QUEENS BENCH DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
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KR & others |
Claimants |
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Royal & Sun Alliance Plc |
Defendant |
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Mr Edward Faulks QC and Mr Nicholas Fewtrell (instructed by Hill Dickinson LLP) for the Defendant
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Crown Copyright ©
Mr Justice Simon:
Introduction
... in due course solicitors (for the Insurer) … gave notice to the claimants' solicitors of a potential conflict of interest arising out of an exception clause in the contract of insurance which they had entered into with (the Company). As a result (the Insurer) might be entitled to refuse to indemnify (the Company) against any judgment entered against them in these claims. Accordingly (the Insurer) was added as second defendant and it has contested each claim through leading and junior counsel. It has advanced no positive case, save in the claim by JS, but equally has made few concessions and has required each claimant to prove their claim.
The Act
(1) Where under any contract of insurance a person (hereinafter referred to as the insured) is insured against liabilities to third parties which he may incur, then
…
(b) in the case of the insured being a company, in the event of a winding-up order being made, or a resolution for a voluntary winding-up being passed, with respect to the company …
if, either before or after that event, such liability as aforesaid is incurred by the insured, his rights against the insurer under the contract in respect of the liability shall … be transferred to and vest in the third party to whom the liability was incurred.
…
(4) Upon transfer under subsection (1) … of this section, the insurer shall … be under the same liability to the third party as he would have been to the insured …
The Issues
i) Whether relevant cover existed prior to 22 August 1976? The Insurer accepts that cover incepted under an applicable Liability Policy on 22 August 1976, but contends that there was no Policy in respect of any prior period. This is relevant to 4 of the 8 Claimants who were abused wholly or partly outside the admitted period of cover. I shall refer to this as "the period of cover issue".
ii) Whether the claims are excluded under the terms of the Policy? Under the terms of s.1 of the Act a claimant is entitled directly to enforce the assured's rights under the Policy of Insurance. The Insurer contends that the assured could not have brought a claim under the relevant Policies because the Policies excluded liability for the deliberate acts of the assured and/or precluded the assured from relying on its own wrongdoing.
iii) Whether from 1981, when the Policy wording was changed, the claims are excluded on the additional basis that the terms now excluded the wrongdoing of the assured's partners, directors or managerial employers in the context of the deliberate acts of the assured?
I shall refer to issues (ii) and (iii) as "the exception issues"
The terms of the relevant policies
A. Indemnity to Insured
1. In the event of … (b) bodily injury to any person not being an employee … happening in the territorial limits and caused in the course of the business the insurers will subject to the limits of liability indemnify the insured in respect of any legal liability incurred in respect of such injury or damage.
D. Exceptions
1…
The Insurers shall not be liable for
8. Injury or damage which results from a deliberate act or omission of the insured and which could reasonably have been expected having regard to the nature and circumstances of such act or omission.
The relevant policy wording for the Combined Insurances Policy – Liability Section from 1981 was:
1. In the event of … (b) bodily injury to any person not being an employee … happening during the period of insurance in the territorial limits and caused in the course of the business the insurers will subject to the limits of liability indemnify the insured in respect of any legal liability incurred in respect of such injury …
C. Exceptions
This section does not cover liability in respect of …
…
4. Injury damage or financial loss which results from any deliberate act or omission of the insured his partners directors or managerial employees and which could reasonably have been expected having regard to the nature and circumstances of such act or omission …
The period of cover issue
The oral evidence
I cannot completely exclude the possibility that Royal Insurance may have insured Bryn Alyn in relation to risks other than employers' liability prior to 22 August 1976. However in my view this is extremely unlikely as Bryn Alyn was legally required to have employers' liability cover after 1 January 1972 and took out combined policies that included employers' liability cover at all times from 22 August 1976 until Bryn Alyn went into liquidation in March 1997.
The written evidence
We have very few paper records in relation to the insurance arrangements for this client and indeed our computer records date back to 1995 only.
