Part 1: The Case Studies.
1. Leo is a 42 year old man with Down syndrome. He has a supported living tenancy and shares his home with one other person. Leo and his housemate receive support from a provider during the day but not in the evenings and at night. Recently Leo has been frequenting a local pub where he has made friends with a group of men. He has become involved in their business and delivers packages for them during the day for which he receives a small amount of money. Leo does not know what these packages contain but believes they are washing machine spares. Leo’s support staff have spoken to him about these activities and have told him that he must stop. They have tried to ban him from going to the pub. Leo says that the men from the pub are his friends and he can do what he likes.
2. Mrs B has been admitted to hospital following a fall at home. She is 85 years old and lives on her own. Up until this point, she has managed independently with some support from her daughter (who lives 50 miles away) and her neighbours. The fall has resulted in a marked reduction in Mrs B’s mobility and currently she is unable to weight bear, requiring full support with her personal care needs. At times she is also getting confused. Mrs B has been assessed by a physiotherapist who feel that the best option would be for her to move into a nursing home. Mrs B’s daughter supports this recommendation as she feels that she would not be able to offer her mother the support she needs if she returned home. However, at this stage Mrs B has not been assessed by a social care worker and there is the potential for her needs to be met at home with a package of care. Mrs B has stated that she does not want to go into a nursing home.
3. Susan is a female aged 45 who lives in her own rented accommodation. She has a support worker who visits a few times a week. Susan has a moderate learning disability, she has good practical skills that enable a high level independence. Susan has a wide range of coping strategies developed over the years and is able to communicate verbally. Susan has been married twice (widowed and divorced). She has one child who is in permanent care with no contact. Susan grew up within a dysfunctional family. Historic concerns of grooming and sexual abuse from older males within the family have led to an acceptance by Susan of unwanted sexual relationships and tolerance of violence. Susan has family living locally but were unable to be considered a protective factor. Susan has recently disclosed to her support worker that she has been sending pictures of herself to strangers online.