One woman tells her story … #2

Of misplaced trust. Of bureaucracy & cover-up. Of a social care system paying lip service to the needs of Scotland’s most vulnerable.
Extract II: this great age!

I was 96 years old and locked-up in a care home when the abuse began so, although I may have wanted to run away – flight was out of the question. In any event, my instinct is to stand up to bullies, so fight it was!

I could not identify my abuser or abusers, I could give the Police officers only a description of the uniform worn and confirm that it would happen when I was in my room, most likely during the night. Nor did I recognise the voice from its menacing tone. I had not looked at my abuser’s face. When they asked me why, I explained that I didn’t think a human being capable of such cruelty so I dared not look up for fear of finding myself staring into the eyes of the Devil. That was a measure of my fear. The Police officers made notes. I was old enough to be their granny. I wondered what on earth they made of it all.

When they asked me if my abuser or abusers could have been male, my son excused himself and left the room. He returned just a minute or so later and apologised; he’d needed some air, he said. He told me later he’d been caught off-guard by the question. Without wishing to be cruel but needing him to question his assumptions – I may, in fact, have said ‘misconceptions’ – I told him that I will never be able to reveal the extent of the abuse. As he stared out of the window, I reflected that my words were heartless and that I felt oddly unmoved as I watched him breathing heavily.

I had assumed myself invincible but I began to see I’d been an easy target for my abuser. This bothered me. There were many times over my ten decades when I was aware of my own mortality, experiencing loss and hardship, from which at times I thought I would never recover, but had survived despite it all. It’s what we do! I think there’s some logic there! I confess I may have thought myself worthy of respect at this great age so may have invited the abuse despite being raised to expect nothing from others.

I saw that the very characteristics that made me a target – my quiet and shy nature; that I am polite and respectful – qualities my parents taught me to value, had exposed me to abuse by people with quite different standards, made me an open invitation, perhaps, to someone inclined to abuse. And, although I do not nor have ever consciously regarded myself as vulnerable on account of my sex or great age, I imagine that my abuser likely thought otherwise.

Unable to identify my abuser, despite being aware today that it must have been one of the night staff, I felt I could trust no-one and withdrew into myself. Mercifully, my change in mood went unnoticed as the care home owner had taken in three high-needs residents, each of whom needed one-to-one, 24-hour care, leaving just two out of the usual contingent of five carers, to work twelve hour shifts without breaks ministering to the various care needs of the rest of us.

When taking in these unfortunate high-needs residents, the care home owner deprived the rest of us not only of the care he was in business to provide but also of what I considered to be the home’s most valuable resource, the dining room, since he had turned that over for use as a ‘ward’ for the new high-needs residents and the carers who sat with them. I never met these poor souls who would spend the next eighteen months or so closeted in the former dining room.

Like me, my fellow residents also missed the dining room but, from my perspective, while it had ensured that I got some exercise each day getting there and back for meals and provided opportunities to socialise, I did not begrudge the high-needs residents its use – none of us did. Nor did I fail to see that its loss allowed me to occupy an armchair for days on end further reducing the likelihood that I would inadvertently interact with my abuser. What luck!

When our enthusiastic activities coordinator was incapacitated and unavailable for six months, the volume on the television sets was turned up and we were left to our own devices. Pure and unadulterated neglect at a time just when I needed to be left alone. I could scarce believe my good fortune!

For days on end I sat undisturbed in this manner. However, although this arrangement suited me, it happened to suit also the hard-pressed day carers, with the unfortunate consequence for me that, on days when they failed to toilet me, I would know to dread the arrival of the night carers and what lay in store for them … and me.

If my luck was in, the night carers would allow me to sleep in the armchair I’d occupied all day rather than toilet me. But, on nights when they insisted, despite my protestations, that I had to go to bed, I could expect my abuser to appear and exact revenge for increasing the workload, standing over me hissing “filthy bitch”.

My son came most days and took me for trips along the coast. He would chat as we drove along, asking me how I was, how things were, but I preferred to sit quietly catching glimpses of the sea between gaps in the hedgerows and speaking only to reminisce. With the care home so under-resourced, often we would take with us one or two of my more able fellow residents. Even the most junior member of staff seemed to have authority to grant us permission. I wondered if the staff would notice if we failed to return or if anyone but I had considered the legal implications were we to roll off the coast road and into the sea. I suspected not on either count!

The current manager was a family friend of the owner and recently retired, with no experience whatsoever of caring for the elderly and infirm. With my head down, I would watch her from under my brows. I could tell that she missed nothing – and, that she lacked empathy. Once, I saw her reduce Peggy’s son – a respected solicitor – to a blithering wreck when he arrived to find that his mother had been hospitalised. I could see, however, that this manager respected my son for he never failed to look her straight in the eye.

