Support DPAC (Disabled People Against Cuts) to expose institutionalisation and poor care

DPAC have been served with a Cease and Desist letter from a healthcare provider after they published details of how a disabled man in Ireland has been treated. I am reblogging their recent post in support of them.

DPAC has removed our most recent piece on Anthony Kletzander from our website due to a ‘cease and desist’ letter from solicitors representing Nua Healthcare threatening legal action against us for raising awareness of the case. DPAC have published pieces on Anthony and his situation since late 2013. We firmly believe that Anthony’s desire for independent living, instead of institutionalisation should be upheld, as per Article 19 of the UN Convention on the Rights of Persons with Disabilities. We also believe that we have a duty to raise public awareness on Anthony’s experiences.

We will continue to campaign and to support Anthony, his parents: Linda and Sigi and his chosen advocate Joe Whittaker in any way we can. Anthony’s parents Linda and Sigi kindly agreed to an interview from their home in Ireland. We are grateful for their time and honesty.

Interview
As you may know supportive web sites and grass root disability groups in the UK and Europe received a solicitors ‘cease and desist’ letter regarding talking about Anthony’s circumstances, we can not talk about that specifically, but as Anthony’s parents and his legal guardians-what are your thoughts on:
 
a) the suggestion of the protection Anthony’s ‘confidentially’ :what has Anthony said to you on this, what is it that he wants to say about his circumstances? And as his parents what is it you would like to say?

Anthony repeatedly asks us to get him out of Nua and that he wants independent living in his own home near to his family. We fully support Anthony and take our lead from Anthony. He wants us to do whatever is necessary to help him to get back to independent living

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b) We understand that Anthony’s chosen means of communication has been denied, can you tell us a bit about that?
Despite the fact that Nua were given Speech and Language reports from two Health Service Executive (HSE ) Senior Speech and Language Therapists, Speech and Language report from Central Remedial Clinic Speech Therapist and Marion Stanton communication expert in U.K no staff at Nua are trained up in his communication  Marion offered to come to Ireland (in March 2014) to train Nua staff, but Nua did not invite her over in fact Noel Dunne said on the phone that they would get their own experts.

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2.Anthony lived in his own flat with his own personal assistants for almost 3 years – why do you think it is proving so difficult for Anthony to exercise his right to independent living by living in a place of his own choosing now?
 

Having had independent living from 2010-2012 with Cheshire Ireland where Cheshire took a back seat, we recruited Anthony’s staff with Anthony, put together a schedule which Anthony helped in planning and we negotiated with Dublin City University (DCU) and Anthony attended DCU lectures which is something he always wanted to do. In 2013 Anthony service was given over to Áiseanna Tacaíochta Network (ATN) by HSE with no meaningful negotiations with Anthony or us, no explanation was given. Martin Naughton the Director of ATN carried out the negotiations with Geraldine Murphy HSE Disability Manager. Martin then imposed his staff on Anthony, none of which believed in Anthony’s communication and Anthony’s whole quality of life suffered a great deal under the service of ATN. Martin tried to dictate visiting hours for Anthony, restricted his movement. Basically we had to go to Anthony’s home every evening to take Anthony out as he was effectively under virtual house arrest. Martin also applied to the Dept of Social Protection to have Anthony’s personal disability allowance payment paid into the ATN company. Following Martin’s email we contacted the department objecting and it took about a year to sort out the stoppage of Anthony’s payment due to ATN’s actions.

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3.What does Anthony say to people fighting the campaign to get him independent living?

Anthony continues to ask us to keep the campaign going. He also appeals to us to ask Nua to stop the forced medication on him. Anthony has know Joe (Whittaker) for about 11 years and always asks us to ask Joe to continue the campaign for him.  We always reassure Anthony that Joe and we his parents are continually campaigning and won’t stop until Anthony is released to Independent living. We need to keep repeating this to Anthony to try to help him to survive his time with the Nua institution

4 What efforts have HSE made to discuss Anthony’s wishes for independent living with you and Anthony?
 
Possibilities Plus offered HSE their service to provide Independent Living. Geraldine Murphy has told them that as far as she is concerned the Nua arrangement is permanent.  We continue to write to Sheila Marshall the other Disability Manager involved.

5.Who do you recognise outside the family as closest to Anthony and who has Anthony chosen as an advocate?
Anthony chose Joe Whittaker as his advocate and we keep Anthony informed about the campaign. We Anthony’s parents feel encouraged and very appreciative of Joe’s on going support. We are all grateful that many more people know what is going on and we really appreciate all the support that Anthony is being given by growing numbers of people.

