Mrs. Madeleine Moon (Bridgend) (Lab): I welcome the opportunity to speak in this debate.
I promise that I shall be brief, so that Members can get to their television sets and so that the hon. Member for Chesham
and Amersham (Mrs. Gillan) can catch her train. She clearly knows very little about Wales if she thinks that First Great Western runs an excellent train
service there; it is one of the worst operating in the UK.
However, let us move on.
I want to begin by referring to the work
of my hon. Friend the Member for North-West Leicestershire (David Taylor), whose private Member’s Bill of three years
ago set the scene for today’s debate. I want also to acknowledge the role that John Griffiths, AM, who has recently
been appointed carers’ champion in the Assembly, has played in bringing this Bill before the House today.
Before entering this House, I spent 30 years
working with vulnerable people alongside my colleagues in social services and the Care Standards Inspectorate for Wales, providing
services and seeking to drive up standards, and spending far too much time investigating abuse—the hon. Member for Brecon and Radnorshire (Mr. Williams) referred to this issue—specifically
abuse of older people.
I, too, want to acknowledge that today is
world elder abuse awareness day. Unlike the hon. Member for Brecon and Radnorshire, I think that the role of commissioner
for older people will provide critical extra value for Wales
in protecting vulnerable individuals. It will not weaken one iota the Safeguarding Vulnerable Groups Bill that we will consider
on Monday—I hope to be called to speak on that Bill, too—if anything, it will strengthen it.
I have considered the Bill as someone with
a background of work in raising standards and awareness of the problems people face. We need people with tenacity, and a willingness
to look for problems and find solutions. It is a sad fact that too many people, especially on issues of abuse, do not want
to accept what happens. They would prefer to find a way not to look for or find such problems. That is why I welcome the general
functions outlined in clause 2(1)(a) to (d), which are wide ranging. The review arrangements outlined in clause 5 are also
comprehensive.
Advocacy is a much underrated function and
when I was an inspector, care home owners had not really begun to appreciate how vital it is. I welcome the commissioner’s
role in tackling the issue and the fact that he or she will be able to consider the availability of advocacy and the training
for those working as advocates. The job requires specific training and the capacity to undertake the role. The competency
of those working as advocates must be examined and the commissioner will have the opportunity to do so. The functioning of
advocacy services and their general availability across Wales
will also come under the purview of the commissioner, and we should all welcome that.
The commissioner will also be able to consider
complaints. When I was an inspector I used to tell care home owners, who do not like receiving complaints, that they were
their best friend. A complaint tells them what they can improve, what should be changed and what is not working. Unfortunately,
too many people see a complaint as a threat.
Complaints can also be a way of discovering
underlying abuse. For example, I inspected a care home and the complaints book said that a service user had complained that
her bath water was cold. Alongside was the handwritten report of the investigation of the complaint by the staff at the care
home, which said, “Add more hot water.” That seems a simple solution, but I asked the owner of the home to bring
me her monitoring records for the water temperatures in the home. The records revealed that water temperatures were incredibly
low—little above tepid. I pointed out to the owner that it would not have mattered how many hours the hot tap had been
run for, the bath water would still have been cold. The handyman for the home said that he thought that as long as water temperatures
were below the required maximum temperature they were all right. The staff had not checked and a doubly incontinent service
user, who needed frequent bathing, had been forced to suffer the indignity of cold baths. That is the sort of abusive and
neglectful treatment that can be picked up through casual examination of complaints. I am glad that the commissioner will
also have the ability to examine complaints, because that will help to raise standards and support service users.
Whistleblowing will also come under the commissioner’s
purview and it is, all too often, the way abuse is revealed. It is often the capacity to retain anonymity that allows someone
to come forward with information on something about which they are not happy, so that something can be done. I agree with
the hon. Member for Brecon and Radnorshire that the commissioner will have a vital role in considering how best to assess
people to determine who should be excluded from working in care settings, so that Wales has the most robust system possible. I have had experience of whistleblowing
on hours worked by staff, some of whom worked for more than 90 hours a week caring for vulnerable people, including those
who were aggressive and difficult to manage. When staff are that tired, they do not provide the best quality of care.
Why do we need a commissioner? After all,
we already have care standards inspectors, protection of vulnerable adults procedures, an ombudsman and complaints procedures.
The question can best be answered by giving an example of why we needed the children’s commissioner. It is a case that
I deal with personally and shows how the necessary change would not have been made without the involvement of the children’s
commissioner. I was leaving the House one Thursday to travel back to my constituency when I received a telephone call from
a constituent, asking me to call back as a matter of urgency. I was in a taxi, which was not the right place for the call,
so I asked my office to deal with it. The caller was a gentleman whose father-in-law had died more than a year previously
and who, six years before his death, had worked as a support worker taking vulnerable young children to school. When clearing
the deceased man’s house, the family discovered that, only a few days earlier, he had been sent a full report of every
child with a disability and who needed to attend school in my constituency and that of my hon. Friend the Member for Ogmore
(Huw Irranca-Davies). The list included the children’s names, addresses, dates of birth, schools attended, details of
their disabilities and the times of collection from home and return from school. Imagine if such information had got into
the hands of someone who wanted to abuse children.
