Writing Gallery
Please browse the written contributions shared by family carers.
Lesley
Spinning Plates Firsts and Lasts
Raising your child with ASD and a severe learning disability. Firsts The first time – The first time you realise your baby isn’t quite the same as others. The first time a health professional echoes your concerns. The first time your child walks, long after their peers, following months of physiotherapy. The first time you lose a friend cause your life is just too hard and the things you have in common are no longer there. The first time you help someone else beginning their autism journey. The first time you enrol on an open university course and begin to retrain and rebuild a second career. The first time, after 11 years, your child says ‘mum mum’ then never ever stops! The first time you sit down with a lawyer and plan your death and what happens to your dependant thereafter. The first time you realise you are part of a special group of ‘mum’ friends who you can say anything to and there will be no judgment. The first time you have to deal with puberty in the body of your child with the developmental age of a toddler. The first time you have to live through a pandemic but have no way to explain why your child’s whole world has disappeared. Not firsts – No first day at mainstream school with school gate chat and opportunities to make new ‘mum’ friends. No first time you see them riding a bike without stabilisers. No first sleepover for your child. No first time for them of being allowed to walk to school. No first boyfriend or girlfriend for your loved one. No first staying out beyond curfew for your child. No first getting drunk for them! No first love for your child. No first car for them to drive. No first flat to live in. No first shopping spree together. No first holiday with your partner alone, after raising your child. Lasts The last time – The last time you leave your home after your divorce The last time you leave your job because they can’t offer you flexible working to attend all the appointments you have to go to. The last time your child leaves the safety of education into the woefully substandard world of adult social care. The last time they see a carer, they really love and have bonded with, who move on to another, better paid job. Not lasts – Never the last time you will watch a three second clip of movie on repeat. Don’t have a last time that you read a favourite childhood story. Never stop singing nursery rhymes or watching kids tv for decades! Don’t have to face the last time you get to cuddle your child in bed. Don’t have to face the last time that your child holds your hand. Don’t have to face the last time that your child leaves home. Don’t have to face the last time her partner leaves her, breaking her heart. Caring never ends. It won’t have a last day or a last time. Never a last time spinning plates.
Alison
Ordinary life at extraordinary cost
My son lives in an ordinary house in an ordinary street, enjoying an ordinary life like any other. Paradoxically it’s taken extraordinary efforts by his family over many years to make it happen. Given the state of adult social care we regard this as the safest option for him. Behind the scenes of my son’s life it’s me who makes his support happen. Services never think to ask what that involves. They don’t make it easy. Over the years, hundreds of well-meaning professionals have drifted in and out of our lives, and still we have to fight for funding. It’s easy to lose sight of who you are, drown in a sea of bureaucracy, disagreements, challenges and gaslighting. But my son is where he’s meant to be, enjoying a life not a service, because of his family, his rock.
Learn From Yesterday
I should have seen it long ago – when my and Ben’s medical records ‘went missing’ after his difficult birth and my subsequent life-threatening illness. When we first suspected that Ben was not developing as other babies of his age, we plucked up courage to share our concerns with the GP but were met with: “He’s as likely to be handicapped (sic) as you are to get manure from a rocking horse.” Professionals’ own assumptions and attitudes about disability can affect us greatly - negatively or positively. Eighteen months later and a fight to see a consultant, our concerns were confirmed by the local paediatrician. I should have seen that whilst I have always been – and always will be ‘A Faithful’ to Ben there were ‘Traitors’ lurking – services whose priority was not Ben’s and our welfare, but preservation of their agenda, their reputation and their funding streams. They didn’t see our world as we saw it. I should have learnt long ago that state institutions were not on our side. In our experience relationships with services have invariably been transactional – no commitment, no heart. When it was time for Ben to go to school we started looking at local primary schools. Then this from the Head of Ben’s nursery: “Didn’t you realise that he’d have to go to a special school?” We know that resources are tight but too often services are resource led by what just happens to be available, and not person centred. Whatever happened to Valuing People? From a local authority social worker: “We can offer a place in a supported living flat with two women older than Ben. They also have learning disabilities so...” In recent times adult social care, stretched like a balloon to unsustainably thin proportions has already burst. What I don’t understand is why some social workers are so rude, antagonistic and accusatory. I can only think that demoralised and stressed out by their working conditions they pass this on to those they are supposed to be there to serve. Live for today There are of course some notable exceptions. For us there was the young, energetic pre-school peripatetic teacher who respected our family holistically. It was she who supported Ben’s early learning, told us we should have been claiming disability benefits for Ben years earlier and encouraged me with: “You really should think about yourself beyond caring for Ben. Make sure you have some ‘me’ time in whatever way you enjoy.” Like a good teacher, there are some professionals you never forget! More recently support from the local psychiatrist and our GP have proved exceptions – they both respect Ben and us as his family, genuinely listen to our views, are empathic and come to shared decision making with us. They notice, respect and value the support we organise for Ben through direct payments – in a way that few other professionals have ever done: “The support Ben has from his personal assistants is so positive – he has a great team.” Years of loving, caring, supporting, researching, organising, struggling, fighting, challenging, exhaustion – my life for over 40 years – have enabled Ben to have a great life, having chosen where he lives, who supports him and how he spends his time. Hope for tomorrow Had he lived early last century his life would have been wasted in a workhouse or a long stay ‘mental handicap’ hospital. A hundred years on many people with learning disabilities have less than satisfactory services imposed on them. We hope for a tomorrow when the human rights of people with learning disabilities are respected. And people are included in their communities without the slightest comment as the unique individuals they are, with the support they need. “Learn from yesterday, live for today, hope for tomorrow. The important thing is not to stop questioning.” Albert Einstein
Acknowledgement: Ordinary Life at Extraordinary Cost was originally written and recorded as part of the Sidbaility 'Shush, Snip, Rip' Exhibition with Stephen Lee Hodgkins and has been kindly reshared as a contribution to the Spinning Plates Online Exhibition.
Jan
I Wouldn't Change a Thing
I am angry that the world dealt you such a crushing blow, but you managed to bring so much joy into it. The way those smug parents allowed their children to bully you, but you shone through and picked your friends. The education that made me rage as it missed your random astonishing talents, but noted the deficits so carefully in those ticklists. The words bandied around as insults to others: idiot, cretin, moron. My nice man who cries when people are hurt, and then they lump you with the vile, the crooked and the scum. I rage though I know you won't care. Those tasked and paid to protect you carelessly become your persecutors; That fills my dreams and I panic and rage. Don't they see you for what you are? Oh yes, I'd change everything, I'd change everything around you, my lovely child, but I wouldn't change you. Your Mummy loves you. And so we smile, yes, it's okay, he's fine, and we're good, thank you, you bastards... And we know you'd do it all again if we weren't there, wouldn't you.
I'm Not Frightened of Dying
No, not at all, I don’t worry about dying, I’ve bigger things to care about. I worry about now. Who will protect you when we’re gone? Who’s going to steal your money and your trust in people? Who’s going to know when you’re ill? Who’s going to care when we can’t? Who will stay in your life when we can’t? How can they explain that we didn’t want to leave you but we had no choice? Who can answer your questions? Who will cuddle you and calm you when you don’t know why you are scared? For you, I would be immortal; constantly there, watching the watchers and checking the notes. For you I would check your teeth and make you eat well. For you I would fight every battle over and over again. And for you I would live for ever, making your life work and clearing the mess. No I don’t fear dying, but leaving your life, what then?
Marie
My daughter has a learning disability and epilepsy. I had just come home from work, I am a mental health nurse.
I return home from a 14 hour shift. I climb the stairs and walk past your bedroom. You are 24 with independence. I don’t say goodnight as I walk past your bedroom because you are talking to your girlfriend over FaceTime. This brings me comfort and joy because you are enjoying your life. I climb into my bed, setting my alarm for 4.30am, for my next shift. I fall asleep. My mobile vibrates, your girlfriend is ringing me, ‘help her, she’s having a seizure and isn’t coming out of it’. I get up. I walk into your bedroom. You are seizing. I talk to you, to see if you can hear me. You are limp but you are breathing. You are still seizing. You are alert. I talk to you. I get you a drink of water. I talk to your girlfriend. We laugh and we joke. I return to my bed and detach myself again, so I can sleep to prepare for the next shift at work.
Chris
Reflections on Care
'Caring is so important for families and those needing care but the systems and the government tend to have the opposing view. Caring is good but could be so much better if it wasn't for the systems and governments who don't or refuse to listen. But caring has to continue no matter what the barriers are that are raised by the systems and the government. People in the respective authorities are blamed when it is the system and government. Everyone is so concerned, except the system and government. Perhaps the systems and the government should be scrapped for it couldn't be worse. Care for as long as you can and even longer, you won't be appreciated by the system and the government but will be by the person you are caring for.'
Lorraine
Raising Awareness of Social Care Financial Assessments
I'm writing today to raise awareness of social care financial assessments. My Daughter was sent the first form when she was 18 years old because she received a service from social care. After filling in the form, including 'the cost of her disability' (found online), her contribution was set. She is now 30 years old. Over the years the financial assessments were completed, and adjustments made. But this January my daughter moved out of supported living into her own flat, she is very pleased/happy with her move. Then came the financial assessment form, I completed it, added in the cost of her disability, they disallowed all of them. These are on her support plan, the social worker has done a fab job in the way her support plan is completed. The financial assessment has put her contribution at £140 per week, it was £50. I wrote saying this is unsustainable, and asked for the complaint process, they sent a waiver form, I completed that and am waiting for response. But I researched the 2014 care act and found the local authority has discretion of what they 'charge for care', also promote wellbeing, social inclusion, support the vision of personalisation, independence, choice and control. My questions are: Are family carers aware of financial assessments? As continuing supporter of their loved one, paid or unpaid, financial assessment is part of their continuing support. I feel very unsupported as these forms continue to come; I look for support but no agency can sign post me. I’m left dealing with the financial assessment team directly, which is the last place I want to talk when I feel uncertainty, doubt. So, this is my request, bust myths of financial assessment, bring financial assessments into transparency.
