[2024] UKUT 247 (AAC)
Upper Tribunal Administrative Appeals Chamber

[2024] UKUT 247 (AAC)

Fecha: 12-Ago-2024

We noted the following significant relevant information

33.

We noted the following significant relevant information:

i.

The care plan is divided into sections. In each section of the care plan there is an overarching entry which sets out JG’s presentation and needs in relation to that particular area, such as memory, continence, nutrition etc. Those overarching entries are not dated. It appears to us that the overarching entry in each section would be updated with new information so that it was always a current record of the service user’s needs in that area. There follows in each section a series of dated reviews which we understand would record any significant change to the service users’ presentation or needs.

ii.

The overarching entry in the Memory and Understanding section records that JG had capacity. It says ‘has a very good understanding of everything and can recall all conversations’. The same section goes onto to record 'JG can appear confused at times’. It is not possible to tell from the face of the records whether that entry was made when JG first went to the home at the end of 2018, or whether it was updated at some later point. It is not possible to say from the records therefore whether that entry about confusion was made before or after JG had made the allegation relating to DL in September 2019.

iii.

Review entries in 2019 are inconsistent about JG’s memory. They record ‘can forget things at times’ on 6 November 2019 but ‘does not demonstrate any concerns with memory and understanding’ on 7 December 2019 (p132).

34.

DBS’s evaluation of the evidence at the time of the decision, when they did not have these care records, included a finding that ‘DL claims that JG gets confused however this is contradicted by the home who accepted her account as credible confirming she has capacity’ (p87). DBS's submission to the Upper Tribunal maintains that emphasis, submitting that JG ‘had capacity during the period in which she made her disclosure’ (submissions p1673). That is beside the point. Capacity is plainly not the same as an absence of confusion. A person can have full capacity but still from time to time be very confused and mistaken. If any evidence was needed of that, it is apparent on the face of the care records which at page 128 refer to JG as having full capacity but also as being confused.