Feeling guilt, but I didn’t know what was going on.

Some may have wondered how I am a year after the Safeguarding enquiry. For those who don’t know the story, a few days before my mother’s death, my GP informed me that ‘several’ sources’ had reported that I was messing around with my mum’s medication. FACT: I didn’t deal with her medication, except on one occasion when I crushed up a paracetamol with a gadget when the Panadol ran out and the carers refused to go and get a new lot. I had absolutely no idea where the Oramorph was, as I was very busy completing forms for funds to help pay for mum’s care, trying to get refunds and organising repairs to the house etc. In short, someone had informed various sources that I was putting pressure on two? night carers to give mum Oramorph (liquid morphine) when they judged she didn’t need it.

During the enquiry, two events were identified. One on the 9th May (lorazepam) and one on the 11th. I would have been asleep upstairs but often came downstairs for water around 4 am. Some nights, I popped my head round the corner to check everything was ok but visits would not have lasted more than two minutes. Someone from social services decided that the Oramorph be hidden in a box and that the code for the safelock where the key was kept should be changed. That meant that I wouldn’t have access if I had wanted to administer the drug myself. (The thought never occurred to me and I left all medication matters to those who had focus and a memory). Now I realise how dangerous that decision by social services was. If I had fallen, Mum was in no state to ring 999 and if I had been able to get to a phone, I would have given people the wrong code.  They would have had to break the door down.

For those who are wondering, I was given no details about the accusations at the time but the little I was told seemed strange to me. They didn’t tell me that they had heard that I was pressurising carers into giving mum an overdose. That I might harm her. There was also some talk about wanting to change the will, making video nasties (ie abuse), and someone mentioned neglect.  For those new to the blog, I paid carers to look after mum from 8 to 8 and when she became very frail, I paid for two day carers and a night one. What neglect? I did talk to her about changing the will to add her new great grandson.  Hardly a sign of abuse. The Statement of Wishes lying on the table as I’ve mentioned before, was missing for three days, but by then, mum couldn’t even hold a pen so it remained unsigned. Sibling saw it there. Happily, the solicitors found it and there was no need for a new one. The old one was dated 2009. So there was no attempt in 2020 by me to arrange anything to allow me to stay in the house without pressure. And BTW, the document has no legal standing, so it’s what it is. And that is not very much.

Having obtained all the records from the various agencies and the Ombudsman, bar those held by social services (ahem), a slightly different picture has emerged. First regarding the drugs. Mum seems not to have been given Oramorph on the 11th, as the carer was asked about amount and frequency during the visit on the 13th and the nurse recorded on that day that he had instructed the private carers to administer the drug as mum was in pain when moved.  And they moved her every two hours. So the events on the 11th didn’t happen as discovered by a nurse. Heard and recorded in official document. Another entry in different records revealed that mum cried in pain.  This time, the agency carer did give mum some Oramorph.  In all, those carers gave mum 5 doses throughout the whole period the drug was in the house.  That’s not a lot. the GP had prescribed 4 doses per day. More importantly, I’m not mentioned as having involved myself with these five events. I wasn’t there.  I am only referred to as having talked with carer Alice one night when mum was restless and suggesting trying lorazepam.  I left the decision up to her. Suggesting is not pressurising or intimidating. I returned to bed and didn’t see her give it.

On one occasion, I popped by at night and whispered to mum if she was ok.  She whispered back that she was in pain.  I told the carer and left. That carer does not seem to have given mum Oramorph. There’s no record. In other words, she left mum in pain.

This was not what I had planned. I wanted mum to have a good death, not a painful one. I am horrified what actually happened. Nice of carer R to ring the GP on the 12th to support her friend’s account on the 11th but she wasn’t there and her friend had lied. And there’s more. R also encouraged another carer to inform her boss that I had given her the wrong information about the dose of lorazepam. I did no such thing. I didn’t know it and the carer had to find the dose from the MAR but she wasn’t on the ball so gave mum a whole instead of half a tablet. Then, obviously encouraged by R who was there, she rang her boss to blame me. So M and R worked together behind my back. However, they were their usual lovely selves when talking to me.

