BAILII is celebrating 24 years of free online access to the law! Would you consider making a contribution?
No donation is too small. If every visitor before 31 December gives just £1, it will have a significant impact on BAILII's ability to continue providing free access to the law.
Thank you very much for your support!
[Home] [Databases] [World Law] [Multidatabase Search] [Help] [Feedback] | ||
Northern Ireland - Social Security and Child Support Commissioners' Decisions |
||
You are here: BAILII >> Databases >> Northern Ireland - Social Security and Child Support Commissioners' Decisions >> [1997] NISSCSC C63/97(DLA) (24 September 1999) URL: http://www.bailii.org/nie/cases/NISSCSC/1997/C63_97(DLA).html Cite as: [1997] NISSCSC C63/97(DLA) |
[New search] [Printable RTF version] [Help]
[1997] NISSCSC C63/97(DLA) (24 September 1999)
Decision No C63/97(DLA)
"NICODBLUE PETER BUNGALOW, 30 UPPER MALONE ROAD, BELFAST.
OPERATIONAL POLICY".
Mr B...'s conditions of tenancy were contained in the document headed "Tenancy Agreement"
The grounds of appeal.
In essence the claimant's substantive grounds of appeal were twofold:-
(1) That the Tribunal had erred in its interpretation of the term "private dwelling" in the context of regulation 9(8) of the Disability Living Allowance Regulations (hereinafter called "the Regulations"), and that Mr B...'s accommodation in the Blue Peter Bungalow was in a private dwelling.(2) That the Tribunal had erred in its construction of regulation 9(1)(c) in light of the decision of the House of Lords in the case of Steane -v- Chief Adjudication Officer and Another (24 July 1996).
As regards ground 1 above, Mr Stockman submitted that the Tribunal erred in law in bringing into its consideration of whether or not the claimant's accommodation was a private dwelling, the method by which the charges were met and the degree of ancillary care provided. He submitted that the nature of the charges was only relevant to the type of tenure enjoyed and that a rent charge coupled with other service charges was not inconsistent with a private tenancy. Mr Stockman stated that many disabled people received intensive domiciliary care in their own homes and that this did not alter the nature of the dwelling.
Mr Stockman further submitted that the term "private dwelling" was used to distinguish the nature of the claimant's accommodation from residential accommodation or institutional accommodation. The fact that no staff resided on the premises, that the degree of sharing was not inconsistent with any similar accommodation where young persons shared a flat, and the nature of the premises themselves all indicated that the accommodation was a private dwelling.
Mr Shaw submitted that there was no definition of the term "private dwelling" either in the Regulations or in any of the associated legislation. The term was not used in any unusual sense and the Tribunal having taken full account of the relevant facts had reached a reasonable conclusion. Mr Shaw submitted, citing Lord Reid's judgment in Brutus -v- Cozens [1972] 2 All ER, that the meaning of an ordinary word in the English language was not a matter of law. He cited, in particular, a paragraph from page 1299:-
"it is for the tribunal which decides the case to consider, notas law but as fact, whether in the whole circumstances the words
of the statute do or do not as a matter of ordinary usage of the
English language cover or apply to the facts which have been proved.
If it is alleged that the tribunal has reached a wrong decision
then there can be a question of law but only of a limited character.
The question would normally be whether their decision was
unreasonable in the sense that no tribunal acquainted with the
ordinary use of language could reasonably reach that decision."
As regards the second ground of appeal (ie that the Tribunal had erred in its construction of the Regulations in light of the House of Lords decision in Steane), Mr Stockman submitted that it was a principle of administrative law that discretion must be exercised on proper legal grounds and in accordance with the policy of the legislation. He submitted that as Mr B... was suitably and adequately accommodated it would have been an abuse of the statutory power contained in Article 15 of the Health and Personal Social Services (Northern Ireland) Order 1972 for the Western Board to provide accommodation for him. He therefore submitted that the power to accommodate under Article 15 could not be lawfully exercised in such a case and therefore regulation 9(1)(c) should be interpreted as if there was no power to bear the cost of the appellant's accommodation.