Blog Series - By Lynn
BLOG 1 of 5 – Becoming ‘THE MOTHER’ Writing this series of 5 Blogs I was thinking about – •people who work in Health, Education and Social Care Services, •individuals with a learning disability, autism or both and •their families, friends and allies. I also talked to friends because I was a bit worried about how Emma may feel, they – as they always do – helped me think about what Emma might say and how she might feel. Could she really say what she thought from her perspective? Would she be asked? I don’t mean that she couldn’t say what she thought It’s not that the stories or what I will say that is hard, for most of it she was there too, it’s more like there's like this unwritten rule that disabled people can't share this stuff from their own perspective. What I mean is she maybe can't because she hasn't got the words for how it feels to be the source of so much pain for the people she loves most. My friends helped me understand that from their perspective when you're little and/or human, you can't help but think the pain they see is all their fault – how does that make you feel, like shit really that’s how. They told me that by the time you do have the words, you have this sense that its part of your job as a disabled person to protect them (people you love) and telling the story from your perspective will definitely only hurt them more. “So, you keep it to yourself.” As far as everyone else who might read the stories families tell are concerned, if they're a disabled person themselves they know just how hopelessness, helplessness and loneliness feel, so why write it down? if they're not, they either minimize your feelings, can't empathise at all, or pity you (vomit emoji) and take it as evidence that they're right to think it’s very sad to be a disabled person. I worked in Social Care as a Support Worker, Social Worker and Manager before I was ‘the Mother’ and still do. There are some things that I have thought of as LESSONS for public services and some that I think of as RULES for individuals, families and friends – for our family anyway. I am blessed to have the best job in the world as CEX of Pathways Associates and Director of the North West Training and Development Team. It means I can hover between life and ‘the system’ enough to try to survive our life and influence ‘the system’ or at the very least make some people think. Some days are proper hard though and I hang my head in shame at my profession. Some days I do the same listening to some families to be honest too BUT I recognise their journey. All behaviour is communication so if a mum is shouting at you don’t take it personally folks its just a symptom of the pain, trauma and fear they are living with trying to be the best parent – that said some professionals will now being saying to themselves “but Lynn not all families are good supporting families some might be part of the issue” – yes, perhaps, but in 30+ of working with people with a learning disability, autism of both and families I can honestly only think of a handful where I would agree that to be true. I can think of far more disciplinaries I have sat in for paid folk who have genuinely be bad sods than I can think of safeguarding situations with families. Choose to agree with me or not it doesn’t bother me I choose to believe that the majority or individuals and families want the best life for themselves and also that the majority of people working in services do too they just get stuck in the ridiculousness of back office systems and rules that get in the way of us all having a great life and keeping hold of it. From being 18, after I qualified as NNEB (National Nursery Examination Board) I worked with children and adults with learning disability, autism or both and their families. I always believed that I worked really hard to make sure the voices of the people I supported and their families were heard – I still do – BUT, trust me, if you are reading this, being the parent of a young person who may need to access support from public services requires a different skill set, different energy levels and just like for all our children is a forever job but it’s also a forever job in terms of supporting them to access the support they are entitled to through public services and it is THAT that is exhausting and equally it is THAT that could be so different. Our Emma isn’t any harder ‘work’ than her brothers and sister have been or are, it’s the folk that feel its their duty to protect ‘public money’ and feel they are invited to have an opinion or worse a say in how she and we live our lives. It’s the clap trap attached to that extra chromosome not the extra chromosome that’s exhausting, trying to stay one step ahead. The difference that is needed is not necessarily WHAT services do to ‘protect the public purse from the pesky public’ but HOW you do what you do. Your interactions with families from Day 1 will inform how they react for the rest of their lives – Pavlov’s dogs. Along my professional journey there are lots of people who stand out to me and whose voices I still regularly hear in my head. LESSON 1 – Remember the privilege of being invited into someone’s life. No one wakes up wanting a nurse or social worker – trust me if you are there you are probably the last hope they have of support. Think about how hard it is to pick the phone up and ask for help. Mrs S and Mrs R – were mums of 2 fabulous young women that I was privileged to support, both ladies did not use words but by god did they communicate and we had such a laugh. Both mums were feisty and never afraid of telling me exactly how it was. I loved it. I asked them to deliver some training for me to new staff that were starting work across the service I was involved with. We worked really hard together to prepare and the day duly came for them to go and deliver. I sat waiting for them to come back to hear all about it – JESUS be careful what you wish for Lynn. Mrs R appeared and nearly took the door off she banged it so hard, Mrs S nowhere to be seen. I thought there had been an accident she was so upset. “Never ever ask us to that again... S has gone home she is so upset”. They had delivered the training and mid way someone on the training said “So actually there is nothing you can do for you daughter that I can’t do is there?” Mrs S reply as she was leaving the room distraught “You can’t bloody love her like I do”. Mrs A and P. Mrs A is a warrior mum who I adore. She had direct payments to support P before the Direct Payments Law was passed. After the Panorama programme about Winterbourne View in 2011 she said “Well that’s it Lynn I will have to live forever”. Sadly P passed away a few years later and as we came out of the crematorium Mrs A got my arm and said “I don’t have o live forever now Lynn even though this has broken me”. LESSON 2 – I don’t want to be her only friend or her my only friend – the right order of things is that parents die first, if you think that mums and dads don’t think about it before they close their eyes each night or as soon as they wake up your are deluded. To build and maintain friendships with your child takes energy, creativity and commitment. Mrs H and S – a mum and daughter and Mrs E and D – a mum and son. Mr H had died years before. I don’t remember ever seeing Mrs H without S or S without her mum. Mrs E and D lived alone; D was fabulous and regularly tore lumps out of me if I wasn’t smart enough to listen to what he was telling me quick enough. D was regularly sent home from the day centre when he was ‘naughty’ to Mrs E who was in her 80’s. Lots of judgements were made about how Mrs E survived supporting D, she adored him, he was her world and my memory tells me he died just before she did (that may be wrong but that is how my memory recalls tem). Mrs H and S and Mrs E and D haunt me and it has been my biggest fear and driving force since the second Emma was born. I know that most of the time she is happy to be with me. Right now as a 16 year old she does not really want to go to town or do the things many of her peers want to do and they are not old enough to take responsibility to support her. Access to a personal budget – not a direct payment – would really help us maintain some of those relationships, her peers can’t afford to go to the pictures each week and we can’t afford to pay for them. A personal budget would mean we could use it to pay for some good things to do with some natural support from her older sisters and brother. For now I pray we have done a good enough job and she may get invited to 18ths and 21sts when the time comes and by that time there will be some friends who are old enough to take responsibility and remember what a good laugh and good friend she is.
BLOG 3 of 5 – SCHOOL Writing this series of 5 Blogs I was thinking about – •people who work in Health, Education and Social Care Services, •individuals with a learning disability, autism or both and •their families, friends and allies. I also talked to friends because I was a bit worried about how Emma may feel, they – as they always do – helped me think about what Emma might say and how she might feel. Could she really say what she thought from her perspective? Would she be asked? I don’t mean that she couldn’t say what she thought It’s not that the stories or what I will say that is hard, for most of it she was there too, it’s more like there's like this unwritten rule that disabled people can't share this stuff from their own perspective. What I mean is she maybe can't because she hasn't got the words for how it feels to be the source of so much pain for the people she loves most. My friends helped me understand that from their perspective when you're little and/or human, you can't help but think the pain they see is all their fault – how does that make you feel, like shit really that’s how. They told me that by the time you do have the words, you have this sense that its part of your job as a disabled person to protect them (people you love) and telling the story from your perspective will definitely only hurt them more. “So, you keep it to yourself.” As far as everyone else who might read the stories families tell are concerned, if they're a disabled person themselves they know just how hopelessness, helplessness and loneliness feel, so why write it down? if they're not, they either minimize your feelings, can't empathise at all, or pity you (vomit emoji) and take it as evidence that they're right to think it’s very sad to be a disabled person. We were absolutely determined that Emma would enjoy the benefits that mainstream education brings – mainly friends and being visible and known in our community. I have always told services that we need this because one day, when Dad and I are dead, if someone is being mean to her stood at the bus stop on Southport Road (round the corner) and she is known the chances of someone walking by who knows her because they went to school with Emma or their brother/ sister did is much higher. She is visible in her community. The move from Nursery to Primary saw us moving house purposefully to secure the support Emma needed in school delivered in a way that made sense to her and us. Liverpool CC produced the Statement of Educational Need – for which we have been thankful as that really has been the key but would not let the school – and Emma – be involved in choosing her TA, for us it has always been vital that Emma (and us) have a good relationship with her TA. If she (and we) are not happy with her support then getting up and ready for school every day becomes proper hard work and to be honest mornings are not my best time in the first place. I know there is an emphasis on not diagnosing our young people and avoiding now EHCPs at all costs but stick to your guns and fight. These pieces of paper should not be ‘the key’ that unlocks access to support but they really are. RULE 2 – Stick to your guns. This is not a social experiment this is about your Childs life including their adult life. It is not about what is easiest for the system/ teachers. You know your child believe yourself and do not give up if you really think you are right. RULE 3 – Be a Meerkat, there are rarely ‘innocent conversations’ with services/ teachers, be careful you don’t inadvertently agree to something in a corridor – it will come back at you in a meeting. If they get you on the phone always follow up with a ‘to confirm what we discussed’ email. (As a social worker I think that’s really sad that there is so little trust, but Pavlovs dogs – Blog 1 – help me still believe it to be necessary) RULE 4 – Blag, if you want time to check use phrases like – let me check the SEND guidance (or whatever it is) I am sure I read something that might help us get the best outcome for NAME. The first ‘engagement’ I recall was with Reception teacher. “We think Emma would benefit from an extra year in reception”. NO NO NO NO – “don’t you want your child to be happy?” We pointed out that Emma had Downs Syndrome and if they were waiting for her to catch up with her peers she might end up being the only child in Reception with breasts. (Academically she is still working on P scales for most school subjects as she leaves Year 11 so we would of been right”.) Also we added that we did not think she would be happy looking through the glass door at her friends in Year 1, some of whom she went to nursery with, wondering what she had done wrong. We were also worried that if she was not with her year group the opportunity to have a ‘special’ conversation at Year 6 opened – as I said be a Merekat. We asked what would happen because we were determined she would go to Hillside like Kerry and Aidan. I checked with the head at Hillside – would she come up with the new year group so she would actually be year 7 when she moved? What would happen when she was 16 then? Would she leave in Year 10? Would she have to do an extra year and leave when she was 17? (this was before 16-18 was compulsory) Who would pay for that then? The heads response – don’t let them do it keep her with her real year group its causes us a nightmare. LEA response – oh when she is 11 there is a lovely little school down the road. A little girl with Downs was Deputy Head Girl there” I remember saying well whoopy dooo for her and how many friends has she got that live on the same street? What makes you think that she wouldn’t be Deputy Head Girl at Hillside? She stayed with her Year Group and the joy we got when at Niccole’s junior school leavers Assembly Emma proudly showed the same person her Hillside Prefect tie. RULE 5 - Have a long memory for important things (not things like times and birth weights obviously lol) but the joy it brings you to quietly stick 2 fingers up is simply blissful. It took a while for people to realise we were serious about Emma going to Hillside like Kerry and Aidan but true to our word and with the unswerving support of Hillside High School and Emma’s friends in Year 6, many of whom said “if she isn’t going we aren’t” that’s where she went. RULE 6 - Don’t ‘settle’ – My Gran always said have no regrets. If you have done something wrong apologise and move on but really don’t have regrets for things you wish you had done, have a go even if its wrong and goes on your ‘never, ever again list’ or you have to rethink it its far better than getting to my age wondering what would of happened. Emma started to get a personal budget when she was in Primary school. 