Haringey Council Adult Social Care Care Assessment Failure and Equipment Regulation Violations

Written by: Daniel McMorrow (dmcmorrow@mage-net.net)
  • Submitted
  • LATE No Stage One Response

Background

Me

I am 42 years old. I contracted meningococcal septicaemia, which resulted in a hypoxic brain injury and required a three-month stay in the ICU at the Princess Royal, a fantastic hospital. Following a successful period in a RHN rehabilitation hospital, I was able to return home—initially to Bromley, and later in 2016, to Wood Green, Haringey. Because of my physical disability, I rely on care four times daily—typically Morning (08:00), Lunchtime (12:30), Tea (17:00), and Bedtime (21:00)—to assist with transfers, hygiene, and daily routines. This has consistently been managed by a single carer (single-handed) largely thanks to my Sara Plus Hoist. While I continue to make progress, full recovery is all but impossible. While standing independently is also extremely unlikely, I focus on more achievable goals, like improving my dexterity.

Physical Function & Weight-Bearing Status

Although I cannot stand independently, I retain weight-bearing capacity in my legs. (I can put my weight on my legs without pain or discomfort) The Sara Plus Hoist is an active standing hoist specifically designed to utilize this remaining strength. Unlike a passive track hoist (which lifts the user completely unsupported), the Sara Plus supports my balance while allowing my legs to bear weight. This key distinction allows me to maintain daily physical function, supports single-handed care for my four daily visits, and enables dignified personal care during transfers.

Equipment Maintenance & Compliance Breakdown

On , the Sara Plus Hoist (a standing hoist where the user actively stands during use) was due for its required six-month service.

This safety inspection did not take place. The equipment had last been serviced on . Due to the missed inspection, the equipment was left in direct violation of the Lifting Operations and Lifting Equipment Regulations (LOLER).

Consequently, on the care provider sent notification stating they would cease using the hoist due to liability concerns.


For further context on administrative issues, refer to the external analysis at NRS Bankruptcy Aspect and Hoist Repair.

Council Intervention and New Care Assessment

On , a meeting was held at my flat with Haringey Council's Social Worker, Occupational Therapist, and Care Coordinator. I was informed that resolving the standing hoist issues could take weeks. When concerns were raised regarding basic independent functions like toileting while bedbound, the temporary solution offered lacked consideration for personal dignity.
Following the meeting on , no formal action plan or follow-up communication was provided by the council, leaving the interim care arrangements unresolved.
  • Private Resolution: I independently contacted the equipment manufacturer directly and successfully arranged a same-day emergency service within an hour, taking less than 10 minutes to coordinate.

Comparative Care Analysis: Sara Plus Hoist vs. Track Hoist

Operating a Track Hoist compared to the Sara Plus introduces fundamental changes to daily care operations. Crucially, the Track Hoist requires a minimum of two care professionals to operate safely, effectively doubling the required care budget. More importantly, it shifts my care model from active rehabilitation to passive lifting, stripping away my daily physical independence and dignity during personal care routines. Furthermore, my mother and friends will no longer be able to act as unpaid carers, severely restricting my social interaction and independence outside of formal care hours.

Care Assessment Request

My formal Care Assessment Request was submitted on .

This submission was the direct result of Haringey Council blocking every practical attempt to find a solution for my Sara Plus Hoist.


Technically, the Council conducts a Financial Care Assessment annually to evaluate my financial position and set my care contributions. However, a Care Needs Assessment—which focuses on the actual provision and safety of my care—has been neglected. Despite having complex, single-handed care four times a day, my care needs have not been formally reassessed since my relocation to Haringey around September 2016. A fresh assessment under the Care Act 2014 is a statutory necessity, not an optional request.

Deep Dive - Statutory Right to Advocacy

A critical element of the submission was the explicit request for an Advocate.
Statutory Exception: While standard ASC complaints within Haringey do not automatically trigger independent advocacy, formal Care Act Assessments carry a clear statutory exception where a service user experiences substantial difficulty in engaging with the process. As of June 2026, this legal request has been completely ignored by the local authority, leaving me to navigate complex administrative failures without the independent representation mandated by law.