As regards the case of Steane, Mr Stockman submitted that their Lordships accepted that regulation 9(1)(c) applied where there was a relevant statutory power to pay for accommodation regardless of whether arrangements had been made by the relevant authority to place an individual in accommodation. Mr Stockman acknowledged that there was a difference in the legislation between Article 15 of the Health and Personal Social Services Order (Northern Ireland) 1972 and equivalent provision applicable in England ie. section 21 of the National Assistance Act 1948. Both legislative provisions placed on relevant authorities a duty to make available advice, guidance and assistance to the extent considered necessary for persons in need of care and attention and for that purpose, the relevant authority was given power "to provide or secure the provision of such facilities, (including ... accommodation)" as it considered suitable and adequate. The legislation applicable in England however, contained the qualification that the person must be in need of care and attention which was not otherwise available and that condition was missing from Northern Ireland legislation. The House of Lords in Steane took the view that the power to provide accommodation or to secure its provision did not apply to Mrs Steane as she was not a person who was in need of care and attention not otherwise available to her, as long as she resided in the residential care home where she was then living.
Mr Shaw submitted that Article 15 had no such qualification and consequently there was power under that Article to assist Mr B... with the costs of the accommodation and he was therefore caught by regulation 9(1)(c). The policy intention was that there should be no duplication of either responsibility or costs between central and local government for the provision of care to vulnerable people. Regulation 9(1)(c) fulfilled that intention. Mr Shaw submitted that the Scottish equivalent to Article 15 in Northern Ireland had no qualification such as existed in the legislation applicable in England.
Other issues were raised in the course of the hearing. For clarity's sake I have numbered them consecutively with the grounds of appeal.
(3) The Tribunal had made what appeared to be a technical error in recording that Mr B... was "not entitled to the care component of Disability Living Allowance from and including 27 September 1995." In fact the question at issue was payability only, and it was apparent that this alone was what the Tribunal dealt with. Both parties were agreed that there was an error in that respect, albeit of a technical nature.
(4) Mr Shaw submitted that there was an error in the Tribunal's failure to determine whether or not regulation 9(1)(b) applied to prevent payment of benefit. Mr Shaw submitted that a finding determining the specific legislation under which the Trust made its payments was not necessary. All that had to be determined under regulation 9(1)(b) was that payments were made under the Health and Personal Social Services Order (Northern Ireland) 1972 or under any other enactment relating to persons under disability, education or training. He submitted that there was sufficient evidence for the Tribunal to proceed to make a finding on the balance of probabilities that the payments were made under a provision as delineated in regulation 9(1)(b).
Mr Shaw submitted that if it was in order to rely on the "may be" provision in regulation 9(1)(c) where the accommodation was being paid for by a public body, then that would make regulation 9(1)(b) redundant. Similarly there would be no need for regulation 9(1)(a). Therefore, he submitted that regulation 9(1)(b) only applied where regulation 9(1)(a) did not apply and regulation 9(1)(c) only applied where both regulation 9(1)(a) and regulation 9(1)(b) did not apply. It could never be correct in his submission to go straight to regulation 9(1)(c). The Tribunal is his view had erred in so doing. Mr Stockman made no submissions specifically on this point.
(5) Mr Shaw further submitted that the Tribunal had erred in holding that regulation 9(1)(c) was the provision preventing payment of the care component. Regulation 9(1)(b) was the appropriate bar to payment because of the payments being made by the Trust. The decision should have relied on it alone. However, if the Tribunal had decided that the payments made by the Board were in respect of domiciliary services in a private dwelling and were therefore an exception under regulation 9(8)(a), then the provisions of regulation 9(1)(c) could be properly applied. Mr Stockman made no submissions specifically on the point.
(6) At my own request both parties made submissions on the application of regulation 9(1A) to Mr B...'s situation. I deal with this matter later in this decision.