5 hours per week which we converted to a Direct Payment and for many years co-commissioned great stuff with school for Emma to do with her friends after school. The outcome was supposed to be a short break for us – we got it and she had fun. The extra bonus was she had a positive reputation in school because she was making some fun stuff happen that they could all join in with. Probably 2015 saw a change in personnel at the LA and we were forced to stop using the Personal Budget – that was working well and employ a PA. The argument put forward was that Emma could still go to the cinema – the fact that the change meant she went with an adult not her friends’ was lost along with some ‘out of school’ relationships. Her friends could not afford to go out with her (even though they wanted to) and were starting to do things that Emma could not join in with without support. (Refer LESSON 2) Sara, Kerry and Aidan were a little worried when Emma went to school (they were for Nicci too) about bullies. Emma though has always had a real fondness for really quite naughty boys who to be totally fair have always stepped up to the plate and responded with as much affection. In recent years high school teachers have said that these relationships she has have actually helped them to see a different side to some young people who might of only had quite negative stories surrounding them. Emma is the one in class that gets them to settle down because they don’t want to upset her. She may well spend half her adult life with prison visiting orders but hey ho bullying won’t be an issue lol. Emma settled well and has been blessed with consistent TA’s who are part of our family, she had Rachel for 2 years and Issy for the rest of her primary years (there was a year when Julie supported on and off too) and she has had Carol Anne who knew Emma at Primary and went with her to Hillside. Her TAs are our family and have been her voice in school, Rachel is actually named as an executor in our Will for Emma. At the end of Year 7 Emma’s Maths teacher wrote to me – Miss Christian – and said that she had been terrified of Emma being in her class because she had never taught at P scale level but that, with the great support from the SAIS team, she could see that over the year she had learnt as much as Emma. The letter was to thank us and Emma for helping her be a better teacher. In Year 9 when her Statement of Educational Need was being converted to EHCP we started to ask what qualifications Emma would leave Hillside with as it was clear GCSEs weren’t for her. Hillside and their marvellous SENCO Michelle stepped up – it helped because Michelle had been aware of Emma all her life as she had taught Kerry and Aidan so had a relationship with us through school. Michele arranged for school to FUND Emma and her TA to attend the local FE College to do an Award ‘Open Awards’ qualification in Year 10, Certificate in Year 11 and plan for Diploma at college years 12-13. Emma has loved this and completed the Award and Certificate in Year 10, Diploma in Year 11 and will get her envelope in August with the rest of Year 11 on exam results day. Hillside have referred to this as Emma’s legacy for the school because there are other young people who GCSEs don’t’ cut it for who will benefit. WE never signed off the EHCP because it was – in our view – never finished. The E bit was good with all the work Hillside were doing around qualifications but the H and C bits were never fully completed. Year 11 and the horror that the banned ‘transition’ word brought has been a whole different ball game. Back to RULE 3
BLOG 2 of 5 – Welcome to Holland Writing this series of 5 Blogs I was thinking about – •people who work in Health, Education and Social Care Services, •individuals with a learning disability, autism or both and •their families, friends and allies. I also talked to friends because I was a bit worried about how Emma may feel, they – as they always do – helped me think about what Emma might say and how she might feel. Could she really say what she thought from her perspective? Would she be asked? I don’t mean that she couldn’t say what she thought It’s not that the stories or what I will say that is hard, for most of it she was there too, it’s more like there's like this unwritten rule that disabled people can't share this stuff from their own perspective. What I mean is she maybe can't because she hasn't got the words for how it feels to be the source of so much pain for the people she loves most. My friends helped me understand that from their perspective when you're little and/or human, you can't help but think the pain they see is all their fault – how does that make you feel, like shit really that’s how. They told me that by the time you do have the words, you have this sense that its part of your job as a disabled person to protect them (people you love) and telling the story from your perspective will definitely only hurt them more. “So, you keep it to yourself.” As far as everyone else who might read the stories families tell are concerned, if they're a disabled person themselves they know just how hopelessness, helplessness and loneliness feel, so why write it down? if they're not, they either minimize your feelings, can't empathise at all, or pity you (vomit emoji) and take it as evidence that they're right to think it’s very sad to be a disabled person. Emma was born 10th May 2003 at sometime during that day and she weighed a decent weight (sorry, not sorry but I am not that kind of mum that remembers stuff like that). Emma has 2 older brothers (Anthony who passed away in 2002 and Aidan) and 2 older sisters (Sara and Kerry), subsequently she also has a younger sister Niccole. We purposefully had Niccole because we knew Emma could not afford to be the ‘baby’ of the bunch and being a ‘big sister’ would be important. Emma was the only one of our crew that found the right way out and was not born breach but she wasn’t breathing for what felt like hours, the relief when she cried.... We did not know that Emma had Downs Syndrome before she was born. Immediately following her birth there were an array of people darting in the room – checking muscle tone and palmer creases.Tony (Hubby) brought her to me and quietly said “I think she has Downs’”, I took a look turned to the Dr and said “We think she has Down’s Syndrome”. His reply... “Oh thank goodness for that so do we, shall I get a Social Worker...” I remember saying she needs feeding and I need a sleep if you can find one to do that great if not leave us alone please to process this. At THAT second there was a piercing scream from the room next door. I asked the midwife what was going on and he said “her baby has been borne dead”. OK reality check, pass Emma here and let’s get on with this then. So our journey began..... LESSON 3 – Have a read of the poem ‘Welcome to Holland’ by Emily Perl Kingsley, for me that perfectly expressed how I felt. I don’t normally do vomit inducing poems/ words of wisdom but this did help me find some words to express that I had no ‘adversity’ to overcome. Emma is no more, or less, special than her brothers and sisters. They all have needs that are ‘special’ to them. The exhausting thing about being Emma’s mum are the folk who feel they have a right to an opinion or feel it’s their role to make accessing support as bloody hard as it could possibly be. The last 16 years have made me think about all those years when I said to families – I’m a mum too I do understand – I really didn’t fully. I think I kinda knew it and on reflection should of perhaps had the confidence to acknowledge that I could never truly understand how someone else is feeling in facing their journey. The key difference is how exhausting public services make my life now when I am trying to access the support of those public service in a way that makes sense to Emma and us. Also that does not make people who work in services and do not have lived experience the enemy or less worthy of an opinion – I hate that too it feels like a game of top trumps and gets right on my wick. All I ask is that we all collectively remember humanity. If people are upset or angry it’s probably not with you (the service worker), although there have been occasions when it was you I was angry with) – Pavlovs dogs again (see Blog 1) I remember getting far more cards when I had Emma, lots of them told us that ‘HE’ doesn’t give you more to cope with than you can handle and that we must be very special people to be chosen to get such a gift.pleeeeassse So began the endless repetition of appointments that we got sucked into. At first of course you want the full MOT but even when there are no issues the endless ‘make another appointment on the way out began. For Emma we were lucky she had none of the possible ‘health conditions’ that can be associated with Downs Syndrome but it felt like even though that was the case they could not let go of us. RULE 1 – Stay in control, trust your guts and surround yourself with people who will help you see that you are losing control and the system is taking over your life. Keep the balance right and services know when to let go you nurture the very dependency you then criticise people for later in life. After a particularly heavy month of appointments, hours sat in Alder Hey car park and time off work we realised that both of us working would not work so Tony agreed to go part time and I realised that I probably could not continue working for the Local Authority that I may have to ‘do battle’ with in the future. I did not trust that they would not expect Lynn James-Jenkinson to be loyal above Emma’s mum. Emma’s mum will NEVER be compromised when it comes to Emma (or her brother and sisters). Kerry and Aidan took the calendar off the fridge one day and we went through it. We made a list of all the appointments and which ones felt like they were of benefit to us and Emma and which we didn’t think were. I then wrote to the Paediatrician - who told me that she co-ordinated the care for Emma (went down like lead balloon that, how to win friends and influence people...) - to tell her. We asked for clarity about if there was a genuine clinical reason that we weren’t aware of to keep going to the appointments with people we didn’t think directly benefited us. She was on that list because it felt like once every 3 months we went along and told her what all the other appointments had been doing, she put that in a letter and sent the bloody letter to us (and the GP), and we already knew all of that for goodness sake. The only people to benefit from that were the local off-licence because it took a couple of glasses of Pinot the night before to get ready and a couple the night after to recover. I will be eternally thankful to Eileen Kinley who was Emma’s Physio. Eileen knew how to work with babies and families. Eileen understood about postural care and how remembering simple stuff and supporting families to know why helping your baby maintain a mid line would REALLY help her in the long term It is entirely down to Eileen – and dads socks under her shoulders – that Emma is as physically able as she is today and it will down to Eileen when Emma goes on to live her dream at Dance school. I will also be eternally thankful to my dear friend Dene Donalds who helped Emma learn some breathing (Mindfulness) techniques to help her overcome the fear that grew in her for medical appointments – because there were so many. It took a long time but Emma is really good at recognising anxiety in herself and still uses these techniques today. Kerry and Aidan – maybe it wasjust Kerry though as I said I am not that kind of mum – was in high school. Hillside High School in Bootle when Emma was born. From DAY 1Emma was taken there and the teaching staff told to get ready “she will be coming here when she is 11”. Something they were reminded of very regularly until she went there in Year 7.
