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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> Cardiff County Council, R (on the application of) v The Welsh Ministers [2009] EWHC 3684 (Admin) (03 June 2009) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2009/3684.html Cite as: [2009] EWHC 3684 (Admin) |
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QUEEN'S BENCH DIVISION
THE ADMINISTRATIVE COURT
Cardiff Civil Justice Centre |
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B e f o r e :
(Sitting as a Deputy Judge of the High Court)
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THE QUEEN ON THE APPLICATION OF CARDIFF COUNTY COUNCIL | Claimant | |
v | ||
THE WELSH MINISTERS | Defendant | |
And | ||
ROYAL BOROUGH OF KENSINGTON & CHELSEA | Interested Party |
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Mr R Williams (instructed Legal Services Dpt, Welsh Assembly) appeared on behalf of the Defendant
Miss Morris (instructed by RBKC Legal Dpt) appeared on behalf of the Interested Party
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"(1)Subject to and in accordance with the provisions of this Part of this Act, a local authority may with the approval of the Secretary of State, and to such extent as he may direct shall, make arrangements for providing—
(a)residential accommodation for persons aged eighteen or over who by reason of age, illness, disability or any other circumstances are in need of care and attention which is not otherwise available to them; and
(aa)residential accommodation for expectant and nursing mothers who are in need of care and attention which is not otherwise available to them
(1A)A person to whom section 115 of the Immigration and Asylum Act 1999 (exclusion from benefits) applies may not be provided with residential accommodation under subsection (1)(a) if his need for care and attention has arisen solely—
(a)because he is destitute; or
(b)because of the physical effects, or anticipated physical effects, of his being destitute.
(1B)Subsections (3) and (5) to (8) of section 95 of the Immigration and Asylum Act 1999, and paragraph 2 of Schedule 8 to that Act, apply for the purposes of subsection (1A) as they apply for the purposes of that section, but for the references in subsections (5) and (7) of that section and in that paragraph to the Secretary of State substitute references to a local authority.
(2)In making any such arrangements a local authority shall have regard to the welfare of all persons for whom accommodation is provided, and in particular to the need for providing accommodation of different descriptions suited to different descriptions of such persons as are mentioned in the last foregoing subsection.
(2A)In determining for the purposes of paragraph (a) or (aa) of subsection (1) of this section whether care and attention are otherwise available to a person, a local authority shall disregard so much of the person's resources as may be specified in, or determined in accordance with, regulations made by the Secretary of State for the purposes of this subsection.
(2B)In subsection (2A) of this section the reference to a person's resources is a reference to his resources within the meaning of regulations made for the purposes of that subsection.
(4)Subject to the provisions of section 26 of this Act accommodation provided by a local authority in the exercise of their functions under this section shall be provided in premises managed by the authority or, to such extent as may be determined in accordance with the arrangements under this section, in such premises managed by another local authority as may be agreed between the two authorities and on such terms, including terms as to the reimbursement of expenditure incurred by the said other authority, as may be so agreed.
(5)References in this Act to accommodation provided under this part thereof shall be construed as references to accommodation provided in accordance with this and the five next following sections, and as including references to board and other services, amenities and requisites provided in connection with the accommodation except where in the opinion of the authority managing the premises their provision is unnecessary.
(6)References in this Act to a local authority providing accommodation shall be construed, in any case where a local authority agree with another local authority for the provision of accommodation in premises managed by the said other authority, as references to the first-mentioned local authority.
(7)Without prejudice to the generality of the foregoing provisions of this section, a local authority may—
(a)provide, in such cases as they may consider appropriate, for the conveyance of persons to and from premises in which accommodation is provided for them under this Part of the Act;
(b)make arrangements for the provision on the premises in which the accommodation is being provided of such other services as appear to the authority to be required.
(8) . ., nothing in this section shall authorise or require a local authority to make any provision authorised or required to be made (whether by that or by any other authority) by or under any enactment not contained in this Part of this Act [or authorised or required to be provided under the National Health Service Act 1977."
