“[2] D was born on11 December 2011 and is therefore now aged 2½. His mother was assessed in 2012 as being on the borderline of a mild learning disability. His father was found to have a more significant cognitive impairment, with an IQ of around 50. In the earlier proceedings described below, a psychological assessment concluded that he lacked capacity to conduct litigation. He has, however, managed to function successfully in his adult life, with some assistance from local authority adult social services. He has worked in the same job for over 12 years and has contributed towards the financial support of the family. [3] When D was born, the local authority started care proceedings unders 31 of the Children Act 1989 . After he was discharged from hospital, D and his parents underwent a 16-week residential placement in a local authority foster placement which was completed successfully. Afterwards, the family moved into a new home with a package of support from the local authority and other agencies. They have extended family on both sides to whom they are close, and a network of friends. They attend a local church. In the summer of 2012, the parents were married. [4] At the final hearing of the care proceedings, the local authority’s care plan, dated [28 September 2012 ] recorded that D had been in his parents’ care since birth and was settled, happy and developing. It recommended that D remain in their care under a full care order. That order would be subject to review after a year when it was thought it might be appropriate to move to a supervision order. The plan specified the level of professional support to be provided for the family. It further provided that, if the placement broke down, D would move initially to a foster placement. The local authority would then carry out a viability assessment of his maternal grandparents to see if they were able to look after him, although an assessment carried during the care proceedings had concluded that they were not. [5] The care plan was endorsed by the children’s guardian. In her final report, she indicated that, while she supported what she described as the local authority's “courageous attempts” to try to enable D to be looked after [by] his parents, she was “not yet entirely confident that they will be able to provide D with the safe, emotionally attentive care that he will need on a long term basis”
“This is a case where permanent placement outside the family must be considered as a possible outcome”
“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 (emphasis added).”
“society must be willing to tolerate very diverse standards of parenting, including the eccentric, the barely adequate and the inconsistent … it is not the provenance of the state to spare children all the consequences of defective parenting. In any event, it simply could not be done.”
“A reading of these documents leads me to set out a number of matters which I feel must be taken into account by courts when determining cases such as this involving parents with a learning disability particularly where they parent children who also have a learning disability.”
“(2) People with a learning disability are individuals first and foremost and each has a right to be treated as an equal citizen. Government policy emphasises the importance of people with a learning disability being supported to be fully engaged playing a role in civic society and their ability to exercise their rights and responsibilities needs to be strengthened. They are valued citizens … (4) 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 … judges must make absolutely certain 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 normal parents. Their competences must not be judged against stricter criteria or harsher standards than other parents.”
“Where adoption is in the child’s best interests, local authorities must not shy away from seeking, nor courts from making, care orders with a plan for adoption, placement orders and adoption orders. The fact is that there are occasions when nothing but adoption will do, and it is essential in such cases that a child’s welfare should not be compromised by keeping them within their family at all costs.”
“It was hoped that this would offer him some experiences that would compensate for the difficulties that his parents had in meeting his needs consistently in the home.” (ii) the mother and father to be referred to an NCPCC safe care course for work with identifying risks for up to 26 weeks; (iii) CSCW to link in with the NSPCC and build on the work they are doing; (iv) the mother to have an ADOS assessment with SEQOL; (v) exploration of parenting support from SEQOL; (vi) referral to Swindon Support Services for a worker to help with the father’s practical skills; and (vii) the father to be supported by his new social worker. Only (i) and (ii) were implemented, and in the event the NSPCC decided, as recorded in the minutes of a LAC review on19 June 2014 , that “it was not the right time to start any work with the family due to the existing levels of support offered to the family.”
“He seems to be making poor developmental progress across the board and I think his gross motor development is now delayed as well.”
“I continue to have serious concerns about [the mother’s] ability to care for D and promote his development and now that he is putting on weight excessively to look after his general health.”