BLOG 4 of 5 - The ‘T’ word is banned and we step into the future – together Writing this series of 5 Blogs I was thinking about – •people who work in Health, Education and Social Care Services, •individuals with a learning disability, autism or both and •their families, friends and allies. I also talked to friends because I was a bit worried about how Emma may feel, they – as they always do – helped me think about what Emma might say and how she might feel. Could she really say what she thought from her perspective? Would she be asked? I don’t mean that she couldn’t say what she thought It’s not that the stories or what I will say that is hard, for most of it she was there too, it’s more like there's like this unwritten rule that disabled people can't share this stuff from their own perspective. What I mean is she maybe can't because she hasn't got the words for how it feels to be the source of so much pain for the people she loves most. My friends helped me understand that from their perspective when you're little and/or human, you can't help but think the pain they see is all their fault – how does that make you feel, like shit really that’s how. They told me that by the time you do have the words, you have this sense that its part of your job as a disabled person to protect them (people you love) and telling the story from your perspective will definitely only hurt them more. “So, you keep it to yourself.” As far as everyone else who might read the stories families tell are concerned, if they're a disabled person themselves they know just how hopelessness, helplessness and loneliness feel, so why write it down? if they're not, they either minimize your feelings, can't empathise at all, or pity you (vomit emoji) and take it as evidence that they're right to think it’s very sad to be a disabled person. Year 11 – little could I know the energy this would take to support Emma, far more than Kerry and Aidan needed.why? Well because Emma needs to continue to access the support she is entitled to from public services. In Year 9 we had started to talk about Year 12 as we knew that Hillside didn’t have its own Sixth Form so she would have to leave with the rest of Year 11. This led to the original plan that Emma working with the local FE College to complete the ‘Open Learning’ Award, Certificate and Diploma while she was at Hillside. During Year 10 and review of the EHCP it became apparent that Plan A would be scrapped because she would have completed the Diploma while still at Hillside. With the Michelle (SENCO at Hillside) we started to ask about options open to Emma including vocational options like some of her peers – and brother and sisters – had done at Year 12. We were directed to ‘the Local Offer’ which was one of the most depressing evenings I have spent. Everything on there was either GCSE entry or segregated/ special college. There were (are) no vocational options on the Local Offer that young people who may not be GCSE level can access. Emma’s passion is dance. She has gone to Loretta Legge Theatre School from being 5 or 6. The attitude of people in the real world is always – in my experience – lets throw her in, assume she will manage but have older peers ready to provide support if she needs it. It is because of Ms Legge, Mrs Urszuly and Miss Walters that she has built on the physical skills Eileen Kinley started with her. Supporting her gross motor skills and all those months Miss Walters was determined that Emma would learn to skip helped her balance and as a result pencil control. Mainly it has helped Emma be part of a wider dance family. Her dance friends produce 2 flip chart sized posters of all the things they like and admire about Emma for her – what shone was that this is where she is loved and valued as an equal member of the team. Dance is who she is, it is what she does, how she communicates, her friendships, every night, her passion so we asked about how she might access this like her peers at 16-18. RULE 7 – Keep your cards close to your chest and don’t ‘show your hand too soon. Bide your time. Don’t let on you might know the Law (or refer back to RULE 4 BLAG) if they know too soon they will have legal services and team managers checking emails before they are sent – Refer back to RULE S confirm things in an email. In a meeting Emma and I were told that “We (the LA) are willing to consider dance as a hobby Emma but it will never be a job for you”. – Refer to RULE 4 and bide your time.... I cannot deny though that this statement incensed us and lit that fire of absolute determination that at 16 Emma James-Jenkinson would not be ‘settling’ for the easy option- RULE 6. We asked – repeatedly – and have still not got an answer – how a new provider might get onto the Local Offer if we found something that Emma could do? We were told “unequivocally we would not fund that” – Refer to RULE 4 and bide your time. I started to look round what was being offered to Year 11’s across the area that I thought Emma might like and contacted a Jellies Theatre School who were offering a free BTEC Level 3 in Performing Arts. After a call they suggested Emma go along to an open audition with other young people and they would take it from there. Meanwhile we supported Emma to look at the things ‘on offer’ on the Local Offer. On ‘the offer’ there was a segregated college offering a certificate in Life Skills that we were told she might be able to go to for 3 years before going to the local FE college (where she had already competed the Diploma offered) until she was 25 with a funded EHCP and despite the fact that she would of already completed the Diploma. What followed were many many hours of homework for us, learning the rules as best we could, or learning enough about the rules and who ever we could turn to so that it would become obvious we would be willing to fight all the way. It felt like there was a view developing that ‘mum’ didn’t want Emma to go to the segregated college because she doesn’t approve but Emma might like it and its her voice that matters. Absolutely it’s her voice that matters.I asked a friend who works also as an independent advocate to support Emma to make sure her voice was heard above her families and above the LAs to make certain that we were doing what she really wanted. (Refer RULE 2) RULE 8 - Get independent advocacy support for your young person so you can be confident that it is there voice that is leading planning not you. You can start to believe that this just might be your unrealistic expectations and what YOU want. RULE 8 and 9 will help you stay confident about whose life it is your are doing battle for. Emma flew through her audition and the Faculty Head interview with the team at Jellies – as I said people in the real world generally in my experience see opportunities and how inclusion will help their organisation rather than a list of why not’s. RULE 9 -Keep people who live in the real world around you. It is so easy to get sucked into believing what you are told– people in the real world will say “that’s stupid why” Brighter Futures as the college and Jellies as the Industry partner recognised Emma’s passion and immediately offered to run a BTECC Level 1 / 2 alongside their Level 3 and helped by submitting the required application for higher needs funding for Emma. We asked for 30 hours support – 18 hours performing arts, 3 hours functional maths, 3 hours functional English, 6 hours enrichment. The LA Social Care Team listened to Emma and her family and worked with her Independent Advocate Sarah Bickerton (thank you Sarah) to produce one of the first ever ‘assessments’ where I can see and hear Emma and as a result additional Direct Payments were agreed. These still have to be used to employ a PA so Emma will employ someone to perhaps support her travel home from Jellies on the bus with her friends – we don’t know yet time will tell what will work for Emma. So here we are on the cliff that is Year 11 about to leap off into the future. Emma will start at Jellies/ Brighter Futures in September and like every other 16 year old realise she has found what she really wants and is able to do or will realise it’s not what she wants – both lessons equally important. LESSON 4 – Do not let our young people ‘settle’ at 16 because that is easiest. If the extent of our ambition and expectation is Life Skills and maybe an Internship and staying in FE until they are 25 because they can with a funded EHCP then do not be surprised or complain at the dependency you create. On one hand the thought of 9 years fulltime education would make life easier for Tony and I because initially we would not have to give up work to support Emma, but then it wouldn’t I don’t think because she would not be happy. It is little surprise that the number of adults with a learning disability, autism or both in employment remains dismally low when our expectation and ambition levels are equally low. For now though back to RULE 3 – Meerkat
BLOG 5 of 5 - Lessons and Rules summary Writing this series of 5 Blogs I was thinking about – •people who work in Health, Education and Social Care Services, •individuals with a learning disability, autism or both and •their families, friends and allies. I also talked to friends because I was a bit worried about how Emma may feel, they – as they always do – helped me think about what Emma might say and how she might feel. Could she really say what she thought from her perspective? Would she be asked? I don’t mean that she couldn’t say what she thought It’s not that the stories or what I will say that is hard, for most of it she was there too, it’s more like there's like this unwritten rule that disabled people can't share this stuff from their own perspective. What I mean is she maybe can't because she hasn't got the words for how it feels to be the source of so much pain for the people she loves most. My friends helped me understand that from their perspective when you're little and/or human, you can't help but think the pain they see is all their fault – how does that make you feel, like shit really that’s how. They told me that by the time you do have the words, you have this sense that its part of your job as a disabled person to protect them (people you love) and telling the story from your perspective will definitely only hurt them more. “So, you keep it to yourself.” As far as everyone else who might read the stories families tell are concerned, if they're a disabled person themselves they know just how hopelessness, helplessness and loneliness feel, so why write it down? if they're not, they either minimize your feelings, can't empathise at all, or pity you (vomit emoji) and take it as evidence that they're right to think it’s very sad to be a disabled person. BLOG 1 LESSON 1 – Remember the privilege of being invited into someone’s life. No one wakes up wanting a nurse or social worker – trust me if you are there you are probably the last hope they have of support. Think about how hard it is to pick the phone up and ask for help. LESSON 2 – I don’t want to be her only friend or her my only friend – the right order of things is that parents die first, if you think that mums and dads don’t think about it before they close their eyes each night or as soon as they wake up your are deluded. To build and maintain friendships with your child takes energy, creativity and commitment. BLOG 2 LESSON 3 – Have a read of the poem ‘Welcome to Holland’ by Emily Perl Kingsley, for me that perfectly expressed how I felt. I don’t normally do vomit inducing poems/ words of wisdom but this did help me find some words to express that I had no ‘adversity’ to overcome. Emma is no more, or less, special than her brothers and sisters. They all have needs that are ‘special’ to them. The exhausting thing about being Emma’s mum are the folk who feel they have a right to an opinion or feel it’s their role to make accessing support as bloody hard as it could possibly be. RULE 1 – Stay in control, trust your guts and surround yourself with people who will help you see that you are losing control and the system is taking over your life. Keep the balance right and services know when to let go you nurture the very dependency you then criticise people for later in life. BLOG 3 RULE 2 – Stick to your guns. This is not a social experiment this is about your Childs life including their adult life. It is not about what is easiest for the system/ teachers. You know your child believe yourself. RULE 3 – Be a Meerkat, there are rarely ‘innocent conversations’ with services/ teachers, be careful you don’t inadvertently agree to something in a corridor – it will come back at you in a meeting. If they get you on the phone always follow up with a ‘ to confirm what we discussed’ email. RULE 4 – Blag, if you want time to check use phrases like – let me check the SEND guidance I am sure I read something that might help us get the best outcome for NAME. RULE 5 - Have a long memory for important things (not things like times and birth weights obviously lo) but the joy it brings you to quietly stick 2 fingers up is simply blissful. RULE 6 - Don’t ‘settle’ – My Gran always said have no regrets. If you have done something wrong apologise and move on but really don’t have regrets for things you wish you had done, have a go even if its wrong and goes on your ‘never, ever again list’ or you have to rethink it its far better than getting to my age wondering what would of happened. BLOG 4 RULE 7 – Keep your cards close to your chest and don’t ‘show your hand too soon. Bide your time. Don’t let on you might know the Law (or refer back to RULE 4 BLAG) if they know too soon they will have legal services and tem managers checking emails before they are sent – Refer back to RULE S confirm things in an email. RULE 8 - Get independent advocacy support for your young person so you can be confident that it is there voice that is leading planning not you. You can start to believe that this just might be your unrealistic expectations and what YOU want. RULE x and Y will help you stay confident about whose life it is your are doing battle for. RULE 9 -Keep people who live in the real world around you. It is so easy to get sucked into believing what you are told– people in the real world will say “that’s stupid why” LESSON 4 – Do not let our young people ‘settle’ at 16 because that is easiest. If the extent of our ambition and expectation is Life Skills and maybe an Internship and staying in FE until they are 25 because they can with a funded EHCP then do not be surprised or complain at the dependency you create.
My Brother
My brother is the happiest person I know because we, as a family, have made sure of it. He is loved because we love him and he knows how special he is because we tell him all the time. He lives the best life he can because we make sure he does. But we are tired of fighting and begging and being grateful for very little, we are tired of having to make sure everything is perfect for him meanwhile nothing is perfect for us. We should be sharing his happy life with him not constantly fighting to make sure his life is happy.