She happened to be ‘available’, it seems, just when it was discovered that the previous manager of several years was not qualified for the post, was “unfit” in the jargon, so had to go. Within a short time of her arrival, the new manager organised the admission, without reference to the existing residents or our family members, of the unfortunate high-needs residents I mention, and did so for the sole purpose of lining the owner’s pockets according to staff who, like us, the existing residents, were disadvantaged by the decision.

Our activities coordinator claimed she’d heard the new manager telling the care home owner that he wasn’t making enough money out of us and that she’d fix it. And, fix it she did!

The care home owner, a socially-inadequate man in his early forties, was rarely in evidence and would run for cover whenever a visiting relative appeared so my son took his concerns about understaffing and under-resourcing to the local Council’s chief executive for the home was largely Council-funded. The chief executive showed no interest whatsoever even though frail residents were falling over and suffering bruises and fractures like never before, bearing testament to the risks – had they been recorded and reported to higher authorities.

The Council’s disinterest would be the deciding factor in my quitting a care home which merits the warning “Abandon all hope, ye who enter here!” My ‘eventual’ discharge from that place, I’m told, could have been handled within the space of a week but took the Council five months to organise, during which period, they continued used to dispense largesse with my dwindling modest life savings for the care provider ‘s benefit.

My social worker, whose approach to her duty to safeguard my safety and welfare seemed to require her to chat about her new house and garden and her love of mid-Century design, was candid that my experiences would evoke little sympathy as I had lived to tell the tale. As an observer at close quarters of how my Council treats vulnerable citizens, and realising that social care is something the Council does ‘to’ people rather than ‘for’ them, I had already worked out for myself that, by surviving, I had given the Council work to do.

Quite how much work my blurting out over supper, in the warmth of my son’s home, that I had been abused would become apparent with time. As would the lengths to which the Council would go to silence me! And my determination to ensure that no other vulnerable care home resident in Scotland would share my experiences.

For the Council’s stonewalling of my son’s concerns would lead, just seven months later, to the abuse of at least three vulnerable older women and the bullying of female care staff by a man who, despite his criminal conviction for smashing his wife’s head against a brick wall in a public place, was employed by the care home owner – and kept in post even after these incidents of abuse – to provide care to his residents.

Given the silencing of my disclosures of abuse, it should come as no surprise that Executive Officers of the Council would assume the freedom to diminish the ordeals of these women and deceive elected representatives in order to avoid the need for an investigation. This is social care in modern Scotland!

BetterCareScotland finds that the care provider in question deprived his care home residents of a valuable resource and exposed them to the risk of understaffing by taking in three high-needs residents without reference to the residents or the residents’ family members.

The Council in question did not verify that the care provider would meet the care needs of the 3 high-needs individuals in addition to those of existing residents, several of whom had complex care needs. The Council’s response mirrors its disinterest when concerns were raised by family members.

BetterCareScotland finds social workers working for this Council expressing a long-held frustration that the Council takes this care home owner on trust.

The Care Inspectorate expressed no interest.

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“There is no greater agony than bearing an untold story inside you.” … Maya Angelou

Love and Peace!

One woman tells her story … #1

BetterCareScotland fights for social care reform in Scotland - Better Care Scotland

Of misplaced trust. Of bureaucracy & cover-up. Of a social care system paying lip service to the needs of Scotland’s most vulnerable.
Extract I: being silenced

“They would pull my nipples and laugh!” I was sitting at the kitchen table in my son’s flat. “They thought it amusing!” My son stared at the newspaper in front of him but said nothing. Despite his clear discomfort, I couldn’t bring myself to stop: “They would pull them right out to here!”, gauging from memory the extent of the affront. My son looked up and stared at my tired, old hands.

He did not look into my eyes or search my face. He knew what he was hearing was true: he’d had sufficient doubts about the competence of the care home owner and the new manager to know that he had to “rescue” me, as I describe it – and, so, just days after my 99th birthday, had whisked me away from the god-forsaken place where I’d funded my care for three years and five months. Over those final five months, the social care department had dragged-out a discharge process, which let the local Council continue to dispense largesse with my modest life savings for the benefit of the inept care home owner!

Now, as I spoke, my son was reliving all those times over the past three years when, on visits, I would tell him I was frightened but clam up when he asked me why. Out of fear, I had dared not tell him.