"9.-(1) Except in the cases specified in paragraphs (1A) to (6),and subject to regulations 9A and 10, a person shall not be paid
any amount in respect of disability living allowance which is
attributable to entitlement to the care component for any period
where throughout that period he is a person for whom accommodation,
not being accommodation to which regulation 8 refers, is provided-
(a) in pursuance of Article 5, 15 or 36 of the Order;(b) in circumstances where the cost of the accommodation
is borne wholly or partly out of public or local funds
in pursuance of that enactment or of any other enactment relating to persons under disability or to young persons
or to education or training; or
(c) in circumstances where the cost of accommodation may be borne wholly or partly out of public or local funds in
pursuance of that enactment or of any other enactment
relating to persons under disability or to young persons
or to education or training.
(1A) Paragraph (1)(b) and (c) shall not apply in circumstances where
the cost of the accommodation is, or may be, borne wholly or partly
out of public or local funds by virtue of-
(a) Articles 50 and 51 of the Education and Libraries (Northern Ireland) Order 1986 (which relate respectively to theprovisions of awards by education and library boards and
by the Department of Education in relation to persons undergoing teacher training or postgraduate courses): or
(b) Article 3 of the Education (Student Loans)(Northern Ireland) Order 1990.
(2) N/A
(3) N/A
(4) N/A
(5) N/A
(6) Paragraph (1)(c) shall also not apply-
(a) where the person is living in accommodation as a privately fostered child;(b) where he is a person for whom accommodation is made available for his occupation in accordance with Article 10 of the Housing (Northern Ireland) Order 1988 (duties of the Executive to persons found to be homeless);
(c) where the person himself pays the whole cost, and has always paid the whole cost, of the accommodation and
is a person to whom regulation 9A applies; or
(d) except in a case to which paragraph (7) applies, where the accommodation the person is living in is a private dwelling,
and for the purposes of this paragraph "privately fostered child" has the meaning assigned to it by Article 106(1) of the Children (Northern Ireland) Order 1995.
(7) Subject to paragraph (7A), this paragraph applies where-
(a) the cost of the accommodation the person previously occupied was borne in whole or in part out of public or local funds and where he was moved out of that accommodation at the instigation of the body which bore the cost into a residential care home; or(b) the person is living is a residential care home and at least 3 other persons in that home are provided with board and personal care, excluding persons carrying on the home or employed there or their relatives,
(7A) Paragraph 7(b) shall apply in the case of a person to whom
regulation 9A does not apply as if the words from "and at least
3 other persons" to "their relatives" were omitted.
and for the purposes of this paragraph "residential care home" has
the same meaning as in Article 3 of the Registered Homes (Northern
Ireland) Order 1992.
(8) In this regulation, references to the cost of accommodation shall
not include the cost of-
(a) domiciliary services provided in respect of a person in a private dwelling;(b) improvements made to, or furniture or equipment provided for, a private dwelling on account of the needs of a person under disability;
(c) improvements made to, or furniture or equipment provided for, residential homes or other homes or premises in respect of which a grant or payment has been made out of public or local funds except where the grant or payment is of a regular or repeated nature;
(d) social and recreational activities provided outside the accommodation in respect of which grants or payments are made out of public or local funds; or
(e) the purchase or running of a motor vehicle to be used in connection with the accommodation in respect of which grants or payments are made out of public or local funds."
The regulation provides "The three weekly rates of the care component are- (a) the highest rate, payable in accordance with section 37ZB(4)(a)" of the Social Security (Northern Ireland) Act 1975. (Reference to section 37ZB was later replaced by section 72 of the Social Security Contributions and Benefits (Northern Ireland) Act 1992).
Section 37ZB(4)(a) was also mentioned specifically by the Adjudication Officer as being "law used to make the decision". It provides that the weekly rate of care component is "payable to a person for each week in the period for which he is awarded that component".
As section 37ZB(4) was applied it appears to me that the decision of 5 April 1993 making the award was also deciding that payment should be made and at the appropriate rate.
