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Carers or suspeCts? - Manifesto Club

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Institutionalising Suspicion and Mistrust / 18 Institutionalising Suspicion and Mistrust / 19<br />

The Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975<br />

detailed certain positions that were exempt from the Act and any convictions,<br />

whether spent <strong>or</strong> not, would have to be divulged by the applicant.<br />

In the intervening years, the number of exempt posts has grown so<br />

exponentially that to all intents and purposes the government has effectively<br />

undermined the <strong>or</strong>iginal Act in both the<strong>or</strong>y and practice. The<br />

most notable change has been the addition of posts involving w<strong>or</strong>king<br />

with children and vulnerable adults. The rehabilitative ideal has been<br />

lost, and, f<strong>or</strong> a significant section of the population their convictions will<br />

never be regarded as spent.<br />

Institutionalising Suspicion and Mistrust<br />

Personal testimonies can also help illustrate the way in which the<br />

present climate of distrust and the procedural measures that arise from<br />

it inhibit the caring relationship. One of us [Josie Appleton] experienced<br />

this first hand, as a routine trip to the physiotherapist f<strong>or</strong> a sp<strong>or</strong>ts injury<br />

became a relationship between potential victim and predat<strong>or</strong>:<br />

When I turned up f<strong>or</strong> my regular physiotherapy appointment<br />

I was told that we would ‘have to be supervised’,<br />

because my therapist’s CRB check had not come through.<br />

He had already had three checks, and because he was from<br />

China the whole thing was probably a waste of time, but<br />

still, anybody receiving medical treatment is classified as<br />

a ‘vulnerable adult’ and theref<strong>or</strong>e requires CRB protection. 36<br />

A routine appointment is recast as a potential abuse situation, to the<br />

annoyance of both patient and therapist. Such a climate can also affect<br />

w<strong>or</strong>ker-client interaction in care settings. The experience of the care<br />

w<strong>or</strong>ker below will be familiar to many within the sect<strong>or</strong>:<br />

1st CRB needed: I teach at a college where I do a lot of<br />

w<strong>or</strong>k with adults [who are not in Education, Employment<br />

<strong>or</strong> Training…]<br />

2nd CRB needed: I also w<strong>or</strong>k f<strong>or</strong> a national care group who<br />

own homes f<strong>or</strong> a national care <strong>or</strong>ganisation.<br />

3rd CRB needed: I w<strong>or</strong>k f<strong>or</strong> an agency, currently w<strong>or</strong>king in<br />

a sheltered village f<strong>or</strong> people with learning disabilities.<br />

4th CRB needed: I w<strong>or</strong>k f<strong>or</strong> another agency in nursing<br />

homes, caring f<strong>or</strong> the old, infirm and dying.<br />

The consequence In all cases, I find it hard to do my job<br />

the way I would like to. I cannot be alone with them,<br />

<strong>or</strong> I have to leave the do<strong>or</strong> open. I cannot assist an old<br />

lady to the toilet in many places, despite her requesting<br />

such help so she does not have the indignity of soiling<br />

herself. (Occasionally I do as a caring person as it<br />

distresses me and my colleagues if we don’t, and so we<br />

risk our jobs caring f<strong>or</strong> people because we care)! 37<br />

Perversely, procedures set up to ‘protect the vulnerable’ actually damage<br />

the quality of care they receive. In an email to the <strong>Manifesto</strong> <strong>Club</strong>, a lady<br />

who w<strong>or</strong>ks in social care describes how systems f<strong>or</strong> the management of<br />

carers end up cutting off service users from potentially fruitful contacts:<br />

Modern social care services advocate practice which<br />

promotes participation and inclusion, and supp<strong>or</strong>ts<br />

people to develop social netw<strong>or</strong>ks and natural structures<br />

of supp<strong>or</strong>t within their communities. However, a<br />

dichotomy exists within the social care system, which<br />

itself creates one of the greatest barriers to achieving<br />

this vision: the framew<strong>or</strong>k of vulnerable adult protection,<br />

and the <strong>or</strong>ganisational culture that it creates, means<br />

that it is extremely difficult f<strong>or</strong> people to develop inf<strong>or</strong>mal<br />

relationships within the community, outside of the<br />

regulated environment of care services.<br />

There is minimal opp<strong>or</strong>tunity f<strong>or</strong> service users to interact<br />

and engage with the people around them, unless strictly<br />

supervised, and attempts by members of the public to<br />

f<strong>or</strong>m a friendship with a person receiving care services

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