From recollection, this client was insured with the Royal & Sun (and its predecessors) virtually all of its existence, but of course we no longer have any documentation.
(Mr Williams) recalled:
a. That they had taken over the brokerage for Bryn Alyn from another local firm called Evans & Rowe. The principal of Evans & Rowe was Mr Geoffrey Evans, but he told me that he did not know where Mr Geoffrey Evans was. Evans & Rowe had ceased to trade …
b. I asked him whether it was fair to assume therefore that if they had taken over the brokerage service from Evans & Rowe there was something to broker, in other words there was an insurance policy in place. He said that that was correct. His recollection was that they took over the brokerage service on a best price policy, each broker being able to secure different terms and prices.
I do believe that my business took over brokering services for Bryn Alyn Community Limited at some point in the 1970's but I am unable to say when.
Ms Addis's statement dealt with the contents of her letter of 3 October 2002 to the Insurer's solicitors,
Unfortunately, I must admit that statement was poorly worded. I only started working with Williams Insurance Brokers Limited in 1985 and therefore had no direct knowledge of anything that occurred prior to that date. The only basis I had for making that statement was hearing discussion in the office that Bryn Alyn Community Limited had moved their insurance requirements to Barry Williams at some point in the 1970's. However, I had not seen any documentation that substantiated that and have not seen anything subsequently.
The parties' submissions
The law
States of mind, persons, or things at a given time may in some cases be proved by showing their previous or subsequent existence in the same state, there being a probability that certain conditions and relationships continue.
Mr Owen QC relied on 'subsequent' existence as showing prior existence.
While it is preferable to characterise this as a presumption of fact and not a presumption of law (that is a true presumption), it is more sensible and more accurate to regard it as a type of ordinary reasoning which applies in circumstances of the utmost frequency and diversity.
An obvious example of this type of reasoning might arise where someone was recorded walking between points B and C. If B and C were part of a road which ran from A to D, one might conclude (depending on the circumstances) that the person had earlier been present at point A and would later be present at point D. Much will depend on the circumstances. However the existence of a Policy of insurance in 1976 does not, in the circumstances of the present case, assist in concluding whether there was pre-existing cover with the same insurer.
Conclusions
The exception issues
The facts
18. Now in the 21st century a good deal more is known about child abuse than was known in 1973 when the oldest of the claimants went to live in the Community. Nonetheless any organisation to whom the care of problematic children was regularly entrusted must be taken to have known that certain basic skills and understanding would be required of those caring for the children. The Community Homes Regulations 1972 which applied to community homes provided by local authorities required proper provision for the care, treatment and control of children accommodated there, which control was to be maintained on the basis of good, personal and professional relationships between staff and children. In my view equivalent standards were reasonably to be expected of privately run community homes. Further the first defendants set themselves standards which they believed to be appropriate (see for example the Bryn Alyn Care Information Booklet No. 34/1978 which set out guidelines for the standards and quality of care). The aims of Bryn Alyn for the children in their care were, inter alia, "building up their self image, increasing their self discipline and enabling them to make a better adjustment to present day society". The first defendant recognised that each living unit within the organisation would need to establish a clear policy and procedure to ensure that the right persons are selected as residents and that the reception into care of each child is carried out sensitively. All workers must have a real concern for the individual personalities and idiosyncrasies of the residents, an acceptance of their problems and weaknesses and a belief in their strong points as a potential for growth and change. Where at all possible no action should be taken that is likely to diminish the child's self respect or to humiliate him in his own eyes or in the eyes of others. Bryn Alyn was opposed to the use of physical punishment, which was seen as contrary to the total caring process. The possible need for the physical restraint of an aggressive or uncontrolled child was foreseen. Supervision sessions for junior grass roots workers should not be less than two per week for the first 12 months. The document entitled "Bryn Alyn Community - The Alternative" shows clearly the profile of the community, the range of services available and the philosophy of the first defendants. It included the assertion, "The corner stone of the whole developmental process is rooted in the formation of good relationships between adult workers and the young people in their care".
