"The premises shall be used only for a nursing home and for no other purpose, including any other purpose inClass C2 of the Schedule of the Town & Country Planning Use Classes Order 1987 ."
"(i) Maintenance of secure access and egress arrangements with all external doors locked and access and egress controlled by staff. It is not possible for a patient to leave the property except by prior arrangement and then under supervision. (ii) Patient treatment delivered by a multi-disciplinary team involving a consultant psychiatrist, nursing team, activity co-ordinators, social workers, clinical psychologists, physiotherapists, speech and language therapists, massage therapists and play therapists. (iii) Clinical services provided for each patient, including CBT based therapy for anger and anxiety management, art therapy, cookery classes, massage therapy, relaxation training, language and comprehensive assessment, social skills training, domestic skills training, physical exercise, physiotherapies, psychotropic medication, group educational sessions. (iv) The provision of facilities involving indoor and outdoor pursuits, including trampolining, rambling, cycling, ball games, including five-a-side football and basketball, and community-based recreational programmes. (v) The erection of a two-metre high security palisade fence around the rear garden area, CCTV cameras and use of mirrored glass preventing views into the property."
"'Yew Trees' Appeals on Grounds (b) and (c) 5 The 1988 planning permission at 'Yew Trees' is simple and straightforward. The only aspect of the development permitted at that time, which is of concern for the purposes of these appeals, is the change of use to a nursing home. The effect of condition number 6 of that permission is to confine the use of those premises to a nursing home and to no other purpose. Consequently, if I find that the premises at 'Yew Trees' are no longer operating as a nursing home, then condition number 6 is automatically contravened, a breach of planning control has taken place and any appeal for consideration under ground (c) is bound to fail. However before arriving at that position, the question arises whether any change from a nursing home has, as a matter of fact, taken place. If it has not then the appeals made on ground (b) will succeed. 6 To reach a reasoned conclusion on this matter, I consider it appropriate to set out the provisions of theTown & Country Planning (Use Classes) Order 1987 as amended (UCO) in full, insofar as they affect these premises and the consideration of these appeals. Class C2 of the Schedule is headed 'Residential Institutions' and reads as follows: 'Use for the provision of residential accommodation and care to people in need of care [other than a use within class C3 (dwelling houses)]. Use as a hospital or nursing home. Use as a residential school, college or training centre.' A definition of 'care' is set out in Article 2 of the Order. This says: ''care'' means personal care for people in need of such care by reason of old age, disablement, past or present dependence on alcohol or drugs or past or present mental disorder, and in class C2 also includes the personal care of children and medical care and treatment.' 7 Looking at this wording in the round, it seems to me that the phrase 'nursing home' can encompass a wide range of activities involving personal care. It is by no means synonymous with a home for the elderly, which is what a nursing home is commonly thought as and which was its primary use prior to the purchase of the premises by the appellants. Given the wide definition of 'care' set out in Article 2 of the UCO, which is applied across the board to class C2, I find it difficult to distinguish a 'nursing home' from 'use for the provision of residential accommodation and care to people in need of care'. To my mind they are one and the same thing. Therefore I am firmly of the opinion that the only appreciable effect of condition 6 is to prevent the use of 'Yew Trees' as a hospital, residential school, college or training centre, out of the other activities set out in class C2, without the need for planning permission. 8 I am reinforced in adopting this interpretation of the legislation by looking at the date of the planning permission,27 April 1988 , i.e. less than 12 months beforehand. In these circumstances, I consider that it is instructive to see how the provisions of its predecessor, theTown & Country Planning (Use Classes) Order 1972 , defined residential institutions. Class C2 combined Class XII and Class XIV, set out in the Schedule of the previous UCO. Class XII was concerned with residential educational establishments and does not need any further explanation. However Class XIV is worth recording in full. It said: 'Use as a home or institution providing for the boarding, care and maintenance of children, old people, or persons under disability, a convalescent home, a nursing home, a sanatorium or a hospital.' 9 Taking that recently revoked legislation into account, the local planning authority could have specified that the use of 'Yew Trees' be confined to a home for the care of old people, the approach it subsequently adopted at 'Ducks Halt Cottage', but it did not. From what I could see of the present operations at 'Yew Trees', its primary purpose is the personal care for people in need of such care by reason of past or present mental disorder. The previous primary use of 'Yew Trees' was personal care for people in need of such care by reason of old age (and/or possibly disablement). I am satisfied that both categories fall within the broad category of 'nursing home' for the purposes of class C2 and that the breach of planning control as alleged in the notice has not taken place. 