6.Prior to Anthony being institutionalised did Anthony have a history of hospitalisation

No, prior to ATN taking over the management of Anthony service, Anthony was on a strict gluten and dairy free diet. He was not given ANY medication but took natural supplements. When ATN took over Anthony’s service ATN stopped Anthony’s special diet against the advice of the family doctor claiming that they found him to be “often hungry”. This caused Anthony pain and subsequently contributed to his virtual “house arrest”.

7.When did forced medication start for Anthony

Anthony was medication free when he entered Redwood ( a prior institution). However three days after he entered Redwood we got a phone call confirming that Anthony’s crucial special gluten and dairy free diet was not being adhered to by Redwood and that they were giving him medication.

8.Did Anthony have a history of being hospitalised prior to being institutionalised

No. Despite the fact that we gave Redwood Anthony’s GP letter and met with Management when we were told that Anthony was been given medication and that his diet was not adhered to. Anthony was hospitalised by emergency ambulance with seizures for the first time in his life. Tests showed no epilepsy.

9.Did Nua continue with the drugs regime

When Anthony started in Nua he was not drugged according to our information. However in March 2014 Anthony was admitted to hospital by emergency ambulance. Since Anthony started in Nua he has been admitted twice to hospital by emergency ambulance and continues to be medicated.

10.Did Nua give you the list of Anthony’s medication

No despite the fact that we repeatedly asked Nua for the list of Anthony’s medication they refused to give it to us. We finally got the list of medication when our solicitor requested the medication list from HSE when Sheila Marshall, Disability Manager issued the medication to our solicitor so we then had access to this crucial information.

11.How does Anthony spend his weekdays

When Anthony started at Nua we attended a conference explained the significance of training for staff of Anthony’s communication. We also told everyone who attended the meeting from HSE and Nua that Anthony hates farms.  He attends the Nua farm daily where we recently witnessed Anthony shovelling manure into a wheelbarrow in a highly distressed state and being told “good boy keep going”. Anthony is a 26 year old man not a “boy”.

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12.How did Anthony appear on your recent visit to him on the Nua farm

When we drove into the car park we could hear Anthony’s anguished sounds and rushed to find him. We were shocked to see him shovelling manure into a heaped wheelbarrow. Anthony’s anguished sounds increased significantly whilst bringing the heaped wheelbarrow down the very steep hill to the lower Nua gardens. We emailed Nua voicing our concerns but received a registered letter from Nua yesterday informing us that Anthony has been returned to the farm as of 8 September 2014 so we continue to worry significantly about Anthony’s health and safety in Nua.

13. What would you say to parents/people in a similar situation to that of Anthony?

We would say never give up. Everyone is entitled to be listened to, no one’s basic human rights should be abused. We would encourage people to speak up if they can.

14.What would you and Anthony say to the people supporting Anthony?
Anthony is continually thanking people for their support which he needs to stay strong. Anthony is particularly grateful to his and our friend Joe Whittaker

Video of Anthony typing thank you to supporters

 

If you can help please contact Anthony’s chosen advocate Joe: whittakerjoe5@gmail.com

Abbreviations

ATN Áiseanna Tacaíochta Network
DCU Dublin City University
DPAC Disabled People against Cuts
HSE Health Service Executive: responsible for the provision of healthcare providing health and personal social services for everyone living in Ireland, with public funds.

Leonard Cheshire Disability, the Living Wage and their charges

investment-small-1I just put in a complaint to Leonard Cheshire Disability (LCD). (Out of character, huh.) It is as follows:

…”Inter alia, you explained that the home is having difficulty recruiting carers and that carers and good quality carers are not applying for our posts.

I volunteered the opinion that whilst we are lucky in that many staff working for us do so despite the poor pay (as staff provide excellent service through a commitment to ensuring good quality of life for service users, despite the poor pay), we may have more success in recruiting and retaining decent staff if we offered the Living Wage. Given how much residents pay per week, I think it should be entirely possible for the home to pay carers the Living Wage.

The Living Wage is an initiative intending on reducing poverty in the UK. It has high profile, non-partisan support. As well as being morally right, it has important benefits for employers. Here are some benefits. An independent study proved that 80% of employers believe that paying the
Living Wage enhanced the quality of staff work, reduced absenteeism by 25% and that two thirds experienced improved recruitment and retention.

I want some of that. I want less absenteeism, easier and better recruitment with more and better quality applicants, and better retention. I think it would make a major difference to residents’ quality of life and experience of the service.

The Living Wage is currently £7.65 per hour outside London.