A Carer's Story - Shared Anonymously
I used to be a full-time carer for a child with hidden disabilities for many years, our daughter, who now is a young adult. She has moved into a full-time care home and attended College from the on-campus home for 2.5 years, but has since stopped attending any form of formal education. She now lives off-campus in a care home with round-the-clock care and an active DoLS (Deprivation of Liberties Safeguard). This all sounds and seems great, but the issue that is causing ME (us, her parents) mental health issues and a lot of concern, is that once she became an adult, College and Care Staff at her care home are only able to "prompt" or "encourage" her without being able to apply any consequences. That means they "prompt" her to get up in the morning, they prompt her to go to College, they prompt her to go shopping and buy healthy foods, they prompt her to cook and eat healthy foods, they prompt her to carry out her personal hygiene, they prompt her to clear up after herself, do exercise, leave her room, not to watch TV or play on her smart phone all day long etc. etc. The problem is, there is no consequence attached for the times (most of the time!) when she does not adhere to those "prompts". Effectively she is treated like a neurotypical adult, but she has no real form of regulating. In her mind she still is like a young child, a child you wouldn't as a responsible parent let eat only pizza and play on her phone! Since capacity is "time- and topic-specific" there is no "across-the-board" lack of capacity. She understand most things, but has not got the discipline or will or even desire to ACT upon the things that she is being taught and we have tried to teach her for years upon years! This results in her now being unhealthy, overweight, extremely lazy and totally demotivated to do anything. We USED to be able to get her to do all the things that are required, such as school attendance, personal hygiene, healthy eating etc etc - but at a massive cost to us as a family. The whole reason for her living in a care home facility with round-the-clock care was that it's an all-encompassing "job" to look after her and ensure she stays well, healthy and, effectively, happy... Since living in a care home facility she has deteriorated in every possible way: physically and mentally. She is lacking the stimulation that she requires and "prompting" just won't do it. She rarely leaves the home and does "nothing" constructive all day long. For us as parents this is exceedingly frustrating, as we spent many years (up to adulthood) "enforcing" these things in the hope of her learning these essential life skills and be able to apply them. She CAN do all these things, but simply won't. Our lives could have been VERY EASY and very happy, if we had let her get away with doing whatever she wanted day in, day out. We wouldn't have had to "fight", argue, beseech, cajole or "threaten" consequences ("if you don't get up for school, you won't be able to watch TV later" etc.). Everything was an endless and relentless battle (and then the battles with the authorities, trying to ensure her care and safety at school or even obtaining a place at a special school on top of these battles at home). It now seems it's all been in vain. We struggled for so many years, but had a healthy and relatively well-adjusted child / young person, now she's an unhappy adult, because there are no controls in place to ensure she does what is necessary for her physical and mental health.... I wish there were better ways of getting her to comply with basic things - perhaps applying consequences or removing privileges, but I don't know what to do about this and all care home facilities or assisted living facilities are unable to enforce consequences, I am told by our social worker. How is she going to learn anything in life, if no consequences are applicable to her behaviours? Why have we battled with her (and the authorities), just to seemingly lose all progress we've made??? Having her live at home is not an option for all the above reasons - the other three family members were all borderline depressed. We have recovered from that, mostly, but it still makes us incredibly sad to see that she is deteriorating so much. Her state affects MY mental health massively, although I am able to push that to the side most of the time and live my life happily, healthily and well now. Having had to care for her full-time got me into depression (which I didn't notice at the time) and made me into a high-functioning alcoholic (never drank in the day and was mostly functioning), when it seems the same outcome could have been achieved if we'd just not battled with her and let her be (in front of the television or playing on her nintendo and not washing and not brushing teeth and not eating her vegetables etc etc etc.). I'm not sure what I'm trying to achieve with this "rant", but it's a problem that is without solution and I wish for the Health and Social Care Sector to be AWARE of this issue, as I'm sure I'm not the only person who struggles with this "no-consequence" and "we can only prompt" concept. I know for a fact the other mums of young people in her care home facility have similar issues, though their young people are slightly more able than our daughter and much more motivated to do stuff, get out, learn or apply themselves. Over time, I'll try to express my feelings on this forum by uploading some art, if I get round to doing this :). Largely I try to not think about the situation most of the time, for when I think about it, I get too sad, upset and unhappy. I have had to learn (and am still trying to learn) to accept the fact that I cannot "fix" our daughter, but it's very sad to realise that and to know that she probably will never be having a fulfilled and happy life and that she will always crave social contact, which is what she wants most, but her lack in personal hygiene, dress sense and general awkwardness prevents her from having in any meaningful way and it nobody seems to be able to keep her in check; so it's getting worse and worse, it's a vicious circle: the more unhappy she is, the less she gets out, the less she does, the more junk she eats. She needs to be "FORCED" to do the right things regularly, but nobody can force her (we can at home, when she is with us, but only for short periods of time).
No More Excuses
I wish I could convey the deep despair I have as a sibling carer of someone who has special needs, learning disabilities and physical challenges. How gut wrenchingly hard it is to be who we are, Sibling Carers. We watch as those we love die from abuse and neglect in all its most subtlest forms. We endlessly go to battle day after day to enable their voices to be heard. The continued levels of unconscious bias are staggering everywhere, in every field of endeavour. The level of bullying in schools for our siblings makes me want to vomit. It causes me to despair that humankind will ever learn what kindness is, what respect for being different is. To be unique, as we all are, is a gift. When will we learn how to embrace our differences and include and provision for the most vulnerable in our society. Shame on us all for our personal and collective failure. We can do better. We must do better. So that means you – what are you actually going to do to help someone who as a special need. That is the task I set before you. No more excuses. That is how we change the world. Now get out there and do it.
Dreenagh
Spinning Plates
How do I sum up the experience of parenting and caring for my youngest daughter? Looking back through photos, there’s always laughter. And always music. Odyssey has a thing for music from the 1980’s. Singing has always been her own classic style of echolalia. And rules. There are always rules. For someone who does not use conventional language, she has little difficulty letting you know when you are breaking those rules. Her famous squawk. I just realised it makes even more sense. After all, echolalia is describes as ‘parrot speech’ so why not use parrot sounds as well? The squawk will occur if you try to sing along. Rules are rules. The song is usually a loop of one sentence of the song. Maybe adding a word on each repetition. Maybe not. She’s kinda jazz in that way. Her first experience of music therapy was as an adult and at the end of a session the wonderful therapist explained to me that Odyssey really likes unresolved notes. ‘Think Debussy or Glen Gould,’ she said. Wow. I’m a bit of a bang ‘n’ clatter merchant when it comes to musical tastes. Odyssey’s is so much more er, refined. In any case, do not attempt to singalong to help her out with the next word. I did this so often when she was younger. Thought I was helping her remember the words. What I didn’t understand then was that her primary interest in words was the sensory feedback they provide. You can play around with wordssssssssss and loops are endlessly fascinating, hence I guess her interest in the Bach variations. I have a dear friend who spent his academic years deconstructing the music of Bach. Odyssey does it naturally. My first ‘Spinning Plates’ episode was my leaking eyes. As a single parent I spent the first sixteen years of my daughter’s life believing it was possible to have my children and a career. I enrolled in university then transferred to Acting School. I had the beginnings of a career before moving to the UK. Once here I embarked on more performing. It was during this time that I noticed my eyes began to leak. I had just enrolled my daughter in a residential school. It was specifically for MDVI children. I hoped a school for students who were multiply disabled and visually impaired would have some idea how to work with my daughter. Even though she would only be there for a year or so, I hoped attending might help, as things were definitely falling apart. No one seemed to have any idea how to work with Odyssey. Respite centres would call me to tell me they couldn’t cope and that I needed to come pick her up. No one seemed to care that the reason she was in respite in the first place was because I couldn’t cope. I was ragged. My daughter’s autism was still not diagnosed, mainly because you can’t be blind and autistic. (Some unwritten rule apparently.) But with adolescence the meltdowns became much more ferocious. The self-injuring behaviours increased. The disturbed sleep patterns meant she was almost living night for day. And the wetting or should I say the flooding. All she seemed to do was flood the place and all I seemed to do was load after load of washing. I went to the doctor about my eyes, telling her, ‘I’m not sure what it is, but they seem to be leaking all the time.’ She very patiently explained to me that this was clinical depression. I had endured sixteen or so years never sleeping longer than three hours at time. Once I didn’t have the strain of having to endure, my body just gave in. My emotions were flatline, hence no feeling associated with the crying. I didn’t even realise it was crying. I was at the school a few weeks later, having a conversation with a few parents. I was telling them about the leaking eyes, when one of the dads went, ‘same here love.’ Turned out he had reacted the same way complaining to his wife about his leaking eyes. I took anti-depressants for a month or so, until the time I went away and forgot them. So I never bothered taking them again. I just focused on the gym instead. The next time my spinning plates started to wobble we had moved so I had a different doctor, who suggested a counsellor. She was lovely but kept getting so upset I was having to comfort her. She just kept telling me she normally worked with new mums who were having trouble getting their babies to sleep. My experience seemed to overwhelm her, so I decided not to continue seeing her. Physician heal thyself was my mother’s constant refrain and I do live by that as well. I’m a big believer in complementary therapies like herbal tinctures. My local herbalists have come to know me well over the years. St John’s Wort can work wonders for low mood and there are amazing herbs to help aid restful sleep. However, one of the best encounters was when another doctor, some years later, suggested a CBT trial for me. It would mean committing to an assessment and then weekly sessions with a psychiatric nurse followed by homework and repeat over a period of months. Those weekly feedback sessions were invaluable. Gradually I came to understand what drove the depressive thoughts, that could then manifest as depression. Learning my attributional style was a game changer. I’m a PIG … who knew? Weirdly one of Odyssey’s echolalic phrases is, ‘you’re not a pig Didier.’ Those sessions were well over ten years ago now, so the strategies I adopted do work. And Odyssey? Well the journey continues. She’s just emerging from a traumatic three year ‘episode.’ I don’t know where her resilience comes from but bless her, she’s singing again. I’m semi-retired now, so whilst there may be a few plates still spinning, it’s up to me whether I choose to join the circus or not.
Book Review - When Inclusion Does the Opposite
The book review of Dreenagh's book 'Understanding Profound Intellectual and Multiple Disabilities', shared below, sums up Dreenagh's position regarding notions of inclusion.
In this book, Dreenagh Lyle launches a strong critique of what she sees as the marginalisation of people with profound intellectual and multiple disabilities (PIMD) in learning disability policy and practice. She criticises the Valuing People strategy which, in its drive to ensure its central principles of inclusion, choice and independence, she believes ignored the lifelong specialist care and medical needs of those with the most profound disabilities. To fit the PIMD group inside an all-embracing policy, we have constructed a fantasy “as if” world in which non-verbal and often sensory-impaired people with very high levels of developmental deficit are deemed as capable of expressing an opinion, getting a job, joining communities and achieving independence as those with mild impairments at the other end of the spectrum. In attempting to be inclusive, this approach becomes exclusionary in denying those with PIMD their own unique personhood, and withholds the specialist support they need to become included people. The book makes uncomfortable reading for supporters of the social model of disability and for advocates of an all-embracing inclusion model. Valuing People was inspirational, Lyle agrees, but only for those who could fit its model of what a person with a learning disability should be like. Her argument is an important and convincing challenge to widely held orthodox opinions about social inclusion. The opening chapters dissect the trajectory of learning disability theory and policy from normalisation to personalisation, leading to what she calls the illusions of Valuing People. Lyle then uses her experiences as mother of Odyssey, who has PIMD, to outline an approach that places the person at the centre, achieves real communication and offers respect and understanding without ignoring what she calls the “brute facts of genetics”. The book ends with an outline of Jim Mansell’s 2010 Raising the Sights report, which sought to recognise the flaws in policy towards people with PIMD, and the recent Raising the Bar campaign (page 22), which seeks to move the support of people with PIMD towards genuine inclusion beyond the too-easy assumptions of Valuing People. This book deserves to be widely read – although its price suggests this will be more in organisations and libraries than at home – and used as a tool for change in support for this group. Simon Jarrett Community Living Vol 33 No 2 | Winter 2019 27
Alison
Who Cares?
