Dr Giraldi Home Inquiry
Day 10
October 15, 2013
Opus 2 International - Official Court Reporters
Phone: +44 (0)20 3008 5900Email: [email protected]: http://www.opus2international.com
October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
1
1 Tuesday,15October2013
2 (10.00am)
3 Housekeeping
4 THECHAIRMAN:Goodmorning,everyone,andwelcometoDay10
5 oftheDrGiraldiHomeInquiry.Wearerunningslightly
6 behindscheduleintermsofthewitnessestobecalled,
7 sothereisapossibilitythatwemayhavetositforat
8 leastpartofFriday.SoIhopethatpeoplewillbear
9 thatinmindincasetheirdiariesareotherwise
10 occupied.Wewillkeepyouinformedofthataswe
11 progress,butthereisapossibilityofthat.
12 Right,wecancontinue,then.Yes,MrEnright?
13 MRENRIGHT:Yes,sir.MrIsolaservedastatementlast
14 nightandheiscomingasawitnessonThursday.Hewas
15 thesolicitorfortheSocialServicesAgencyatthe
16 IndustrialTribunalcase.Itjustdidseemabitof
17 asurprisethatasolicitorwascomingtodiscusshis
18 privilegedinstructionswithhisclientregarding
19 anIndustrialTribunalcasethatwasoversomeyears
20 ago.
21 THECHAIRMAN:Youaretalkingaboutwho,MrEnright?
22 MRENRIGHT:MrMarkIsola.
23 THECHAIRMAN:Right.
24 MRENRIGHT:Itjustseemsveryoddthatthesolicitoris
25 beingcalledinthisway.
2
1 THECHAIRMAN:IthinkitaroseoutofMrBossano'sevidence
2 abouttheunfairdismissalproceedings,sofor
3 completeness,MrBossanoactuallymentionedMrIsolaand
4 hisparticipationintheproceedings,sowethoughtit
5 appropriatethatheshouldcomealongandclarifyhis
6 positioninthatrespect.Butifyouareembarrassedor
7 wanthimcalledlateroranythinglikethat,letme
8 know.
9 MRENRIGHT:Ijustwantedtoexpressmyclient'sconcern
10 thatshefeltbasicallytheIndustrialTribunalisbeing
11 runagain.
12 THECHAIRMAN:Right,theansweristhatitwasinresponse
13 toMrBossano'sevidenceabouttheunfairdismissal
14 claim.
15 MRENRIGHT:Thankyou,sir.
16 THECHAIRMAN:Okay.MrAzopardi?
17 MRAZOPARDI:Sir,wearegoingtocarryonwith
18 MrsAdamberry.
19 THECHAIRMAN:Yes,right.
20 MRSMANUELAADAMBERRY(continued)
21 (Evidenceviainterpreter)
22 THECHAIRMAN:Goodmorning,MrsAdamberry.Muchasgracias
23 paravolverestemanana.
24 Yes,MrAzopardi.
25 QuestionedbyMRAZOPARDI(continued)
3
1 MRAZOPARDI:MrsAdamberry,Ihadafewmorequestionsfor
2 you.CanIfirststartwithaquestioninrelationto
3 theroom,whatyoucalledyesterdaytherelaxationroom,
4 whichisalsoreferredtoasthe"time‐outroom".
5 Ithinkyousaidyesterdaythatyourecallthatroomnot
6 havingalock,butthatlater,whenSharoncame,alock
7 oraboltwasinstalled;isthatcorrect?
8 A.It'salongtimesincethisoccurred.Irememberthe
9 doornexttothepatio,therewasalargebolt,alock.
10 Ithinktherewasakeytoit,otherwisethechildcould
11 openitfromtheinside.BecauseIdon'tremembervery
12 well,whenIarrivedthatevening,it'snotthefirst
13 timeIhadseenthechildinthere,andIbelieveand
14 Ithinktherewasalock,Idon'trememberquite
15 exactly,butIknowthechildwasinthere,andthe
16 faeceswasthere,hadbeenthereforalongtimebecause
17 itwasdry.
18 Q.Thisistheincidentthatweweretalkingabout
19 yesterday?
20 A.Yes.
21 Q.Right.Okay.Canyourecallthelockornot,oryou
22 arenotsure?
23 A.Iamnotsure.
24 Q.Right.
25 A.Idon'tknowiftheyactuallychangedthedooritselfor
4
1 not.ButIthinkyes,therewasone,yes.
2 Q.Allright.Youcanonlytelluswhatyouremember.
3 A.(Answernottranslated)
4 Q.CanItakeyoutoadocumentwhichisat{M27/14/4}.
5 Canyouseethisisagainadiaryentry,andin
6 particular‐‐thetranslator,inparticularIam
7 interestedintheparagraphthatstarts"Manolita
8 arrived",andifyoucantranslatethattoher,and
9 thereisapartoverthepage.Unfortunatelyit'squite
10 long.
11 THEINTERPRETER:Okay,it'sthispageandoverthepage?
12 {M27/14/5}
13 MRAZOPARDI:Yes.
14 (Pause)
15 THEINTERPRETER:Canwepassthepage,please?
16 (Pause)
17 A.No.
18 MRAZOPARDI:Notowhat,sorry?Thereisalotthere.
19 A.Letmethink.Thisreportshouldbeintheincident
20 book.Ihaven'tseenthisreport.I'veseenthisnow.
21 Q.Okay.
22 A.ThisreferstowhatIspokeaboutyesterday.
23 Q.Ithoughtitmightbe,that'swhyIwantedtoshowitto
24 you.
25 A.I'veneverseenthis.Whenshewroteintheincident
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1 book,shedidn'twriteitonthedayitoccurred.She2 diditnextday.WhenIwentinwiththenightcarer,3 Iaskedhertoreadittome.Whenshereadit,Isaid4 thathalfofitdowntherewasn'ttrue.Iwaitedfor5 Sharontoarrive,IthinkIcalledforhertocome,and6 Iwaitedforher,andIsaidtoherwhatshehadwritten7 therewasn'ttrue.SothenIstartedtotellherhow8 thingshadreallyhappened.Shewenttothebackofthe9 incidentbook,andstartedtowritewhatIwassayingto
10 her,anditwasn'tthis.11 Q.Right.12 A.Ifshewereagoodprofessional,andshewasdoingher13 jobwell,whydidshechangethethingswhichIknew14 weretherewhich‐‐intheincidentbook,whichhadn't15 occurred?16 Q.Okay.17 A.Whywasn'tIshownthisreportatthetime?18 Q.CanIjustaskyouafewquestionstoseewhatexactly19 youaresayingisnottrue?Firstofall,youseethe20 signatureonthatpage?Itappearstobethesignature21 ofSharonOpenshaw.22 A.AnditshouldalsoincludeFlor'sandmine.23 Q.Youcanseethatsignature?24 A.That'shers.Yes.WhereismysignatureandFlor's25 signature?
6
1 Q.Yes,Iunderstandthat,Ijustwanttoaskyouafew
2 questionsaboutthatpassage.Firstofall,did
3 SharonOpenshawspeakSpanish?
4 A.No,nothing.
5 Q.Sohowdidyoucommunicatetoeachother?
6 A.Withmycolleague.
7 Q.Whowas?
8 A.RoseSeruya,orifitwasn'tRoseSeruya,itwaswhoever
9 waswithme.
10 Q.Flor?
11 A.No.Withthenightcolleague,thenightstaff.Could
12 beNazareth,whoalsodidn'tspeakEnglish.Ithinkon
13 thisoccasionitwasAdelaideFortuna,Ithink,who
14 wouldhavebeenworkingwithmethatnight.
15 Q.ButSharonOpenshawthencouldn'tcommunicatedirectly
16 withyouorNazarethorFlor?
17 A.No,notdirectlywithme.FlorandCoreywentonduty
18 atmiddayandIleftat9.
19 Q.Allright.
20 A.SowehadtocallSharonBerkenshaw‐‐
21 Q.Openshaw?
22 A.Openshaw.Soshewasthere,sowecouldtellherwhat
23 wewantedtosay,whathadhappened.Ineverspoketo
24 herdirectly.
25 Q.Iunderstand.CanIjustaskaboutthisparticular
7
1 incident?IsittruethatLstruckyouwith‐‐
2 A.Yes,hehitthethreeofus.
3 Q.ThethreeofyoubeingFlor‐‐
4 A.Flor,SharonOpenshaw,andmyself.
5 Q.Sohehitallofyou?
6 A.Yes,yes.
7 Q.Sothatpartistrue?
8 A.Andhespatatus.
9 Q.Isee.
10 A.Yes,thatistrue.
11 Q.Isitalsotruethatyouhadgreatdifficulty,allof
12 you,inrestraininghim?
13 A.Isaidityesterday,yes.Si.
14 Q.Iamtryingtogettowhichpartyousayisnottrueand
15 whichpartistrue,that'sall.
16 THECHAIRMAN:MrAzopardiandMrInterpreter,Ithinkwe
17 needtogoalittlemoreslowlyhere,becauseit'svery
18 difficultforthetranscriberstogetitalldownas
19 it'sbeingspoken.Soifyoucantrytowaituntilthe
20 questionhasfinished,obviouslythewitnesswilltell
21 you,MrInterpreter,andthenifyoucangivethe
22 answer.
23 MRAZOPARDI:Iunderstandyouexplainedthisyesterday.
24 A.Yes.
25 Q.Iamjusttryingtoputquestionstoyoutounderstand
8
1 betterwhichpartsofthispassagearetrueandwhich2 partsarenottrue.Soifyoucanjustbearwithme,3 I'lljustaskafewquestions.4 IsthepartwhereitissaidthatyoutookL'shand5 andputitinhismouth,isthattrue?6 A.HowamIgoingtogethishandandputitintohis7 mouth?8 Q.Soareyousayingthat'snottrue?9 A.Ofcourse.Florwasholdinghimbytheshoulders,we
10 eachhadonearm.Wecouldn'trestrainhim,hewas11 seeingwhathecoulddotous.HowamIgoingtodo12 whatitsayshere?13 Q.Okay,soyourpositionisthatyounevertookhishand14 andforceditintohismouth,asitsaysinhere,this15 passage?16 A.No,never.17 Q.Okay.Isittruethatduringthestrugglehehitoutat18 thecurtainsandthecurtainsandpolefelldown?19 A.Yes,anditfellontopofthethreeofus.Itwasn't20 withthehand,withhisfeet,hegotcaughtwiththe21 curtainwithhisfeetanditpulleddown.22 Q.IsittruethatLgrabbedthecurtainpoleandswungit23 atMrsAdamberry?24 A.No,hecouldn'tgetit,becausethechildwassittingon25 thebedandthecurtainwasoverthere(indicated).No.
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1 Q.Okay.Wereyouawarethatameetingwasheldas2 aresultofthatincidenttodiscusshowthebetter3 precautionscouldbeputinplacetotakecareofL4 duringtheseincidents?5 A.IwasnotinformedaboutanymeetingandIwasnot6 informedaboutthiseither.AllIsawwaswhatwasin7 theincidentbookthere,becauseshedidn'tevendo8 areport.AsfarasIremember,shedidn'twrite9 areport.