Timeline

  1. DW told me more in one email thhat Haringey Counil had since August 2025.
    This was the first indication that the missed service was a major issue..
  2. forward the email from DW on 2 February 2026 Adam Starr.
  3. I requested the council to appoint a Social Worker to refer me to POhWER for a Care Act advocate, as self-referral is not permitted. Additionally, a fresh care assessment is required to address essential equipment needs, specifically a Track Hoist and a compatible commode, noting that the transition to a track hoist necessitates an increase in both carer allocation and visit duration.
  4. Submitted a formal Subject Access Request (SAR) to obtain copies of the missing referral documentation.
  5. — Introduction to LOLER

    Spoke with and received follow-up correspondence from KS (Sara Plus Hoist manufacturer), where I was advised on the Lifting Operations and Lifting Equipment Regulations (LOLER).
  6. This would appear to be the partial response to my request
    Conversation with Michelle Clarke (Interim Service Manager). We agreed that a formal care assessment would take place within seven days (by ). Proposals to adjust care schedules or staffing levels prior to this assessment were set aside, as any changes must be evidence-based and informed by a comprehensive review of my needs.
  7. — Care Warning

    FA from my care provider warned Michelle Clarke & Adults Central (adultscentral@haringey.gov.uk) about the Hoist.
  8. — Care Warning

    No substantive progress has occoured. It was agreed with the care provider that they could no longer use the Sara Plus Hoist
  9. — First Care Assessment

    Home Visit conducted.
  10. Sent a follow-up email chasing an update from Adam Starr and Michelle Clarke.
  11. Sent a chaser email to Jay Khan, Jo Baty, Amanda Edwards, Lucia Nelson, Adam Starr, Michelle Clarke, Andy Donald, Pauline McMorrow.

    The sole response was from Cllr Lucia das Neves, who noted that this issue sits outside her cabinet portfolio (Health, Social Care and Wellbeing), though she remains my local ward councillor.

    • UPDATE: Cllr Lucia das Neves has been appointed Chair of the Overview and Scrutiny Committee. Despite assuming this crucial oversight role—which exists specifically to hold the Council's operations to account—she has taken no action to investigate or intervene. By continuing to ignore Haringey Council’s repeated breaches of statutory timescales, LOLER safety regulations, and internal complaint procedures, she is failing to exercise the fundamental mandate of her own committee.
  12. Received a telephone call from Jay Khan.
  13. The formal email from Cllr Lucia das Neves quoting the official position of Adult Social Care was sent on 26 May 2026 at 14:15 (the actual text quoted from Adult Social Care was completely unsigned and anonymous).
    The included snippet summarises one of the most ridiculous parts of the entire case: blatant doublespeak. The Council claims the request has already been fulfilled, while simultaneously arguing the request is invalid and outside their remit anyway. This particular instance highlights a larger problem in that the unidentified person who represented Adult Social Care was misrepresenting a critical element of the case to the elected ward councillor. Crucially, Cllr das Neves never challenged this response. She never invited my comments or sought my opinion, resulting in a third-party perspective that showed extreme bias towards Haringey Council.
  14. Issued a formal request for an in-person update by 17:00 today.
  15. — Unsolicited

    Received unsolicited contact from Tracy Park offering to coordinate communication and provide weekly updates regarding Adult Social Care. This intervention was initiated without my involvement—marking the third representative assigned to mediate these issues.

    Since the email correspondence from Tracy Park, there has been no substantive change or resolution to the issues raised.

    The weekly progress updates promised by Tracy Park have not been issued for seven consecutive intervals (as of mid-July 2026), constituting a material, ongoing failure to adhere to the self-imposed (by Haringey Council) communication strategy.

  16. — Clarity

    FA from my care provider confirmed the increase time for each care visit had no substantive change to my care, most importantly would not allow the Track Hoist to be used
  17. — Accountabilityy

    I note your comments regarding a home visit. Whilst I understand your reasons for reques?ng this, any assessment of your equipment, care and support needs, or housing-related adapta?ons would need to be undertaken by the appropriate professional teams. I will, however, ensure that your request and comments are shared with the relevant service managers for considera?on.