10 These arguments are not accepted by the planning authority. It asserts that 'Yew Trees' is in use as a hospital, owing to the high levels of security required to keep the patients confined to the premises and to prevent them from getting out without proper supervision and control. The council accepts that there is no definition to be found for a hospital or nursing home in the UCO, other planning legislation or reported case law. However it claims that the common understanding of these words, the use of the word 'hospital' under mental health legislation for any premises where any of the patients are detained against their will and recent amendments to the UCO indicate that the premises are a hospital and a secure one, taking it not only out of the category of nursing home for the purposes of class C2, but out of class C2 altogether. The council distinguishes between a nursing home and a hospital in that the former provides care, which may include some treatment, whereas the latter is said to be providing treatment primarily and not care. I find that this distinction does not sit comfortably with the definition of care in Article 2. Care is the all-embracing concept across class C2 and treatment is listed as one aspect of it (the final word of the definition). 11 The Health Care Commission, in its report on the premises, refers to 'Yew Trees' as a hospital, on the basis that it meets that definition in the mental health legislation, and that is a place with low level secure standards designed to confine patients who are 'prevented from leaving'. In my opinion, the security aspects of the operation at 'Yew Trees' are very much subsidiary to what is the major component of activities there, the care of persons with a past or present mental disorder. I am firmly of the opinion that this is the primary activity for determining the use under planning legislation, use as a nursing home in its broadest sense, and the use for which the council specifically granted planning permission in 1988. Nursing homes for the elderly also need to be capable of restraining residents suffering from dementia and they may similarly fall within the concept of hospitals for mental health legislation purposes. Their levels of security may be less sophisticated than the system at 'Yew Trees', because the mentally impaired elderly are much less capable of leaving premises unattended by a carer, given their normally impaired physical state compared with younger people with learning difficulties. I am satisfied that homes for the elderly, which are subject to such restrictions remain nursing homes under planning legislation, even if they are considered hospitals under other administrative regimes. 12 Indeed, the council goes further and states that the level of security at 'Yew Trees' is such that the premises now falls within new Use Class C2A as a secure hospital. This amendment to the UCO was inserted into its Schedule by Article 5 of SI 1282 of 2006, the Town & countryPlanning (Application of Sub-ordinate Legislation to the Crown) Order 2006 , which came into force on7 June 2006 . Class C2A reads as follows: 'Secure residential institutions C2A Use for the provision of secure residential accommodation, including use as a prison, young offenders institution, detention centre, secure training centre, custody centre, short-term holding centre, secure hospital, secure local authority accommodation or use as military barracks.'. 13 The council argues that the emphasis, in paragraph 83 of the memorandum of DCLG Circular 02/2006 on 'institutions where security is concerned with preventing the residents from leaving', brings the operations at 'Yew Trees' within the category of secure hospital for the purpose of the new Use Class. I do not accept these arguments. Secure hospitals are specifically mentioned within the use class but alongside prisons, young offenders institutions, detention centres, secure training centres, custody centres, short-term holding centres and secure local authority accommodation. Rehabilitation, care and training are certainly key features of prisons, training centres, young offenders establishments, secure local authority facilities and high security mental hospitals, which I consider that this use class refers to. However it seems to me that the main purpose of these categories is to keep persons under control, who are a potential danger to society at large. Moreover as far as I can see, the concept of 'care', imported into Class C2 by Article 2 of the UCO, has not been applied to Class C2A. At 'Yew Trees', I gained the strong impression that 'care' is the unit's primary function and that security, although strict, is in place more for the safety of the residents, to prevent them from harming themselves, rather than their being a danger to society beyond the boundaries of the site. 14 Instead, as I indicate above, I consider the principal activities at 'Yew Trees' to be the care of persons with past or present mental disorders in premises, which, in the absence of any alternative available term in either Use Class C2, or planning permission TEN/374/88 granted on27 April 1988 , was a nursing home and remains such, even if the security arrangements are rather more elaborate than those normally found in a home for the elderly. 