Recall that both M and R, as I noted before, had failed to help mum when she was in pain after the enema.  They stood by and watched mum cry. I had informed a nurse and left the rest to others. I trusted them to help mum. Perhaps ring the GP. I now read that they didn’t. I really should have put some pressure on people. What kind of carer stands by while a person is clearly in agony? They can’t have liked mum as they claimed they did.

Another point, recorded by an agency carer who liked a gossip, detailed that I had asked mum if she was getting good care.  She didn’t answer. I was a touch surprised but left it at that.  Now, thinking back, I recognise that her face was that of ‘hell, no’. She had the same expression when someone kept asking her to eat again and again, and she got thoroughly fed up. I sense that she couldn’t tell me at the time as gossipy carer was nearby. I also believe she knew about the nastiness going on behind my back.

Just before she died, she apologised. I thought it strange, given she couldn’t help dying. But now I suspect that she was sorry for not having warned me. I hadn’t said anything abut the enquiry but she may have heard something from the loose-lipped carers.

Reading that mum was crying in pain and not knowing about it broke my heart. I had paid for all her care since January 2020 and had hoped to give her a good end. I feel that I failed. Her pain had not been well controlled, and I assume that she had no Oramorph from the private carers at least, until the 13th. Incidentally, they kept records for all drugs and I can even tell when mum had her eye drops and vitamins, but I found no indication that they had given Oramorph or lorazepam, even after the 13th.

A legal (pre-action) letter asking for information confirmed that private carer M stood by her allegations and she did what she did out of concern for my mother. Now I know that meant no Oramorph when mum was in pain, if the records are accurate and complete. She added that she had lots of supportive evidence. Perhaps in her mind, because I have the documentation that shows she was lying, not least on the 11th, and the real supportive evidence indicates that her ‘care’ for my mum was not the type you expect of an empathetic person.

I’ve left all those concerned with the enquiry behind. Alas, that meant problems with family members who don’t want to know both sides of the story but have judged me anyway.  Moreover, they could pass on information to others and that may be used against me in a court of law.

From now on, I want to surround myself with kind and honest people. People who know and like the real me. People who don’t gossip behind my back. Or lie.

What I do still have to deal with are those tears. I’d seen my mum cry twice times in 64 years. She’s the stoic type. Now I know there were more occasions. I wanted to provide her with the best care. To keep her comfortable. To get her the right help if what we had wasn’t enough. If only she knew how sorry I feel.

PS  Still not given any records by social services.  That means I can’t make use of the legal right to rectify.

July 1

For those who’ve had enough, don’t read on.

Two parts from the Ombudsman’s report. With thanks for the information that Social Services would not provide.

Pushing all carers? Was not aware of Rebekah’s collusion until this report noted her involvement. So there were about three sources. And it all seems to have begun after Dr P prescribed Oramorph. I didn’t care as I didn’t deal with medication. But it did bother sibling. Did he instruct carers not to give the two drugs and to contact others as Rebekah did.
Inappropriate conversations? Yes, but that was Nurse C and two other nurses, who talked of funerals and death within a meter of mum’s head. The witness, my brother, saw me move nurse C away from mum. Just forgot that bit when gossiping to GP etc. The documentation relates to 2009, see above. Brother knew that too. If mum did not wish to be videoed, she would have said so. She didn’t. She talked to me and looked lovely. So sweet. No video was longer than about a minute. Apologies to Rosemary but couldn’t erase name and was one of those in charge who didn’t check anything. Gossip sufficed. And she never informed me, so had to pay a solicitor to find out what the accusations were. I still don’t have a complete picture of the allegations as there are inconsistencies and have no knowledge if there was any ‘evidence’. Hearsay isn’t, even from various sources. (This could have been orchestrated and I assume it was.)
13th of May, instructions to Mel. From nurses’ records.
This is what Alice actually wrote after her shift when she gave Oramorph on the 9th. I’m not mentioned. Re lorazepam, Alice asked for an opinion and I gave it. That’s not ‘pushing’. Below is a different story, by her boss, that I don’t recognise.
This is the absolute nonsense. All I did was hand her a tablet as it was next to me. She wanted to give the drug. I did not have an opinion. Alice has since apologised but not put things right ie correct the disinformation. NB ‘crying sounds’. And note Rebekah’s involvement. Very keen to pass the nonsense on. Why? What was in it for her? I kept well out of her way and give her and the other carers freedom. I paid her more than the usual fee for carers. I trusted her and Mel. And Alice.