“I am writing to you because I am very worried that you are not able to look after D and give him what he needs. I am so worried about D that I am thinking that he may need to be looked after by other carers. These are my worries – 1. I am worried because I sometimes see D come to you, and you do not respond to him. I am worried that D is not getting the cuddles he needs. I am worried that you do not speak to D enough and you do not give him enough praise. 2. I am worried because D is falling behind in his development. I am worried that you do not help D progress in his development. This is because professionals have shown you how to play with D and told you how to help D learn to improve his speech, but you do not provide D with enough play and talking to when you are at home. 3. I am worried because I and other professionals visiting your home have seen D hitting, throwing and shouting. The Family Nurse has helped you to show D that he must not do this. I am worried because you have not been able to provide consistent guidance to D and he does not know that this is wrong. I am worried that D does not understand from you what he is and is not allowed to do. 4. I think you need to think more about D’s safety when you are out and about. I am worried that you do not always look after D when you are out and about or in the home, for example, when he was able to get into the road. I am worried that you do not always notice what he is doing in the home, for example, picking up a kitchen knife during a visit from a child social care worker and D jumping on chairs. D could be hurt. 5. I am worried that you have had lots of advice and support from professionals and my worries for D are still present. I am worried that you are not able to look after him and give him what he needs so that he can reach his full potential. 6. I am also very worried that I have received information that you have taken D to see [his uncle G] without the permission of the Children Services. I have previously shared my concerns with you that D may not be safe with G and have only recently repeated this concern to you. 7. I am worried that D is developmentally delayed and may have additional learning needs and this means he will need lots more care than a parent would normally be expected to provide. Over the past two years, you have both needed a lot of extra support to help you care for D. Even with this support, you have continued to find it hard to give D what he needs so that he is growing as well as he could be. I want to let you know that I am going to be meeting with someone from our legal team to talk about placing D with other carers. I also want to give you the opportunity to have a think about this letter and tell me how you think you may be able to help me not to be worried about D any more.”
“nothing happened, so I got the knife out of D’s hand. [Mother] continued to look at Face Book”
“I said I would have to give it some thought and could not say ‘yes’.”
“was greatly helped if she had an activity clearly modelled to her and where she was given clear guidance and some repetition on how to compete a task … She responds well to situations where pressure is reduced, she is given lots of encouragement, modelling and her strengths are clearly highlighted.”
“will struggle with parenting D as he gets older. Setting appropriate boundaries, negotiating and compromising were flagged up as particularly difficult areas. These are essential skills when parenting children, not just at that given time but in relation to life skills that D will need to learn for his future. Therefore support would need to be long term to ensure the best outcomes for D.”
“D’s developmental progress was poor between 9 and 18 months. He made more progress with a significant amount of time at a child minder but has made more progress in the short time in foster care.”
“D will need extra support from carers who have some expertise in working with a child in whom there are concerns about his development. I suspect that D’s development will be at the lower end of the normal range.”
“Certainly one of his chromosomal deletions which he has inherited from his mother has been known to be associated with variable degrees of speech and language delay, learning and behavioural difficulties.”
“It is none other than sad that the Local Authority in fulfilling its duties to D have had to remove him from the care of his parents. The last 2½ years have in fact been directed to avoiding what has happened. I think in retrospect there are point where D would have been removed and possibly should have been, and in making this decision the Local Authority have been strongly guided by the dimensions of parenting capacity in relation to the child’s developmental needs. … A high level of services has been provided to the parents as a result of their learning needs including regular advice and support from the Swindon Advocacy Movement. Unfortunately, the last 2½ years of support and advice has not brought forth the required parental behaviours to promote D’s physical and social development.”
“The concerns that the Local Authority had prior to the removal of D from his parents care would remain should D return to their care. In addition, with greater independence, the less that D’s parents will be able to keep him safe from hazards inside and outside of the home, and they are likely to be less able to keep up with his developmental needs. Although D is presenting calmer, more discriminate in who he seeks comfort from, more able to concentrate on play and interacting socially with other children, it is in my view that he would quickly return to his former behaviours if placed in his parents care, and he could potentially become beyond parental control.”
