“A person lacks capacity in relation to a matter if at the material time he is unable to make a decision for himself in relation to the matter because of an impairment of, or a disturbance in the functioning of, the mind or brain.” (2) the functional test set out in s.3(1) MCA 2005: “For the purposes of section 2, a person is unable to make a decision for himself if he is unable— (a) to understand the information relevant to the decision, (b) to retain that information, (c) to use or weigh that information as part of the process of making the decision, or (d) to communicate his decision (whether by talking, using sign language or any other means).”
“…the Court may, pending the determination of an application to it in relation to a person ('P'), make an order or give directions in respect of any matter if (a) there is reason to believe that P lacks capacity in relation to the matter, (b) the matter is one to which its powers under this Act extend, and (c) it is in P's best interests to make the order, or give the directions, without delay.”
“An act done, or decision made, under this Act for or on behalf of a person who lacks capacity must be done, or made, in his best interests.”
“(1) In determining for the purposes of this Act what is in a person's best interests, the person making the determination must not make it merely on the basis of - (a) the person's age or appearance, or (b) a condition of his, or an aspect of his behaviour, which might lead others to make unjustified assumptions about what might be in his best interests. (2). The person making the determination must consider all the relevant circumstances and, in particular, take the following steps. (3). He must consider - (a). whether it is likely that the person will at some time have capacity in relation to the matter in question, and (b). if it appears likely that he will, when that is likely to be. (4). He must, so far as reasonably practicable, permit and encourage the person to participate, or to improve his ability to participate, as fully as possible in any act done for him and any decision affecting him. …. (6). He must consider, so far as is reasonably ascertainable - (a). the person's past and present wishes and feelings (and, in particular, any relevant written statement made by him when he had capacity), (b). the beliefs and values that would be likely to influence his decision if he had capacity, and (c). the other factors that he would be likely to consider if he were able to do so. (7). He must take into account, if it is practicable and appropriate to consult them, the views of - (a). anyone named by the person as someone to be consulted on the matter in question or on matters of that kind, (b). anyone engaged in caring for the person or interested in his welfare, (c). any donee of a lasting power of attorney granted by the person, and (d). any deputy appointed for the person by the court, as to what would be in the person's best interests and, in particular, as to the matters mentioned in sub-section (6). …. (11). 'Relevant circumstances' are those - (a). of which the person making the determination is aware, and (b). which it would be reasonable to regard as relevant.”
“(i) The first is that the statute lays down no hierarchy as between the various factors … beyond the overarching principle that what is determinative is the judicial evaluation of what is in P's 'best interests'. (ii) The second is that the weight to be attached to the various factors will, inevitably, differ depending upon the individual circumstances of the particular case. A feature or factor which in one case may carry great, possibly even preponderant, weight may in another, superficially similar, case carry much less, or even very little, weight. (iii) The third, following on from the others, is that there may, in the particular case, be one or more features or factors which, as Thorpe LJ has frequently put it, are of 'magnetic importance' in influencing or even determining the outcome.”
“… In very urgent cases, the court may conclude that an interim order should be made without any representation by or on behalf of the adult, but direct that the question of representation should be reviewed at a later hearing. Such a course seems to me to be consistent with the analysis of Black LJ at paragraph 104 of Re X. In every case, however, when carrying out that analysis, the court must be alive to the danger identified by Black LJ, at paragraph 100 in Re X that the process may depend "entirely on the reliability and completeness of the information transmitted to the court by those charged with the task" who may "be the very person/organisation seeking authorisation for P to be deprived of his liberty".”
“…due to her diagnosis and disability this [her capacity] is unchanged and it is not likely to change in the future when she turns 18yrs. PX likes to please people. The court made the decision at the last court hearing for her to live with FX and have contact with MX. this arrangement will come to an end when she is 18yrs and PX would like to live in a supported living environment with friends and see her parents regularly…PX has a learning disability and although she is in education to progress with her independence skills, it is not thought she will regain capacity to make the decisions independently about her next steps in where she would like to live, as she does not understand the detail of what is needed in her care and support to keep and promote her health and wellbeing.”
“If the Court makes that decision [to return PX to C1 in the interim], it will be the LA’s responsibility if something happens to PX, if she is injured.”
“…completely impractical, and not what PX wants, as PX made it very clear that she wants to live with me, and see more of me.”
“PX said she doesn’t like FX staring at her during [rectal] washouts, and touching her bum. He cut her bikini line [pubic hair] and touched her privates. PX doesn’t like FX grabbing her, shouting at her, hugging her, or being naked in front of FX. She has to do everything on her own at FX’s house, for example she asks my help with washing her hair, so I asked her who helps at FX’s house, and she made a face and said she doesn’t like FX coming near her, so she does it herself. When she was having a shower [at my house], she called me, saying she had poo stuck in her vaginal hair. It was matted, she couldn’t get it out, so I helped her. I asked if it had happened before, and she said yes, FX had cut her vaginal hair with scissors and touched her there. That raised significant concerns with me. Inserting a 6 inch catheter into her rectum she said hurts her. She said FX had to use the “squeezy bottle” by which she means the enema bottle, which I know causes her significant distress. These are all things I’ve raised with the LA, but they have not investigated any of them. Regarding enemas, PX had 5-6 fainting episodes about 12 months ago, which FX only told me about after the 2nd or 3rd episode, which coincided with PX saying FX used the enema not the washout process. I know from previous experience that PX hates enemas, so that might have led to distress or stress so PX fainted. FX said in one message to me that he’d used the enema because she’d refused washouts.”