There is no way to alert anyone to the identities of those involved in this inhuman, cruel act against a fellow carer and the person who paid them after January 2020, and what concerns me is that given they’ve got away with such malicious behaviour once, they might try it again with their next employer.

So I accuse:

Melania Ion and Rebekah Pires of unprofessional behaviour, poor care at the end of mum’s life, passing on disinformation to and colluding with third parties, as well as deliberate efforts to hurt me. There’s no law that covers this and no way to warn potential future employers.

And I accuse Charlotte Corey and Emma Flowers for not checking anything eg asking nurses to see how much of the drugs was left. (A lot). And Charlotte for approaching me as though I was six. Telling me multiple times that my mum was 96 and very frail. Really? As a PHD in psychology, I ended up laughing. It was so totally inappropriate and unprofessional. I stopped the game and asked her to state what she wanted to know from me. Not clear but she did write down that I denied being involved with medication. She just took no notice. No one did. Now, had I been an able-bodied male, might they have been less biased?


There’s nothing quite like a cover-up.

In January 2021, I asked for a review to grant me access to the records held about the events that led to the safeguarding enquiry. See email below. If it all seems confusing, that is because it was. I asked for X, they referred to Y.

When I wrote to the department, usually a different person responded. The early emails were late but reassuring. The subtext was that my request was being dealt with as below (see selection. Names noted to identify the individuals who basically, were less than truthful and most recent first):

White, Adam 

Wed 07/04/2021 19:35

Official

Dear Ellen

Thank you for your note, below.  Please accept my apologies for the delay in my response.

Since you wrote to me, I have contacted the team dealing with your SAR and asked them to ensure that they consider all of your information as part of your ongoing SAR – as per your clarification, below.  I am assured that, should any information be deemed exempt from disclosure under the right of subject access, this be fully explained to you, as appropriate, alongside details of how you may wish to contest any such decision with the Information Commissioner’s Office.

With respect to your request to obtain your mother’s information, I have asked for this to be extracted and prepared in a disclosable format and hope to be able to provide you with an update on this shortly.

Should you have any queries in the interim, please don’t hesitate to get in touch.

Kind regards

Adam

[Nothing was extracted. See final response.]

To: ellengoudsmit
Cc: Adults and Childrens SARs <AdultsandChildrensSARs@richmondandwandsworth.gov.uk>
Subject: FW: Review of decision to deny access – clarification – FYI

Official

Dear Ms Goudsmit,

I hope this email finds you well.

Please know that your request for information has been passed onto to us.  May we ask that you accept our apologies for not getting the information you have requested by the original due date of 8th February 2021.  

I understand that you require the information as soon as possible and I would like to reassure you that we are actively working on your request at present and aim to provide it to you as soon as possible.  If there are any further delays we will notify you as soon as possible.

Kind regards,

Michael Oddoye

Business Support Officer (Information)

Adult Social Care & Public Health 

Serving Richmond and Wandsworth Councils

Official

Dear Ms Goudsmit,

We are progressing with your request however, we require further information from you.

Please can you confirm that the records you are requesting held by Social Services does relate to your late mother’s records or are you requesting your personal data under Social Services?

Kind regards

Pauline Adekoya

Information Governance Officer

[My response clarified. And not for the first time.]

From: Ellen Goudsmit
Sent: 07 January 2021 13:09
To: Adekoya, Pauline

Subject: Review of decision to deny access

Dear Pauline,

I wish to ask for a review to deny me access to the records held by social services, particularly Emma Flowers and Charlotte Corey re my mother, Mrs F Goudsmit, between 15 April 2020 and 18 May 2020. The point is that there must be errors as inaccurate information they submitted resulted in false accusations. The reason given was the inclusion of emails from a third party ie my brother. I know, from the GP records, that Emma acted on his email from the 11th May 2020. I believe I have a right to see what the accusations were and the evidence offered… The system should side with justice, not the protection of liars. That is consistent with the data Protection Act.