Section 24(1) and (5) of that Act states:
"Authority liable for provision of accommodation (1)The local authority empowered under this Part of this Act to provide residential accommodation for any person shall subject to the following provisions of this Part of this Act be the authority in whose area the person is ordinarily resident.
...
(5)Where a person is provided with residential accommodation under this Part of this Act, he shall be deemed for the purposes of this Act to continue to be ordinarily resident in the area in which he was ordinarily resident immediately before the residential accommodation was provided for him."
Section 26(1)A, (2), (4A) and (5) state:
"(1)Subject to subsections (1A) and (1C) below, arrangements under section 21 of this Act may include arrangements made with a voluntary organisation or with any other person who is not a local authority where—
(a)that organisation or person manages premises which provide for reward accommodation falling within subsection (1) (a) or (aa) of that section, and
(b)the arrangements are for the provision of such accommodation in those premises.
(1A)Arrangements must not be made by virtue of this section for the provision of accommodation together with nursing or personal care for persons such as are mentioned in section 3(2) of the Care Standards Act 2000 (care homes) unless—
(a)the accommodation is to be provided, under the arrangements, in a care home (within the meaning of that Act) which is managed by the organisation or person in question; and
(b)that organisation or person is registered under Part II of that Act in respect of the home.
(1C)Subject to subsection (1D) below, no arrangements may be made by virtue of this section for the provision of accommodation together with nursing without the consent of such Primary Care Trust or Health Authority as may be determined in accordance with regulations.
(1D)Subsection (1C) above does not apply to the making by an authority of temporary arrangements for the accommodation of any person as a matter of urgency; but, as soon as practicable after any such temporary arrangements have been made, the authority shall seek the consent required by subsection (1C) above to the making of appropriate arrangements for the accommodation of the person concerned.
(2)Any arrangements made by virtue of . . . this section shall provide for the making by the local authority to the other party thereto of payments in respect of the accommodation provided at such rates as may be determined by or under the arrangements and subject to subsection (3A) below the local authority shall recover from each person for whom accommodation is provided under the arrangements the amount of the refund which he is liable to make in accordance with the following provisions of this section.
(3)Subject to subsection (3A) below A person for whom accommodation is provided under any such arrangements shall, in lieu of being liable to make payment therefore in accordance with section twenty-two of this Act, refund to the local authority any payments made in respect of him under the last foregoing subsection:
Provided that where a person for whom accommodation is provided, or proposed to be provided, under any such arrangements satisfies the local authority that he is unable to make a refund at the full rate determined under that subsection, subsections (3) to (5) of section twenty-two of this Act shall, with the necessary modifications, apply as they apply where a person satisfies the local authority of his inability to pay at the standard rate as mentioned in the said subsection (3).
(3A)Where accommodation in any premises is provided for any person under arrangements made by virtue of this section and the local authority, the person concerned and the voluntary organisation or other person managing the premises (in this subsection referred to as 'the provider') agree that this subsection shall apply—
(a)so long as the person concerned makes the payments for which he is liable under paragraph (b) below, he shall not be liable to make any refund under subsection (3) above and the local authority shall not be liable to make any payment under subsection (2) above in respect of the accommodation provided for him;
(b)the person concerned shall be liable to pay to the provider such sums as he would otherwise (under subsection (3) above) be liable to pay by way of refund to the local authority; and
(c)the local authority shall be liable to pay to the provider the difference between the sums paid by virtue of paragraph (b) above and the payments which, but for paragraph (a) above, the authority would be liable to pay under subsection (2) above.
(4)Subsections (5A), . . . , (7) and (9) of the said section 22 shall, with the necessary modifications, apply for the purposes of the last foregoing subsection as they apply for the purposes of the said section 22.
(4A)Section 21(5) of this Act shall have effect as respects accommodation provided under arrangements made by virtue of this section with the substitution for the reference to the authority managing the premises of a reference to the authority making the arrangements.
(5) Where in any premises accommodation is being provided under . this section in accordance with arrangements made by any local authority, any person authorised in that behalf by the authority may at all reasonable times enter and inspect the premises."
