"[C] has been know to this service since November 2003. She has diagnoses of severe learning difficulties, hyperkinetic disorder (ADHD combined type), extreme incoordination/dyspraxia, and multiple autistic social communication impairments. She also has a long-term history of various severe allergies, bowel problems (including anal fissures), sleep difficulties and challenging behaviours."
"[Mrs L] is very attentive to [C's] needs and addresses any health issues in a timely manner. She maintains contact with all health professionals involved with [C's] care and ensures that [C] attends all appointments."
"Despite [Mrs L's] continued efforts to establish a clear and structured bedtime routine for [C], she has not been able to manage [C's] sleep difficulties. The lack of established bedtime routines means that [C] is often over tired, which leads to irritability and increased challenging behaviours. [C's] disruptive sleep patterns and aggressive behaviour greatly impacts on [Mrs L] and her other children leaving them exhausted, which in turns effects[sic] their ability to manage on a daily basis."
"It is my opinion that this [that is to say Mrs L's inability to establish clear routines] is not due to a lack of willingness to implement strategies, but due to a number of factors: 1) [C] is not an only child, but one of three in a busy household, who all require [Mrs L's] time and attention. [Mrs L] has spoken about the lack of time and attention she is able to give to her other children and the increasing support they are giving her. [Mrs L] feels strongly that the other children are missing out on any childhood activities and experiences due to [C's] needs and behaviour. 2) It could also be that it has not been possible to establish clear boundaries and routines as [Mrs L] is continually tired due to a lack of sleep most nights. [Mrs L] feels that this affects her day to day functioning and leaves her with no energy to implement strategies. 3) Another factor is that [Mrs L] is the sole carer for [C] and her siblings and does not have any support networks in the local area."
"The very high degree of structure, support and containment provided in the school environment is not something that can be provided in any home environment, especially for a child who so needs constant 1:1 attention. In our opinion the current level of professional support provided which is necessary to maintain this family's functioning leads to an over-complex and fragmented experience for [C], potentially exacerbating her emotional difficulties. In that respect we would not expect a foster placement to meet [C's] complex needs. In addition we suspect the demands made on any family would be highly likely to lead to breakdown of the placement. [C's] positive response to the school environment, in terms of her relative calmness and her engagement in the learning process, suggest that an appropriate educational placement that provided a 24 hour curriculum would be extremely beneficial to her in all respects, particularly educationally and emotionally. Of course close contact with her family should be maintained. It is possible that with this intensive input [C] would be enabled to develop the vital daily living skills that she currently lacks."
"[Mrs L] has reported difficulties managing [C's] behaviour at home. She is finding it difficult to cope and feels the current level of support and services are not meeting [C's] needs. She said that [C's] behaviour is severely impacting on the well-being and functioning of the family. An Initial Assessment was carried out to include the whole family and to look at the impact that [C's] disabilities have on the other children. The children were assessed as being children in need."
"[C] has spent some time at Brightwell each week and 2 weekends a month. The staff at Brightwell feel that [C] is confused about her stay at Brightwell and finds it difficult to manage emotionally. They feel that for [C] it is almost like a dual life. However they do not have problems with her sleeping habits at Brightwell. Through policy it is not possible to [give] [C] any more hours at Brightwell without her becoming a looked after child. [Mrs L] is currently going through a Tribunal at the moment with regard to [C's] schooling and securing a place for [C] at a residential school."
"[C] has settled well since her transfer to Cricket Green School in September 2007. See report attached. [The head mistress] informed the review that she believes [C] is benefiting from the environment in school."
"K. What else still needs to happen before the plan for this child/young person can be achieved? [C] continues to attend Brightwell for periods of respite care, which has been increased to the maximum of 120 days per year to provide [Mrs L] with support. CIN [child in need] Review was held on11 February 2008 when it was decided that a referral would be made to the OT re bathing aids/facilities and assistance with toilet training; 1-1 worker for [C] in the home during school holidays. L. Could the child/young person now live permanently with a parent/person with parental responsibility/relative or friend, if additional resources were provided? [C] lives at home with her family and is accommodated undersection 20 Children Act 1989 for the purpose of respite care. M. Should a decision be made to change the long-term plan for this child/young person? No."
"Heather Skinner [one of the social workers involved] ... advised that if there were a family breakdown, social care would identify a foster placement for [C]."
"[Mrs L] said that her views about [C's] educational needs are well documented. [C] now travels to school in a taxi with an escort. [Mrs L] acknowledged that the extra support she has received from Brightwell has helped her spend more time with her other two children, but that [C] is very demanding and continues to need a lot of attention."
"We went on to refer to the statement to see if any changes were needed. [C] is in receipt of OT, SALT and 1:1. Visual prompts are used and [C] has access to social skills and life skills lessons. No changes to the statement were felt to be needed."
"... recognising that L is currently pursuing a Tribunal with a view to an alternative placement for [C]. Mrs L feels that if [C] were in a residential provision that: • More staff would be available to meet [C's] needs. • She would have [more time] for her other children. • That there would be more activities to keep [C] occupied. [Mrs L] spoke about the strain of fighting for resources for [C] and the ongoing strain on her health. She is finding the fight exhausting. More outreach has helped but the lack of sleep is exhausting."