I once again ask for the records held by Social Services, not financial, between the dates above. You have my ID details as you sent me the financial records. ..

Regards,

Ellen Goudsmit

And this is part of the final response:

Official but in the circumstances, shouldn’t be confidential. It’s a straight-forward rejection but note the reasoning. (My comments are in [].

Dear Ms Goudsmit
Subject Access Request – Mrs Felicie Goudsmit
Further to our letter of 29th March 2021 and your subsequent emails dated 30th March and 16th April 2021, regarding information held by Adult Social Services relating to your late mother, Mrs Felicie Goudsmit, please accept my apologies for the delay in responding to you.
We have received several emails from you asking for various pieces of information.
Below I have selected extracts from some of your emails where you asked information. I have ordered them most recent request first to identify what you have asked for and when you have asked for it.
16th April 2021 (to DPO)

[DPO is the person to write to if you’re not getting anywhere. I wrote to her twice. Once in April and once in May. Request was made long before March and below, she copies an extract from January, so she knew].

I tried hard.

“…I would appreciate an email about the status of the request. This involved social services and in particular, events on the 10th, 11th and 12th May. I asked to see the correspondence between Emma Flowers, my GP and Mr Goudsmit on those days, as part of the records. It explains what I was accused of….”
30th March 2021 (to SARs Team)
“….As I have not received any correspondence and information relating to the month of May, as asked on several occasions as it might clarify who knew what and who forgot vital details, I see not reason why my brother should have access when it has been denied to me…”
7th January 2021 (to Pauline Adekoya)
“… I wish to ask for a review to deny me access to the records held by social services, particularly Emma Flowers and Charlotte Corey re my mother, Mrs F Goudsmit, between 15 April 2020 and 18 May 2020.
I once again ask for the records held by Social Services, not financial, between the dates above.

[No one had no record of any Oramorph being administered by carers Mel and Rebekah. Social Services focused on the heavily redacted financial report I had not asked for.]

25th March 2020
“I have indicated this before quite clearly. I want the full case report relating to the assessment of my mother Felicie Goudsmit by the social worker working for Richmond Social Services last year.”


Our response
Since you made your first request in March 2020, you have had many email conversations with R, her social work team, Adam White (Corporate FOI Team), Pauline Adekoya (Corporate Governance Team) and also members of the Business Support Information Team (SARs Team) regarding access to your mother’s social care file.
The key information you have requested access to is your mother’s social care record and in particular case notes from between April and May 2020.
Your requests for information fall into two categories ie those that are about your mother and her interactions with social services and those that are about you on your mother’s file.

[March again. And there’s more confusion.]


Director of Adult Social Services: Liz Bruce
Assistant Director, Business Resources: Jeremy DeSouza
Official
In your first request you asked for information about your mother’s assessment for care hours. At that time, your mother gave her consent for you to have access to her record and work began to get this information prepared for you.
We were aware that you had Lasting Power of Attorney (LPA) over your mother’s financial affairs but did not have LPA over her health/welfare and therefore were not entitled to information about her social care.

[I was LPA care when I asked for this and made no request for financial information in the SAR for the records April-May.]


During March last year, the first lockdown had begun and all subject access requests were subject to delays due to the unexpected events surrounding the COVID-19 pandemic and we were not able to process your information within the normal timescale of one calendar month. We wrote to you about this on 8th April 2020 and extended the response date to 25th June 2020.

[First request review of SAR was in January 2021, so this is inaccurate, and the first apology for the delay was received in February.]


Sadly, at the end of May, we were sorry to hear from the Information Governance Team that your mother had passed away. Your SAR request was then put on hold temporarily.


Towards the end of June, the documents to disclose were sent to our independent reviewers to redact and exclude any third party and legal information. General Data Protection Regulations (GDPR) clearly states that you can only see information personal to you, not information about other people without that person’s consent.
On 14th July 2020, to comply with our duties under GDPR and Data Protection Act 2018 (DPA 2018), we sent you a copy of the documents which you were entitled to as Lasting Power of Attorney of your mother’s financial matters from her file.