You have been away for nearly two years now but now it’s time to come back home to me. Social services and education kindly pooled their individual budgets to allow you to attend residential college and access the much vaunted '24-hour curriculum'. Of course, you have been back for weekends and those extended holidays the education loves but now you’re destined to return to the fold, like the prodigal son or a bad ‘Penny’. And I haven’t a care in the world. I can’t care because I won’t care but I do care because I don’t care. You’re not coming home to me. These last two years I’ve found someone new to care for, to look after and cherish and that person is Me. Me -not Mummee but Me and I like her and I loathe her. She is intolerant of indolence and of slowness, shoving her way through supermarkets as if on some mad Supermarket Sweep. And you, my friend, are aimlessly idle in the aisles. If asked to get something you stand stock still, affronted by the very notion of having to pick up a tin of baked beans and, if you can be persuaded, if it is something you might like, you have an unerring knack of not getting it quite right - Heinz versus own brand - so you won’t be asked again. Then check out the check out. You stand arms folded, looking the other way as I struggle to with the trolley - mentally and physically pecking and picking the items to go on the conveyor belt in the right order like a contestant on the ‘Generation Game'. I ask for help - you slowly unfurl your arms with a sigh and tilt of your head and reach down for the eggs, grabbing them like an arcade game you omelette them onto the belt and fold your arms back. You’ve done what you were told, no less but no more. Shopping stuffed into bags I proceed to pay whilst you wander off to sit down - this supermarket shopping don’t arf take it out of you! And no, we won’t be going for ‘pepsi please’ I want to go home; I’m tired but so are you. Long, loud yawns, you stretch your arms exposing your fat and flabby midriff but of course you were up all night, bellydancing. I need my sleep and so do you. But it’s much more fun to keep the lights on or play music or even better keepthelightsonandplaymusic and watch TV. How nocturnally nasty am I knocking on your door - ‘Can you please....?’ Hurmph, hurmph, hurmph. You snap off the electricals but revenge me by going down stairs and leaving the milk out or here’s a better one – finishing the milk so breakfast will be black and dry - like my humour! But who cares? We have a meeting – we are off to talk about transition – life after learning. We are due at a stuffy office the other side of town. To get there we go by bus, but you won’t sit with me - you chose to sit beside a young man who you stare intently at; he looks awkward and you look in love. You giggle and grin and his head goes lower and lower; you mutter sweet nothings and he quickly texts, willing for a conversation with anyone but you. I ring the bell and you pole dance your way off the bus but still need my help to ‘mind the gap’. Without a care. We arrive at the office – to meet your very ‘draw your own’ social worker – with her seaside sunny sandals, hair in bunches, fixed grin and reams of paper. She asks if we would like a drink – coffee is fine with me but you say ‘coffee is crap’ and are given juice which you drink in a oner and then burp and belch before demanding ‘more’. The meeting is so-called ‘person centred’ a phrase that may have turned heads in the past but now just turns my stomach. I know nothing will be decided – you will be asked questions; you will say the most random or abstract thing that comes into your head and it will be slavishly written down, recorded for posterity, because it's your choice and ‘you have a voice that counts’. You are the band leader whilst I am just the bystander; you can call the shots whilst I want to kill the shits! Who cares? But no, today you are not playing ball – you are tired and so am I. But I have to smile sweetly, act benignly benevolent and appear alert and interested. You, on the other hand, can put your head on the table and moan when asked ‘what makes a good day?’ You can pick your nose when asked to choose what you want to do. ‘Aw bless, a little tired perhaps?’ – too bloody right it was High School Musical until two this morning. I say I don’t want you home when you leave college, not in so many words in case the words ‘bad mother’ might appear like invisible ink meeting lemon juice on your files. I seedcorn phrases like independence, skills, consolidated, control, community and see if they take root. The social worker nods her head, then scratches it. ‘This won't happen overnight’ she says wisely. Damn and there was me with the packed suitcase in the hall! And at that moment you fart loudly and announce ‘toilet now’. Care-free. So back home we go – nothing ventured nothing achieved. I ask what you want for tea, ‘pub’, no not tonight what do you want for tea ‘pub’, no, maybe later in the week what about...’pub’. Every night it would be ‘pub’ and in every pub it would be ‘burger and chips’, eaten chips first followed by a three bite burger with any ‘green leaves’ removed, topped off with some dry retching. And to drink? Ah yes, a pint of pepsi – that brown fizzing acid- fermenting stomach ulcers and rotting teeth. But hey it's ok the dentist said because you drink it so fast (chug chug) it doesn’t even touch your teeth. Care full. Bath time – I run the bath as you would have it overflowing as you watch the taps pour. You undress and attempt to step in but it’s a struggle so I help by holding. You splash in, sitting there, your women’s breasts and rolls of fat and stretch marked legs. When did all this happen? I turned my head from the chubby chattering child with her washer woman arms to be confronted by her bigger, uglier sister. I leave you to mellow and wallow in the bath, relishing the peace and a chance to watch war on the news. Have you washed your hair? No you do it. Do I have to? You do it. I step into the bathroom and recoil as I see the bath water has turned a nasty shade of brown and there are floaters of sweetcorn, potato skin and seeds flotsomming on the foam. You have shat in the bath – you are twenty two – you have a learning disability – and I care. I care that you go to bed, I care that you get up. I care that your clothes are clean and that they fit and are fashionable. I care you eat healthy food and have fun and have friends but I can’t care forever and that s-cares me. It s-cares me so much who will care for you when I can’t care, not because I don’t want to care but can't. Who will care that you could read all the words to Green Eggs and Ham aged three? Who will care that you have a wicked sense of humour and who will care that you can find your way round YouTube with the twitch of a finger. I care. I care about you and I care for you. I care for you and I care about you. But hey who cares?
Chris
A Story of a Family Wanting Some Support with their Loved One
After the sudden death of a mother. A death that wasn’t really a surprise, but was unexpected simply because the mother was in good spirits, and her health as good as it could be expected, was ‘fine’, and for once in a long time without the excruciating pains of arthritis which has haunted her body for many years, the heart condition and digestion issues, she was enjoying a visit from her son, and her two young grandchildren, and being able for a long time to take a short walk outside in her back garden, watching her young grandchildren play in the early spring sunshine, just 24hrs later she passed away in hospital, alone.... After a few sad days of grieving the elderly father extremely reluctantly turned to his son and asked for help. (His son has spent the past 30++yrs working within Adult Social Care, understanding the ‘system-from-within!!’. Sacrificing his own career plans/dreams of working alongside his father in his engineering business). This help was to support, assistant, care for their daughter/sister ‘Their Loved One!!’ who ‘lives’ with a learning disability, epilepsy and anxiety issues, which lead to mobility issues, which over the years has increasingly worsen. Together with the long-term use of an anticonvulsant medication, caused the condition known as parkinsonism’s and causes movement problems similar to those seen in Parkinson’s disease. So, for any distance outside this lady now needs to use a wheelchair. This elderly man was so very reluctant to ask for help around the care for his beloved daughter, as 45 years ago he recalled the time he, and his beloved late wife, sitting together in a cold clinical medical room/office, and being told of the chilly diagnosis that their only beautiful daughter was “Mentally Retarded and this is for Life!!” – she will achieve nothing in her life, and will not be able to talk will not walk. “But please don’t worry her life would probably be short, more than lightly quietly die in her sleep, this will be due to her brain cells are damaged unlike you can imagine” a hospital doctor explained. Adding to this the doctor continued “your daughters outlook is extremely bleak to say the least” as he sat there in a white hospital coat, behind a large wooden desk. After a short period of time this doctor added, “now we can help you both, we are able to remove ‘the’ baby today and no need to wait, ‘it’ (this is how the doctor refers to their daughter, laying there in her pram), will be catered for with in what we call, a special hospital. You can be free to try for another healthy baby. I see from your notes, you have two healthy boys already”. This amazing unbelievable news was given with very little emotion, in that clinical hospital office, with thin plaster walls, where the general noise of the busy hospital corridor was easily heard. The doctor continued his news by adding “or your other choice will be to take ‘it’ home with you and cope the best you can do – alone with very little help as the help is simply just not there... do your best, we won’t blame you whatever you choose, but these special hospitals are really the best option for you both and your family”…… After this devastating dark bleak news, they returned home with their, and in their eyes “beautiful, incredible” baby girl. A baby with curly blonde hair, soft, clear skin, beautiful crystal sky blue eyes. But devasting these eyes were very badly crossed, a medical condition known as “Strabismus” due to the little girl’s cerebral palsy and her poor eye muscle control. They knew with a realization, practicality of the amount of hard work that lay ahead of them, and their family. Together with the social stigma, of the early 1970s, that the family including this baby two siblings faced was unbelievable, nasty name calling, brutal yes brutal! disgusting nasty hurtful and bloody brutal, dark cold episodes of school play-ground bullying, even a teacher at the village school stating that “there is nothing wrong with this girl. She is just dam-right lazy !!” (this was the first time her 8year old brother spoke up for his little sister to a ‘person in authority’….. Marching angrily across the school Hall down the corridor and barging into this teacher’s classroom, shouting out “there’s nothing wrong with my sister, she’s not lazy! it’s not her fault, she is mentally handicap and you Mrs *, you are a horrible evil old woman!”, then, with tightly clenched little fists, trying so very hard not to cry, stormed out of the classroom, and returning to his class. This young brother also watched some family and what they thought were friends cross the road, so they didn’t have to make conversation. This could have been through overall general embarrassment, maybe their child was ‘so-perfect’ and hitting all those milestones in life, and this little girl no matter how beautiful, just laid in her pram, not really moving. But this little girl was so loved liked any other baby in the country, she wasn’t ‘special’ just so very much loved and wanted! Over the next 45 years loving, (totally unconditional, like any other child) ‘caring’ and doing everything for their daughter, this old man’s wife/mother fought for every tiny scrap of support from the local authorities. She passed away, on that spring early morning, alone in hospital, leaving her husband to care the best he can, and still trying to grief for his huge overwhelming tragic loss. But this gentleman tried his best to keep his emotions private, and his outward grief to a minimum because he didn’t want to do this in front of his daughter, as he still wants to protect his daughter, he still wanted to remain strong, brave and of course this gentleman was from a generation where simply ‘big-boys don’t cry!’ and ‘you just got to get on with it!!’ Making the choice for asking for help with his daughter was so very hard, he felt somewhat of a total failure, letting his daughter down after all this time of caring and protecting his vulnerable daughter and he felt he was letting his late wife down too. He was an engineer by trade, and he could – fix – things, make things, work! Changing the inside of their bungalow so his daughter could move around with minimum help and maintain the little independence this lady has and was also maintaining her dignity, and confidence. This took the look, of utility and clinical looking grab handrails on every! door frame, and even a ‘Heath-Robinson’ homemade framework with cable tires, between two armchairs enabling his daughter to get up and out of her chair and even two small handrails ‘riveted!!’ (Yes riveted! As an engineer in the heavy haulage industry would do – needs to be practical and safe!!) to the side of the larder fridge, it all looked a little crazy, but it worked! And worked very well!!