“D, in my view would not be safe nor have his needs met to an adequate standard if he were placed with his parents in the community. The concerns and reasons for the removal of D from his parents remain. It is in my view that long term fostering is not a viable option for D due to his age. Long-term fostering would not allow for D to achieve a sense of permanency. He would live with the uncertainty of potential placement break down and multiple moves. This could potentially be traumatic for D and would likely impact on D’s sense of self-worth, and his developmental progress. … Mr and Mrs P are well intentioned people who have devoted their lives to helping others via their work at their church, and through their fostering. They are very busy people and work on several projects linked to the church, and at time this means that their availability is ‘spread thin’. The level of support that Mr and Mrs P would realistically be able to provide, is not sufficient for D to be able to live in a shared care arrangement. Furthermore, shared care arrangements are only likely to be successful when all carers share the same values and principles of parenting. [Mother] finds it hard to accept advice and very much likes to be able to do things as she believes they should be done. I understand that there are times whereby [she] has not been happy with Mr and Mrs P and their lack of support, thus leading to periods of disharmony between them. Further to this, [mother] gives considerable weight to her mother’s advice, which can often be in conflict with the advice given by Mr and Mrs P. For these reasons I do not see this as a realistic option.”
“I have considered the option of D returning to his parents’ care, which would enable D to grow up in the family in which he was born and maintain a strong sense of identity. [The parents] have some strengths as parents for D and indeed they love him very much. However, sadly, whilst D and his parents were supported to live in the community, D suffered and was at risk of suffering significant harm. It is in my view that even with continued support, it is likely that D will continue to suffer significant harm if placed back in their care. Therefore, in my view, D returning to his parents care is not a viable option.”
“The purpose of contact is to enable D to continue his relationship with his parents, but I am concerned that, at times, he has experienced confusion and distress during contact. I am concerned that [mother] has appeared to prioritise her mother’s wishes and feelings over D’s need for calm and enjoyable contact whereby his parents are focused upon him and his needs. D’s parents are role models and he will benefit from experiencing them and his family being able to resolve conflicts in a calm neutral manner. It is in my view that [the grandmother’s] presence in the contact, at times, significantly reduces the quality of D’s contact with his parents and can potentially increase his distress. … I have considered future contact for D in the event that the court agrees with the Local Authority that Adoption is the plan which would secure D’s future. It is in my view that in order for direct contact to be successful, D’s parents will need to accept and support his placement or there is a risk that D’s placement will be undermined and D will experience confusion and conflict within himself, which could prevent him from settling and fully accepting the placement himself. Sadly, I have great concern about any further direct contact between D and his parents for this very reason as I anticipate that [they] will not be able to accept D being placed for Adoption. It is for this reason that I cannot recommend future direct contact for D and parents. However, I have considered D’s need to understand his identity and life story. For this reason, I will be recommending bi-annual letterbox contact for D and his parents throughout his future, and for [his grandparents] to include a letter with [the parents’] letterbox contact once per year, with [their] agreement.”
“Whilst in the care of his parents, D and his parents were provided with a high level of support, but D found this confusing as so many people were involved and he was unable to form attachments.”