[No they didn’t, and they were not asked for in my SAR.]


You wrote back to us via the Information Governance Team on 25th December 2020 and asked for further information on “…the medication records for Mrs Goudsmit, deceased, collected by a district nurse on the 18th May, detailing the administration of morphine injections and Oramorph during May 2020” and also on 6th January 2021 to ask for notes on your mother’s file from April to May last year.
We advised you, via the Information Governance Team, to contact the NHS and ask them for any medical records and we also told you that any further requests for information would be dealt with under the Freedom of Information Act 2000 (FOIA).
Unfortunately, we were unable to share any records from your mother’s file under GDPR or DPA 2018 as the SAR process no longer applied to information held about her. This is because we treat requests for information about deceased individuals in line with ICO guidance, please click on the link for further information on Information about the Deceased. This means that we are obligated to consider the request under FOIA.
Director of Adult Social Services: Liz Bruce
Assistant Director, Business Resources: Jeremy DeSouza

[I had permission from my mother’s legal representative and had asked the NHS Trust and GP for the medical information.]


Official
On 23rd March 2021, I understand that the Information and Transparency Manager, explained to you the council’s duty of confidentiality to a deceased person’s information and exemptions that may be applied when considering your access to your mother’s personal information.
At this time, we looked again at what you had asked us for and tried to find a way forward.

[Clearly not.]


In response to your requests for further information, we identified that some of the documents you asked for included personal data relating to your brother. In order to overcome any third party data sharing issues and provide you with further information, we wrote to your brother and asked for his consent to share the document with you. Regrettably, consent was denied.
At the same time, we also wrote to you and asked for your consent to share documents from your mother’s file that have information about you with your brother. Again, consent was denied.

[This SAR from my brother was not supported by my mother’s legal representative. It asked for emails in July-August 2020. After my mother’s death. When mum was no longer cared for by social services. It was an illegal SAR which they could not have handled but my rejection clearly came in handy here.].


We have, however, previously been able to share the following documents with you:
• The SAR Team sent you copies of case notes, mainly communications between yourself and the social work team about your mother.

[Lots of information blackened out and incomplete. Example, it has me leaving the room a lot but then doesn’t clarify that social worker wanted to talk to mum in private. Moreover, she wore strong perfume and I am very sensitive to fragrance so needed some time in fresh air. I got one report and it basically denied mum help except for 4 hours a day and we’d have to fire the people who were currently caring for her.]


• You were sent copies of a letter from Legal Services outlining the safeguarding concerns that had been expressed, Safeguarding Planning Meeting Minutes and the Enquiry Outcome Report.

[Only after the involvement of a solicitor. They refused to send anything to me directly.]


I can also confirm that colleagues are in the final stages of preparing a disclosure pursuant to your FOI request to your legal representatives.

[I had none at the time of the request and my new lawyer has not been involved with this SAR.]

It should be noted, however, that this will be unlikely to provide you with the information that you are seeking, as information relating to individuals other than your mother would be exempt from such a disclosure.
Taking the above into consideration and in looking into your requests for further information from your mother’s social care file, we have tried to help you and have given you as much information as is possible. We are sorry for the delays and hope that the above reassures you that your request for information has been taken seriously and that we have tried to provide you with some answers to your questions.
If you are unsatisfied with the information in your request, you can contact the DPO Officer for a review at: DPO DPO@richmondandwandsworth.gov.uk

[Done, but with no response.]


If you are still unsatisfied with the response provided in relation to your request, you have further right of redress to The Information Commissioner’s Office at:…

[Done but ICO sides with the third party.]

Official

Yours sincerely
Monique Walcott
Business Support Manager
Adult Social Services

[No other agency has refused a SAR and the complete lack of access tells me only one thing: they are covering up bad practice. And there must have been a lot of it. So I still have no idea of exactly what I was accused of eg changing dosage, how did I put pressure on carers and why only at night? There was a total absence of any record in the documents listing drugs given on the 11th and no mention of me when Oramorph was administered on the 9th. What evidence, aside from hearsay, did they act on? In short, this uninteresting individual found herself being bullied and battered by sibling, aided by Social Services. Heart broken. Soul deeply saddened. Body failing.