    Tracy Park
    My constant request for home visit is for accountability not assessment. It's extremely apparent there is a serious problem within Adult Social Care.
  18. — Performative Empathy

    I appreciate that this is a very frustrating and difficult time for you, but I will endeavour to provide an accurate picture of where we are, what we need to do and what the next steps are.

    Tracy Park
  19. — ICO Escalation

    The statutory response period for the 27 April SAR expired without action. The matter has been formally referred to the Information Commissioner's Office (ICO).
  20. — Provider Clarification

    Foos Care clarified details regarding the revised care package (single-carer, 1 hour, 4x daily). They explicitly confirmed that operating a track hoist safely requires a two-person ("double-handed") team and noted that the Council had only updated care hours without transmitting necessary details regarding equipment requirements.
    While the Council formally increased my total daily care allocation from 150 minutes to 240 minutes, this administrative adjustment has absolutely no substantive effect on how my care is delivered. Without resolving the underlying equipment crisis or authorizing the two-person team required for a track hoist, simply adding more minutes on paper does not address the fundamental safety and operational failures.
  21. Formally served a Letter Before Claim on Haringey Council, establishing a compliance deadline of .
  22. Haringey Council requested an extension on the Letter Before Claim to .

    Response: This request was formally rejected with full justification. The Council provided no counter-proposals or further response following the rejection.1

  23. The original legal deadline for the Letter Before Claim expired with no response or acknowledgement from the Council.
  24. Second Letter Before Claim Haringey Council- Letter before Claim - Followup.pdf
  25. Severe risk of psychological harm
    Consulted with a trusted medical professional regarding the ongoing Sara Plus Hoist issues and the associated risks.
  26. The Council's self-proposed extension deadline of expired without a substantive response.

    A follow-up email triggered an automated out-of-office reply from the lead caseworker ("On leave, returning 13.07.26"), confirming the department failed to make operational provisions to manage their own proposed deadline.

  27. Escalated and formally referred the matter to the Health and Safety Executive (HSE).
  28. Third Letter Before Claim Haringey Council- Letter before Claim - Claim.pdf
  29. Received invoice for Hoist Service and Repairs
  30. Haringey Council’s delayed response was received completely unannounced. Although the previous request for a 9-day extension had been formally rejected, no response was provided by either the original deadline or the Council's self-proposed extension date.
    The response arrived:
    • 36 days after my original pre-action deadline of
    • 27 days after the Council's own self-proposed extension deadline of
  31. Payment of invoice has been acknowledged.
  32. Haringey Council submitted the first of several fundamentally flawed assessments titled Your Support Plan.
    I have an extensive list of concerns with this document both practical in terms of the actual content and presentation. Firstly, the care assessment was conducted on 8 May 2026. The document is dated 14 May 2026. It wasn't until 5 August 2026 that I even knew the document existed or had the opportunity to comment on it. Secondly, the document states a fundamentally flawed description of my transfers. This flawed understanding is used to justify the care hours increase.
    In the official statutory document, under the "Addendum" section, it has been recorded my contact with the complaints team and included the highly dismissive and defensive statement:

    Mr Mcmorrow is know to regularly lodge a complaints as and when if any issues arises...

    Haringey Council
  33. RB reported that Tracy Park had removed you from the email chain on Friday. Replying directly to Tracy Park and Doris Owusu, RB explicitly called out your exclusion from your own care correspondence by opening her email with:
    Dear Tracy & Doris, Following on from your email below, Mr McMorrow was taken out of the email. I assume it was also your intention to take myself out of the email also?
    This was in response to Tracy Park's email sent on Wednesday, 5 August 2026 at 17:27, where Tracy had dropped you from the CC line while instructing Doris to withhold your Care Act re-assessment review until you and RB could "manage expectations" and prove a "material change in needs"
    This claim was never address or acknowledged by Tracy Park or Doris Owusu