10 Q.Okay,itappearsthattherewasameeting,becausethere11 isadocumentwhichisinEnglish,albeit,at{M27/18/1}12 .Now,youseeatthetopofthepage,it'sclearyou13 arenotatthatmeeting,butitappearstherewas14 ameetingbetweenallthosepeople,including15 ChrisWilson,whoatthetimewaspartoftheSocial16 ServicesAgencymanagement.Youseethefirstsentence17 says:18 "Purpose‐‐wayforwardfor[L].Difficultiesof19 late.Agreewayforward."20 Sothemeetingappearstobetodiscusshowbestto21 dealwithLbecauseofhismorefrequentaggressive22 behaviour.Ifyougotothenextpage,{M27/18/2}this23 isadescriptionofvariousthings,butyouseeunder24 "Decisions"itsays:25 "Increasestaffing2:1."
10
1 Soitappearsanywaythat,asaresultofthatand2 otherincidents,thatwasthetimewhenL'scarerratio3 wasincreased.Woulditaccordwithyourrecollection4 thatitwasaroundthattimethatmanagementdecided5 thatLalwaysneededtohavetwocarers?6 A.Iknowthattheyincreasedtwotoone.Ididn'tknowit7 wasbecauseofthisornot,becauseIwasnotinformed8 ofthis.9 Q.Okay.Well,ifyouweren'tinformed,that'sokay.But
10 shewasawarethatitwasaroundthattimethatthey11 placedhimtwotoone?12 A.Maybeyes,maybeno.13 Q.Okay.Thingstendedtogetworseevenafterthatwith14 L;isthatright?15 A.Yes,itgot‐‐itwasgettingworsedaybyday.16 Q.Andindeeditledtoadecisionbeingtakeninprinciple17 ofthinkingthatLshouldperhapsgotoEngland?18 A.IrememberwehadtowaitoutsideforLatschool,we19 couldn'tevengoinsidetopickhimup,becausethings20 weregettingimpossible.Wecouldn'tgoandpickhim21 up,itwasdisastrous.Hisbehaviourwasworsening.As22 hedidn'tlikethenewstaff,theminutehesawthem,he23 startedtolashoutandtobreakthings.So24 AngelaLucas,whowastheheadthere,decidedthatwe25 shouldnotenterthepremisesoftheschool,thatwe
11
1 shouldwaitoutsidethegate.
2 Q.Okay.Now‐‐
3 A.Theteacherwouldbringhimoutandwewouldpickhimup
4 outside.
5 Q.Thesituationledtoanassessment,whichisat
6 {M27/36/25}.Thisisapre‐placementassessment.This
7 isareportthatwaspreparedbeforeLwassentto
8 England.Itdoesdescribeintheveryfirstpage‐‐
9 perhapsifyoutranslatetheparagraphthatstarts,it's
10 thefourthparagraph,"Staffarebeinghurtonaregular
11 basis..."
12 (Pause)
13 Thisassessmentappearstohavebeenaccompaniedby
14 acareplanwhichstartsat{M27/36/27},and
15 particularlyat{M27/36/30}.Doyouseetheparagraph
16 thatstarts,"Historically..."?Thesecondandthird
17 paragraph,ifyoucantranslatethatforher.
18 (Pause)
19 DothoseparagraphsaccordwithyourexperienceofL
20 towardstheend?
21 A.Yes.IalsostartedtoworkwithRose,whowasnew,and
22 itwas"Rosethis,andthat,ifyoudothingsthis
23 certainwaythechildwillnotstartgettingangrywith
24 you".Idon'trememberwhetheritwasayearortwo
25 years,andhe'shithertwoorthreetimes,butneverto
12
1 thepointwhereit'smentionedhere,totheextentit's
2 mentionedhere.
3 Q.Despitehisworseningbehaviour,youwerequitesadto
4 seehimgo;isthatnotright?
5 A.Yes.Itaffectedmequitebadly.
6 Q.That'sinyourstatement.
7 A.Yes.
8 Q.Whydiditaffectyousomuch?
9 A.ThewayIsawthings,andIwayIunderstoodthem,Isaw
10 thingsthatshouldn'tbehappening,forexample,ifhe
11 wasaffectedbythepresenceofhismother,whydidthe
12 seniortakehertothehouseeverynowandthen?This
13 wasaffectinghimdeepdown.Icouldseetheyweren't
14 doingthejobcorrectly.Ifhehadhadthesameteamas
15 hehadhadsometimeago,Ithinkthattodayhewouldbe
16 inGibraltar,inahomewhichwasbettersuitedtohis
17 needs,andIthinkhewouldbehere.Iknewthewayhe
18 wasgoing,ifhewasn'ttakenawayhewouldendupin
19 thementalinstitutionhere.
20 Q.Now,youareawarethatL,afterafewmonths,made
21 certainallegationsinEngland,generalallegationsbut
22 alsomentionedyourname.
23 A.Yes.
24 Q.Youareawareofthoseallegations?
25 A.Notalltheallegations,becauseI'velearntofsome
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1 now.
2 Q.CanItakeyou,perhaps,ifit'sgoingtobehelpful,
3 {M27/23/4}.ThisisanemailfromWarwickshirePolice
4 toGibraltarPolice,wheretheysummarisesomeofthe
5 commentsthathadbeenmadebyLtotheminEngland.In
6 particular,Ithinkperhapsifyoutranslatejustthe
7 firsttenlinesorso.
8 THEINTERPRETER:Okay.
9 (Pause)
10 MRAZOPARDI:Okay.
11 THEINTERPRETER:Wherewouldyoulikemetofinish?
12 MRAZOPARDI:Maybefinishat"Itwouldappear...",which
13 isfourorfivelines.
14 THEINTERPRETER:Okay.
15 (Pause)
16 Okay.
17 MRAZOPARDI:Soletmejustaskyou:youseethatspecific
18 mentionofyouandhisallegationthathewasgrabbed,
19 hisarmsweregrabbedandputbehindhisbackandhis
20 headwasputinthetoilet.Whatdoyousaytothat?
21 A.No,no,thisisimpossible.Firstbecausethetoilet
22 wasverysmall,andsecondlybecausethatwouldhave
23 neverbeendonetohim.No.
24 Q.Soyoudenythisallegation?
25 A.No,no,thisdidn'thappen.
14
1 Q.CanItakeyoualsoto{M27/37/3},whichisthenotes
2 ofaninterviewconductedwithLbyWarwickshirePolice,
3 andinparticularsortofalmosthalfwaythereis
4 aquestionthatstartsat00:14,doyouseethat,inthe
5 margin?
6 THEINTERPRETER:00:14,661,"Didyoutell..."?
7 MRAZOPARDI:That'sthetime."Didyoutell...",yes,if
8 youreadthatandtranslatethattoprobablytheend.
9 THEINTERPRETER:Okay.
10 (Pause)
11 THEINTERPRETER:Sorry,inthelastline?
12 MRAZOPARDI:Yes,Ican'treadit.
13 THEINTERPRETER:"Thenheclarifiedhetold..."?
14 MRAZOPARDI:Idon'tknow,Ican'treadit.
15 (Pause)
16 THECHAIRMAN:Ithinkit's"Clarifiedhetold",andthenit
17 mustbeaname,"aboutthatincident,notCheryl".
18 THEINTERPRETER:That'sright.
19 A.Iftheyaskedhim"Didyoudrinkwater?",theyare
20 askinghimaquestion,thenhewillsay"Yes".
21 MRAZOPARDI:AndIthinkshesaid"Butno"?
22 A.Butno.
23 Q.Whatdoyoumeanbythat?
24 A.No,no.Nothinglikethishappened.Ithinkhe
25 mentionedthelastthreepeoplewhowerewithhim.Iam
15
1 notsureof,youknow,butIthinkthathejust
2 mentionedthelastthreepeoplewhowerewithhim.We
3 tookhimtotheairport,wetookhimtotheairport,we
4 tookhimontheplane,welefthimthere.Beforehe
5 saystheystuckaneedle‐‐
6 Q.Yes.
7 A.‐‐attheairportwehadtogivehimaninjection.In
8 hismind,allthatisworkinginhismind,workingaway.
9 Andhedoesn'tknow.Butnoneofthisistrue.
10 Q.Areyousayingthathe'smixingupeventsthathappened?
11 A.Yes.
12 Q.Soarewesayingthattheeventofhimbeingputinto
13 thetoiletalsohappened?
14 A.No,no.NotwhenIwasthereornotwhenIwasn't
15 there.He'squitebigandthereisnoway.
16 Q.Youalsosayinyourstatementatparagraph61,whichis
17 {E/1/8},thatyoudidn'tevenworktogetherwith
18 Sharon?
19 A.No.MaybeI'veseenheroneortwodayswhenIwas
20 workingthere,butIdidn'tworkwithher.
21 Q.IsLsomeonewhowouldregularlysaythingsinthissort
22 ofmixedfashionthatyoudescribe,ornot?
23 A.Likethisnow,yes.Sometimes,yes.Yes,sometimes.
24 Itwasquiterare,butyes,sometimes.
25 Q.IfIcanshowyouastatementthatwasmadeby
16
1 MaureenCaruana,{M27/29/1},whoseemstobeacarerat
2 theagency,astatementmadetothepolice.Atthenext
3 page,{M27/29/2}shesays,inthelasttwolines,ifyou
4 see:
5 "[L]usedtofantasisealotattimes..."
6 Isthataccurate,thatLusedtofantasisealot,
7 makingupstorieswhichhadneveroccurred,ornot?
8 A.Sometimes,yes.Yes,hewouldinventstories,butit
9 referredtothingswhichhehadseen.
10 Q.Isee.
11 A.Iwouldsitwithhim,toseeLionKing,towatch
12 LionKing,hewasthelion,Iwastheotherone,and
13 therethewholefamilywasthere.Andhewouldpoint
14 andsay,"That'syou,that'sSheila,that'sthebaby",
15 andIwouldsay"Oh,right"andhewouldwatchthe
16 LionKingforhoursandwewereallthefamily.Of
17 courseheusedtohavethesefantasiesinhishead,
18 Ithinktheywerefantasies.
19 Q.Okay.CanIshowyouawitnessstatementof
20 DeniseHassan,whichisat{F/23/1},andat
21 paragraph20‐‐
22 THECHAIRMAN:Sothat's{F/23/3}?
23 MRAZOPARDI:Yes,Ithinkso.
24 THECHAIRMAN:Itis.
25 MRAZOPARDI:Atparagraph20,canyoutranslatethatfor
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1 her?
2 (Pause)
3 Now,whenwerefertothatresident,letmejust‐‐
4 Ithinkit'simportantifwerefertothatresidentthat
5 ismentionedthereasResidentN.Okay?Doyousee
6 whatMrsHassanissayingthereinthatparagraph?What
7 doyousaytothat?
8 A.(Pause).InN'sroom,wasthis?Whenitsayshelayon
9 top,wasitN'sroom?
10 Q.Yes,Ibelieveso.
11 A.Ican'trecallwhether2003IworkedorIdidn'twork.
12 WhatIdorecallvery,verywell,Ihavenevergrabbed
13 anybody'sbottom,andI'veneverdonethat.