Postscript

Had a chat with a really nice social worker. She confirmed that I was never accused of administering Oramorph myself and this had been a mistake in the letter from their lawyer, but that there were several emails claiming that I placed pressure on carers, including Mel but also from Helping Hands Agency in Richmond, at night, all around the same time and saying the same thing. The nurses also had issues though they didn’t record it in their notes.

I’m still baffled at the type of pressure I could possibly have exerted as a six stone weakling and why no one complained to me but all wrote to social services. Behind my back. (Most were delightful to my face.) As a lovely man said on hearing this, it all comes across as orchestrated. Indeed it does. And I paid these people so much money. If I had known what was going on, I wouldn’t have. Which is why I dare say, they went straight to Social Services. They could safely say what they liked. Again, why? What was in it for them? You don’t make things up just because your client’s daughter likes you to clean your hands before touching her food.

They basically bullied a severely disabled person who cared for her dying mum as best she could. Old thoughts return. They breached my privacy and gossiped to third parties. Just so sad that people go to such lengths to upset someone they know. So pointless but very common. Important to appreciate honest and kind individuals. Homo sapiens, as I’ve written before, isn’t so sapiens. And if that wasn’t bad enough, the current law protects them. The so-called third parties.

Will write short rectification and send it in. Can’t deal with specific claims as I don’t know them, but will just emphasise that the main allegations are false. Complete inventions. I think that’s the end of this affair. Can close this episode and move on.

Postscript 4th June.

Alas, bad news. The LG Ombudsman sent me more documents, including the correct information that I once gave mum paracetamol. But other details from her notes have shocked me. Mum cried in pain when I didn’t know and wasn’t informed. Mel and Rebekah didn’t look after mum as I had expected. They played a much greater role than other sources had indicated. As you know, both made up this story about me exerting pressure on them to give mum a larger dose of the pain killing drug when the evidence in the records suggest they gave nothing until at least the 13th. They informed the GP about my behaviour and possibly others, but said nothing to me. I assume because they had made the whole thing up and wanted to get paid. Why the lying? It didn’t help mum who was denied the care right at the end that I had planned and paid for. I didn’t know what Mel, Rebekah and sibling were up to. Especially Rebekah.

The ombudsman confirmed that brother wanted the safeguarding enquiry. It concluded that I was guilty of neglect and psychological abuse. Neglect? Two day time carers and one at night? What more could I have done? Get a camera and check on the carers? A subsequent report suggested that perhaps the abuse was not the correct word but it indicates how a few lies can completely mislead a GP and social worker. I had caused harm, said the report.

The serenity has gone. I wanted mum to die peacefully. Not in agony. However, I didn’t know. And I could never have imagined that I was surrounded by liars who blamed me when they failed.

The ombudsman, as expected, sided with the social workers. Not assessing her until two days before death was fine. Not informing me of the allegations was also acceptable. I’d been warned this would happen. But you hope that there are decent people in positions of power.

Sorry mum. I trust you knew how hard I tried to do the right thing. RIP.

13th August

I am in a much better place. I understand more, because sibling has moved on to another. Hence I now know that he can say to his family that he won’t do anything so cruel as to evict me etc. Why? He is getting someone else to do it. That means he’s telling the truth but in my family’s eyes, I’m a liar. Well done, clever sibling. Groom others, let them to the dirty work. On the surface, you’re caring and reasonable, as all you do is ‘show concern’.

I knew I wasn’t going mad. That I hadn’t suggested dosages or placed any pressure on anyone to do anything. Except keep to basic hygiene rules.

Blessed be the fruit.

Postscript 4th October 2021

Social Services Richmond may have refused me a copy of the records which explains what exactly triggered the safeguarding enquiry (on the basis that mum was deceased) but they can be open and transparent. How do I know that? They sent me a copy of a safeguarding assessment relating to someone else. I sent it back.