19. In the result I conclude that on the evidence placed before me these worthy aspirations were not met in very many respects. First the staff were not trained, nor experienced in dealing with damaged children. Keith Evans came via the Army and a civil engineering company to Bryn Alyn in 1974. as it happened he had a certain aptitude for dealing with difficult children, and over the 24 years that he worked in the Community he developed that aptitude through experience rather than training. He said of himself, "In 1974 I had no experience of dealing with young people. I had been a corporal in the Army and I had two children". He described the training in the Community in his early days as, "pathetic", although it improved considerably over time. The employment contract was "absolute rubbish". He was shocked by the violence and addictive tendencies of the children in his care. The training offered was "in service" training only which was very poor until the mid 1980's. the complaint system started off ok. but fizzled out. Nonetheless he said, and I accept, that a lot of good things were done in the Community. Peter Steen came to Bryn Alyn from his own steel erecting business. He had had no formal training for working with difficult children. No training was available until Steve Elliot started some in the 1980's. John Jeffreys had worked for Rolls Royce before working in a local authority children's home and a multi racial youth club for about 12 months leading up to joining the first defendants in the 1970's. He was not trained at Bryn Alyn. He found you could not get hold of senior staff if you had a problem and staff morale was not good. In my view the probability is that these were three of the better care workers employed by the first defendants. In the light of all the evidence I have heard, and despite the denials of unnecessary violence by the three witnesses just referred to, I am satisfied that the homes run by the first defendants were overcrowded with too many difficult children; that the staff were expected to deal with such children with no adequate instruction or training; that the staff were so busy dealing with day to day problems that they failed to heed obvious warning signs about the principal, John Allen (e.g. John Jeffreys said that he knew the children called Allen a bender, a brownie, a queer; Peter Steen knew Allen bought presents for his favourites; Keith Evans heard references to children "bending down for John") and that the use of violence on residents, although forbidden in the first defendants literature, was common place and often excessive; not so much out of malice but because the untrained and uninformed staff could not cope without it. I have no doubt that many of the children living in the Community presented real problems, and could be violent. However the use of the "Top Dog" system, whereby the strongest children were used to control other children by force if necessary was entirely inappropriate; and the evidence satisfies me that the use of violence by staff and by fellow residents on these children was far too frequent and on occasions excessive. Keith Evans specifically denied that this was so. In repeating his denial, I do not believe that he was intentionally misleading the court. Rather he was so occupied with producing pragmatic solutions to difficult situations that over time he had come to forget what had actually occurred on a regular basis. The staff employed by the first defendants failed to prevent other staff from resorting to violence as a matter of course; they failed to keep a proper ear open for indications of improper practice; and they tolerated practices such as the "Top Dog" system which were clearly inappropriate. In passing I observe that the imposition of the punishment called the Scrubs (whereby the miscreant had to dress in T shirt, shorts, and shoes without socks and scrub the floor) was not in my view inherently improper; since some deterrent punishment was necessary from time to time; but the frequency of its automatic use, e.g. for absconders, in my view was inappropriate when some of those punished had absconded for reasons of fear or despair, rather than for the fun of it. Humiliation of a miscreant may be unavoidable at times; but its wholesale automatic use had no place in a properly run system of discipline. In summary the evidence that I have heard supports the conclusions of the Waterhouse Tribunal at paragraphs 21.131, 21.132, and 21.133. Had the staff been properly selected, trained and supervised, I also conclude that they would have questioned John Allen's use of favourites, his giving of gifts to particular children, and his frequent night time presence around the dormitories; with the result that many of his acts of sexual abuse would have been prevented. In summary the system of care operated in the first defendants Community was neither adequate nor properly organised and supervised. In this way the first defendants in my view are proved to have been negligent.