Section 29(1) of that Act states:
"Welfare arrangements for blind, deaf, dumb and crippled persons, etc
(1)A local authority may, with the approval of the Secretary of State, and to such extent as he may direct in relation to persons ordinarily resident in the area of the local authority shall make arrangements for promoting the welfare of persons to whom this section applies, that is to say persons aged eighteen or over who are blind, deaf or dumb, or who suffer from mental disorder of any description and other persons aged eighteen or over who are substantially and permanently handicapped by illness, injury, or congenital deformity or such other disabilities as may be prescribed by the Minister."
Section 32(3) of that Act states:
"(3)Any question arising under this Part of this Act as to the ordinary residence of a person shall be determined by the Minister."
Section 2(1)(a) of the Chronically Sick and Disabled Persons Act 1970 states:
"(1)Where a local authority having functions under section 29 of the National Assistance Act 1948 are satisfied in the case of any person to whom that section applies who is ordinarily resident in their area that it is necessary in order to meet the needs of that person for that authority to make arrangements for all or any of the following matters, namely—
(a)the provision of practical assistance for that person in his home..."
Section 47(1)(a) and (b) of the National Health Service and Community Care Act 1990 states:
"(1) Subject to subsections (5) and (6) below, where it appears to a local authority that any person for whom they may provide or arrange for the provision of community care services may be in need of any such services, the authority—
(a) shall carry out an assessment of his needs for those services; and.
(b) having regard to the results of that assessment, shall then decide whether his needs call for the provision by them of any such services."
"Under section 21(1)(a) of the National Assistance Act 1948, local social services authorities have a duty to make arrangements for providing residential accommodation for people over 18 (who are ordinarily resident in their area or in urgent need) where three inter-related conditions are fulfilled:
(1) the person is in need of care and attention;
(2) that need arises by reason of age, illness, disability or any other circumstances; and
(3) that care and attention is not available to him otherwise than by the provision of residential accommodation under this particular power.
Three further points are also relevant:
(1) it is for the local social services authority to assess whether or not these conditions are fulfilled, and if so, how the need is to be met, subject to the scrutiny of the court on the ordinary principles of judicial review;
(2) section 21 does not permit the local social services authority to make provision which may or must be made by them or any other authority under an enactment other than Part III of the 1948 Act (see s 21(8)); but
(3) having identified a need to be met by the provision of residential accommodation under section 21, the authority have a positive duty to meet it which can be enforced in judicial review proceedings..."
In paragraph 31 Hale LJ then continued as follows:
"I agree with Stanley Burnton J, at first instance..., that there are several indications in the Act that the kind of accommodation originally envisaged was in a residential home or hostel. This is the power under which local authorities provided elderly and aged people's homes or arranged accommodation in such homes run by others. However, it can no longer be assumed that a need for care and attention can only be properly met in an institutional setting. There are people who are undoubtedly in need of care and attention for whom local social services authorities wish to provide residential accommodation in ordinary housing. The most obvious examples are small groups of people with learning disabilities who are able to live in ordinary houses with intensive social services support; or single people with severe mental illnesses who will not receive the regular medication and community psychiatric nursing they need unless they have somewhere to live. Whatever the words 'residential accommodation' may have meant in 1948, therefore, they are a good example of language which is 'always speaking' and can change its meaning in the light of changing social conditions (see the observations of this Court in R v Westminster City Council, ex parte M, P, A and X [1997] 1 CCLR 85, at p 90). Hence Mr Knafler, in common with others who have appeared for local social services authorities, has conceded that 'residential accommodation' can mean ordinary housing without the provision of any ancillary services.
32. But it does not follow that because residential accommodation can mean ordinary housing and the claimant is in need of ordinary housing, a duty arises to provide him with that housing under section 21(1)(a). That duty is premised on an unmet need for 'care and attention' (a 'condition precedent', as this Court put it in the Westminster case, at p 93E). These words must be given their full weight. Their natural and ordinary meaning in this context is 'looking after': this can obviously include feeding the starving, as with the destitute asylum seekers in the Westminster case. Ordinary housing is not in itself 'care and attention'. It is simply the means whereby the necessary care and attention can be made available if otherwise it will not..."
