padded rooms and lessons for deprivation of liberty and care planning

20 June 2011

Hard on the heels of Neary v London Borough of Hillingdon (16 June 2011), another local authority has fallen foul of the Court of Protection for an unlawful deprivation of liberty, this time for a child in a special school. Like Neary, C v A Local Authority has lessons about deprivation of liberty, care planning and management, and involvement of families more widely.

While we are still trying to digest the ruling and implications of the Court of Protection’s high profile and widely reported judgment that Steven Neary was unlawfully deprived of his liberty by the London Borough of Hillingdon, deprivation of liberty is back in the newspapers again. The coverage has, understandably, focused on the findings relating to use of a “padded room” to control the behaviour of an 18 year old man with autism and severe learning disabilities, but this should be treated with caution as it is only one aspect of the case, which has much wider implications.

C, now aged 18, had been resident in a special school since 2007. His care included 24 hour support with a 2:1 staffing ratio. His behaviour was sometimes extreme, aggressive and harmful both to himself and others, including incidents in which carers had suffered a broken nose, and lost the sight in one eye from a detached retina. Management of his behaviour at the school included use of a padded room of about 10 feet square with a secure door that would be held closed by the carers - “the blue room” - where he was secluded. The evidence was that this room was used very frequently, for example more than 6 times a day on average in one month, often as a way of dealing with C’s propensity to be naked.

In September 2010, C’s mother and brother brought judicial review proceedings to challenge alleged failures by the local authority to plan or provide for C’s care properly, including appropriate arrangements for his transition to an adult placement at age 18 years. At the same time, the local authority started Court of Protection proceedings for declarations about C’s best interests and lawfulness of the care arrangements.

Many of the issues between the family and local authority were resolved by agreement before the court gave judgment on 30 March 2011 (though the case was only reported on 17 June 2011). In particular the information / documents that the family had been refused initially were all disclosed voluntarily, and the authority undertook the care and transition planning required by the Children Act and associated legislation, which it accepted it had failed to do previously. There will be another hearing later to determine whether there was any breach of C’s right under Articles 3 (freedom from inhuman and degrading treatment) and 8 (right to family life) and issues of compensation for the breach of Article 5 (unlawful deprivation of liberty), but this judgment, given by Ryder J, covers a number of important issues.

1. The repeated use of seclusion was a factor, but it seems likely that the circumstances of C’s life at the school would have been held to be a deprivation of liberty in any event. The key factor was “whether the person is, or is not, free to leave”, tested by “whether those treating him exercise complete and effective control” (paras 47-48, 103-104, 114).

2. There was no lawful authority for the deprivation of liberty, and therefore there was a breach of C’s Article 5 rights. The court was especially critical of the local authority’s failure to bring the case to the Court of Protection immediately C was 16 years old (and the issue is left open whether there may have been unlawful deprivation before that age as a result of the authority’s failure to apply for a secure accommodation order under s25, Children Act 1989) (paras 48, 113).

3. Although the Deprivation of Liberty Safeguards did not apply (as the school was neither a care home nor a hospital) the DOLS code of practice was relevant and should have been taken into account (paras 63, 64).

4. Likewise, though C was not detained under the Mental Health Act, the MHA code of practice, and associated guidance on seclusion in particular, showed best practice and should have been followed (paras 68-71). The judge accepted that this “no doubt has implications for other young people with serious learning disabilities who are in residential care”.

5. The reality seemed to be that C was often secluded in the blue room as the staff’s way of dealing with his nakedness. This was unacceptable. The judge directed that staff should be trained and put in place arrangements to minimise restrictions on C’s choice to be naked (paras 116-117).

The judgment is also significant for a number of other reasons:

MHA / MCA - The judge could not understand why no consideration had previously been given to using the Mental Health Act to detain (and protect) C, but suggests that the decision of whether to use MHA or MCA should rest with the clinical team at his next placement, which could be taken to contradict the judgment in GJ v the Foundation Trust (per Charles J, 2009) that clinicians “cannot pick and choose” between the two, which Ryder J quotes in the next paragraph (paras 67, 85-87)

Judicial review or best interests - With the range of issues involved, crossing the jurisdiction of the Administrative Court to judicially review the local authority’s decisions and the Court of Protection’s jurisdiction over issues of C’s best interests, the outcome is an extensive and prescriptive judicial intervention in detailed care planning. The judge sets out exactly what should and should not be done, rather than saying a local authority should reconsider any unlawful decision, or determining C’s best interests among competing options presented by the parties. Judgments like this will make it much harder to draw the line between disputes over best interests, and those that are in essence challenges to funding or care planning decisions.

Resources - The issue of resources is implicit throughout the judgment, but never openly dealt with. The judge held that it was not in C’s best interests that another young man, A, shared some of his facilities. It was agreed that C would be moved as soon as possible to an interim placement – a “bespoke” residence with a dedicated private garden area, with a staff of 15 carers dedicated and trained for him alone. No issue was raised over the cost or funding for this, but we might wonder how long it will be before we can no longer avoid fighting on that ground in the Court of Protection, notwithstanding the extraordinary need of people in C’s circumstances, as resources have to be spread ever more thinly.

Communication with family - Finally, in common with the judgment in Neary, this seems to be another case that has come to litigation, at least partly, as a result of a breakdown in the relationship between the family and the local authority. The family complained that they were not given information that they reasonably requested, though in the end everything they wanted was disclosed to them voluntarily within the proceedings anyway. The judge commented that “negative assumptions” about C’s mother were unjustified, and “more to the point she is and should be a partial defender of her son’s interests” (para 101).

Though it is stating the obvious, cases like this remind us that open communication and involvement of the family are vital not only for ensuring good practice, but also for avoiding expensive and damaging litigation. Even if reference to the court cannot be avoided – and this case is part of an increasingly obvious trend of judgments critical of local authorities for failure to involve the court promptly – that process will be much quicker and cheaper where the parties are collaborative rather than adversarial.

Click here to register for our webinar which will review the facts of Neary v London Borough of Hillingdon and distil the 47 page judgment to the key points and, most importantly, the practical implications.


The content of this bulletin is provided for the purposes of general interest and information. It contains only brief summaries of aspects of the subject matter and does not provide comprehensive statements of the law. It does not constitute legal advice and does not provide a substitute for it.

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