14 THEINTERPRETER:Shemeanslyingontopof.
15 MRAZOPARDI:Okay.CanIshowyouaswell,Idon'tknow
16 howwedothis,butIwouldliketogotothetranscript
17 ofDay7,andpage75.{Day7:75/21}
18 Now,ifyoucantranslate,atline21,thereis
19 aquestionthatisputbyoneofmylearnedfriends,and
20 ifyoutranslatethat,andthenIamgoingtotakeyou
21 topartofthenextpage.
22 THEINTERPRETER:Okay.
23 (Pause)
24 THECHAIRMAN:Whoseevidencewasthis,MrAzopardi?
25 MRAZOPARDI:ThisisMsHassan's.
18
1 THECHAIRMAN:Right.
2 MRAZOPARDI:Haveyoureachedtheend?
3 THEINTERPRETER:Yes.
4 MRAZOPARDI:Ifwegoover‐‐{Day7:76/1}
5 THEINTERPRETER:"Playingaroundwithhim",Icantranslate
6 itindifferentways.
7 MRAZOPARDI:Youwillseeitfromthecontextattheendof
8 thesentence.
9 THEINTERPRETER:Okay:
10 (Pause)
11 DoIcarryonthewholepage?
12 MRAZOPARDI:Maybejumptoline9.Thenifwegotothe
13 nextpage,{Day7:77/1}andyoutranslatefromline1to
14 line9.
15 THEINTERPRETER:Okay.
16 MRAZOPARDI:Sorry,line10.
17 (Pause)
18 A.No.I'veneverdonethis,Ihaven'teventhoughtabout
19 that,itwouldn'tevencrossmymind,thisisalllies.
20 Hesometimesusedtotouchourbottoms,andweusedto
21 sayhadhim,youknow"Youdon'tdothat".ButI've
22 neverdonethis.Never.
23 Q.MrsAdamberry‐‐
24 THECHAIRMAN:Haveadrinkofwater,MrsAdamberry.
25 A.(Pause).Inflat1?
19
1 MRAZOPARDI:ItwasattheHomeitself,yes.
2 A.Ihaven'tworkedalotinthere,Yvettewasn'tworking
3 withmeinflat1,becauseifIwasthere,Iwas
4 coveringsomebody,andtheretherewereotherdifferent
5 people.I'veneverworkedinflat1.Yvettedidthe
6 nightshift,andsheneverdidanyovertime.Idid
7 overtime,yes.Butshedidn't.AndIdon'tthink,you
8 know,thatit'struethatYvettewasthere.Thisisnot
9 true.No.
10 MRAZOPARDI:Thankyou.Ihavenofurtherquestions,sir.
11 THECHAIRMAN:Right.MrVasquez?
12 MRVASQUEZ:Yes,Ihaveoneortwoquestions,ifthat'sall
13 right.
14 THECHAIRMAN:Yes,ofcourse.
15 QuestionssuggestedbyMRVASQUEZ
16 MRVASQUEZ:Ishouldjustwaitamoment.(Pause)
17 THECHAIRMAN:Don'tworrytoomuch,MrsAdamberry.Weare
18 nearlyfinished.
19 MRVASQUEZ:Ijusthaveoneortwoquestions,Iwon'tkeep
20 youverylong.Theyrelatetotrytoclarifyone
21 aspect,andthentheyrelatetoSharonBeriniand
22 SeanMatto.Beforewegotothat,inyourevidenceyou
23 havementioned"Sharon"frequently.Myunderstanding,
24 correctmeifIamwrong,isthateverytimeyoumention
25 "Sharon",youmeantSharonOpenshaw?
20
1 A.That'swhatIwantedtoclarify.That'swhyIhave
2 writtenout‐‐IamalwaysreferringtoSharon,Iamnot
3 referringtoSharonBerini.
4 Q.Thankyou.
5 A.That'swhatIwantedtoclarify.
6 Q.Thankyouverymuch.CanwegettoSharonBeriniand
7 SeanMatto?Haveyouworkedwiththem?
8 A.Yes.
9 Q.Haveyouworkedwiththemwhentheywerebothcarers?
10 A.Yes.
11 Q.Canyougiveusyouropinionofthem,oneatatime?
12 A.IworkedwithSeansincehewasachild.Heworkedas
13 asupply.Weworkedtogether.Weworkedverywell.He
14 wasagoodcolleague,healwayshelpedmeineverything,
15 ineverywaypossible.Thenhebecamesenior,oracting
16 senior,Idon'tknow.IfIneededhelp,hewouldhelp
17 me.Heisverygood.
18 Q.Thankyou.AndSharonBerini,youworkedwithheras
19 acarerandthenwhenshewasactingmanager;canyou
20 tellusaboutthat?
21 A.I'veworkedwithheralot.Inspiteofthefactthat
22 shewasEnglishanditwasdifficulttocommunicatewith
23 her,shealwaystriedtolistentomeandunderstand
24 whatIwanted,andI'vealwaysworkedvery,verywell
25 withher.I'veneverhadproblemswithher.
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1 MRVASQUEZ:Iamverygrateful.Iwon'tkeepyouany
2 further.
3 QuestionssuggestedbyMSMORAN
4 MSMORAN:Sir,MsMoran,Iwouldliketoaskacoupleof
5 questions,ifImay,IrepresentMrsOpenshaw.
6 THECHAIRMAN:Right.
7 MSMORAN:Wehavecoveredcommunication.Isitrightthat
8 youdon'tread,write,speakorunderstandanyEnglish?
9 A.Yes,ifyouspeaktomevery,veryslowly,andwiththe
10 yearsIhavebeenworkingthere,Iknowafewthings.
11 AndifIhadtowriteareportbecauseIhavebeenonmy
12 own,yes,IhaveusedmymindinwhicheverwayIcould,
13 towritethingsdowninmyway.Butwhenitwas
14 somethingcomplicated,Ihadtofindsomebodytohelp
15 me.I'vedoneafewlittlethings,butnotcorrectly:
16 myway.IfyoupickupsomethingthatI'vedone,you
17 canseethattherearemistakes.
18 Q.Whatwasthechainofcommandintermsofwhoshewould
19 reportto?
20 A.Sharon,SharonOpenshaw.
21 Q.SharonOpenshaw.Canyougotoreference{E/1/6}inthe
22 witnessstatement.Therehasbeenalotmadethatin
23 MrsAdamberry'sopinion,ResidentLdidn'tlike
24 MrsOpenshaw,andinthisparticularparagraphregarding
25 thetriptotheUK‐‐Ithinkit'sparagraph40‐‐if
22
1 youjustreadthatparagraph.
2 (Pause)
3 A.Yes.
4 Q.CanIaskwhyyouwenttoseeMariaElenaMacias
5 directlyandnotraisedanyconcernswith
6 SharonOpenshaw?
7 A.IfIcan'tcommunicatewithher,andIthinkwehad
8 ameetingaboutthis,Ibelievetheyweresuggesting
9 people.Ithought,Iknowthatwhenheseesher,he's
10 goingtohaveareallytoughtime.Iamveryscaredof
11 theplane,butIthoughthe'smuchmoreimportantthan
12 myfear.SoIwenttoseeMariaElena,andIsaidif
13 shedidn'tmindthat,Icouldbe‐‐formpartofthat
14 grouptotryandavoidanupsettingsituationforthe
15 child.Icouldn'thave‐‐Iwassuccessful.Whenwe
16 wereabouttoleave,RoseandIsaidtohertodo
17 everythingpossiblesothathecouldn'tseeher.She
18 hadtogototheHome,andwesaidtoher,"Whenwe
19 leave,youcangoin",andthat'swhathappened.We
20 bothwentdownwiththeresident.
21 THECHAIRMAN:Yes,Ithinkwearegettingquitealongway
22 awayfromthequestionwhichMsMoranasked,whichwas
23 simplywhyyouwenttoseeMariaElenaandnot‐‐
24 A.BecauseIcouldn'tcommunicatewithSharonand
25 MariaElenawasthebossandshewastheonewhocould
23
1 sayyesorno.MariaElenacalledmeandsaid"Yes,no
2 problem".
3 MSMORAN:Intermsoftherecruitmentprocess,yousaid
4 yesterdaythatyouwereinitiallyavolunteer?
5 A.Yes.
6 Q.Andthenyoubecameasupplycareworkerandpermanent
7 whenMilburytookover.
8 A.Si.
9 Q.Isitnotarequirement,toworkinthecivilservice
10 hereinGibraltar,tospeakEnglishortoreadandwrite
11 English?
12 A.No.Notatthattime.BecausewhenMilburycame,Iwas
13 worried,soIaskedwhat'sgoingtohappentome,
14 Iwon'tbeabletocarryonworking.Theysaid"No,
15 theywouldalwaysbesomebodytherewithyoutohelp
16 you."IstartedworkingwhentherewasaGovernment,
17 Ididn'tknowhowtospeakEnglish,andwiththeother
18 oneandnothingwassaidtomeandnoone'severtoldme
19 off,andthereareSpaniardsworkingthere‐‐
20 THECHAIRMAN:Ithinkthewitnesshasansweredthat
21 question,MrInterpreter.
22 MSMORAN:Justacouplemorepoints,andIdon'twantto
23 holdanybodyup.
24 THECHAIRMAN:No,that'sfine.
25 MSMORAN:YousaidthatResidentLdidn'tlikethenew
24
1 team,especiallySharonOpenshaw?
2 A.Hedidn'tlikenewpeoplecomingin.ButIcould
3 notice,andIknewthatbecausehesaidthattome,
4 Icouldn'tbelieve100percentwhathesaidtome,but
5 Iknewhedidn'tlikeher.
6 Q.CanIreferto{M27/24/9}?It'sareportthat's
7 entitled"OnsetofIncident".Thisappearstohavebeen
8 dictatedbyMrsAdamberry,translatedbyaladycalled
9 AdelaideandwrittenupbyMrsOpenshaw.Ifyoucould
10 justreadthelastparagraphfrom"[L]thenattemptedto
11 kickManolita",justtotheend.
12 (Pause)
13 A.Thereissomethingherewhichdoesn'tquitefit.This
14 referstothepreviousreport.(Pause).
15 THEINTERPRETER:Shewantstoknowwhohaswrittenthis.
16 MSMORAN:ItwasdictatedbyManolita,translatedby
17 Adelaide‐‐
18 THEINTERPRETER:Whohaswrittenthisdocument?
19 MSMORAN:‐‐andsignedandwrittenbySharonOpenshaw,
20 thethreewerepresent.
21 A.Didshesignforme?
22 Q.Shejustsigned"SharonOpenshaw".
23 A.ThisiswhyIam‐‐Ithinkthereissomethingherethat
24 doesn'tquitesquarewithsomethingelse.
25 Q.AllIwanttoknowis:didhenotaskforSharontotake
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1 himtotheroom?
2 A.Hewasoutofcontrol‐‐
3 THECHAIRMAN:LetmeseeifIcanshortenthisabit.If
4 thisiscorrect,itindicatesthatheaskedforSharon
5 totakehimtohistime‐outroom.Doyourememberthat
6 happening?