"It is apparent from the language of section 21(1)(a) that the power or duty to provide accommodation is dependent upon three conditions being satisfied: first, the person must be in need of care and attention; secondly, the need must arise by reason of age, illness, disability or 'other circumstances' and, thirdly, the care and attention which is needed must not be available otherwise than by the provision of accommodation under section 21... The effect of the third condition is that, normally, a person needing care and attention which could be provided in his own home, or in a home provided by a local authority under the housing legislation, is not entitled to accommodation under section 21. That is why the use of the section had previously been for the most part limited to the provision of accommodation in specialist institutions like homes for the aged, in which the necessary care and attention could be provided more conveniently than in separate dwellings."
The section again was considered by the House of Lords in the Regina (M) v Slough Borough Council [2008] 1 WLR 1808. That involved a citizen of Zimbabwe who was given leave to enter the United Kingdom and who needed medication to be kept in refrigerated conditions. He applied to the local authority for an assessment of his needs. The local authority took the view that it did not owe him a duty under section 21(1)(a) since he was not in need of care and attention. The judge granted the claimant's application for judicial review and the Court of Appeal dismissed the local authority's appeal but they applied to the House of Lords who allowed the appeal. Lord Bingham and Lord Scott agreed with the opinion of Baroness Hale, as she by this time had become. In paragraph 14 of her opinion the Baroness said this:
"Unlike the services provided by the National Health Service, section 21(1)(a) accommodation has never been free. It was a point of pride in 1948 that people going into local authority old people's homes were not going into the poorhouse. They were expected to pay what they could, up to the full cost if they could afford it. The criterion for eligibility was the reason why such accommodation was needed rather than the need for accommodation as such. As Lord Hoffmann observed in R (Westminster City Council) v National Asylum Support Service [2002] 1 WLR 2956, para 32, the obligation under section 21(1)(a) was owed to the wealthy as well as the poor.
15 Thus it has always been assumed that the words 'which is not otherwise available to them' govern the words 'care and attention' and not the words 'residential accommodation' in both section 21(1)(a) and (aa). A person may have a roof over her head but still be in need of care and attention which is not available to her in that home and therefore qualify for residential accommodation under section 21(1)(a) or (aa). Old people who had homes of their own were and are regularly accommodated in old people's homes under this provision when no longer able to cope in their own homes.
16 The alternative construction, that the words 'which is not otherwise available to them' govern the words 'residential accommodation', is grammatically attractive. But not only would it defeat the main purpose of the section, which is to make special provision for those with special needs; it would be contrary to the construction which has twice been adopted in this House, in Steane v Chief Adjudication Officer [1996] 1 WLR 1195, 1202, and Chief Adjudication Officer v Quinn [1996] 1 WLR 1184, 1194; and to the understanding of Parliament when it enacted section 21(2A), inserted by section 1 of the Community Care (Residential Accommodation) Act 1998, which begins: 'In determining for the purposes of paragraph (a) or (aa) of subsection (1) of this section whether care and attention are otherwise available to a person ...' This time Parliament got the grammar right and the meaning is plain.
17 Section 21(1)(a) did not feature in the law reports at all until after the 1990 Act came into force. A handful of cases were triggered by the decisions of local social services authorities either to transfer their own old people's homes to voluntary organisations or the private sector or to close them down altogether..."
At paragraph 30 the Baroness continued thus:
"My Lords, it might appear that this case too is part of the 'inverted and unseemly turf war' between central and local government, but although the Secretary of State intervened on a different issue in the Court of Appeal, he has not intervened on the issues before us. The main issue is the precise meaning of the words 'in need of care and attention which is not otherwise available to them'. It may well be that those who drafted section 21(1)(a) in 1948 assumed that it only applied to people who needed extra care and attention which could not be provided in their own homes. They undoubtedly drew a distinction between the ordinary homeless, who were catered for under what was then section 21(1)(b), and those with special needs, who fell within section 21(1)(a). Be that as it may, we are required, by R (Westminster City Council) v National Asylum Support Service [2002] 1 WLR 2956, to accept that people who need care and attention which could be provided in their own homes, if they had them, can fall within section 21(1)(a). But that does not answer the question in this case."
