has experience of working with Deaf parents;
j. Every session of work/intervention needs to be supported by the relevant interpreter for each parent and during each session the professionals delivering the work need to have read Dr Austen's reports and be mindful of the specifics of how to achieve best practice including asking the parent to repeat back information;
k. All professionals working with the parents need to have read Dr Austen's reports and Chapters 8-10 of her book;
l. There needs to be a meeting about Y and Z's schooling in conjunction with the school to see what support it might provided or whether the children need to attend a school that is closer to home;
m. There needs to be a Family Group Conference bringing together members of both sides of the paternal and maternal families;
n. LCC needs to provide an analysis of the impact of sibling separation if indeed a joint placement is not found; and
o. There needs to be some direct work undertaken with the children, particularly Y and Z about living with Deaf parents by an agency like Deaf Action and to further explore with them their roles (at times) as young carers.