Operation Jasmine (Care Home Abuse)

Paul Flynn Excerpts

Wednesday 13th March 2013 Westminster Hall

[Nick Smith]

I thank my hon. Friend for his point. That situation has caused much pain and anguish to relatives of the victims of the alleged abuse, which is why it is important to have this debate and seek more information about what occurred.

[Paul Flynn (Newport West) (Lab)]

Is my hon. Friend concerned that in Operation Jasmine, chlorpromazine was found in the hair of three of the victims? It is an antipsychotic neuroleptic drug that is meant to be used on the deeply psychotic. The misuse and over-use of drugs to turn patients into zombies and make the home cheaper to run is a significant feature of this disgraceful affair.

[Nick Smith]

My hon. Friend makes a powerful point. All the evidence collected by the police in this long-running case must be brought to the public’s attention, so that it is open and available for them and they can form their own views about what happened.

On 1 March, at Cardiff Crown court, the key prosecution collapsed, when the director of care home owners Puretruce was deemed unfit to stand trial. Relatives have been left angry and despondent. In the meantime, the human cost has been devastating: there are 103 alleged victims, 60 of whom have died since 2005. That cannot be the lasting legacy of the inquiry, or the legacy for those who died and their families.

In a former job, I was a National Society for the Prevention of Cruelty to Children campaigner, and I saw terrible images of child abuse. The pictures that I have seen from Operation Jasmine are no less terrible. I was shown graphic photos of pressure sores that proved fatal, and of sores that were so infected that the bone beneath was visible. They were sickening, and in the words of one expert, the worst that they had ever seen.

A senior employee in one home has told me that the director sought tight control of the business. If full-time staff were off, no agency staff were brought in. Budgets were squeezed across the board, and even food and incontinence pads did not escape budget cuts. Six Puretruce care homes were investigated for alleged neglect. In my view, there was a systemic failure across many of the homes, with residents’ care being compromised. It led to what police have called “death by indifference”.

In July 2007, the director was arrested on charges covering both neglect of residents and financial irregularities, but the charges of neglect faltered as the bar for conviction was said to be very high.

--- Later in debate ---

[Mr Harper]

I should have said that hon. Friends, as well as Opposition Members, will know of such cases, too. The hon. Member for Blaenau Gwent asked whether the prosecuting authorities would meet family members. That seems sensible. I have had experience of cases in the criminal justice system, in which—even if the outcome was not everything that people wanted—understanding what happened and having the facts, and understanding the thinking, at least gave people a sense that a proper process had been followed.

In my hon. Friend’s constituent’s case, and I suspect in that of many other families, even if they may not be happy with the outcome because the prosecutor has not been able to proceed with the case, it is important to know what happened to their family member and whether they were properly treated. Although that may not give them satisfaction, at least they may understand what happened and can ensure that they and other people learn the lessons, so that it does not happen again.

The hon. Gentleman is right. There is no place in our society for anyone who abuses anyone for whom they are supposed to be caring, whether a child, a vulnerable adult, or any other member of the community. We should always be vigilant about dealing with that.

Operation Jasmine was a long and difficult case for all those concerned, with 103 alleged victims, 63 of whom have subsequently died. That must be incredibly distressing for their families. I thought that it would probably help, given the hon. Gentleman’s questions, if I gave the House some facts about the operation and the outcome of the police investigation, which commenced in 2005.

[Paul Flynn]

In March 2000, a ten-minute rule Bill was introduced, seeking better control of neuroleptic drugs in residential homes. Some homes did not use the drugs at all, but in other homes 100% of residents were on those drugs, which meant that they often lived shorter lives and died in misery and confusion. Has there been any improvement since 2000?

[Mr Harper]

I am not familiar, apart from in general terms, with the specific point that the hon. Gentleman raises. I will draw that to the attention of my hon. Friend with responsibility for care standards. I am sure that the relevant Minister in the Welsh Government will also hear of the hon. Gentleman’s question.