…. Now feelings of failure were running around this gentleman’s head, because, as a family they said they would always care for their only daughter. To have strange people in his home, looking around, poking their nose into his and the family’s private business. Questions were continuing to spin around his head like, will these people be able to care for his daughter, keep her safe, not hurt her, or ‘do things’ to her!!! “You hear about people like this you see programmes on tv about staff who abuse people like his daughter. They have cameras on their phones these days ready to take photos in bathrooms and bedrooms.... oh, my daughter isn’t safe" ... But reluctantly very reluctantly, he knew deep down in his heart this elderly gentleman needs some sort of help, and his son kept reassuring him that these stories are very few and far between. The carers that will visit will be specialist staff, trained and carefully selected that know how to care/support his sister. Any case we are not asking for much maybe just one hour in the mornings to help get his daughter up, wash and dress her and maybe just maybe help to give her breakfast, after that this elderly gentleman was sure he could just about to managed. With the sad death of his wife, this gentleman was very concerned of stories he had heard of elderly parents with “mental handicap” ‘children’. The parent dies and their ‘children’ sitting in the house and eventually dying themselves of thirst and hunger next to a decomposing body of their parent. He couldn’t bear this to happen to his daughter too. So, his son, who was grieving for the loss of his mother, begins an unbelievable journey to get a tiny amount of help for his younger sister. Most of all he remembered his promise to his mother many years ago, that he will care for his sister, it’s a promise which is now coming alive, a promise of action now! Making a phone call to a local government office of the adult social work team. Explaining he needs help for his sister who is a Person who lives with a L/D. Listing all medical information, medications and a person-centred information, in fact the same inform that the social workers would use on their own assessment forms, so giving the local office all the up-to-date necessary information for the convenience(!) of the social workers. Having an insight into the situation (this son chooses to work within the adult social care system just for this moment!) of local support he believed that getting to the right professionals would be a very simple process, especially from a County Council in the West Country who is proud (or so they say!!) to support People who ‘live’ with a learning disability… Well according to their so-called mission statement - their values of practice…... But families including the siblings don’t have time for those luxuries of “mission statements - goals – visions – values – core beliefs – and even a family charter!!” all sounds very posh and convincing. But we, as families, just Love Care and Protect our Loved Ones, today and every day, day after day and, night after night!!.. Given the facts of the situation this son believes that a few phone calls would lead to a first meeting, where care could be set up, in any case the family were not asking for a lot of care. Nothing more than only maybe just one hour in the mornings, as the father was reluctant for strange -people in his house (“you hear stories, see programmes on tv! !” as this quite honestly scared! elderly father kept reminding everyone). So the phone calls to the local authority were made……. The Journey, of asking begging, pleading, made to feel dirty, like this family had just crawled out of a disgusting gutter with the idea of feeling guilty for even phoning the adult social care team, had started. After waiting for a few days. Days and nights of constant worry, trying to support his father (with his anxieties issues about calling in a care company), and of course especially his sister, who was missing her “mum-mum” together with, dealing with the business of what comes after a death in a family. Register of the death itself and the collecting of the necessary certificates, dealing with life insurance companies, DWP and the bank etc. Dealing with all that brings and finding some quiet time to sit supporting his sister, explaining in the ways that his sister could easily understand, and without causing her too much stress, just why her “mum-mum” wasn’t coming home from hospital this time. “Mum-mum is at peace now, up there in heaven”. Using every form of communication that the brother knew his sister would understand. Keeping the stress away from his sister, keeping her happy and spirits up, making jokes to break a smile however tiny across his sister’s face. Jokes like “your brother is a pain in the bum” his little sister’s reply with a smile as such, was “oh yes bum ha ha” . All this and forgoing any feelings himself for the time being…. ‘Crying those tears of grief in that dark silent world, many other families who Loved Ones need that extra help in life would know all about’... After waiting for a few days another round of those phone calls, firstly to be told quite bluntly that the social worker who was dealing with ‘the-case' was out of the office so just leave a message, if you must!! After again a few days of waiting which really meant weeks of waiting, worrying, and the continuous sleepless nights about what could happen. Yet more phone calls are made and what had become a normal response from the local government office. Staff dealing with the situation was out on meetings and unsure of their time on return etc, on A/L (what’s an holiday?), or in a meeting. Together with refusing to deal with any questions the son may have, as ‘there’s a social worker dealing with the case’. The office did make two phone calls to the brother, they were made on Friday afternoon’s around 3.45pm, (as the brother was waiting to collect his own children off a local school bus) asking somewhat ‘strange questions’ such as which ‘special – school’ did ‘the person’ attend, over 35 years ago! The other side of the country in East Anglia. A phone call that would start with “I am very busy and can only share you a few minutes, but what medication is your sister on again, when did she move to the area?” All this information, back and forth simply because the office couldn’t find his sister on, ‘their’ system, this only shown that ‘A - System' is much more important than A Person who ‘lives’ with a learning disability, to a local authority... As constantly reminded this family have never! received any adult support from any local government office anywhere in the country, whether that was in the West Country (they returned, where the late mother was bored n bred, to settle down in their twilight years) or in East Anglia, where this now middle-aged lady was born, 45 years ago. Where this family choose that path of “taking ‘it’ home and doing the best they could do'... alone...” In a somewhat state of incredible desperation of waiting now for a few months, driving across a large rural county in the West Country, trying hard to hold both families together. More desperate phone calls of pleading and begging for help! Another week past now the frustration started to build. In a total state of desperation, the son/brother decided to phone the families GP was made. Didn’t really want to bother the busy doctors and surgery staff, but the frustration of nothing happening, the son only to see if anyone from adult services had even made contact. But of course, no such contact had been made, and it was very clear that the Adult social care team had not even bothered to make any contact with a family’s GP. It goes without saying that the family doctor was mortified to hear the story. The doctor’s tone of voice changed from a kind understanding and sadness as they knew the late mother well (the doctor was away on holiday at the time the mother passed away, and honestly explained that she simply didn’t know….), to a tone of best described as somewhat, professional anger, asking which local office was taking the phone calls and dealing with this ‘urgent situation’ .... within 20minutes a member of staff from adult social care team, phoned the family explaining in quite sheepishly and in a shy manner, that they had a doctor phoning them and they now need to see the daughter, as quickly as possible as the doctor needed some answers in why this had taken so long. The Brother explained (only to keep issues ‘transparent and on a honest factual base, working within the adult social care, the brother knew ‘they’ like things to be “Transparent”) that it was himself, who that made the phone call to his sisters’ doctors. A meeting was planned, for the very next day, after asking for some months the first meeting was finally going to happen. This amazing lady who lives with a learning disability was going to have a little bit of help. After ‘fighting’ over many phone calls many sleepless nights, moments of ‘unnecessary’ stress cause by the adult social care department of the local Authority who are charged to support People who ‘live’ with learning disabilities, in care homes/supported living homes and even in their own home with their loving family members. After speaking to the family GP, and with the backing from the family doctor, a tiny care package was put in place. Just 30mins in the mornings…. ~ A journey of outside help began ~ Unfortunately, the care provider was far from satisfactory and his sister, this daughter……this vulnerable somewhat scared lady, was ‘cared’ for by extremely hard controlling staff, who refused to understand the dynamics of ‘a Person who “lives” with a learning disability living their life, at home within a loving supporting family. The staff together with the full backing from the board of directors of this care company that the local authority fully supported and backed without question, and quite frankly covered up all concerns, would refuse to ‘listen’ to the family. Emails were answered and phone calls were made, but nothing happened, and nothing would change. On many occasions refused all offers of help from the family. The care company only had their very own agenda, and that agenda of this care company not do included supporting a Person living with a learning disability in their! Own home….. They simply denied this vulnerable middle-aged lady her basic human Rights her basic personal care needs and this does not include the families’ views and more importantly the Persons views. This lead to place this Person in a situation where she would withdraw deeply into her own shell. Imagine a stranger entering your home, because the carer was unable or unwilling the push a front doorbell. Or stand by their front door contacting their main care home to retrieve the number for the ‘key-box’ to let themselves in the house. When asked to simply ring the bell the carer would look blankly at the family member. This look clearly indicated that there was no understanding to the dignity, and the overall respect of the Person together with the fact that the house is the Persons home! At a time when this lady had attended her ‘mum-mums’ funeral, and as any daughter would be feeling a great loss. All the care staff would do each day was to get this vulnerable lady up, wash her on the toilet(!), yes, a middle-aged lady would be washed on her toilet. As after one morning a staff member, abused this lady in her shower, leading to her complete breakdown and refusal to use the family large double doored shower again, as this lady was completely terrified!! (a shower unit that this lady was totally used to using, as mentioned before, where the lady’s father fitted many grab rails and a shower seat fitted for his daughter), even with her family members helping her, this now completely scared and terrified middle-aged lady, would cry and scream out in her bathroom. The naked fear in the lady’s eyes of the shower was so very clear to see, and due to the behaviour of a care worker one morning, after this lady’s elderly father ‘told this care worker off’ for not leaving the bathroom door ‘ajar’ (as this elderly father tried to explained to a not-bothered , not listening carer, as of course they knew best because they sat a one hour course of washing and dignity, why they must leave the door slightly ajar?)……“If my daughter has a fit she could fall off the toilet and land against the door stopping me helping her!!” He added due to the level of frustration “you carers never listen!!” (this is a familiar story from families after inquests reported on the television news programmes, that ‘care companies are incapable of simply Listening to families !!) … The carers would help with breakfast quickly, so the staff could watch the families TV and play with their mobile phones and laptops. As the care package was increase, after again amount of pleading and begging, (due to the rapidly failing health of the elderly father), so the hidden controlling of this lady increased….. Being told “to wait!!” as a ‘carer’ places their hand on this lady’s chest to keep her in the armchair until the staff were ready to support this lady. Ironically due to this lady overall confidence, she moves slowly and being asked to “oh hurry up” was the words spoken to this lady, and never over this past half a century, never the word “stop and wait” was ever used!! The carer found an old ‘farmhouse’ type of large dessert spoon at the bottom of the kitchen drawer and chose to use this large old-fashioned type of tablespoons now with aged sharp edges to shovel food into this lady’s mouth. In doing so the care company staff totally ignoring and disregarded the NHS Eating and Drinking plan. This plan was written to support the care staff but more importantly the plan was written to keep the lady safe, uphold any independence and dignity the lady still had. When the family asked for this type of old spoon not to be used by the care staff, only to be told (rudely) that “I should know which spoon to use and I have been feeding-her!! for 3 months!”... this sharped edge old spoon was remove from the kitchen, and eventually locked away. Totally refusing to allow this lady to use her grab rails that her father had put up for her, instead grabbing the lady’s hands tight and pulling her from room to room. Listening in to other and somewhat private family conversations about the father failing health and his needs. After some time and many meetings, and countless emails with this large care company (building evidence of their level of care !!) and the social workers who would always support the care provider and never the Person and her family. Such as meetings that were planned as a one on one (the brother and local care manager) were actually turned out as one meeting that was extremely brutal one-sided as a 3 care staff and including a director of the care company and a social worker, they tried to bully and intimidate, the lady’s brother with threats of “there are cheaper environments for your sister to go that you are fully aware of, aren’t you!!” The continuous false public promises made to the brother that only better experience knowledgeable and overall better trained staff, would only attend the lady’s home, as the care company’s feeble excuse was simple “oh it’s a training issue” . But this company saw supporting, with dignity in the person best interests within their own family home where they remain in control of their care package either than in the “supported living house” where first and foremost the building is where staff work and not where People live! The bullying continued from the social worker and the care staff (inc the director) as the brother worked for this care company too. The manager, senior care staff and the company director tried to pass the blame on to the brother for their own lack of care and understanding of a Person living in their Own Home. But what they couldn’t and wouldn’t understand that he is only now living the heartfelt promise to his late beloved mother, all those many years ago, and he is a ‘Sibling to a Person who ‘lives’ with a learning disability!!’