I can’t find any job adverts for Wharfedale, but for the next nearest care home (Champion House), there is currently a vacancy for a care assistant offering £6.31 per hour basic (i.e. the Minimum Wage) plus 25p per hour for relevant qualification in health and social care plus 20% enhancement for nights/weekend working. I.e. £6.31 per hour, rising to £6.56 for the NVQ for daytime work. This is just 82 to 86% of the Living Wage.

Wharfedale House (care home I live in) should be able to afford to pay the Living Wage.

The Telegraph reported in November:

On average, in England, the cost of providing residential care, including the care home operator’s slice of profit, is worked out at £563 per week

(Of course, being a charity, the profit doesn’t apply to us.)

Breaking this down more regionally, according to this not-for-profit company, the average charge for placements in non-nursing care homes in Yorkshire for
2012-2013 was £463 per week.

I know that currently Wharfedale House is paid £986 per week for my care. This is by no means out of character for the fee in the home: in June 2012, Leeds City Council indicated (PDF) that the median fee paid by them for placements at Wharfedale House was £840.08.

To pay carers the Living Wage would require an increase in the wage bill of approximately 20%. Yet going by the above median fee, Wharfedale House charges 80% more than other care providers. Unlike private sector care providers, Wharfedale House doesn’t make a profit. We should clearly be able to afford to pay carers 20% more than the minimum wage.

I would like to raise a formal complaint that we do not pay our carers the Living Wage. Failing to do so devalues and dehumanises those who provide the most difference to our everyday lives: those who provide residents’ personal care and support. It has a consequent effect on our care as it affects our ability to recruit and retain decent carers. This has a direct consequence for the experience of service users such as myself.

I will not accept any argument in response to the complaint that states that LCD pays in line with industry standards, or that Wharfedale isn’t out or the ordinary, or that LCD can’t afford it. The fact that the rest of the industry also undervalues and devalues carers should have no bearing on our ability to “break the mould” by paying more. We should be setting a standard.

I will also not accept any argument that we cannot afford it; for the above reasons, but also because the residents are not involved in the budget setting process for the home, nor are we even informed as to how our fees are divided up and spent. There is no transparency.

By way of resolution to my complaint, I would accept and expect the following:

1) 20% increase in the rate of payment for care assistants / support workers

2) Should LCD refuse that, that Wharfedale House leave Leonard Cheshire Disability (who after all don’t own the building) and move to another provider who can provide the same or better service at the same or lower cost and with 20% increase in carers’ wages.

I am convinced that if LCD claim they are unable or unwilling to provide the increased wage, third party companies would be able to do so whilst providing the same or better level of service, the same or better staffing levels and a profit for any shareholders, without increasing the fee. This would be of significant benefit to Wharfedale House employees and service users.

I am also convinced that the benefits brought about by the improved pay rates would more than make up for the loss of any perceived benefits of being part of Leonard Cheshire as an organisation; and that leaving LCD would also have many other benefits for the home, its staff and its residents.

Thank you

Doug Paulley

 

I won’t hold my breath.

Thanks as ever to the most excellent cartoonist, Crippen

cartoon by Crippen

Mark Sanderson – ex-head of Quality Improvement at Leonard Cheshire Disability

Mark Sanderson has left.

This is the guy who tweeted “It’s albinism not albinos, dummies” in response to a media article, after being appointed Head of Quality Improvement at Leonard Cheshire and whilst still working for Mencap. When I tweeted a challenge to him using the word “dummies” as a pejorative, he complained to his bosses, saying that he found this as unwanted and unwarranted harassment, that other staff have experienced similar and that staff should be protected from me.

His boss initially supported him, agreed that me following him and challenging him on Twitter (where he’d publicly identified himself as HoQI at Leonard Cheshire) was inappropriate and asked for (and received) permission to show the Chief Executive, but eventually made him send a weasel worded apology when I kicked off. They wrote it, and then he watered it down till he could “live with it”. Following which he deleted the tweet then denied ever making it.

Eventually, following an investigation into the handling of my complaint about his reaction to my tweet and the subsequent critical report by Leeds City Council, LCD was forced to apologise.

I must say myself and other social care service users haven’t noticed social care quality provision by the charity improve whilst he was Head of Quality Improvement (for less than two years.)

Linked In still has him down as “Successful Strategic Manager” working at Leonard Cheshire Disability. I just hope that wherever he is working, he’s got more commitment to service users, integrity, honesty and professionalism than he demonstrated with me whilst working at Leonard Cheshire.

Thanks as ever to the most excellent cartoonist, Crippen