I had survived the ignominy of being bathed by gauche girls, completely unprepared for the task, who covered their embarrassment by pulling my nipples and laughing uproariously. I do not blame them. And I had survived without a cup of tea for comfort whenever I couldn’t sleep for I took seriously the hardened night carer’s threat to “pee” in it as punishment for being a nuisance. I needed no second warning.

I had survived being strapped to the bed to stop me reaching for the panic button and disturbing the night staff and had banished my teddy bear to the back of the wardrobe after they said he would bite me if I didn’t do what I was told. I had struck up an unlikely friendship instead with a large seven-legged spider who lived under the sink in the loo and emerged every morning without fail to look at this strange sobbing creature towering above it.

I had recovered from the fractured pelvis I sustained from rough handling, shall we say, and the consequent weeks of painful physiotherapy all of which went undocumented and, I believe, unreported by the care home – whatever difference that would have made – and had sat without company for days on end whenever fellow residents chose to sit alone and depressed in their rooms nursing their own unexplained bruises and fractures.

I had even survived the physical consequences of the powerful chemical cosh they administered daily to keep me sedated. And, after my escape, I had quickly regained my mobility, was no longer daytime-incontinent nor, after a great deal of TLC and regular visits to the GU clinic, any longer “prone” to urine infections, the care home’s leaving gift to me.

I survived for I did not give in, did not abandon hope, nor react like the kicked dog which tries to please its abusers. I refused to relinquish my pride despite knowing that this would likely do me no favours and, instead, took comfort in things that reminded me of the life I’d had … pieces of studio pottery and paintings my son had brought … and I developed coping mechanisms, refusing to let my abusers win. But, I did not survive unscathed. I am damaged goods and I have come to trust no-one so I dare not drop my guard.

My GP says the routine chemical cosh is likely to have lasting psychological effects from which I may never recover and to take things one day at a time and not to worry that I may not be as amiable as I was. And, I think of the thousands of others in my position – elderly and no longer self-reliant – and how they are being treated in the time left to them in care homes owned by people whose moral standards are never questioned.

“There is no greater agony than bearing an untold story inside you.” Maya Angelou

I did not assume that life in a care home for older people would be as meaningful as the life I’d led or that giving up my independence and the family home would be without its issues. But, taking my lead from Diana Athill, a contemporary who threw caution to the wind and took up residence in a care home in 2010, I had expectations of a place befitting the price I was expected to pay and not the squalid, poorly-resourced, and (latterly) badly-managed place to which my social worker directed me. I could not have imagined that, in modern Scotland, an individual with no demonstrable interest in care, would be able to preside over my neglect and abuse and, like some latter-day Victorian husband, have me declared insane. This in an age when, in wider society, anyone who leverages power over another would be condemned rightly as predatory.

But, dreadful though my treatment was at the hands of this individual, my story is prompted by the response of the local Council which helped him to evade investigation by Police Scotland officers (who were non-judgemental and treated me with humanity and respect, for which I thank them), then added insult to injury by going out of its way to launder his reputation while denigrating me. And, I find myself trying to rationalise the lengths to which the Council went to silence and further abuse me for reaching out … and I wonder why, what purpose it serves. There surely has to be a reason. My local Council does not run itself. Like every other, it is run by people and the people who run my local Council have closed ranks against me. They see me as a threat to them in a personal sense! I’m aware of their desperation!

As I tell my story, I think of those others whose degrading abuse and neglect in care homes for older people went or will go undiscovered as would mine had I left the care home in the manner to be expected by its owner and staff rather than sentient and in a wheelchair. For, this is an industry that can bury its mistakes … quite literally! And, I hope that, by lifting the lid on my own experiences, I can help to ensure that those who are motivated to abuse people in under-resourced care homes for older people and Council staff who turn their backs when people reach out will be denied the opportunity to imagine that their crimes will go undiscovered.

Over three years have passed since I asked the Council chief executive respectfully, in the time left to me, to account for the Council’s role in the cover-up of my disclosures of abuse and since she replied, “I note what you write!” before throwing the matter to her attack-dog, the staff she can rely on to get me off her back. My son has unearthed more than enough to persuade me that the Council chief executive’s only incentive is to cover up my abuse.

I need to shout louder! Wish me luck!

So many red flags!

A woman with the courage to speak out being silenced by those in positions of power!

Subscribe to BetterCareScotland and receive by email further extracts of this brave woman’s compelling story and the stories of other subscribers whose concerns are stonewalled by public bodies entrusted with social care delivery and regulation in Scotland!

If you have a story that you need to tell and you would like to discuss it with BetterCareScotland, please feel free to get in touch with us by email.

“There is no greater agony than bearing an untold story inside you.” … Maya Angelou

Love and Peace!