The investigation commenced in 2005, when an elderly resident at Bryngwyn Mountleigh nursing home was admitted to the Royal Gwent hospital, where she then died. Partner agencies brought to Gwent police’s attention significant potential failings at Brithdir nursing home, mentioned by my hon. Friend the Member for Carmarthen West and South Pembrokeshire (Simon Hart). Both homes were owned by Dr Prana Das. Following the investigation into this incident at Bryngwyn, further investigation by Gwent police identified a series of deaths at the home that required further thorough investigation, with the police identifying a further 11 cases where elements of neglectful care may have been linked to the deaths of those residents.

Initial work at Brithdir nursing home identified 23 further cases of concern where allegations of neglect had been investigated. The operation eventually investigated allegations of abuse at two further care homes. Gwent police took this very seriously—I think that that was the general sense of the contributions from Opposition Members—and allocated a dedicated police lawyer and Crown Prosecution Service counsel early on in their investigation. I think that they sensed how significant it was going to be.

As the hon. Member for Blaenau Gwent said, it was a thorough police investigation, involving 75 police officers, more than 4,000 statements, more than 10,000 exhibits and 12.5 tonnes of documentation. The Home Office provided special grant support for the police authority in Gwent, so that the costs of this investigation did not fall entirely on the police authority and cause detriment to wider policing in Gwent. That was right and proper.

There were three convictions against care home staff in 2008 for wilful neglect. The investigation then continued with further charges being sought against the main defendant, which the hon. Gentleman mentioned, for manslaughter by gross negligence or wilful neglect. However, in February 2010 interim advice from CPS was that the cases had not reached the threshold required for criminal prosecution. The investigations were then completed. Further CPS advice to Gwent constabulary in February and June 2011 was that the threshold for manslaughter by gross negligence or wilful neglect had not been met in any of those cases.

I understand that the chief constable, not being satisfied with that advice, met the Director of Public Prosecutions to challenge the advice that he had received. The DPP reiterated the advice that, despite the thorough investigation, the case simply had not reached the threshold for reasonable prosecutions, given the difficulties of proving wilful neglect.

Hon. Members will be aware, from what the hon. Gentleman said, that the case was then taken forward as a joint investigation with the Health and Safety Executive. The decision was taken by the HSE to prosecute Dr Das, his company Puretruce Health Care Ltd and its chief executive, Mr Paul Black, in relation to neglect and fraud at two care homes, Brithdir and The Beeches in Blaenavon. The trial was set for January this year, but on 9 September 2012 Dr Das was badly assaulted in his home in an unrelated incident of aggravated burglary and has remained in hospital ever since, suffering from permanent brain damage. As the hon. Gentleman said, on 1 March Judge Neil Bidder, based on medical evidence that he had received, ordered that all charges relating to Das, Black and the company lie on file. If Dr Das ever recovers from his injuries, which I understand from the medical evidence is unlikely, the trial could continue.

I cannot remember whether the right hon. Member for Oxford East (Mr Smith) or the hon. Member for Caerphilly (Wayne David), who is sitting next to him, mentioned this, but the judge also ruled that Paul Black, the co-defendant, should not stand trial because it was not deemed appropriate to try him alone. I can understand, of course, that the fact the prosecution could not continue leaves families with a real sense that justice has not been done, but given that the judge decided the defendant is not in fit condition to stand trial, it is not obvious that there is an alternative prosecution scenario.

The judge also decided that, in the absence of the primary defendant, Dr Das, the company could not be tried either, because it is not possible for the company to have a fair trial given that the main individual controlling the company is not able to respond. The positive thing is that the charges lie on file, so if Dr Das ever recovers from his injuries, family members may be reassured that the case will continue, although, as I have said, the medical evidence is that that is very unlikely.

One of the questions that underlies what the hon. Member for Blaenau Gwent said is whether something like this could happen again. Important issues arise on whether we have proper arrangements to protect vulnerable adults from those who might seek to abuse and exploit them.