In §21 Connell J found:
In the case of the sexual assaults which I have found proved it is difficult to see how they can form the basis of vicarious liability in negligence. In every case the sexual assault was a deliberate act, not a negligent act, and the assault could properly form the basis for an allegation of breach of duty based on trespass to the person.
Later in his judgment Connell J made findings in relation to the individual cases of the claimants, to which I shall return later in this judgment.
The arguments
i) The Claimants can be in no better position under the Act than the Company would have been if it had claimed under the Policies.
ii) The exception in the 1976 Policy excluded liability for loss which resulted from any "deliberate act or omission of the insured".
iii) The exclusion of indemnification for loss caused by an assured when the assured has itself caused the loss reflects public policy considerations and general principles of insurance law which prevent a party relying on their own deliberate wrongful act, see for example Gray v Barr [1971] 2 QB 554 and Allstate Ins.Co. v. Mugavero 581 NYS 2nd 142 (Ct. App. 1992), cited in Clarke, The Law of Insurance Contracts §19-2E6.
iv) The cause of the loss was the assaults. The controlling mind of the Company was John Allen. At all material times, he was the chief executive, majority shareholder and a director of the Company. He was responsible for setting up and maintaining the system or regime at the homes. The losses which occurred resulted from the systemic failures of the Company. The system allowed the children to be abused by deliberate acts. These systemic failures were known to, and acquiesced in by, John Allen and other managers of the Company. This constituted a deliberate act or omission within the meaning of the policy exception.
v) Although the finding of Connell J was of negligence, the effective causes of the loss were deliberate acts and omissions for which the Company was vicariously liable. This was a case, like Lister v. Hesley Hall Ltd [2002] 1 AC 215 in which there was a close connection between the employment of John Allen and the managers (Jeff Davies, Ken Taylor, Steven Ford and Derek (Del) Jones) and the torts which caused the loss.
vi) From 1981 the exclusion was expressly extended to the deliberate acts and omissions of those who carried out a senior management role, 'management employees'.
vii) Connell J's findings in relation to the individual Claimants were findings of physical and sexual assaults by John Allen and other managers.
i) The cause of the Claimants' loss was the exposure to the abuse in the homes managed by the Company. This was the result of the negligence of the assured, its servants or agents, see the Judgment of Connell J at §18-19. There was no finding that the abuse was caused by the deliberate act or omission of the assured. On the contrary the Judge's findings were that there was negligence in relation to the adequacy of the system, its organisation and supervision.
ii) The generic findings of Connell J were applied by him to the individual claims in which he held that the individual's injury and damage resulted from the negligence of the assured, their servants and agents. In each case the judge found that the relevant circumstance in which the injury or damage occurred resulted from the negligence; and that by reason of this neglect the acts complained of occurred.
iii) Connell J did not find that that the injury or damage resulted from the deliberate act or omission on the part of the assured, its servants or agents, in respect of which liability attached.
iv) The Policy Exception is confined to injury and damage which results from the deliberate act or omission of the assured. It is not concerned with deliberate acts or omissions of servants or agents who might have been acting in the course of their employment, and in respect of whose acts or omissions vicarious liability might attach.
v) Whether the acts or omissions were those of the Company would depend on the nature of the activity, the relevant position of the person against whom complaint was made within the Company and the relevant or surrounding facts and circumstances, see for example, Lennards Carrying Company Ltd v. Asiatic Petroleum Company Ltd [1915] AC 705, 713-4, Rainham Chemical Works Limited v. Belvedere Fish Guano Co Ltd [1921] 2 AC 465, 476, HL Bolton (Engineering) Co Ltd v. Graham and Sons Limited [1957] (CA) 1 QB 159, 172-3, Tesco Limited v. Nattrass [1972] AC 153, 170D-173G, El Ajou v. Dollar Land Holdings plc [1994] (CA) 2 All ER 685, 685j-696b, and Meridian Global Funds Management Asia Ltd v. Securities Commission [1995] (PC) 2 AC 500, 511G-512B.