I went to the local authority’s chief
executive, but he did nothing and passed it on to the department responsible for sending out the tender. It said that it was
merely following standard industry practice. I went to the local authority’s leader—who is, I have to say, a Liberal
Democrat—who was initially very concerned, but then discovered that it had happened under the Labour administration
so was less concerned because she could not be held accountable for it. No action was taken. The director of personal services
was unable to carry out an investigation because it was August and people were on holiday. I went to the information commissioner,
who was also unable to do anything.
Then I wrote to the children’s commissioner.
In fairness, he initially thought that it could not be happening. He could not believe that such information was being sent
to taxi companies, some of which had gone out of business or changed address. In the example of my constituent’s father-in-law, he had been dead for more than a year and had not been not involved in school
transport work for six years before that. The information was lying around in the public realm. Once the children’s
commissioner appreciated the risk, it took him two minutes to make the commitment to change the situation. He was the only
person who did and that is reason enough to have an older people’s commissioner in Wales to perform a similar function on their behalf. That is the sort of person
we need as commissioner—someone who wants to take the bull by the horns, grapple with problems and insist on change
taking place. Incidentally, the children’s commissioner found that Bridgend was not the only local authority in Wales operating that policy. It was happening in other local
authorities and the commissioner was able to ensure that children in other areas were protected.
Clause 16
provides for the commissioner for older people to work with the public services ombudsman for Wales. Some might claim that that is duplication and that I could have gone to
the public services ombudsman.
I also welcome clause 8 on assistance and
clause 10 on the examination of cases. It will be necessary to examine closely the regulations on those functions, but I welcome
the provision of assistance to older people in making complaints, because that will make a big difference. Those clauses also
mean that the commissioner will assist older people and that they will not be required to find their way through a difficult
and complex process on their own. The local government ombudsman focuses on maladministration and personal injustice, but
is passive rather than proactive.
I shall illustrate that with another constituency
case of mine. I sent a complaint to a highly respected voluntary organisation about the way in which my local authority had
dealt with a particular matter. The local government ombudsman had been sent a number of papers and appropriate information,
but the only proactive step that he took before he decided that he needed to do nothing was to ring up a local authority officer.
The officer said that the authority had been worried about the matter for ages and that everything was fine—and that
was it. One telephone call was made, and no further action was taken. I spoke to the ombudsman on the telephone, and got the
impression that he did not think that it was vital that he got a letter of confirmation from the local authority officer about
the actions that the authority had taken.
In contrast, the commissioner will be proactive
rather than passive. He will support people who make complaints, and help them to put the evidence together. He will seek
information and mount challenges on older people’s behalf. That is the big strength of the role, and it is something
that we have been missing.
However, I have some concerns about schedules
2 and 3, which list those persons whose functions are subject to review under clause 3, and to review and monitoring under
clause 5. Neither schedule mentions the Care Standards Inspectorate for Wales.
Other bodies that have recently been absorbed into the Assembly’s functions—such as the Wales Tourist Board and
the Welsh Development Agency—are included in schedule 3, so why is the CSIW missing? I hope that the Government accept that it should be included.
I raise that point for two reasons. First,
clause 3(1)(c) refers to
“the discharge or proposed discharge
in relation to Wales of a relevant function
of a person mentioned in schedule 2”.
I am worried that that would exclude the
CSIW, as it is not mentioned there. Secondly, clause 3 (2)(c) defines a relevant function as
“any other person mentioned in schedule
2”.
Again, the CSIW is not mentioned in schedule
2. I recognise that clause 4 will allow the Assembly to add it at a later date, but it would be better to include it before
the Bill leaves this House.
The reason why I want the CSIW to be included
in schedule 2 is best explained by reference to an Adjournment debate held in June last year, just after I came to the House.
I shall not mention the specific case involved, as it is still under consideration, but I want to refer to the general concept
highlighted in that debate.
The Registered Homes Act 1984 set out the
procedure when a registration authority wanted to remove a care home’s registration. It said that, at tribunal, the
decision would be based on the situation in the home at the time that the authority made its decision to withdraw registration.
Under the Care Standards Act 2000, however, the care standards tribunal must make a decision based on the situation at the
time of the tribunal hearing itself.
That would appear to mean that care homes
are able to do nothing and make no changes until the tribunal hearing. When the tribunal sits, they can make a few changes
and demonstrate that they will make improvements, with the result that they can no longer be deregistered.
We must find ways to change that requirement.
Some homes play the game and do not protect vulnerable people—they do not meet required care standards or they use legal
niceties to avoid their responsibilities to older people. Such homes must be challenged. I hope that the older people’s
commissioner will use clause 2(1)(d)—which requires him to
“keep under review the adequacy and
effectiveness of law affecting the interests of older people”—
to tackle the problems posed by the Care
Standards Act 2000 and make the changes needed to protect those who live in old people’s homes in Wales.
The older people’s commissioner will
have 30 staff. Start-up costs are estimated at £0.5 million, and running costs in the first full year of operation at£1.5
million. I assume that the funding will come from the Assembly, and Opposition Members have asked about the services that
will have to be cut to meetthe cost. That is an appalling question, given that£1.5 million is a drop in the ocean when compared
with the need to protect older people. The commissioner and his 30 staff members will proactively fight for older people and
represent their needs. They will make sure that the necessary services provided to older people are of the requisite standard.
With this Bill, the Government are recognising
that Wales is a small country with a high
percentage of older people. They are giving those people priority, and making it clear that they are valued members of the Welsh community. We must insist that older people—in this generation
and in times to come—get the best quality services. Establishing a commissioner for older people is the way to ensure
that that happens.