“Initially my visits were to focus on, and support [mother] in particular with establishing routines for D. General daily routines that included D’s wake up time, meal times, playtime, nap times and a bedtime routine. Through discussion, D’s patterns were established and a written plan was devised. The plan would be revisited during subsequent visits to discuss its appropriateness and incorporate changes as D’s needs changed. [Mother] would openly tell me that she was not referring to the written plan as she would forget or not be able to find it. We discussed other methods that [she] may find more helpful and accessible. I suggested picture prompts, displayed around the house but [she] stated that she would not like this; I further suggested [she] keep a daily diary of D’s routine to support her in being able to see D’s emerging patterns and to support [her] awareness as D’s needs change; e.g. nap times changing. Initially, [she] would maintain a diary for a few days, and we would discuss the routine during subsequent visits. This soon waned with [her] openly telling me that she would “forget” or “couldn’t be bothered”
“[Mother] asked for support around managing D out in the community on foot; she explained that D would not hold her hand; [she] observed whilst I demonstrated through role modelling, a consistent approach, using verbal prompts — “D hold my hand” — stopping walking every time D let go of my hand, repeating the verbal prompt and only moving forward when he complied. D, typically, did not want to hold my hand, preferring to walk independently; however, we were alongside a road and it would not have been safe to allow him the independence so I maintained a consistent approach. [Mother] stated that she “gives up” when D objects to holding her hand, adding that she found it easier to put him in his pram – however, after watching me she felt she knew how to manage this better and would practice.”
“In my professional opinion of [her] capacity to provide safe parenting for D; when [she] engaged with me, in discussions, play activities and practical activities, I observed there to be some progress ‘in the moment’ when [she] would act upon advice or suggestions that I had made in her ‘safe handling’ of D. However there were many times that I found it necessary to intervene and advise [her] of potential hazards whether it was unsafe objects within D’s reach or alert [her] to the fact that her mother’s dogs were ‘baring their teeth’ in response to D lying on top of them. I observed [her] reaction to such hazards as being ‘slow to respond’ and differing in the sense of urgency from my own, In addition I observed [her] to be unresponsive to professional concerns if she did not share those concerns. For example, [she] held the belief that her mother’s dogs “love D and would never hurt him”
“In my opinion, any progress made ‘in the moment’, I observed on future visits not to have been maintained and believe it to be most unlikely to have been applied consistently between my visits. For example, when on more than one occasion, when visiting the home of maternal grandparents, I had to repeatedly prompt [mother] to respond regarding the dogs. I also observed [her] to be ‘easily distracted’ which clearly impacted on her ability to supervise D safely at times; an example of this was the occasion when she and D were at the Children’s Centre. [She] told me that she had asked a young child to ‘look after’ D and was herself chatting and having a cup of tea, not noticing that D had left the centre until alerted by her mother. D on that occasion was found in the road – thankfully unharmed. I also observed [her] inability to anticipate D’s actions on occasions, along with her being slow to respond physically, I would predict that [she] would be unable to consistently avoid problematic or dangerous situations for D. In my opinion, [she] did not agree with the concerns of Professionals regarding D’s developmental delay, as her attitude towards providing stimulating, play and interaction with D was not applied due to her finding it “boring” or not having the time.”
“D is being negatively affected by the inability of these parents to meet his needs. Despite considerable daily professional support his well being was becoming compromised and his development was falling behind. The standard of support provided is in my opinion, in accord with the needs of parents with learning difficulties. The professionals used simple language and modelled the tasks. They gave positive encouragement and [the parents] liked and engaged with those working closely with them. At times D’s care was just good enough and at others it was not. Both parents can be resistant to advice and would prefer to be left alone. They have now taken against the social worker and the foster carer who they blame for the removal of D.”