The only provision by which the decision of 5 April 1993 could be reviewed by an Adjudication Officer was section 28 of the Social Security Administration Act (Northern Ireland) 1992. Section 28(7) requires an application with a view to review to be made in writing. The only possible document which could be possibly considered as an application in writing was the letter from Mr B... dated 30 August 1995 informing the Disability Living Allowance Branch of Mr B...'s move to the Blue Peter Bungalow.
I do not think this letter is in any way an application with a view to review. In no way was Mr B... seeking to have his award of Disability Living Allowance reconsidered. He was simply reporting a change of address. It therefore seems to me that the Tribunal was wrong to affirm the Adjudication Officer's review decision. It does appear to me however, that the Adjudication Officer did have jurisdiction to consider the matter of payability under section 18(1)(b) of the said Administration Act. The question of payability was one which fell for determination by an Adjudication Officer. Mr B...'s letter was submitted to the Adjudication Officer and the information contained in it did, though not expressly, raise a question of payability. I therefore consider that the matter was properly before the Adjudication Officer and therefore before the Tribunal albeit, as Mr Shaw said, the proper legislative route was not given to the Tribunal.
"In reaching this conclusion, the Tribunal is acutely awareof the underlying philosophy of the Blue Peter Bungalow in
providing facilities which encourages the exercise of choice,
the fostering of independence and the promotion of individuality.
Those values are undoubtedly at the heart of a notion of "privacy"
and there are many aspects to the nature of the accommodation which
would encourage us to describe it as a private dwelling. However,
while according the greatest respect to those who reside at the Blue
Peter Bungalow, the Tribunal find that the accommodation provided
there cannot fall into the category of private dwelling. A number
of factors, including the nature of certain restrictions imposed by
the Tenancy Agreement, the method by which the charges for the accommodation are met and the essential degree of ancillary care
services available as of right within the facility, take it out of
the classification of private dwelling."
The Tribunal concluded for the reasons given at page 6 of its reasons for decision that the claimant was not in a private dwelling. It included in the reasons the method by which the charges for the accommodation were met. I am not quite sure what it meant. If the Tribunal meant that charges were being met out of public funds that is irrelevant in determining whether or not a person lives in a private dwelling. That question is essentially dependent on the nature of the occupation and the nature of the dwelling. In addition in the context of the Regulations the matter of how charges are met appears to be quite separate from whether or not a person lives in a private dwelling. It is quite apparent from regulation 9(1), and 9(6)(d) that the cost of the accommodation being met, or able to be met by public or local funds, is not relevant to whether or not that accommodation is in a private dwelling. If it was then there would be no need for regulation 9 nor would regulation 9(6)(d) make any sense. However, as set out below, I think the Tribunal was referring to other aspects.
The Tribunal has also mentioned "certain restrictions imposed by the Tenancy Agreement" as taking the accommodation out of the category of a private dwelling. I am not quite certain what is meant by this. The section of the Tenancy agreement headed "Responsibilities of each Tenant, jointly with Other Tenants" contains no restrictions which are in any way unusual so as to remove the dwelling from the category of private dwelling.
It appears to me that what the Tribunal was referring to was the section in the Agreement headed "Accommodation charges". I think that the Tribunal was also referring to the section in its allusion to the method by which the charges for the accommodation were met. It would not be part of most tenancy agreements that the landlord would be interested in the source from which rental and services charges were to be paid, other than to ensure that payment would take place. Here, however, Mr B... was required to contribute the care component of his Disability Living Allowance and his Housing Benefit and to make a contribution from his Income Support to the household budget. In addition and perhaps most crucially the accommodation charges were to include a charge for care and the Trust was to agree a contract for approximately £65 per week. The involvement of a third party and the building in to the charges of a payment for care costs is certainly not part of the usual form of tenancy agreement and neither is the stipulation of the source from which accommodation charges are to be met nor the provision for payment into a household budget.