7 A.No.
8 MSMORAN:Justonelastpoint:youhavesaidthatyouwere
9 veryclosetoResidentL,andyouhadaverygood
10 relationship,youhadworkedwithhimalongtime.
11 A.Si.
12 Q.Inyourstatementon{E/1/5},yousaythatyoutriedto
13 tellthenewteamthebestwaytoworkwithResidentL.
14 THECHAIRMAN:Thisisparagraph36,thelastparagraphon
15 thepage?
16 MSMORAN:Bearwithme.
17 THECHAIRMAN:Imean,theanswertothatquestionis:yes,
18 itis.So,MrInterpreter,couldyoujustinterpret
19 thatbit?
20 THEINTERPRETER:Paragraph36?
21 THECHAIRMAN:Yes,ifyoucouldjustinterpretthat.
22 (Pause)
23 A.Whatusedtohappenisifwewentinonthenightshift,
24 andIsawcarerscrying,scared,Iusedtodaytothem,
25 "Youcan'tworkwithhimlikethis.Ifyoushowyouare
26
1 afraid,he'sgoingtodothisworse,he'sgoingtobe
2 worse.Youhavetobenormalwithhim".Itriedto
3 advisethemhowIthought,it'snotthatIknewhowto
4 doit,it'sjustthatItriedtohelpthem."Yeah,
5 don'tallthreeofyouhuddletogetherbecausethechild
6 canseeyouandheknowsyouareafraidofhim".Yes,
7 "Talktohim".
8 THECHAIRMAN:That'stheadvicethatyougave.What
9 reactionwastherefromthecarers?
10 A.Theyusedtolisten,theyusedtohearmeandsay
11 "Ican'tdoitlikeyou",andshesaid‐‐Isaid,"Well,
12 whydon'tyouasktochange"‐‐
13 THECHAIRMAN:Justamoment.Let'sgetitoneperson
14 speakingatatime.
15 THEINTERPRETER:Sorry.
16 THECHAIRMAN:Iappreciateit'sdifficult.Isthere
17 anythingmoreshesaidthatyouneedtointerpret?
18 THEINTERPRETER:Thatsheadvisedthemonhowtodothings
19 buttheyweresayingthattheycouldn'tworklikeshe
20 did,andsheissaying,"Whydon'tyouaskfor
21 atransfer?"
22 MSMORAN:Justonelastthing:doyouthinkit'spossible
23 thatyourpersonalclosenesswithResidentLperhaps
24 affectedyourprofessionalabilities?
25 A.No.Howisitgoingtoaffectme?
27
1 Q.Itdidn'taffectintermsofobtaininginstructionsfrom
2 theunitmanageror‐‐
3 THEINTERPRETER:Sorry,whatwasthat?
4 MSMORAN:Itdidn'taffectherintermsofobtaining
5 instructionsfromtheunitmanageronhowtodealwith
6 ResidentLandhiscondition?
7 A.Yes,Iusedtogotothemanager,andIexplainedwhat
8 Isaw.IamgoingtosaywhatIusedtosay,maybeit's
9 wrongbutIamgoingtosayit,thatthesepeople,you
10 know,weren'tuptoworkingwithhim,thattheywanted
11 tosortofbribehimbytakinghimaroll,takinghim
12 food.Yes,"Theboyisgoingtoeatthisandthenhe's
13 goingtohityou,andyoucannotbeofferinghimthings
14 alldaylong.Youhavetomaintaindisciplineasyou
15 havebeentold".
16 MSMORAN:Thankyouverymuch.
17 THECHAIRMAN:Yes,MsBalestrino.
18 QuestionssuggestedbyMSBALESTRINO
19 MSBALESTRINO:Sir,Ihavejustonequestioninrelationto
20 MrsAdamberry.
21 MynameisAnneBalestrino,Irepresentthe
22 DisabilitySociety.Ijusthaveonequestionin
23 relationtotheresidentthatyoulookedafter.Doyou
24 thinkhebenefittedfrombeingintheflatratherthan
25 DrGiraldiHome?
28
1 A.IknewthathehadtoleaveDrGiraldiHome,becauseit
2 wasn'ttherightplace,thereweremoreresidentsthere.
3 Buttheplacehewastakentowasnottherightplace,
4 itwasn'tadequate.Hewasinahouse,hewasin
5 ahome(?),therewasnoroomforhimtomovearound.He
6 wasokayinBishopHealy.Hecouldgooutonthepatio,
7 hewouldclearhismind,hewouldplay‐‐
8 Q.Soaflatwithperhapsapatiowouldhavebeenbest
9 suitedforhim?
10 A.Ofcourse.WeusedtosaythisFlatBastionRoadisnot
11 adequateforhim.
12 Q.ButatthesametimeDrGiraldiHomewasn'tadequate
13 either?
14 A.Itwasn'trightforhimbecausetherewereotherpeople
15 aroundhim.Ifhehadbeenthereonhisown,yes.
16 MSBALESTRINO:Iamgrateful,sir.
17 MRPITTO:Sir,IhaveafewquestionstoaskMrsAdamberry.
18 THECHAIRMAN:Yes,MrPitto,canyoufindamicrophone?
19 QuestionssuggestedbyMRPITTO
20 MRPITTO:Goodmorning,MrsAdamberry,Irepresent
21 MandySpencer,sheusedtobeMandySpencer‐Ball,you
22 workedunderhermanagementduringtheperiodthatshe
23 wasmanager.
24 A.Yes.
25 Q.Youdon'tmakeanyspecificmentioninyourwitness
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1 statementaboutthatperiod,soIwanttoaskyoujust
2 afewquestionsaboutthat.
3 A.No‐‐ah,sorry.
4 Q.Wouldyouagreethatatthetimewhenmyclientwasthe
5 manageroftheHome,whichistheperiodof2001/2002,
6 thattherewasanimositybetweenstaffandmanagement?
7 A.Ican'tanswerthisbecauseshewasinrespite,Iwasin
8 flat2,Iwasinflat2orIwasupthere,Idon'tknow,
9 becauseIdon'trememberthedates.
10 Q.That'sfine.
11 A.IhadverylittlecontactwithMandy,becausewedidour
12 job‐‐
13 Q.That's‐‐
14 THECHAIRMAN:Ithinkshehasansweredthequestion.You
15 haveansweredthequestion,MrsAdamberry.
16 MRPITTO:That'sfine.
17 Youcouldn'tanswer‐‐ifyoucan‐‐doyouagree
18 thatitwasatoughperiodoftime,transitionalperiod,
19 2001/2002,betweenGovernmentandacontractingagent
20 company?
21 A.WhichGovernmentwasit?
22 Q.IbelieveitwastheGSD.
23 A.No.Never.
24 Q.Well,thelastpoint,then,Iamgoingtobringyou
25 to‐‐
30
1 A.(Answernottranslated).2 THECHAIRMAN:Ithinkshehasanswereditadmirably3 shortly.Let'shavethelastquestion.4 MRPITTO:Thelastquestioninrelationtomyclient's5 witnessstatement,ifIrefertoC2/2,paragraph3.6 It'sthewitnessstatementofMandySpencer‐Ballforthe7 IndustrialTribunal.{C1/2/2},sorry.Paragraph3,8 yes.Atthisparagraph,myclientmakesorstates9 thingsthatweretoldtoher.Inmanuscriptonthe
10 side,itsays"Thismemberofstaff",ifitcouldbe11 zoomedin,itreferstoanincidentatLourdes,ifthat12 couldbetranslatedtoher,thewholeparagraph3.13 (Pause)14 Canyouconfirm,inkeepingwiththatlittlecomment15 thatmyclienthasfilledinonherwitnessstatement,16 wasityouthattoldheraboutthisincident?17 A.No,becauseI'veneverseenitorlivedthroughthis.18 CanIexplainwhy?IwentwithFaithandLightto19 Lourdes.Atthattimemyfatherwasdying,Iremember20 wewereonthetrain,Emilia,myselfandthentwo21 residentsoppositeIdon'tknow,Emilia'sgrandson,and22 Idon'trememberwhowaswithme.23 Q.That'sfine.24 A.Icouldn't‐‐Iwasn'tabletoleavemyseat.Ididn't25 see‐‐IcanexplainwhatIsaw,aboutNigel.Hehelped
31
1 everyonealot‐‐
2 Q.AllIaskedwaswhether‐‐
3 A.AndIdidnotreportthisbecauseIneversawit‐‐
4 Q.Youdidn't‐‐
5 A.Icouldn'tcommunicate‐‐
6 THECHAIRMAN:Wehavethesenseofit,Ithink,MrPitto.
7 A.No.
8 MRPITTO:Thesimpleanswerisno.
9 THECHAIRMAN:Yes.
10 MRPITTO:Ithinkthat'stheanswerthatsuffices.Thank
11 youverymuch.
12 THECHAIRMAN:MrNavas,Ican'treallybelieveyouhaveany
13 questionsforthiswitness,butdoyou?
14 MRNAVAS:Sir,IthinkIhavebeenwhittleddowntotwo
15 questions,IthinkmostoftheissuesIwasgoingto
16 raisehavealready‐‐
17 THECHAIRMAN:Well,let'ssee.
18 MRNAVAS:Sorry,Iunderstandthattheyneedabreak.
19 THEINTERPRETER:It'suptoyou.
20 MRNAVAS:Idon'texpecttobemorethanacoupleof
21 minutes,butIaminyourhands.
22 THECHAIRMAN:Fireaway,MrNavas,iftherearetwo
23 questions,youprobablyhaveabouttwominutes.
24 MRNAVAS:Iwillgettothemveryquickly.
25 THEINTERPRETER:Okay,shewantstocarryon.
32
1 QuestionssuggestedbyMRNAVAS
2 MRNAVAS:MrsAdamberry,Iwilltakeyoutotheincident
3 regarding[nameredacted]‐‐sorry,ResidentN.So
4 sorry.
5 THECHAIRMAN:Thisistheallegationaboutthatresident?
6 MRNAVAS:Theallegation,that'sright.Forthatpurpose,
7 IwouldliketoshowMrsAdamberrytheplanat{A/22/1}
8 .Idon'tknowifitcanbereoriented.(Pause).
9 Thankyou.Now,MsAdamberry,whatyouareseeinghere
10 isthefirstflooroftheDrGiraldiHomeroughlyinthe
11 samelayoutthatitwasatthetimeoftheallegation
12 regardingyourselfandResidentN.
13 A.Yes.
14 Q.Now,generallyspeaking,abouthalfwayuponthe
15 left‐handside,thereisasquareboxwiththewords
16 "kitchen"writteninit.
17 THEINTERPRETER:Ontheright‐handside,no?
18 MRNAVAS:Yes,thanksforthat.Thatviewisperfect.
19 Adjacenttothenumber7,whichIcannowidentify.
20 A.Si,si.
21 Q.Right.Thatisthekitchenofwhatflat?
22 A.Theflat2.
23 Q.Okay,whichiswheretheincidentisallegedtohave
24 occurred.
25 A.Yes.
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1 Q.That'sright.Youcanseewherethedoortothekitchen
2 issituated?