    In hindsight the original Care Assessment proved Severe Procedural Failures. It demonstrated a fundamental lack of understanding, process and accountability. Taking this version into court would have been impossible to refute.
  34. @haringeyGreen posted an embarrassing nonsense video about Anne Gray talking utter nonsense about Adults & Health Scrutiny Panel. If we read https://www.minutes.haringey.gov.uk/ieListMeetings.aspx?CommitteeId=804 we see the “panel” haven't actually convened since Anne Gray was elected. Just TWO meetings are scheduled for 2026. 16 Oct & 1 Nov 2026.
  35. — Second Care Assessment

    A second care assessment took place to fix the major inaccuracies of the first one, which was conducted on 8 May 2026.
    This meeting focused on resolving critical failures in the first care assessment, specifically regarding the maintenance of the Sara Plus standing hoist and failures in the first care assessment. I highlighted the systemic delays caused by the bankruptcy of the previous contractor (NRS) and the inefficient procurement processes currently managed through Provide and Haringey Council.
  36. Final Letter Before Claim Pre Action Response Letter Haringey Council v10.pdf
  37. — Accountability

    email to Cllr Mark Blake & Tehseen Khan expressing my regret in my Haringey Green vote.
  38. — Accountability

    reported the inaction to complaints.manager@greenparty.org.uk & safeguarding@greenparty.org.uk
  39. — Progress

    No measurable progress has been made with the case. Nothing has been done with regards to Sara Plus Hoist (Scenario A) or Track Hoist (Scenario B). Given the current LOLER expiration date of 8 November 2026 I feeling despair and a strong sense of abandonment.
  40. — Procedurally Flawed

    On review of your care act file, I have noted that a referral was sent to POhWER from the local authority on 26th June 2026 and a case file was opened on 30th June 2026.

    DF from POhWER
    The Legal Consequence: If the referral was only made on 26 June 2026, it means the entire statutory assessment, the drafting of the Support Plan, and the unilateral decision to modify your care package, were conducted completely without the mandatory statutory advocacy support in place. Legally, this procedural breach cannot be retroactively cured. It renders the entire 8/15 May Support Plan procedurally flawed, invalid, and legally null.

Ombudsman

Because the council has failed to provide a Stage One response, they are effectively blocking the escalation process. It is therefore extremely unlikely the Local Government and Social Care Ombudsman (LGSCO) will investigate this aspect, as their mandate typically requires the local authority's internal complaints process to be exhausted first.

Outcome

The second care assessment provided an opportunity to review the practical implementation of Scenarios A and B, though significant timeline concerns remain. While Scenario A is the preferred approach, its success is heavily dependent on Haringey Council establishing a viable solution before the current LOLER certification expires on Nov 8, 2026—something the Council has failed to do since February. Scenario B is the least desirable option as it requires a special equipment order for a suitable commode, which entails a three-month lead time from the council's provider. To ensure delivery by Nov 7, 2026 and meet the certification cutoff, an order would need to be submitted by September; however, achieving this timeframe I currently view as unrealistic.

Scenario A: Sara Plus Hoist

This scenario is essentially what I've been doing for about 15 years: to continue using the Sara Plus Hoist.

  • Negotiate and reactivate the formal service agreement with the original equipment manufacturer (OEM). This ensures priority technical support, certified parts sourcing, and compliance with safety standards.
  • Establish a formal agreement detailing the anticipated life expectancy of current assets. This document will serve as a strategic roadmap for scheduled decommissioning and capital expenditure (CAPEX) planning for future replacements.

Scenario B: Track Hoist

To swap to using the Track Hoist, the following need to be done/agreed. Crucial Prerequisite: A commode that integrates seamlessly with my Closomat toilet must be sourced. Without this, the entire track hoist transition is unviable.

  • My 4 care calls a day would be extended to a minimum of 2 hours to accommodate two-carer coordination, sling positioning, passive hoisting protocols, and complex commode transfers. The Track Hoist is a completely different type of care. I've not used any other type of hoist other than my Sara Plus standing hoist in 14 years.
  • Loss of Physical Leg Function & Weight-Bearing: Switching to a Track Hoist replaces active standing with passive lifting. Removing daily weight-bearing opportunities will lead to progressive muscle atrophy, reduced joint integrity, and the loss of remaining functional strength in my legs that I have maintained for over 14 years.