Stephanie who is 9 years of age has a diagnosis of down syndrome, autism and learning difficulties. She also has severe hypotonia which affects her mobility. Stephanie has no sense of danger and communicates using Makaton signs.
Due to Stephanie’s impairments she requires assistance eating meals and using cutlery, and has to be closely supervised as she is unsteady on her feet.
Stephanie was last assessed in February 2016 and was provided with a care provision of 7 hours per week which was split up to 1 hour per day. This was personal care to cover her toileting needs and to assist her in getting in and out of the bath.
Since 2016, Stephanie was not re-assessed for her needs, nor did the Local Authority check to see whether the current care plan was working. Over the two years, Stephanie became bigger and weights 36kg. She had to mobilise around the home using furniture and assistance from her parents.
Stephanie was unable to go up the stairs on her own, and had to be carried or encouraged by her parents. When she had to come down the stairs, she had to slide on her stomach.