"... [C's] needs are complex and that there are a large number of adults in her life (home, Brightwell, school, outreach and now a new carer). Whilst the professionals are positive about small steps, that is what we look for in our professional roles. We recognise the situation for families can be very different."
"The authority is failing to ask itself whether there is a case for a residential school placement when taking into account both education and care considerations together. Given the strength of the evidence available, and in particular the reports from CAMHS, it appears that it is very difficult for the authority to conclude rationally that there is no such case."
"In many respects the matter came to a head yesterday, 27 February, when our client contacted us in enormous distress because she was told that, since residential care is not available, any breakdown in the family arrangement would be met by taking [C] into foster care. We would observe in passing that it appears that, in making that statement, your representative was ignoring, or had not read, the CAMHS report pointing out that a foster care placement is inherently unsustainable."
"We cannot deal with these issues through the SENDIST [being a reference to the educational tribunal for those with special needs] process because that is only concerned with educational needs, not education and care needs; in any event, at this stage SENDIST is only dealing with the refusal to carry out a reassessment..."
"You repeat your request for a 'common assessment' of [C]. The Common Assessment Framework aims to help early identification of needs, leading to a co-ordinated provision of services. However, it is not appropriate for every child who may have additional needs, and in particular is not appropriate where specialist assessment is needed. [C] has complex needs and has already been assessed by a number of specialists, including for her statement of special educational needs, by CAMHS and through her core assessment. The CAF is a generic assessment that provides an initial assessment of a child's needs for extra services and is not appropriate or useful for [C]. It is recognised that [C's] core assessment should be kept under review."
"The Council has considered the reports of the meetings on27 February 2008 and does not accept that there is a clear need for a residential school placement for [C]. A boarding school placement would be a prima facie interference with [C's] rights underArticle 8 of the ECHR , and would need justification. The Council does not consider that there is such justification or that such a placement would be in [C's] interests whilst she has a suitable educational placement in a local day school and social care support can be provided for the family to enable her to continue to live at home and within her community. [C's] annual review and the interim review found that she was making progress at school and did not recommend amendment of her statement. ... The view of the Children's Social Care team is that every effort should be made to keep [C] at home rather than in institutional care. She should be with her family if at all possible. If [C] cannot stay at home, alternatives to an institutional residential placement would need to be considered before a residential school. We have considered the reservations expressed by CAMHS about fostering but consider [C's] best interests demand that a respite foster placement should be explored. It is not in [C's] best interests to experience more episodes of institutional care unless it is the last resort. She, too, has a right to family life."
"I can confirm that it has never been the view of the Council's social care teams that [C] should have a residential care placement. There is no record on [C's] file that a representative [that means a representative of the defendant's social care team] has expressed the view that [C] should be placed in a residential school. Case records clearly state that the local authority's priority would be to keep [C] within her family environment with appropriate support. For instance, on11 February 2008 , there was a discussion between [Mrs L] and Heather Skinner in reference to a residential school placement. Case records indicate that [Mrs L] was informed of the procedures involved in requesting a residential school placement, and that social services priority would be to support [C] in her home environment."
"Given [C's] ability to respond positively to behaviour management within more than one environment, the Council disagrees with the CAMHS assessment that a foster placement would not be expected to meet [C's] complex needs. [Mrs L] has expressed opposition to any fostering for any of her children, based on her own past experiences. Although we can understand why she may be reluctant to consider the advantages that may be gained from foster care, it is the view of the local authority that the request for a residential placement for [Mrs L] is not based on [C's] needs."
"Ms Caslake [the Service Manager for Community Support] had informed Mr Collins that there would not be care advantages to [C] from a residential placement and that on the contrary there are advantages to her from being supported in her home environment or, insofar as this was not possible, in non-institutionalised care. The Council's position therefore is that a residential school placement is not necessary to meet [C's] educational or social care needs."
"Application of Regulations to short-term placements 13(1) This regulation applies where a responsible authority has arranged to place a child in a series of short-term placements at the same place and the arrangement is such that no single placement is to last more than four weeks and the total duration of the placements is not to exceed 120 days in any period of 12 months. (2) Any series of short-term placements to which this regulation applies may be treated as a single placement for the purposes of these Regulations."
"Following the consultation detailed in LASSL(95)4 Department of Health Ministers have decided to implement easements to the requirements governing respite care placements (that is a series of short-term placements)."
"The easements to the regulatory requirements address the frequency of reviews, the timing of the first visit, the number of placement days allowed in any 12 month period."
"In order to avoid an unnecessarily onerous degree of regulation, the Arrangements for Placement Regulations, the Foster Placement, the Placement of Children with Parents etc Regulations, and the Review of Children’s Cases Regulations all make provision for a series of short placements to be treated as one ... There has been no change to the requirement that all placements must be in the same place (that is, with the same foster carers or in the same residential unit) in order for a series of short-term placements to be treated as one."
"3.1 To provide greater flexibility in providing the short-term accommodation service, the maximum number of days allowed in any twelve month period has been increased from 90 to 120 days. Returns of statistical information to the Department of Health suggest that few children will be affected but the easement will allow a decrease in the regulatory requirements in specific instances. This is a maximum number of days and it is for local authorities to decide to what extent policy and practice in their respite care services should be revised. The relaxation of Regulations is not intended to encourage a range of respite care arrangements which may undermine the security, stability and consistent care which a child needs."