Page 13 - Community Living 35-4
P. 13

inclusion

                                                                                with learning disabilities, then we need to
                                                                                be more open-minded when looking at
                                                                                the options that are available. I am in no
                                                                                doubt that, for some people with learning
                                                                                disabilities, exclusive inclusion is
                                                                                preferable to inclusive exclusion.
                                                                                Disturbing debate
                                                                                A recent and revealing insight into the
                                                                                value of the lives of people with learning
                                                                                disabilities was highlighted during the
                                                                                coronavirus outbreak.
                                                                                  In June 2020, the Office for National
                                                                                Statistics revealed that almost 60% of
                                                                                deaths from coronavirus in the UK were
                                                                                of people with disabilities.
                                                                                  In July 2020, the Oxford University
                                                                                Disability Law and Policy Project and the
                                                                                Bonavero Institute of Human Rights
                                                                                published a report that described the
       Above and opposite: the Engine Shed was shut down as it was deemed not mainstream enough  impact of coronavirus-related law, policy
                                                                                and practice on people with disabilities.
        In March 2015, the Engine Shed closed   groups – a direct consequence of there   The report provided evidence of the
       as a training/trading operation – a loss   being insufficient staff to accompany   failure of the government to implement
       mourned by many Edinburgh residents.   individuals on 1-to-1 social excursions.   properly its legal duties with respect to
        One of the reasons for its closure was   While it is true that residents are living in   the rights of people with disabilities.
       the contention of Edinburgh Council that   the community, what they are experiencing   It recommended that the government
       it was not a mainstream or integrated   is a form of inclusive exclusion.   produce a disability-inclusive response to
       facility. Or, to put another way, it   Let me be clear – there are homes in   Covid-19 that drew on the experiences of
       constituted what was perceived to be an   the community that do succeed in   disabled people and disabled people’s
       outdated form of provision.         providing a high-quality service but I   organisations to mitigate the immediate
                                           would argue they are in a minority.  impacts of the crisis, along with its long-
       Whose community?                      There are other forms of provision that   term economic and social consequences.
       One of the most contentious policy issues   should be considered. For example,   In March 2020, MPs debated in
       concerning provision for people with   intentional communities like Camphill and   parliament whether all official
       learning disabilities relates to the matter   L’Arche village settings offer what can be   responsibility for the most vulnerable in
       of what constitutes appropriate     described as “exclusive inclusion”.  society – including people with learning
       residential provision. The official view is                              disabilities – should be relinquished.
       that a home in the community is the most                                   In other words, local authorities could
       appropriate form of placement.      There are homes in the               be freed from their legal responsibilities
        The problem with this view is that it                                   under the terms of the Care Act 2014,
       presupposes, first, there is an agreed   community that provide a        enabling them to refuse care for people
       definition and understanding of the   high-quality service but I would   with disabilities.
       meaning of home and community and,   argue they are in a minority          A disturbing feature of this debate was
       second, that residents’ experiences in such                              the resurgence of eugenicist arguments
       a setting can be legitimately characterised                              espoused by some who had been closely
       as integrative and normalising.                                          linked to the prime minister’s office.
        The reality – as an examination of a   While the location of these        Looming over the horizon is the task of
       random sample of Care Quality       communities is often physically apart from  meeting the astronomically high national
       Commission reports will quickly confirm   the mainstream, the experience for   cost that has been incurred by the nation
       – is that many residents in homes in the   residents is genuinely inclusive – a fact   as a result of the coronavirus pandemic.
       community have neither an integrative   that an examination of the content of   On the basis of past experience, it is not
       nor a normalising experience.       inspection reports will confirm.     too difficult to see where the cuts may be
        Chronic underfunding combined with   While the accommodation in an exclusive  made. There is then an urgent need not
       high staff turnover, understaffing and the   inclusive arrangement may not be situated   only to highlight the dangers facing
       recruitment of poorly qualified and   in normal neighbourhoods, those who live   people with learning disabilities but also
       unqualified staff are not conducive to   there are nevertheless an integral part of a   to identify realistically costed strategies to
       creating a high quality of life.    community that offers them a wide range   counter these threats. n
        This shortage of staff impinges not only   of educational, social, cultural, recreational
       on the quality of life experienced by the   and work opportunities. The sites usually   Robin Jackson has been involved in the
       residents but also on how they may be   offer freedom of movement within a safe,   learning disability field for 60 years. His
       perceived by members of the public.   unpolluted and tranquil environment.   most rewarding experience has been
    Aly Wight  as part of undifferentiated and anonymous   providing a high quality of life for people   exploring the historical development of
                                             If we are serious in our pursuit of
        Too often, residents may be seen in public
                                                                                the Camphill movement
       www.cl-initiatives.co.uk                                           Community Living  Vol 35 No 4  |  Summer 2022  13
   8   9   10   11   12   13   14   15   16   17   18