vi) Throughout the period 1973-1991, the sexual and physical abuse by specific individuals occurred in circumstances in which it could not be said that they were the acts of the Company. On the contrary the acts of physical and sexual abuse by (for example) John Allen were plainly carried out for his own reasons and gratification. The Insurer's case involves the implication that everyone associated with the company was involved in the abuse. This was plainly unsustainable: for example, there could be no basis for saying that Mr Russell Evans was involved.
vii) Although the wording of the exclusion was changed from 1981, the alteration does not significantly change the factual analysis. In order to exclude liability the Insurer has to show that those who carried out the deliberate acts of assault were acting within an operational role and exercising a management responsibility. In this context Mr Owen QC relied on a booklet issued by the Insurer at the time, "Royal's New Liability Policy: Explanatory Notes for the Assistance of Brokers and Agents."
Deliberate Acts Excluded
This has been modified in two respects
(a) Since most operational decisions are taken by senior officials we have amended the wording to read "any deliberate act or omission of the Insured, his partners, directors or managerial employees …" We accept that there is an element of imprecision about the term "managerial employees" but we think that in practice this should not create a difficulty because the level at which operational management responsibility is exercised will usually be capable of identification in specific sets of circumstances. (Emphasis added)
He submitted that Connell J had not found that the abuse had occurred while the perpetrators were exercising operational management responsibility.
Conclusion
Had the staff been properly selected, trained and supervised, I also conclude that they would have questioned John Allen's use of favourites, his giving of gifts to particular children, and his frequent night time presence around the dormitories; with the result that many of his acts of sexual abuse would have been prevented.
KR (37-39) Sexual abuse by John Allen
DK (47) Physical abuse by staff, including Jeff Davies
GS (73) Physical abuse by staff, including Steven Ford
DEJ (88-89) Sexual abuse by John Allen
KM (103 &108) Sexual abuse by John Allen
GOM (130-131) Sexual abuse by John Allen
PS (158) Physical abuse by staff generally
JM (187) Sexual abuse by John Allen and Ken Taylor
He then he held that, in each case, the individual's injury and damage resulted from the negligence of the Company, its servants and agents:
KR (39-40)
DK (47-48)
GS (73)
DEJ (94)
KM (106 & 108-9)
GOM (132 & 136)
PS (156 & 158)
JM (187 & 190)
John Allen was the [Company's] "alter ego" and by his own personal acts or omissions he devised and implemented or otherwise established a regime in homes operated and managed by the Assured which involved the deliberate infliction of physical and/or sexual and/or emotional abuse on the children (including the Claimants) who resided there. (Emphasis added)
… the intention of the company can be derived from the intention of its officers and agents. Whether their intention is the company's intention depends on the nature of the matter under consideration, the relative position of the officer or agent and the other relevant facts and circumstances of the case.
I am satisfied that inexperienced staff, inadequately supervised, accepted a regime in which the use of violence by way of pushes, slaps, cuffs and punches was a regular occurrence. Accepting as I do that DK was a complex and difficult child who was himself capable of significant physical violence, nonetheless he was the victim of serious physical abuse over 3 years and at a time in his life when he needed to be able to trust adults and be treated sympathetically be them. He suffered in this way because of faults in the system which was operated in the Community, in which the safety and wellbeing of some of the residents were neglected on a regular basis.
In summary (the Company was) negligent in not investigating a strange situation and in taking not steps to prevent the course of conduct which significantly damaged (GOM). Thus (the Company is) vicariously liable for the proven sexual abuse which (it), and (its) systems, failed to detect or prevent.
In the event of (a) accidental bodily injury to … any person … caused in the course of business.
The General Conditions provide:
… if any loss destruction or damage be occasioned by the wilful act or with the connivance of the Insured all benefit under the Policy shall be forfeited.
Summary
i) The cover provided by the Insurer incepted on 22 August 1976, but not before.
ii) The Insurer's defence based on the exception in the Policies fails.
I will hear the parties on the form of any order.