An Advocate's view

When I met P for the first time he would just curl himself up into the foetal position, desperately trying to shut out his surroundings. He seemed terrified - in a strange place with strange sounds, people, language and food. All was new and threatening.

Legal services advised the involvement of an Independent Mental Capacity Advocate (IMCA) to find out Ps needs.She came to see P just twice along with his social worker. They questioned the home about effective management of fluids, weights charts etc.

I sat many hours with P, in his room and on the couch in a communal dining room. Sometimes he would have his radio on, tuned to an Asian station - I had no idea what the DJ was saying, but perhaps this constant stream of familiar music and language was a comfort to him. He would tap his feet or his hand to the beat of the music. Over many visits I would hold out my hand and ask P to give me his - but he would only look at me.

Sitting with P, often without speaking, gave me a chance to see the world as he did - this quiet still man taking in a new world day by day. It was summer and when the sun broke through the clouds P would lift his face to the window, he liked the sound of the outside. Just sitting with someone for a time you notice what they notice.

P liked to be near an open window, with a clear view of the outside. He did not like being in a room that is used as a thoroughfare for the staff and residents, but enjoyed company. He liked his music on constantly, but if there were people talking in the room at the same time it was annoying to him. He liked to sit outside and would cross his arms over his lap when taking in the world.

On the IMCA's second visit she asked me if P could communicate, whether he could make his needs understood? I put out my hand and asked P for his - he reached out and held my hand.

How can we truly represent someone we have not understood? How can we understand someone as a person without spending time noticing them and building trust?

Grapevine Advocate

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