3 A.Yes,inthiscornerhere,yes.
4 Q.Inthetopleft‐handcorner.Now,ifwejustgo
5 slightlyacrossthecorridor,totheleft,thenyouhave
6 astore,thenyouhavethediningarea,andthen
7 alittlefurtheruptherearethreebedrooms.
8 A.Si.
9 Q.Now,onlytwoofthosebedroomsbelongedtoflatnumber
10 2;isthatcorrect?
11 THEINTERPRETER:Thefirsttwo.
12 Q.Right.
13 THEINTERPRETER:Thebottomoneandthemiddleone.
14 MRNAVAS:Now,DeniseHassanallegedthattheincident
15 occurredinthebedroomofResidentJ.
16 A.Okay.
17 Q.CanyoupointoutwhichbedroomwasResidentJ's?
18 A.Themiddleone.
19 Q.Inthesetofthree,theoneinthemiddle?
20 A.Yes,themiddleoneinthesetofthree.
21 Q.Okay.Canyouindicatewherethebedinthatbedroom
22 wouldhavebeenlocatedatthetime?
23 A.Itwasinthemiddleofthebedroom,slightlymore
24 towardsthewindow.
25 Q.Againstwhichwall,thetopwallorthebottomwall?
34
1 A.Thetopone.Thetopone.
2 Q.Now,MsHassansaysthatshewasinthekitchenwhenshe
3 sawthishappen.Right?Inyouropinion,couldsomeone
4 whowasinthekitchenhaveaviewofthebedfromthat
5 position?
6 A.Neitherinthekitchennoroutsidethekitchen.Because
7 youcan'tseethebedroom.Youseethedoor,butyou
8 can'tseetheinsideoftheroom.
9 THECHAIRMAN:That'sonequestion.What'stheotherone?
10 MRNAVAS:WhataboutifMsHassanhadbeenstandingatthe
11 doorofthekitchen?
12 A.No.
13 MRNAVAS:Okay.Ihaveathirdquestion,whichis
14 unrelated,anditwillbeveryshort,soifImay?
15 THECHAIRMAN:Right.
16 MRNAVAS:Thankyouverymuch,MsAdamberry,Ihaveone
17 morequestion.
18 MsAdamberry,whydoyouthinkthatMrsHassanmade
19 thisallegationagainstyou?
20 THECHAIRMAN:Isthataquestion,really?Imean,whatare
21 youasking,thewitness'sopinion,orwhat?
22 MRNAVAS:Shebelievesthattherewasamotivationfor
23 MsHassan,shehasanopiniononthat.
24 THECHAIRMAN:Allright,let'sseewhatshesays.
25 MRNAVAS:That'sthelastinformationIwanttoelicitfrom
35
1 her.2 A.I'vegotsomeveryclearideasinmyheadwhyIam3 sittingheretoday.Theycalledmetomakeareport4 againstSharonBeriniandNigelBassadone,andIrefused5 todothat,becauseIhadn'tseenanythingandIdidn't6 knowanything.Thefirsttime.Itwasthesecondtime,7 GabrielleLlambiasrangme,sortoflikebullyingme,8 intimidatingme,Ihadtodothisreportagainst9 NigelBassadone.IsaidtoherthatIalreadysaidit
10 oncebefore,thatIhadn'tseenanythingandIdidn't11 knowanything,andIcouldn'tdowhattheyaskedmeto.12 Andthethirdoccasion,MrsJoannaHernandezsentme13 aletteraskingmetosaysomethingagainstNigeland14 Sharon,andagainIsaid"No,anddon'tbothermeany15 more".AfterthatIreceivedaletter,Idon'tknowif16 itwasfromalawyerorwhoitwasfrom,thatIhadto17 dosomething.Idon'tknowwhoitwas.Irepliedthat18 Ihadalreadybeencontactedtwoorthreetimesbefore19 andIsaidIwasn'tgoing.Iwasn'theretocleanup20 anybody'simage.AndthenIgotthisletteraskingme21 tocometothis,andIthinkthatthisisthereasonwhy22 Ihavebeenaskedtocomehere,andthat'stheresult.23 THECHAIRMAN:Well,youhavebeenaskedtocomehere,24 MrsAdamberry,tohelpus,andyouhavehelpedus,and25 Iamverygratefulforyourattendance.
36
1 MRENRIGHT:Sir,canIaskjustonequestion?Iwasnot
2 goingtoaskanyquestions,butjustonequestion.
3 THECHAIRMAN:Allright.
4 QuestionssuggestedbyMRENRIGHT
5 MRENRIGHT:Howdoyoudo?MynameisDavidEnrightand
6 IrepresentJoannaHernandez.
7 YoujustsaidamomentagothatJoannaHernandez
8 wroteyoualetteraskingyoutocomeandseeherto
9 makeacomplaintaboutNigelBassadone?
10 A.Yes.
11 Q.Ihavetakeninstructionsfromher,andshesaidshe
12 neverdidanysuchthing.Areyousure?
13 A.Shesentmealetter,Iopenedtheletter,Isawwhoit
14 wasfrom,soItoreitupandthrewitaway.
15 Q.Soyoudon'thavethatletteranymore?No.Okay.
16 THEINTERPRETER:Ididn'tsayanything.
17 THECHAIRMAN:Ithinkthatanswersthat,MrEnright.
18 Well,MrsAdamberry,thankyouverymuchforcoming,
19 Iamverygratefulforthehelpthatyouhavegivenus,
20 thankyou.That'sslightlyoverdueforthebreak,but
21 Iwillcomebackatquarterto12.
22 THEWITNESS:Thankyou.
23 (Thewitnesswithdrew)
24 (11.30am)
25 (Ashortbreak)
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1 (11.45am)
2 THECHAIRMAN:Yes,MrEnglehart.
3 MRENGLEHART:Sir,thenextwitnessisMrJonathanTeuma.
4 THECHAIRMAN:AmIrightinthinkingthathehasatime
5 limitonhisavailability,oramIwrong?
6 MRENGLEHART:Ibelieveheandthenextwitness,
7 MrsOpenshaw.
8 THECHAIRMAN:Howcanweaccommodatethat?
9 MRENGLEHART:Idon'tbelieveIshallbethatlongwith
10 eitherofthem.Famouslastwords,butIdon'tbelieve
11 so.
12 THECHAIRMAN:Okay.
13 MRENGLEHART:Idonotproposetogooveralotofground
14 thathasalreadybeencovered,becausethatwouldbeto
15 duplicatemattersunnecessarily.
16 THECHAIRMAN:Allright.
17 MRJONATHANTEUMA(called)
18 THECHAIRMAN:Goodmorning,MrTeuma,thankyouverymuch
19 forcoming.
20 A.Goodmorning.
21 THECHAIRMAN:Makeyourselfascomfortableasyoucan.
22 A.That'sokay,Iamgladtobehere,thankyou.
23 THECHAIRMAN:Weareverygratefulforthestatementsthat
24 youhavegivenus,andalsoforyourattendancehere
25 today.
38
1 A.Iamhappytobehere.
2 THECHAIRMAN:Sothankyouverymuchforcoming.Ifyou
3 needtorefertoaresidentbytheirname,usethe
4 initialsthatyouhaveonthebitofpaper.
5 A.Thelist.Theinitials.
6 THECHAIRMAN:Ithinkyouneedtobeawaybywhattime,if
7 possible?
8 A.Well,IamgrabbingatraininMalagaat6,soIneedto
9 beonmywayatleastagoodcoupleofhoursbefore
10 that.
11 THECHAIRMAN:Wewilldotheverybestwecan.
12 MrEnglehartwillaskyousomequestionsinamoment.
13 CouldIaskyou,firstofall,togiveyourfullname
14 andaddressfortherecord?
15 A.Yes.MynameisJonathanTeumaandIliveinCalle‐‐
16 Street‐‐deVicenteCameron,number50,3rdfloor,
17 Madrid.
18 THECHAIRMAN:Right.
19 QuestionedbyMRENGLEHART
20 MRENGLEHART:MrTeuma,youmadeawitnessstatementin
21 July,andcanweseeifyoucanidentifyit,that's
22 {E/64/2}.Canyouidentifythat?
23 A.Yes.
24 Q.Veryrecentlyyoumadeanotherwitnessstatement
25 respondingtocertainthingsthathavebeensaid.
39
1 A.Mm.2 Q.Thatisat{E/69/1}.Isthattheone?3 A.Yeah,thislooks...4 Q.Yourecognisethat?5 A.Yes.6 Q.Now,youhaveadegree;isthatright?7 A.Yes,Ihaveadegree.8 Q.AndyouworkedattheDrGiraldiHomefull‐timefor9 arelativelyshortperiodfrom2003until2005;isthat
10 right?11 A.Yes,onasupplybasisbutyeah,full‐timeintermsof12 thehoursthatIdid.13 Q.Oh,Isee,wereyouneverafull‐timeemployee?14 A.Iwasnever‐‐15 Q.Theoretically?16 A.No,Ineverhadacontract.Ididhave,youknow,17 normallyit'sa40‐hourworkingweek,youknow.18 Q.Soit'squiteasupply?19 A.Yeah,itwasquiteasupply.20 Q.Isee.Right.Youtellusthat,whenyoufirstbegan21 workingfull‐time,youworkedwiththeresidentwhowe22 knowasAE?23 A.Yeah,that'scorrect.24 Q.That'sright.Couldyoujusttellus,Idon'twantyou25 tobetoolongaboutit,butbroadlyspeakingwhatwas
40
1 yourimpressionofAEas‐‐Ihesitatetosayclient,
2 butyouknowwhatImean?
3 A.Yes,hewasoneofthemorechallengingserviceusersin
4 thecentre.Hehad‐‐IrememberwhenIcamein,hehad
5 areputationforhavingbeenviolent,although
6 IrememberthatIthinkatthistimehewasmoreheavily
7 medicated,andtheissuewasn'tsomuchviolent
8 outbursts,whichmightoccuronoccasion,butmore
9 averyrepetitivenature,veryobsessiveaboutcertain
10 things,andhewouldbevery,veryrepetitiveabout
11 them,andonoccasionwhenhedidn'tgetthemhemight
12 getviolent,althoughthiswasn'ttheprimaryissue,
13 Ithink,atthetime.
14 Q.Thenyoutellusthatyouworkedwiththeresidentwho
15 weknowasZ?
16 A.Z,indeed,yes.
17 Q.AndIthinkmostofthetimeyouwerewithhim?
18 A.Yes.Imightaddthat,youknow,Idid,becauseIwas
19 supply,Iwouldhavedoneoddshiftsinbetween‐‐
20 THECHAIRMAN:Forotherresidents?
21 A.Forotherresidents,yes,awholevariety.
22 MRENGLEHART:Youalsotellushow,duringthecourseof
23 thetimeyouwerelookingafterZ,youattendedvarious
24 courses,Ithink,bywayoftraining?
25 A.Yes,Ithink,Imean,I'vegotthedatessomewhere,
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1 IthinkthatwasJanuary,butwedidvarious,wedid
2 reportwriting,medication,IrememberthisPROACT‐SCIP
3 courseaswellonintervention.