……..now a sibling like this is different to other siblings. A person who is able to cope with dramas that other people may buckle under the strain. From a very early age these type of siblings had to cope with situations like learning quickly how to sit (for what seemed like hours upon hours and especially on those hot sunny summer days when playing outside with friends, bike rides down country lanes, and simply playing games in the summer English countryside and gallows of fresh air would a far better way to spend the day, but oh no sitting bored and at times felt up were the order of the day), in waiting rooms of the out patients clinics at the general district hospitals. Watching his mother eyes filled with a worry that was beyond his imagination. Helping to “roll- play" with his sister so doctors and other medical professionals could observe his little sister do the simplest tasks, that any other child would complete without a second thought. Be concerned as his sister was put through physiotherapy appointments, the cries of pain as his sister were pulled and pushed to do physical exercises. ...but there was always a quick 10mins to play with special equipment himself, other siblings never got to be able to do this, he often thought to himself, that in a small way he was lucky, as he was in an area normally ‘out of bounds’ to ‘normal’ siblings. And of course there were the visits to the hospital cafe, a cheese roll (oh the NHS cheese roll – worth ‘clapping for!’ remember clapping for our NHS hero’s? some of us had been clapping since 1970), a packet of crisps and a bottle of pop made these visits more worth it. Where he would sit and quietly watch the amazing incredible nurses and other hospital staff, rushing around performing miracles or as they would put it “just doing our jobs" (and having the privilege to witness these amazing incredible miracles in that place where “Heaven – Meets – Earth” Great Ormond Street Hospital) ...and all this often starts even before the grand maturing age of 8yrs old. This ‘invisible’ training often takes the form of empathic understanding for the other, patience, perceptions of others, and a natural hold on to equality and diversity. Most siblings of a Loved One ‘living’ with a learning disability mature extremely quickly so they can support their parents. This experience builds something strong and special within the souls of siblings. With the many concerns raised with the level of care and support and respect for his sister, the brother increased his role of responsibility, and the reality of that old but very much, not forgotten promise to his mother all those years ago became ‘Real’….. As now the father’s own health was failing, and failing fast, at this point and the elderly gentleman was in need of his own social worker, and care package. With many in-patients’ visits to the local community hospitals, and the father health failing everlasting now. The social workers accused the dying father’s son of shouting at him, was the family home a safe one for the daughter? Only after the fathers own carer entered his bedroom and spoke loudly to him (so the elderly man could simply hear a cheerful ‘good afternoon’)….. The son eventually felt it somewhat necessary to call the detail of the Equality Act 2010 in another bullying meeting at the family’s home, as the adult social team were discriminating the father and son were from a different area of the UK (which for these regards is the same as stating a different country other than the UK). Where people talk in a different way to the area of the West Country where they both live now. The father passed away in the early hours in a local nursing home a few weeks later, after the family doctor stepped in and supported the family… But his daughter received no extra support about ill health of parents and the passing away of her parents, this would be down to this lady's brother to provide this, overwhelming intense sad news all over again, with no assistant from any adult social care worker. The local authority social worker and the care company were too busy supporting themselves after the evidence was before them. Evidence that was purely factual based and not opinion based about staffs personally. After the father’s funeral, the care company told the grieving family that because the brother had moved into the family bungalow, (to fundamentally keep his vulnerable middle-aged sister Safe!!), they have decided to withdraw the care package for his sister and with no notice, and this was done with the total agreement full support from the social worker. As it was very clear now that the local adult social care team only support their chosen care company. So now the family needed to enter, without any support, the somewhat different world of Direct Payments. Because the building of evidence can take time, and pure factual evidence is what is needed as Care Companies do this strange thing of passing the blame, talk about perception (you don’t like this staff cause *** or they have tattoos etc) so evidence is always required. Finally, the night came when the brother could tell his sister that the carers won’t be returning in the following morning. Together with another sibling heart to heart chat at his sister’s bedside, why her ‘mum-mum’ wasn’t coming home, and ‘mum-mum’ was ‘at peace’ and now with nanny, grandad, and some of her old friends and now together again with her Gig (her loving Dad) ….at peace, in heaven with Jesus, resting. The following morning, after her brother’s partner helped to get her washed and dressed, his sister walked into her! kitchen using her! grab rails again, looked around Her! kitchen and started to ‘sing out (la-la-la) and waving her arms' smiling as she could see that her brother was telling the truth about the previous night chat....no more controlling nasty carers are coming !! This singing and waving, in a way, upset but at the same time over-joyed (that’s siblings of Loved Ones who live with a L/D…juggling two completely opposite emotions all at the same time, that’s just another thing that makes us! Different to other siblings), because of his sisters’ reactions, he now knew that his vulnerable sister was abused, even with all the evidence, he knew his sister knew how it felt being ‘abused like this’ by this group of support workers. But she was now much happier so that means his sister understood that the carers were not good people. But now she is happy and that makes it all worth it. Since the death of the father, the brother and his amazing partner have moved into the family bungalow. His sister is now once again being supported, cared and most of all loved, by the people who know her best …. her own family, her sibling and his wonderful partner, who is a sibling herself, to a lady who ‘lives’ with (in her own words) “ A – System….with an extra bone” , something that the rest of us would call Downs Syndrome (that condition with, ‘an extra chromosome’)…… This lady is now enjoying ‘her’ life to the full again, free and most of all, safe, from controlling staff of a care company, whose parent company is a national care provider which its head office in the Home Counties employing over 7000 staff across the country. That dark place for this lady, her shower room. The place that would terrify her and the feelings of intense fear, well with the speedy assistant from the NHS occupational therapy, who now were able to listen to the family and not shut out of conversations from the care company staff as before…… a new wet room was fitted at speed after the NHS OT was informed of the whole story. This returned the lady’s dignity, and her confidence growth stronger each day, with the loving support from her family. The Lady’s favourite colour just happens to be – purple. The lady’s greying hair? Oh yes its purple now…..crazy! Even the mundane tasks of medical appointments she takes in her stride, safe in the knowledge that she-is-safe! With her family... Imagine being under general anaesthetic for over 3 hours, for oral surgery simply because the carers from this care company who refuse to listen to the family even though their own so call Family Charter states ““our pledge to families is that we will always do our best ~ listen to families, break down barriers by family involvement”” ... So, this meant the staff wouldn’t clean her teeth correctly (refusing to take guidance from the family and the NHS dental care plan!). She is now, once again an active member of her community, living her life to the full. She has return to her church, something that was never followed up by the care company, after a request from the family and something she did with her “mum-mum”. The fact remains that this lady due to the wonderful kind foresight of the Bishop of Peterborough (the Right Rev William ‘Bill’ Westward) that in the late 1990s she was Confirmed in the Christian faith. Her parish vicar at the time, said that this lady may not be able to read the Bible but she knows where and when to shout out Amen! This lady’s confidence growing again returning to her life, and she began to attend coffee mornings, in the local Salvation Army Hall, meeting her old friends that she shared with her beloved late mother, and making new friends. She like many ladies loves her shopping trips for clothes and loves BonMarché and she will, sometimes, yes sometimes maybe, tolerate her brother helping her in this shop, and enjoys her supermarket shops especially when its time to pick her favourite sweets, a bag of ‘jelly-babies’…. Day trips to London on the train with her new ‘powered-wheelchair’ to see the flowers for the late Queen. Sightseeing with her brother his amazing partner and with her sister (with, in her own words she has ‘A-System’ and that ‘extra bone’), who now after the passing of their own mother, now lives in the family bungalow too. The two sisters have become firm friends and possibly a force to be reckoned with. The sisters are now attending a local day provision a few days a week, where they continue to make lots of new friends, and enjoy some wonderful activities. Once a month they love the local Mencap disco where they meet up with their friends. Safe to enjoy their evening of music and dancing away from controlling staff. Allowed to live her life as she wants to …one of the lovely memories, was a simple to so very powerful of just feeling safe, after only a couple of weeks of getting used to her new wheelchair and going out again, a trip to the local ladies hairdressers around the corner, was planned. As she settled into her wheelchair just outside her front door her brother said that he would settle her dog and lock the door, this lady’s reply was simple “No! me and Tra-ccey (the brothers amazing incredible partner) bye!” And with this the lady started to wave at her brother left standing alone, at the door, “oh ok bye then" was the only reply that could be given.... With this the two ladies set off to the hairdressers, laughing out as they went around the corner..... well, why would you want your ‘brother’ to accompany you to the lady’s hair salon!?! Amazing! She is now safe again! And above all - Happy! Families come in different sizes and shapes, that’s the incredible amazing, beautiful world of diversity of families. Some made choices of walking the path alone, some choose to leave the hospitals to care for their child. Others banged on doors for help. Whichever path is walked this path can bring amazing incredible moments of sadness and happiness. Achievements measured in millimetres and centimetres, months of time not hours. Half a smile that may not been seen for years is like your sibling attending the University first class honours degree top of the class ceremony. Life milestones special birthdays sometimes pass without notice, or some celebrated with amounts of happiness simply because the Person is.... alive and for that moment in good health... Families and siblings continue to worry for their Loved Ones, the countless nights, of sleepless stressful nights. Even in the corridor just outside the ICU ward of the county general hospital. Due to a series of epileptic seizures, As this lady lays fitted up with the cold but necessary unavoidable machines helping to keep her alive, and only just…. The conversation had been spoken about – “do you wish your seriously disabled sister to be resuscitate” (well you know what they mean of course). Those dark cold places we cope with! Reflecting on how his parents (and many others) used to about the question, what happen to our ‘child’ when we are dead. Most other parents would wish their children, firstly definitely out live them, living a strong successful healthy and prosperous, living their dreams and desires to the full, surrounded with love and kindness……Quite a simple wish for every parent... With the continuous fear of what would happen to their ‘child’ after their own death, the dark hope is for their loved one to die before them. Not quite the same wish of other parents, but a somewhat sad filled thought. That same thought started to run through the brother’s mind as he stood in that corridor. A parent or sibling who’s loved one needs a little support in life, is face with that horrible thought and the ultimate decision to make. The constant anxiety of social workers and other ‘uneducated’ professionals trying to change their Loved Ones happy life. Even in the dark hours and days as the lady was fighting for her life in hospital the adult care team of this local authority couldn’t even be bothered to contact the family, yet a social worker choose to make contact with a small day service this lady attended for a few hours a week (within 24 hours of the lady being wheeled, in a state of unconsciousness, seriously ill, through the A&E dept doors). Asking if the lady was in good health the previous week. As they had heard she was in hospital. The adult social team did not contact the family of this serious ill lady. Even today’s social stigma, that still exists in the dark places of our horrible side of society. But we (families!) coped day in, day out, hour by hour, we simply have to! And we may still cry silent tears but now there’s hope with those tears. This story, edited (true, and in parts I’m sorry to say) but a period of the lady’s life and her family..... “it’s my sisters story…….. …….Yes I am that little boy back in the 1970s with clenched fists in that village school !!” As the brother of this story. A story of many in our life’s being a sibling to a person who lives with a learning disability is a privilege, that can be so inspirational, a gift that has and continues to mould my lifestyle. Making me the person I am. Some experiences can never be copied by siblings who don’t have our special amazing siblings. Our paths of life cannot be learned from a book or a website. But these paths make us strong. A path that may be sided with a cold darkness stigma of hate, brutal nasty name calling, years of brutal nasty bullying, sadness, and fear, fear for our siblings……… But this path is also lined with something more amazing its….. Love, Kindness, Resilience, Versatile, Courageous and Bravery for our loved ones. A beautiful path that is unique to each sibling and family…………….