“The commitment and love by [the parents] for D is accepted by all involved. [They] love D deeply and wish to protect him from any difficulties in the future and keep him within their family. They share a common life history and want D to have a chance to do well and enjoy his childhood with them. They have consistently attended contact. There have been positives and good times enjoyed by the family in the past The learning difficulties and special needs of the parents, in principle, should not rule them out from playing a key role in D’s parenting if he can be kept safe and thrive in their care. It is understandable that the professionals have persevered in their efforts to assist and enable these parents to care for D. The patterns of parenting in the past, the individual difficulties for each parent, the lack of change in their style of parenting as D is growing up, makes it too risky for me to recommend that either [parent] could care for D and meet his needs. I do not underestimate the profound difficulties for both [the parents] and the impact of their limited cognitive abilities on their parenting capacity. D has complex special needs and he will require better than good enough parenting in order to achieve his potential. I have considered the principles of “Every Child Matters” to be healthy, stay safe, enjoy and achieve and learn how to be a responsible adult with a reasonable lifestyle, within their family. It is vital that D has the chance to go through his childhood being safely parented, feeling secure and loved with appropriate role models, boundaries and encouragement to achieve his potential. D and his parents have shared a common family experience and culture. The impact of separating him from his family, needs to be balanced against the benefits and weaknesses in returning to live with his parents and their right to family life. For D to be safe in the care of his parents – they would need to live with, for example, foster carers who would take responsibility for D’s care for many years to come. The support these parents will require to ensure D is properly parented would be immense and would restrict their day to day life. Sadly even if the parents would accept such a plan, in the current climate of cuts in services and frequent changes of professionals, it would be a risk to D and unrealistic that such support would be available over a very long period of time. The alternatives are long-term foster care for D or adoption. Long term foster care, even if the parents work with the foster carers, is risky and I suspect it would be challenged by the parents. Even with an exceptional placement the chances of it being very long-term are problematic. Mr and Mrs P are not offering such a placement. Adoption is the last resort but will provide permanency, stability and security for D and meet his primary attachment and care needs. It will be very distressing for the parents who in my view are just too limited and vulnerable to be able to parent D. They are unlikely to understand or agree that they cannot care for D to a good enough standard. I do not recommend any further assessments nor that any resources available would be sufficient to ensure that [the parents] can safely care for D and meet his needs throughout his minority.”
“[Mother’s] difficulties in adapting seem to me to stem from her innate learning difficulties and character traits. For this to be managed, support for her in her parenting will need to be constantly on hand. She will need firstly to recognise and say what the problem is, secondly to accept she needs help and thirdly to act on the advice. [She] resents advice and can be resistant which is to the determent of D.”
“They struggle to anticipate that D is challenging and he will find new ways to behave e.g. running off, grabbing a knife or running up stairs. It is their job to step in and prevent this before it either happens or becomes established. The PAMS material tests the ability of the parents to see and react to a picture of a situation that has happened or may happen. Both parents are able to do this. However they do not seem to have the capacity in a live situation, to connect this to what D may do and keep him safe. I am concerned that D’s challenges will escalate and [mother] may lose control and dealing inappropriately with D. I am concerned about [her] scepticism and criticism of the social workers and other professionals who she says are no help. If D is to live with his parents, the history of this family will mean the Local Authority should be involved in the safeguarding of him in the immediate future, which will require a positive and open working relationship between both parents, the health and educational professionals and the social workers. I have found [mother] to be defensive, to challenge and to become preoccupied with what others advise, such that she avoids her need to reflect and change her style. This will be hard as she is rigid in her thinking but seems to me to be as much to do with her character and personality rather than just her learning difficulties. Whatever the cause, it hampers her learning from the modelling and discussions. She believes that she has been unfairly treated and not offered the support she would like. It may be that she just does not have the capacity to anticipate and be flexible and too much is expected of her.”
“Regarding keeping D safe … In my view … and unrelated to any deliberate action by the parents, D is at significant risk of being unsafe in the care of his parents.”
“In reality there was little more that could have been offered to support D and his parents in the community. The lack of an Adult social worker for [father] was not, in my view a contributory factor. The next stage of care would have been for D to be all day at a Nursery/Childminder 5 days a week plus evening support or for the parents and D to live with carers – to be on hand for 24 hour support. Both these situations would not have provided D with the significant primary attachment he needs to experience as a young child in order for his emotional well being. It would not be the parents who are providing adequate care for D but others. I predict that [the parents] would find such a level of support an imposition and would struggle to accept or work with those providing the care. As D grows his needs will be more challenging and it is unrealistic for the Local Authority to be able to provide 24 hour available support for parents and D.”