4 Q.Werethosecoursesyouhadtoattend?Wereyour
5 employerstellingyoutodosoorwereyoudoingit
6 voluntarily?
7 A.Ican'tquiteremember.WhatIdorememberisthatthey
8 wouldhavebeen‐‐attendancewouldhavebeensubjectto
9 shiftpatterns.Becauseobviouslywecouldn'tleave
10 carers‐‐
11 Q.No,Imean,theyweresandwichcourses?
12 A.Exactly.Theyweregenerallyonedayorhalfday
13 courses.Ihad,youknow,Ican'trememberclearly
14 becauseIhadapersonalinterestanyway,Ithoughtif
15 IamhereImayaswellgettraineduponit.Soeither
16 wayIdidn'treallypaymuchattentiontowhetherwehad
17 toorwhetherwewerejustinvitedtogo.Isawthe
18 opportunityandIwentforit.
19 Q.Didyougetanytrainingbeforeyoustartedwork?
20 A.No,not‐‐
21 Q.Didyoudoanyshadowingofanexistingcase?
22 A.Yes,Iwouldhavedoneshadowing.Youhaveseeninmy
23 statementthatevenpriortoworkingthroughpersonal
24 contacts,Ihadaccompaniedtheyoungerstudentswhodid
25 thestayandplayandIcanobservethemandhelpedout
42
1 whereIcould.2 OnceIwasworking,yeah,Iwouldhavehadatleast3 someshadowingsessionswithvarious...4 Q.Lookingbackonit,doyouthinkthatyoucouldhavehad5 moretraining,itwouldhavebeenpreferableifyouhad6 hadbettertraining?7 A.Definitely.Oh,definitely.Definitely.Alsoaswell,8 Ihavebeengivingitsomethought,it'snotonlythe9 questionoftrainingbutalsokindofthetiming,
10 becauseIthinkit'shardonce,andyouknow,ifitwas11 hard,youknow,itwasn'tsohardmaybeevenforme.12 Butyeah,evenformecertainthings,onceyoubeginto13 getworkincertainwaysandthenyougettrainingthat14 tellsyou:well,actuallythis;itbecomes,insteadof15 settingtherighthabitfromthebeginning,youhaveto16 changethehabitandthatsometimestakesalittlebit17 ofatransitionperiodwhileyougetusedtoit,and18 yourmodusoperandi...19 Q.WouldIberightinsayingthatthetwoserviceusers,20 orresidents,whicheveryouliketocallthem,thatyou21 wereinvolvedwithwereamongthemorechallengingof22 the‐‐23 A.Oh,definitely.24 Q.Definitely?25 A.Definitely.Thereweremanystaffthatwerereluctant
43
1 toworkwiththem.
2 Q.Manystaffwerereluctant?
3 A.Yes.
4 THECHAIRMAN:Canyoujustremindme,MrTeuma,whattheir
5 respectiveageswerein2003,roughly?
6 A.Yes.
7 THECHAIRMAN:StartwithAE.
8 A.AEis,Ithink,aboutmyage,sohewouldhavebeen
9 around‐‐Iwouldhavebeen23,24atthetime,sohe
10 wouldhavebeenaroundthere.Youknow.
11 THECHAIRMAN:Right.AndZ?
12 A.AndZwouldhavebeen,Ihadhimmoreorlessfromages
13 6to8,moreorless,Iwouldhavestartedattheageof
14 6.
15 MRENGLEHART:Andyouwereinaflat?
16 A.Wewereinaflat,yeah,whenIcameintheywereboth
17 actuallyinMerlotflat,tobespecific,theywerein
18 differentflats.
19 Q.Differentflats.
20 A.Theywereondifferentfloors,even.
21 Q.By"together"Imeanttheywerebothawayfrom
22 DrGiraldi?
23 A.Indeed.
24 THECHAIRMAN:InMerlotHouse,isthat?
25 A.InMerlotHouse,indeed.
44
1 MRENGLEHART:Oneofthethingsyoumentionisaboutusing
2 time‐outasamethodtocalmZdown?
3 A.Yes.
4 Q.Couldyoujustexplainabitmore?
5 A.Yeah,whenIcamein‐‐rememberalsothatIhadaspell
6 acoupleofsummersbefore,andrightnowIcan't
7 rememberifIwastoldtousethismethodinthefirst
8 summeroronceIcameintothetwo‐yearspell.Either
9 way,whatwassaidtouswaswhentheyareactingout,
10 whentheyareverystressed,iftheybecomeviolent,
11 invitethemorhelpthemtotheroomandgivethem
12 atime‐outtoallowthemtimetokindofcalmdownand
13 maybereflect.
14 Q.Yousay"theroom",wasthereaspecialroom,aseparate
15 room?
16 A.Well,Imean,in[nameredacted]'scaseitwouldhave
17 beenhisbedroom.Atthattime,whenI,youknow,given
18 thelackoftrainingthatIhad,Ibasicallyassociated
19 ittothewayIthinkmanyofusarebroughtup,you
20 know,whenyouarenaughtyyourmumsendsyoutoyour
21 room,youknow.Andthisisbasically,anditmade
22 perfectsensetome,youknow,Imean,thisisonething
23 thatmaybeIwouldliketopointout,thatveryoften
24 Imadeupforthelackoftrainingbykindofdrawingon
25 myownpersonalexperience.Attheendofthedayheis
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1 disabledbutheisalsoachild,youknow,soIwould
2 drawonmyownpersonalexperience,andIdidn'tthink
3 anythingofit,youknow,sookay,sendhimtohisroom.
4 Q.SoZwouldbeaskedtoorsenttoorgotohisbedroom?
5 A.Indeed.
6 Q.Therewasnoseparateroom?
7 A.No,in[nameredacted]'sflat,no.
8 Q.No,Z.
9 A.Iamsorry.
10 Q.Iunderstand.
11 A.Iapologise.
12 Q.Weallmakemistakes.
13 A.Yes,itwouldhavebeenhisbedroom.
14 Q.Isee,andwastherealockonthat?
15 A.No.No,no,no,no.Iknowthatinoneofmyown,from
16 myownhand,Imentioned"Ilockedhiminhisroom",but
17 thisisjustanexpression,Ididn'tmean‐‐
18 Q.Iknowyoudosayyoulockedhim,whatyoumeanisyou
19 justshutthedoor?
20 A.Basically.
21 Q.Sototalkabout"locking"isnotliterallycorrect?
22 A.Itwouldhavebeenimpossible.
23 Q.What,becausetherewasnolock?
24 A.Exactly.
25 Q.Isee.Right.Ithinkthat'swhatMsHernandeztold
46
1 us.
2 A.Mm.
3 Q.Yourefertothefact,ofcourse,thatyouwerein
4 MerlotHousewithZ,andyourefertofairlyinfrequent
5 visitsfrommanagement.Isthatright?
6 A.Yes.
7 Q.Bymanagement,whoareyou...itwasthetimeof
8 MsHernandezandMsBeriniwasactingmanager,Ithink,
9 duringyourperiodbeforethat?
10 A.Duringmyfirst‐‐Ican'trememberexactlybutduring
11 thefirstfewmonthsitwas‐‐
12 Q.MoragJack?
13 A.MoragJack,Iamnotevensure,Idon'tremember,
14 Icouldn'tevenprofesstoMoragJack,Idon'tthinkshe
15 wastherewhenI‐‐IamprettysureitwasSharonand
16 thenJoanna,andyeah,theflatitself,youhavetobear
17 inmindthatIwasthereonspecificdays,itcouldbe
18 thattheywouldhavecomewhenIwasn'tthere,butat
19 theflatitself,wedidn'thaveparticularlymany
20 visits,youknow.
21 Q.Imean,canyougiveussomeideaofhowmany?How
22 oftendoyouseethemanager,forexample?
23 A.Themanager,well,itdepends.InthecaseofSharon,
24 itwas‐‐Iwouldsayitwasrelativelyoften.
25 DefinitelyalmosteverydayoreveryotherdayIwould
47
1 be‐‐IwouldcollectpettycashfromherandIwould
2 takethisopportunitytokindofcommentanythingIhad
3 inmindrelatingtothechildortheplansforthatday.
4 SonormallyIwouldgo,wewouldwalkup,eitherIwould
5 seeherpriortopicking[nameredacted]upfromschool
6 andthengoandpickhimupfromschoolandIwouldhave
7 achatwithherthere,orIwouldgowith[name
8 redacted]‐‐
9 Q.Z.
10 A.Sorry,sorry,Ireallydoapologise.IwouldgowithZ,
11 andpickthemoneyupwithhimandcommentupon
12 planningsorwhatever.
13 Q.HowoftenwouldSharonBerinicometovisittheflat?
14 A.Theflatitselfperhapsnotthatoften.Imight
15 remember,Idon'tknow,twoorthreetimes.
16 Q.Twoorthreetimes?
17 A.WhileshewasmanagerIthinkmaybeoveraperiodof
18 maybetwoorthreemonths,youknow.Maybeitwasmore,
19 maybe‐‐
20 Q.Soonceamonth?
21 A.Moreorless.
22 Q.Aboutonceamonth,Isee.WhataboutMsHernandez?
23 A.WithMsHernandezIhadfarlesscontact.Thepetty
24 cashwasn'thandledbyher,Ican'trememberexactlybut
25 Ithinkitwouldhavebeenoneoftheseniors,who
48
1 Itookthepettycashfrom.Idon'trememberhercoming
2 everormeetinghereverattheflat.Thisisnotto
3 saythatsheneverwent,but‐‐
4 Q.Youjustdon'tremember?
5 A.‐‐notonmywatch.
6 Q.YourefertoadocumentwhichIwouldliketotakeyou
7 tonow,it's{E/64/25}.
8 A.ShallIreadit?
9 Q.Toyourself.
10 THECHAIRMAN:Notthateasytodo,really.
11 A.Well,it'smywriting,I'llgetby.
12 THECHAIRMAN:Thewholething,MrEnglehart?
13 MRENGLEHART:Yes,Iwouldlikeyoutoreaddown.Iknow
14 it'snotthateasy.
15 A.That'sfine,Iamfamiliar.
16 MRENGLEHART:Abigpointismadeaboutthisbysome
17 people.
18 (Pause)
19 A.Okay.
20 Q.Gooverthepage.{E/64/26}Idon'tthinkweneedany
21 more.Right,sogoingback,then,tothepreviouspage,
22 {E/64/25}yourefertousingcoldwater?
23 A.Mm.
24 Q.Wasthatasapunishment?
25 A.No.
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1 Q.Whywereyouusingcoldwater?
2 A.Iusedcoldwaterbecauseatthetime[nameredacted]
3 wasabitfranticandfrenetic.Ihadbeenkindof
4 overwhelmedandIwasmyselfabitoverwhelmedbythe
5 situation.[nameredacted]wasquitefrantic‐‐
6 Q.Z.
7 A.Sorry,Zwasquitefrantic,andwhenIputhiminthe
8 showerhewasabitresisting,soIcouldn'tspendthe
9 timetokindofplayaroundwiththeknobs.
