Connor Sparrowhawk was 18 - He had Epilepsy, was learning disabled and died in an NHS Unit on July 4th 2013 - I have followed his mums fight for justice for him and to get the truth known about how a fit and healthy young many could drown in a bath.
I didn’t know LB – but you only have to watch this video
LB - the ultimate Laughing Boy His smile says so much. I cried watching it, It bought back my
own story – when I “lost” my son for a long long time. But unlike LB – mine has
a future. I cannot imagine the pain and loss his family feel. It must be hard enough losing a much loved child, but to know it was preventable is beyond me.
I made a
promise last
night – there will be justice for LB and all the other dudes hidden away in assessment
units and homes – Im just one person but I hope you read the
Report
and join the #justiceforLB campaign on twitter or get involved via his mums blog
my daft life – Its time we changed the way society views learning Disability
and importantly the Health and Social Care system – it wont happen over night
but it has to happen if LB is ever to truly get justice.
The report concluded the LBs death was preventable.
Why?
No matter how I try I come back to Why?
Why do people
with learning disabilities who at 17 years & 364 days need support to
varying degrees, suddenly the next day become an “adult” so the Health and
Social care world can effectively change the rules.
Where before the family are vital advocates in trying to get
the best care and support for their child, become a nuisance and viewed as
antagonistic and unduly controlling the day their child becomes 18.
Particularly in LBs case, where NO actual assessment was ever
carried out by the Unit so they were effectively working blind – and chose not
to engage with Sara (Lbs mum)
This is important as
this to my Non Professional eye contributed towards LB’s death
Why? Do we as
parents, patients, families, campaigners, interested people have no option but to be fluent in and use the jargon of Health & Social Care NON Language
Pathways
Capacity,
Challenging Behaviour
Personalisation
Independence
Personal Budgets
Transition
To name just a few of the jargon words that obscure and
deflect the true reality of learning disabled people’s lives and their family’s
realities. These words crop up throughout the Health and Social Care world.
Language matters, the
assumption is that We as non professionals
will learn the language Did it contribute
towards LB’s death? I expect no one
bothered to tell LB he was supposed to be fluent in it and while others said he was Transitioning
towards independence – maybe he was scared by all the changes and conversations
about leaving school and didn’t understand what all the jargon meant or maybe
he did and that increased his anxiety?
Why? Wasn’t LB’s family listened to, particularly his mum –
when she tried to tell them about LB, his needs, likes, dislikes, his medical
history, his epilepsy well basically everything about him.
This Contributed
towards LB’s death!!!
I see it time and time
again, hell ive been there and got the T-shirt the endless months of trying to
get my son T help when he has his first mental health crisis, being dismissed,
ignored and told repeatedly I was just “mum” I will bet my fabric stash (and it’s
a big one) that LB and his family had little to do with the learning Disabled
team because somewhere along the way “mum” was fed up, angry and disillusioned
by the “system” and LB said ive had enough. – the Unit was just another battle in a very
long list of battle to make sure LB got the best care, that he was understood
and seen as a human being
Why? wasn't LB
given the respect and understanding he needed, the one person missing from the
report really is LB where is he? I don’t mean the contradictory LB described –
I mean the recognition he was only 18 by the staff and scared, confused and angry.
The Unit failed to carry out a full assessment because LB didn't want to participate - non of the 17 trained staff, that included psychologists or senior managers revisited this? How can you get a sense of someone if you dont talk to them?
I have struggled with
this particular WHY?
This report isnt just about the 4th July
– this is about the 15 weeks that lead up to it.
I don’t want to even explore this why –in part I don’t want
to add more pain to LBs family. I hope many people do ask this why, because
its time we collectively stopped pretending to ourselves its ok and people are professional
right? Caring right?
Wrong
The "sauce indecent" – got to me on so many levels
There are two versions of this incident - actually three but LBs version is not recorded, was he ever asked?
3.10 CS attacked a member of staff on 2 May. CS had become agitated during the evening meal and lunged at a member of the nursing staff, ripping the individual’s shirt. Staff restrained CS and transferred him from the dining area to his room. CS initially did not respond to de-escalation techniques but gradually calmed down and staff left him in his room
If you read the above you might think LB was unpredictable and agressive, the member of staff was justified in thier response..but what if you read this bit first?
5.44 An incident took place in the dining area on 2 May when CS was having dinner. He was putting a lot of sauce on his meal and S11 was joking with him about it. When S11 approached CS to see how much sauce he had used CS became agitated and rushed at S11, trying to hit him and ripped his shirt. CS was restrained. He was taken to his room where he remained restrained. He did not respond to de-escalation. He was given prn 0.5 lorazepam and left in his room. Ten-minute observations continued from 18.50 to 19.40. We found no record of observations until 20.30 and they then continue without a break. CS stayed in his bedroom until morning. His mother was told what had happened.
The staff member may have seen it as a ”joke” but so did the
staff at Winterbourne View, A supposedly experienced member of the team well im
guessing experienced they certainly explained all the restraint techniques well
enough, yet didnt have enough **Autism awareness to know that LB like many learning
disabled people struggle with social interaction, often don’t get “jokes” add in
a stressful frightening experience is it any bloody wonder he lashed out.
The blatant lack of respect, told from a perspective that LB
was unstable and aggressive, actually what I read was a scared dude who was
being bullied. Yes Bullied and then restrained by the Bully – Care that isn’t care
that is the biggest Why of all – how was a culture allowed to develop in a
£3,500 a week well resourced, well staffed unit that said it was OK to pass the buck, trivialize his epilepsy and bully a vulnerable,
scared learning disabled dude who had no power because the most important advocate he had wasn’t
bloody listened to which ultimately contributed to his death.