15 I am reinforced in taking this line by what is said in paragraph 84 of the memorandum to the recent DCLG circular. It states that the secure hospitals envisaged in that paragraph require large areas of ground and for these reasons may not be easily accommodated within existing allocations. In contrast, paragraph 5.17 of the council's draft replacement Local Plan (see paragraph 29 below) says that a site unacceptable for housing development will generally be regarded as unacceptable for residential homes, including (from paragraph 5.14 - see paragraph 27) nursing homes and establishments catering for people with disabilities. 16 Overall, I conclude that, on the construction of Article 2 andClass C2 of the Schedule to the Town & Country Planning (Use Classes) Order 1987 as amended, and of planing permission TEN/374/88 granted by Tendring District Council on27 April 1988 , 'Yew Trees' was granted planning permission as a nursing home on that date, the planning permission was implemented, and despite the change of occupancy and ownership, remains a nursing home, for the purposes of current planning legislation, up to the present day. Therefore as a matter of fact, the matters alleged in the notice have not taken place and the appeals on ground (b) succeed. I should make clear to the numerous objectors to the present operations at 'Yew Trees' that my conclusions on these appeals are made without any reference to the planning merits or demerits of the current activities at these premises. They are based solely on my construction of a past planning permission granted for this site, and up-to-date planning legislation, as I interpret them."
"The following operations or uses of land shall not be taken for the purposes of the Act to involve the development of land: ..... (f) in the case of buildings or other land which are used for a purpose of any class specified in an order made by the Secretary of State under this section, the use of the buildings or other land or, subject to the provisions of the order, of any part of the buildings or the other land, for any other purpose of the same class."
"Subject to the provisions of the order, where a building or other land is used for a purpose of any class specified in the Schedule, the use of that building or that other land for any other purpose of the same class shall not be taken to involve development of land."
"Use for the provision of residential accommodation and care to people in need of care (other than a use within class C3 (dwelling houses)). Use as a hospital or nursing home. Use as a residential school, college or training centre."
"They [Yew Trees and Ducks Halt] are not simply caring for their patients in the way a nursing home characteristically does. People do not enter a nursing home in the expectation of having a condition treated. They move there on a permanent basis because they can no longer care for themselves. They need not be ill. And if suffering from dementia, the condition may not be treatable. This is the conventional position with regard to a nursing home/old people's home."
"Use as a hospital, home or institution for persons suffering from mental disorder, or epileptic persons, or a home, hostel or institution in which persons may be detained by order of a court or which is approved by one of her Her Majesty's Principal Secretaries of State for persons residing there under a requirement of a probation or supervision order."
"Use as a home or institution provided for the boarding, care and maintenance of children, old people or persons under disability, a convalescent home, a nursing home, a sanatorium or a hospital ..... "
"(a) any premises used, or intended to be used, for the reception of, or the provision of nursing for, persons suffering from any sickness, injury or infirmity; (b) any premises used, or intended to be used, for the reception of pregnant women, or of women immediately after childbirth (in this Act referred to as a 'maternity home'); and (c) any premises not falling within either of the preceding paragraphs which are used, or intended to be used, for the provision of all or any of the following services, namely - [various relatively minor surgical procedures are set out]."
" ..... the question arises whether any change from a nursing home has, as a matter of fact, taken place."
"The residential institutions class combines classes XII and XIV of the 1972 order. Apart from educational establishments, the characteristics of the uses contained in this class that sets them apart from those in the hotels and offices and dwelling houses classes is - in the case of the former - the provision of personal care and treatment."
"The list of institutions falling within the C2A class is not exhaustive. However, the class should include all the various categories of secure facilities in the criminal justice and immigration states. Two non-Crown uses have been included (secure local authority accommodation and secure hospitals) because they share the land use characteristics and impacts of some of the Crown uses. The list contains two types of institution: the first type is those uses already described, where security is concerned with preventing the residents from leaving. The second type is military barracks, where security is concerned with preventing unauthorised entry ..... "
"However it seems to me that the main purpose of these categories is to keep persons under control who are a potential danger to society at large."