“I am concerned not only that this capacity to be responsive and to read D’s changing needs is so limited in [mother] but she has resorted to frustrated outbursts when D becomes difficult. On two occasions when I have attended contact [she] has flared and without intervention I am concerned how she would have dealt with D. Mr and Mrs P are more positive regarding both parents. They feel when [mother] is in the right frame of mind she is prepared to learn and can make progress. They have observed [the parents] complementing each other in their skills with D and working together. They are also very aware of the limitations of each parent. [Mother’s] strategies for managing D are good in theory but I note the reports in the past of her ignoring him when he cries or is bored. I am concerned that she has not been able to keep him safe and does not multi task. When at home as the only responsible parent there will be times when for example he is challenging or the telephone goes, someone is at the door or the cooking needs attention and [she] will struggle to watch D. He is a vulnerable child with little sense of danger. These parenting skills are very hard to learn because they are largely instinctual. [Mother] is rigid in her thinking and this restricts her ability to accommodate the everyday subtle changes that children make as they grow and develop. She has been a helpful carer for her dad but his needs are predictable and practical. It was significant that she told me “I changed when I am told what to do”
“she was able to teach me things in a way that I could understand.”
“[TG] talked me though a routine that worked when she was there, but did not work for me when I put this into practice. I therefore asked [Mrs P] to help me. She was able to teach me a routine that worked really well at home.”
“it depends on how they talk to me – not speak to me as if I am stupid; I want to be treated as an adult, not as someone who is thick and can’t do nothing.”
“Since she has been working with me at the shop, I have seen some real changes in her. She has more confidence and is far more independent and not as reliant on her family. She has become more socially aware, is more amenable and has matured a lot. She now has an attitude where she gets on with things; I feel she can apply these changes in herself to her care for D.”
“In general, [she] continues to struggle to manage D’s practical and emotional needs. The quality of contact is determined by her mood which can be difficult to manage for the contact supervisors as well as D. Although there are some positives in the mother child contact experience, there is also tension, maternal frustration, verbal combat and an inability to set and maintain the consistent behavioural boundaries which D needs. [She] needs to be supported and encouraged at all times. Contact supervisors have to intervene with regard to practical tasks (dealing with messy nappies and D’s now more challenging conduct). [She] places emotional pressure on D when seeking emotional reassurance as, for example, when she has told him he had upset her by saying that he wanted his [foster] carer.”
“[He] continues to enjoy playing with D. During this year, he has struggled to keep up with D’s development, increased mobility, more assertive personality and more challenging behaviour. [His] ability has remained the same whereas D has moved forward in this respect.”
“Despite many months of supervised and supported contact, I do not believe that [the parents] or either of them on their own should be given responsibility for D without being accompanied by a responsible adult or a professional worker. I am unable to include [the maternal grandmother] in any list of responsible adults who might be available. In essence …, D’s care needs are over and above those of other children of his age. He needs particularly attentive care from a permanent carer or carers with whom he can establish and maintain a close, secure emotional attachment relationship and who can provide him with safe, stable care. The considerable supervised contact time for D and his parents has provided a helpful opportunity to appraise parental ability over a long period within a safe and supported care environment. Unfortunately, parental capacity appears to have remained static if not diminished whereas D’s developmental and behavioural needs have increased / changed.”
“I am absolutely clear that D’s care needs are not able to be met by [the parents] or by [the mother] on her own … I do not believe that [they] would be able to look after D unless a responsible adult was with them at all times. Although Mr and Mrs P are available to provide some support, this would not be the 24/7 wrap around support that these parents would need.”
“If that was provided, I would then question who was looking after D and with whom he should establish and maintain his closest emotional attachment relationships. Prior to leaving parental care, D and his family were receiving so much support that D was being looked after by others for increasing amounts of each day. This may have assisted his parents but will not have met D’s emotional needs.”