10 Q.Thecontrols?
11 A.Andhecouldslip.Ihadtoholdhimwithonehandso
12 hewouldn'tslipandfall,andusemyotherhandtokind
13 ofputthe,toturntheshoweron,andIcouldn'tbe
14 testingthewater.Atthetime,asIsay,Imyselfwas
15 quitedistressed,andIjustwantedtogethimcleanand
16 resolvethesituationasquicklyaspossible.Sothis
17 wasmyonly‐‐theonlyreason,Ididnotwanttorisk
18 scaldinghimaswellwithhotwater,becauseagainit
19 wasn'tanormalsituationwhereIwouldnormally,you
20 know,hewouldwaitwhileI,whatever,sohewascovered
21 infaecesandsmearingallovertheplace,itwas
22 adistressingsituation,andIdidnothavethekindof
23 timethatnormallyIwouldhavetogivehimashower.
24 Q.Didyouusethethreatofgivingsomeoneacoldshower
25 asathreat?
50
1 A.Lookingback,it'saveryunfortunatechoiceofwords.
2 Imean,ifyoulookatthereport,Ithinkitshouldbe
3 takenintoaccountthatthisiswrittenafteraneight
4 hourshift,aparticularlydistressingoneinthiscase,
5 andthereisevenmistakeslike"Thereweren'tmuch
6 cereals"I'mobservingnow,it'snotwritteninmy‐‐
7 Q.Isthisyourwriting?
8 A.Yeah,thisismywriting,thisismine,Ihaveno
9 problemwithadmittingtoit.WhatImeantosayis
10 thatafteradistressingeightor12‐hourshift,Ican't
11 rememberwhatthisonewouldhavebeen,9,12‐hourshift
12 onedoesn'tperhapsusethebestchoiceofwords.It
13 wouldhavebeenwarnings,itwouldhavecomethroughin
14 amore,howcanIsay,maybeinaslightlyplayfulor
15 jokingmannerjusttogethimroundtodo.
16 Asyoucansee,well,lateron,throughouttheday,
17 heactuallystarted,hechangedhisbehaviour,ifyou
18 seeonthenextpage,andsothedaychanged.But
19 towardsthemorning,towardsthebeginningoftheday
20 andtowardsthemiddleoftheday,itwasquite‐‐and
21 Iwaspersonallygraspingatstraws.Ididn'tknow,
22 Ihadtriedtoperhapsredirecthimbyyou,know,
23 offeringgood,niceactivitiesthatwecoulddoifhe
24 behaved,thishadn'tworked,Ihadtriedthetime‐outon
25 variousoccasionsandthis,whichhadledmetoaneven
51
1 worsesituation,andIwasataloss,really.Theword
2 "threat"isreally,Idon'tthink,adequatelydescribes.
3 Iwouldnever,youknow,Icareddeeplyfor[name
4 redacted]andIwouldneverkindofbeaggressive
5 towardshim.Iwouldhavemaybemadeajokingcomment,
6 kindof,"Comeon,wedon'twantanothershower"or
7 somethinglikethis.
8 Q.Isee.Couldyoutellusabout‐‐youhavedealtwith
9 thatalreadyaboutyouruseoftheword"lock",Ithink
10 inthecommunicationsbookentrythatyouhaveseenyou
11 dousetheword"lock"butyouhaveexplainedthat,you
12 shutthedoor?
13 A.Exactly,yeah.Imean,therewasnolock.Youcould
14 verifythis,Isuppose,withotherwitnesses,andso
15 yeah,it'sanexpression,youknow.
16 Q.Now,didyouevertake‐‐youdid,Ithink‐‐Zoutto
17 yourhomeortoyourflat?
18 A.Yes.
19 Q.Youdid?
20 A.Yes.
21 Q.Howoftenwouldyoutakehimtoyourflat?
22 A.Idon'tknow,therewere‐‐therewasaperiod
23 perhaps...well,therewouldbeoddoccasions,likethe
24 onesthatIreported,forexample,forexamplethis
25 occasionwhenhehaddiarrhoea,anditwasbasically
52
1 easiertotakehimtherethantoapublictoilet‐‐
2 Q.Usethelavatory,yes.
3 A.‐‐becauseagainhewasmisbehavingandmyhouse
4 happenedtobeclosetothehealthcentre.
5 TherewasalsoaspellwhereIwasgettinghim
6 interestedtoplayguitar,andtherewewouldn't‐‐we
7 mightstop,grabaguitarthatIhad,andthenIwould
8 normallytakehimdownstairstothecourtyardatthe
9 Westsidearea,whereIwouldallowhimtoplayaround
10 withaguitar.Idon'tplaymyself,butIwouldfool
11 aroundwithitaswell.
12 Soontheseoccasionsandthismayhavegone‐‐we
13 wouldgo,pickitup,comedown,anddothat.
14 Q.MrBanderastoldusthatnowadaysitisforbiddento
15 takearesidenttoacarer'sownhome.
16 A.Yes.
17 Q.Butwereyouawareofanysuchrulewhenyouwerethere?
18 A.WhenIwasthere,no.Itwasinfactcommon,youknow,
19 itwasdone.Iwouldn'tsay‐‐Idon'twanttogoas
20 farastosaycommonpractice,Iamnot,Iwouldn't
21 know,butitwasdone,itwasdone.Youhavegotto
22 alsobearinmindthattherewasalotofemphasisin
23 generalintermsofbringingchildrenintothecommunity
24 andgettingthemtorelatewithpeopleoutsideofthe
25 Home,andallofthis.LikeIsaidbefore,withthe
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1 lackoftrainingthatIhad,Iveryoftenkindoffell
2 backuponmyexperience,myupbringing,andsometimes
3 peoplearoundme.It's,peoplewhosuffer,youknow,
4 it'satoughjobtointegratepeoplewhosufferfrom
5 antisocialbehaviourintothecommunity.Sooften
6 Ithinkmyself,andIwouldventuretosayothercarers
7 whomighthavedoneit,wouldhavereliedonthis
8 resource,Iwouldsay,becauseitmakesthingseasierin
9 thesensethatyoucanpreparethepeoplewhoyouare
10 goingtointegratethemwithprior,youknow,youcan
11 talktothemaboutthechild,youcanexplain‐‐orthe
12 personinquestion.Youcanexplain:well,heisabit
13 likethat,heisabitlikethis,heisabitwaryof
14 this,heisabitwaryofthat.Andthatwouldease
15 theirtransition,youknow,intoamoreintegrated
16 setting.Thiswouldalsohelpthemlateronother
17 occasionswhentheywereoutonthestreet.
18 Q.Iunderstand.Now,therecameatime,andwehaveheard
19 somethingaboutthisalready,whenyoumadeaproposal
20 fortwoofthechildren‐‐
21 A.Mm.
22 Q.‐‐thetwoyounggentlemenwhoweknowasResidentL‐‐
23 A.AndZ.
24 Q.DoyouhaveL?AndZ,yes.
25 A.Mm.
54
1 Q.Thatproposalweseejustidentifiedat{E/64/40}.
2 A.Mm.
3 Q.Youhaveactuallyexhibitedittoyourwitness
4 statement.
5 A.Yes.
6 Q.Canwejustturnitup?
7 A.Ihaveitherewithme.
8 Q.It'squiteasmartdocument.
9 A.Thankyouverymuch.
10 Q.Turnovertothenextpage.{E/64/41}Youareproposing
11 aholiday,basically?
12 A.Mm.
13 THECHAIRMAN:Youwrotethisandpreparedthis,didyou,
14 MrTeuma?
15 A.Ipreparedthisinmyowntime,Ispentafairamountof
16 time,IconsultedwiththepeoplethatImentionhere
17 thatwouldbeattending,andtherestoftheteam.Yes.
18 Yeah,Itook‐‐Ididthisinmyowntime.
19 MRENGLEHART:Soitproposesathree‐daycountryholiday?
20 A.Exactly.
21 Q.Between28Marchand30March2005?
22 A.Indeed.
23 Q.Iamnotgoingtogothroughitall,butit'squite
24 acomprehensivedocument,butpage44,{E/64/44}Imight
25 justreferto.Doyouseeunder"Parents"?
55
1 A.Mm.2 Q.Oryouorsomeone,asfarasyouknew‐‐wasityouwho3 consultedtheparents?4 A.Ihadconsultedtheparents.5 Q.Youhadconsultedboth?6 A.Imadeit‐‐Imean,wehaddaily‐‐well,moreorless7 daily,everydayoreveryotherdayparentswouldcome8 in,[nameredacted]'sfather‐‐sorry,sorryagain.Z's9 father,Z'smotherwhenshecould,Z'sgrandmotheras
10 well.Sowehadto‐‐wespokeaboutthechildon11 adailybasis.12 Q.DoyouspeakSpanish?13 A.IspeakSpanish.14 Q.Iamsureyoudo.15 A.Yes.Youknow,anditmadesensetome,youknow.16 Imadeitextremelycleartothembecause,well,because17 Ididn'twanttocatchmyownfingers,youknow,with18 anything.ImadeitextremelyclearthatIdidnothave19 permissionfromtheHomeasyet,thatthetripwas20 pendingpermissionfromtheHome,butIthought21 because‐‐IshouldalsosaythatIwanted‐‐Iwasvery22 keen,because[nameredacted]wascomingalongvery23 well,hisbehaviourhadimprovedverymuch.The24 interactionwith[nameredacted]hadproventobevery25 positive.Itbenefittedbothatthetime,ingeneral,
56
1 because[nameredacted]tookon‐‐
2 Q.L?
3 A.Sorry.WithL,Ltookonakindofrolemodel,hewas
4 slightlyolderandbigger,andkindofbenefittedfrom
5 theresponsibilityofhavingaweakeryoungerpersonby
6 theside,and[nameredacted]kindoflookeduptohim,
7 hewasmaybeattimesabitfearfulofhim,youknow,
8 becausetheyweretworoughlittlekids,butthiskind
9 ofalso‐‐hehadsomebodytoplaywith,anditkept
10 him,youknow,wellbehaved.SoIthoughttheydeserved
11 it.Iwasawarehehadn'tbeenonholidayforages‐‐
12 Iamcomingtothepoint,sorry.
13 Q.Whatisthepoint?
14 A.Thepointisthatwhen,youknow,Ihaddailycontact
15 withthefamilywhoshowed,youknow,aninterest.When
16 weweresupposedtohaveameetingwithmanagement
17 regardingthisholiday,theydidnotturnup.Wewere
18 leftthere.Isentthereporttothemandtheydidnot
19 answer.