It does not seem to me, however, that these factors take the accommodation out of being in a private dwelling. It appears to me that whether or not a person resides in a private dwelling is essentially to be determined by reference to who resides there as of right, the level of control that each tenant has over who shall and who shall not be admitted to the premises , his control over his own routine in the premises, his input into the joint domestic arrangements and his relationship to other persons who also reside in the premises. This list is not exhaustive.
The method of financing the rental, service and care charges while unusual does not appear to me determinative. In any event it also seems to me to not be a condition of tenancy so much as a statement of arrangements. There was, after all, no provision that it was a condition of the tenancy that Mr B... remained entitled to Disability Living Allowance or Income Support. Mr B... remained in the premises after his Income Support entitlement ceased and indeed after he stopped being paid the care component of Disability Living Allowance, the accommodation charge being met from other sources. In addition as the dwelling was to be a permanent home, if Mr B... became more independent less services would be needed and the care element would reduce.
As regards the care available as of right, it is correct that, subject to financial and management constraints, the tenants could obtain care from NICOD ancillary to their tenancies. As I set out below, however, this care was primarily to be determined by the tenant and the need for it was not a condition for the tenancy to continue. That need could increase, decrease or disappear and the right to reside in the bungalow would remain. In addition because it was to be determined by the tenant, it did not alter the level of control and independence exercised by the tenant.
I consider therefore that the Tribunal erred in treating the bungalow as other than a private dwelling. It was, I think, unreasonable in the Brutus -v- Cozens sense in so doing.
I have been asked by both parties to substitute my own decision for that which the Tribunal should have given; I consider that this is a case where it is appropriate to do so.
I therefore have to decide whether or not the claimant's accommodation is in a private dwelling. With one proviso, which in light of my conclusion is not of great relevance, I consider the phrase "private dwelling" should be given its ordinary meaning. The proviso is that I think the phrase should be broadly applied in the context of this legislation. This is because of the provision of regulation 9(7) which provides:
"(7) Subject to paragraph (7A) this paragraph applies where -(a) the cost of the accommodation the person previously occupied was borne in whole or in part out of public or local funds and where he was moved out of that accommodation at the instigation of the body which bore the cost into a residential care home; or(b) the person is living in a residential care home and at least 3 other persons in that home are provided with board and personal care, excluding persons carrying on the home or employed there or their relatives,
and for the purposes of this paragraph "residential care home" has
the same meaning as in Article 3 of the Registered Homes (Northern
Ireland) Order 1992."
It seems to me that the exclusion at regulation 9(6)(d) of cases to which paragraph (7) applies would not be necessary unless such persons might be otherwise assisted by the private dwelling exemption and that persons in a residential care home might, were it not for section 9(7) be considered as living in a private dwelling. It is in this context that I consider the phrase "private dwelling" should be given broad application.
However, even leaving that matter aside I would have reached the same conclusion as I have done. Mr Shaw cited the case of C & G HOMES LTD -V- SECRETARY OF STATE FOR HEALTH [1991] 2 All ER 841, a case not in the Social Security field but relating to clauses to do with the use of certain dwellings. Mr Shaw submitted that I should take into account all the factors set out in that case in deciding whether or not this was a private dwelling.
The factors taken into consideration in the C & G Homes case were as follows:-
(1) That there was no individual or individuals (whether as tenant or co-tenant or owner or joint owner) who could occupy the house as his or her own.(2) That the Secretary of State remained responsible for the care of the residents who remained patients in the care of the National Health Service.
(3) That the house was owned by the Secretary of State as a Minister of the Crown exercising responsibility for the care of the residents and in that sense was used for public and not private purposes.
(4) That there were resident staff employed by the National Health Service.
As a result of these factors the judges concluded that the houses in that case were being used for purposes "other than those incidental to the enjoyment of a private dwelling house.
It appears to me that this agreement enabled each tenant to occupy the house as his or her own home.The property was owned by the NICOD, a charitable body which did not as such have any responsibility for the care of any of the tenants. The tenants were not patients but were all people with severe physical disability.
