Afareen is a 40-year-old woman currently living in a care home. She is originally from Iran and speaks Farsi.

Afareen was admitted to hospital from a Home Office Detention Centre, where she was staying while awaiting the outcome of her visa application. During her stay at the detention centre, she had a stroke. She was taken to the care home upon discharge from hospital as it was deemed that she requires 24-hour care. She had been placed under a DoLS as it was deemed to be in her best interests to remain at the care home where her needs can be met. 

Kate, a POhWER advocate, was appointed to be Afareen’s Relevant Person’s Paid Representative (RPPR). Kate went to visit Afareen at the care home and found her sitting alone in the conservatory, staring out of the window. She was very tearful and seemed very isolated. Kate used Google translate to communicate with Afareen. Afareen told Kate that there is no one at the care home who speaks Farsi. She said she would like to move to a place with more people of her age and cognitive ability, as many of the people she lives with have advanced dementia and she is finding it difficult to have any meaningful social engagement. She feels that this is having a negative effect on her mental wellbeing.

Kate discussed Afareen’s options with her and informed her that she is entitled to have an appeal against the DoLS restrictions placed on her. Afareen was very clear that she would like to go ahead with this.

Kate contacted a local Solicitor from a list of available support. She explained the situation to him, and they arranged a meeting with Afareen and an interpreter.

When the meeting took place, the solicitor informed Kate that another capacity assessment had been done and it was now deemed that Afareen does not need to be on a DoLS authorisation as she was assessed as having capacity to make her own decision. Kate explained to Afareen that she is no longer restricted under the DOLS. Kate did explain however that she was unsure as to the implications regarding Afareen’s Home Office application that is still ongoing.

Kate asked Afareen if she would like the Local Authority to do an assessment of her needs to see whether a more appropriate placement could be found. Afareen said yes. Kate therefore emailed Afareen’s social worker with this request and they agreed to action this. Afareen’s social worker has stated that they will also engage an Independent Advocate so that Afareen continues to be supported in her decision making.

The interpreter offered to act as a volunteer befriender for Afareen and is in the process of looking into this. Afareen was pleased about this and feels it will improve her mental wellbeing to have someone to talk to.

Afareen said that she feels much happier knowing that she is no longer under DoLS restrictions and is now allowed to go out for a walk. She also said that she is happy to remain at the current placement until a new, more suitable, option is found. She was very happy with the level of support that she has received from Kate.