That opinion was also agreed to by Lord Brown, who at paragraph 40 said this:
"A person must need looking after beyond merely the provision of a home and the wherewithal to survive- beyond, therefore, the needs able to be met by NASS for suitable accommodation and subsistence. The looking after required does not have to be for either nursing or personal care. It must, however, be of such a character as would be required even were the person wealthy. It is immaterial that this care and attention could be provided in the person's own home if he had one (as he would have if he were wealthy). All that is required is that the care and attention needed must not be available to him otherwise than by the provision of section 21 accommodation."
Lord Neuberger, again having read in draft the opinions of Baroness Hale and Lord Brown, went on to deal with the issue himself and came to a similar conclusion.
"The personal care and other care services which were required were funded by RBKC as an administrating authority for the Supporting People Grant Programme. When the amount of funding to which EK was entitled under grant programme was reduced on or after 26th September 2005, then RBKC correspondingly increased its funding."
"However, although prior to the 16th December 2002 and prior to moving to Cowbridge Road West, EK presented as having a continuing need for residential accommodation, by establishing an entitlement to her own accommodation, she effectively changed the nature of her need. In a situation such as arises in this case, where the response to the apparent section 21 need arranging for the provision of care services for a person who has, whether with assistance or not, resolved his or her need for accommodation, then the provision of the care and the provision of the accommodation are effectively disaggregated."
In paragraph 13 comes another important passage of the determination as follows:
"In a case such as this, the applicant's need for accommodation falls away from the moment she enters into the tenancy agreement. Accommodation, from that point is 'otherwise available' to EK and any reassessment of the need for accommodation would be negative. In September and October 2005 an assessment and revision of EK's care plan did take place, updating the level of need for personal care services, but without reference to accommodation, because this had now fallen outside the services which RBKC were providing."
"Further to our discussions I can confirm that [EK] is the responsibility of the Royal Borough. As such we would agree in principle to fund her care needs. The care package will be for the support hours required for [EK] to move to independent living and will be based on recommendations of the care manager's assessment."
"Regular meetings with Cardiff Social Services and Cardiff Housing Services have resulted in a number of properties/sites being proposed. This proactive stance demonstrates the City and County of Cardiff's commitment to move Scope services users from our residential services to newly adapted, or modern purpose built accommodation. This commitment is on the basis that Cardiff will occur no additional costs and that each responsible authority will continue to fund their service user."
The word "occur" is clearly a mistake for "incur".
"Where, following assessment, a local authority arranges a placement in a private or voluntary home in another authority's area or in a home provided by another local authority, the placement authority will normally retain for that person the same responsibility that it has for someone living in its own area. The person so placed will not as a general rule become ordinary resident in the other local authority's area. If subsequently, by private arrangement, the person moves, he may, dependent on the specific circumstances, become ordinary resident in the area of the local authority where he has chosen to live."
It is that latter situation, which, it is said on behalf of the Welsh Ministers and RBKC, pertains in this case.
"The effect of all this is to produce a maize of different criteria which are complex and difficult for people to understand. People who qualify for care in one authority may not qualify in another. The price of freedom of local decision making is considerable variation in access to services between areas. Authorities may be able to reduce the worst effect of inequities that result by comparing approaches and here again guidance may be useful."
"State Parties to the present Convention recognise the equal right of all persons with disabilities to live in the community, with choices equal to others, and shall take effective and appropriate measures to facilitate full enjoyment by persons with disabilities of this right and their full inclusion and participation in the community, including by ensuring that:
(a) Persons with disabilities have the opportunity to choose their place of residence and where and with whom they live on an equal basis with others and are not obliged to live in a particular living arrangement."