There were to be no resident staff. A formal care plan was to be negotiated with the tenant who was to "have primacy in completing it", although the views of others were to be taken into account and the implementation of the care plan was the responsibility of NICOD's Manager of Accommodation. Tenants were responsible for their own medication and were to register with a local GP. They were to be enabled by support workers to manage their own shopping, budgeting, menu preparation etc, with practical assistance provided for those activities the tenants were unable to manage.
The absence of resident staff, the tenants considerable control of the level of care, their responsibility for their own medication and the requirement for registration with a local GP all indicate strongly that the residents of the Blue Peter Bungalow were not in any way patients.
I therefore consider that the accommodation in this case was very different to that in the above case. I therefore have to decide if Mr B...'s accommodation in the Blue Peter Bungalow was in a private dwelling.
I do consider that the tenancy agreement was not the normal form of tenancy agreement. Mention of the sourcing of finance and certain services provided and the expectations as regards medication would not normally form part of such an agreement.
However, what had to be decided here was whether the claimant's accommodation was in a private dwelling. This bungalow accommodated 3 or 4 young people with severe disability. It had an intercom link to Ardkeen whereby assistance could be obtained. It was adapted for the tenants' needs. They were responsible for the domestic routine of the bungalow and for its internal repair. There were no members of staff in residence and the residents had the right to exclude anyone from their own bedrooms and by agreement with each other from the bungalow (except always for the landlord's reasonable right of access). Each lived there as a tenant and NICOD was not responsible for the care of any tenant, being merely the agent through which the care which each tenant required was to be obtained and managed. The young people were to determine, subject to financial and management constraints, the level of care provided. They were encouraged to regard the bungalow as their home and had a right to reside there for as long as their conditions of tenancy were met. Those conditions did not include any provision setting out the level, if any, of care to be required or provided to ensure continuance of the tenancy. If needs increased or decreased, the tenancy remained.
In light of all the above factors I consider that Mr B...'s accommodation in the Blue Peter Bungalow has throughout been in a private dwelling.
I therefore consider that the exemption in regulation 9(6)(d) applies and regulation 9(1)(c) does not apply to Mr B....
I come then to deal with the applicability of regulation 9(1)(b). I do consider that the payment made by the Trust was in pursuance of an enactment as set out in regulation 9(1)(b). If therefore payment was for the cost of the accommodation, Mr B... would be caught by regulation 9(1)(b). Regulation 9(8)(a) specifically provides that references to the cost of the accommodation is not to include "domiciliary services provided in respect of a person in a private dwelling".
The costs borne here by the referring Trust were the sum of £69.39 per week. I accept NICOD's letter of 8 June 1999 to Mr Stockman and NICOD's letter dated 8 March 1993 to Mr McQ… of the Housing and Planning Centre and conclude, on the basis of same, the payment of £69.39 per week was for domiciliary services provided at the Bungalow.
No issue was raised and none is apparent to me that any other costs of the accommodation was borne out of public or local funds. I therefore conclude that regulation 9(1)(b) is not applicable to Mr B....
One further matter remains. This relates to the applicability of regulation 9(1A) of the said Regulations. I consider (as did both representatives) that the Tribunal was in error in failing to explore this matter in light of its conclusion that Mr B... was not living in a private dwelling. There certainly remained an issue to be explored by the Tribunal as to whether Mr B...'s being a full-time student in receipt of a grant could lead to regulation 9(1A) assisting him. As my conclusion is different it is not necessary that I decide the applicability of regulation 9(1A) and I do not wish to delay a decision. I would prefer further argument before reaching a concluded view on the matter.
My decision in relation to the question of whether or not Mr B... is to be paid the care component of Disability Living Allowance does not rest on regulation 9(1A), but on the non applicability of regulation 9(1) to Mr B...'s case.
My decision, therefore, is that the appeal is allowed and Mr B... is not prevented by regulation 9 of the Regulations from being paid the care component of Disability Living Allowance from and including 27 September 1995.
(Signed): M F Brown
COMMISSIONER
24 September 1999