20 MRENGLEHART:Whoismanagement?
21 A.MsJoannaHernandez.Youknow,shedidnotturnup,she
22 didnotanswerwhenIsentherthereport,shedidnot
23 makeanycomment,andIwaspersonally‐‐and
24 professionallyIfeltontheonehandveryletdownand
25 ontheotherhandIwanted,Ireallywas,Iwaspushing
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1 forit.SoI‐‐inordertomakethingsquickersothat2 onceifwegotpermissionwewouldn'thavetowaitnow3 fortheparents'permissionandthengoback,Ijust4 wantedtoskipabitofthebureaucracy,andgetthem5 in.6 Q.CanwelookatbundleE‐‐Iamsorry,IhopeIamnot7 cuttingyouoff.8 A.No,that'sfine.9 Q.Wemustgeton,youhavetogetbacktoMadrid‐‐
10 A.That'strue,yes,Iamsorry.11 Q.Canwelookat{E/64/31}?Wewillgothroughthe12 precedingpage,toseewhatthisis,justtoidentify13 it.Backone,sorry.{E/64/30}It'sameetingonZ.14 Doyouseethat?15 A.Yeah.16 Q.14April,sotwoweekslater.That'stwoweeksafter,17 Iamsorry,afteryouproposedtotakethem?18 A.Exactly.Yes.19 Q.Wereyouatthismeeting?20 A.No.21 Q.Thencanwegotoparagraph4onpage31?{E/64/31}22 Magnum31.Paragraph5,theonethatisringed.23 A.Yes.24 Q."Carerswantingtotake[nameredacted]totripsin25 Spain."
58
1 Readthattoyourself?
2 A.Ihaveseenthis,ifyoudon'tmindIwilljustread
3 overitagain.(Pause).Okay.
4 Q.Well,thetripdidnottakeplace,didit?
5 A.No,no.
6 Q.Imean,youputinthisproposal,andhowlongdidyou
7 nothearanything?
8 A.I‐‐
9 Q.Andifnot,forhowlong?
10 A.Iphoned,becauseIthinkperhapsImadeanadvance,
11 perhapsaweekorshorttimebefore,thiswasIthink
12 during‐‐itcoincidedwiththeEasterbreak,ashort
13 timebefore,roundaboutaweek,Iwouldsay.Iphoned
14 [nameredacted]'ssocialworkerdirectly.
15 Q.Z's?
16 A.Sorry.
17 THECHAIRMAN:Whowasthat?
18 A.Z's.Ibelieve,tobehonest,Ididn'trememberuntil
19 thisall,IthinkitwasoneJessicaPerez.Iphoned
20 herdirectly,andaskedherwhatherimpressionswereon
21 thematter,andifitwouldbepossible,andshe
22 commentedthatitwouldn'tbe.
23 MRENGLEHART:Shewhat?
24 A.Shesaidthat,no,itwouldn'tbepossible.
25 Q.Canwegoto{D9/142/26}?
59
1 A.Mm.
2 Q.HereisyouputtingcopiestoJessicaPerez,
3 SharonBeriniandKirushkaCompson,sentto
4 JoannaHernandez,butafterthedate,obviously.
5 A.Yeah,thisis‐‐
6 Q.Whenindeedyousay:
7 "Ithasnowbeenalmosttwomonths,Ihaveyetto
8 receiveanofficialnotice."
9 A.Exactly.Itwasveryfrustrating.
10 Q.Ifyoujustreadthatthroughtoyourself.
11 (Pause)
12 Didyoureceiveanycommunicationfrom‐‐
13 A.Just,sorry,justasecond.
14 Q.‐‐MsHernandezinresponse?
15 A.(Pause).Okay.Thefirst...thefirstIheardfrom
16 JoannaHernandezaboutthiswaswhenshecalledmeinto
17 givemeaverbalwarningabouthavingtold[name
18 redacted]'sfamilywithoutpermission,atwhichpoint
19 Itoldherthatshewasbeingveryunprofessionaland
20 Ididnotacceptthisverbalwarning.
21 Q.Isee.Sorelationswereabitstrainedbythistime?
22 A.Relationswerestrained.Itoldher,youcanseein
23 thisletter,thereasonswhy,becausetwomonthsafter
24 theeventIstillhadn'theardfromher,andIthought
25 itwasridiculoustwomonthsaftertheeventtobe
60
1 calledinandthefirstthingtohearisaverbal
2 warningaboutthis,whenitcouldhaveallbeensorted
3 outhadtheyattendedthemeetingwehad,orsetup
4 anotheroneiftheycouldn't,atthetime.
5 THECHAIRMAN:Whenwasthisverbalwarning?Theletteris
6 dated4May2005.
7 A.TheverbalIimaginewouldhavebeenafterthis.You
8 know,itdoesn'tmakesensetome,Imean,Ican'tgive
9 youanhonest,youknow,date,forit.
10 THECHAIRMAN:Shortlyafteryouwrotethisletter?
11 A.Butitwouldhavebeen,becausethisletterdoesnot
12 makesense,afteraverbalwarning.
13 MRENGLEHART:Sothewarningmusthavecomelater,mustn't
14 it?
15 A.Exactly,yes.
16 Q.Now,wouldyoulook,please,atadocumentat{D9/31/1}
17 .Doyouseeit's24November?
18 A.Mm.
19 Q.It'sateammeetingforZ,andIbelieveIamrightin
20 saying‐‐correctmeifIamwrong‐‐thatyouarethe
21 fourthinitialalong,aren'tyou?
22 A.Okay,thisis24December(sic).Yes.
23 Q.Thatisyou,isit?
24 A.Iimagineso,Imean,Ihaven'treadthis.
25 Q.Isthereanyoneelseitcouldreferto?
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1 A.ButJT,Idon'tthinkso.2 Q.That'swhy‐‐3 A.Yeah.4 Q.Ithinkwecanidentifyeveryoneelsehere.Itsaysin5 thefirstparagraphthatZ'scurrentlivingarrangements6 shouldbeimprovedandrecommendationsshouldbeput7 throughtotheCEO.8 A.Yeah.9 Q.Doyourememberthat?
10 A.Yeah,Imean,Idon'trememberthisspecificdocument,11 Ican'tremember,butImean,Idorememberthatwefelt12 thatitwasn'tthebestofplacesforhim.Youknow,it13 was‐‐wedidn'thaveabudget,youknow,inwhichto14 buy,tokindofdecorativepurposes,thehousewasway15 toobigforhimanyway,Iremember,Ithinkithadat16 leastoneotherbedroomwhichwasjustanemptyroom17 therefornopurpose,wedidn't‐‐we‐‐itwasn't18 particular‐‐well,Iwouldn'tsay,itwasn't19 particularlychildfriendlyorserviceuserfriendly.20 Imean,Iwouldn'tsayitwasparticularlydangerous,21 butIsupposetherewerethingslikemaybe,youknow,22 softeningthecorners,youknow,giving‐‐whatisit?23 Z,no?Imean,giventhatZwaspronetofitsand24 falling,itwouldhavebeensaferwithit.Soyes,this25 wouldhavebeenaconcernofours.
62
1 Q.Well,Idon'tthinkweneedtogointotoomuchdetail
2 onthis.
3 CanInowjustaskyou,atthebottomofthepage,
4 doyouseethereisasentencethatbegins:
5 "Careplanswouldbeputinplacetoaddressmain
6 issuessurrounding[Z].Oncethisisdonewecancall
7 MrandMrs...tomeetusanddiscuss."
8 Doyouseethat?
9 A.Mm.
10 Q.Thenifwecangotopage145,whichistheendofthis
11 document‐‐
12 EPEOFFICER:Ionlyhavethreepagesinthisdocument,sir.
13 THECHAIRMAN:Thenextpage,isit?
14 MRENGLEHART:It'sthefourthpageofthisdocument.
15 Sorry.It'smyinternal...sorryaboutthat.{D9/31/4}
16 YouseeyouandJessicaPerezandSharonBerini
17 wouldgettogethertodiscussacareplanforZin
18 December?
19 A.Mm.
20 Q.Doesthatconclusionattheend,coupledwithwhatI've
21 shownyouonpage1promptyourmemory?Wasthere
22 acareplanforZinplace?
23 A.Aglobalcareplan?Ican'tremember,tobehonest.
24 Whatdoyoureferto,intermsof‐‐
25 Q.Thisdocument,doyouknow‐‐Ididn'twriteit,of
63
1 course‐‐careplansweregoingtobeputinplaceto
2 addressmanyissuesandyouweregoingtogettogether
3 todiscussthem?
4 A.Therewereparticularcare‐‐yeah,forcertainissues
5 therewereperhapssomeparticularcareplanintermsof
6 theideawewanted,youknow,theplantogethimout
7 moreintothecommunity,totryandgethimperhaps
8 into,whenthis,forexample,whenthisguitarinterest
9 turnedup,wewerelookingintoperhapsputtinghiminto
10 lessons.Therewere,forsomethings,yeah,thatmight
11 havebeen.
12 Q.Ifollowthat.Wasthereaformaldocumentwhichhad
13 alltheinformationaboutaresident?
14 A.Ican'trememberonenow,no.
15 Q.Youcan'tremember?
16 A.No.Ican'trememberonenow.
17 Q.Isee.Canwelookatthesecondpageofthisdocument,
18 please?Iwaswonderingwhetherthispromptedyour
19 memory.Thiswas24November.Doyousee"Carer's
20 taking[Z]home"?{D9/31/2}
21 "Ithasbeennotedthatcarersaretaking[Z]to
22 theirprivatehomesatvarioustimes.Thepositionof
23 theagencyregardingthisisthatitisnowapolicy
24 thatnochildincarecangotostaffmembers'houses,
25 asthestaffmemberandtheagencyareopentoallsorts
64
1 ofallegationsorcomplaintsbeingmade."2 Thatwouldsince,sinceyouwereatthismeeting,3 thatyouwereawareofapolicy?4 A.WhenIcamein,therewasnopolicyonthis,andIknow5 thatitwasdonegenerally.Ifthischanged,Iwould6 have,Ithink,Iprobablywouldhaveactedaccordingly.7 Q.DoyouremembertakingZhomeafterthismeeting?8 A.Whenwasthedateofthismeeting?9 Q.29November,Ithink.
10 A.Whatyear?11 Q.4.12 A.November2004?13 Q.Yes,Ithinkso.14 A.Idon'trememberrightnow.15 Q.24November2004.16 A.Idon'tremember.Honestly.IfIwouldhavedoneit,17 regardlessofthepolicy,Iwouldhavereportedit.So18 youcan‐‐Imean,itcouldbe‐‐it'saquestionof19 goingthroughthecommunicationbook.IfIwouldhave20 doneit,Iwouldhave,likeinallotherinstances,21 Iwouldhavereported,andtherewouldhavebeen22 areasonforthat.23 Q.CanInowreferyoutobundle{D9/140/2}?24 A.Sorry,justtoaddonthat.25 Q.Yes?
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1 A.Thinkingaboutit,thisthingwiththeguitarthat2 Imentioned,probablywouldhavegoneonbeyondthat.3 LikeIsaid,Iwouldhavegonetomyhouse,pickedup4 theguitar,andimmediatelygonedownstairs,oryou5 know,ifitwasraining,wouldhavegonetohisflat.6 Justtoexplain,Iwouldhavekepttheguitaratmy7 housebecauseIcouldn'tbesurethatitwassafeinhis8 flat,becausehisoutbursts,itcouldhavebeen‐‐and9 itwassomethingthatwasusefultohim,therewasno
10 pointinriskingit.11 Q.Now,youwrotealettertoMsHernandez,afairly12 forcefulletter,on16February2005?13 A.Yeah.14 Q.Wouldyoujustcaretoreadittoyourself?It'sapage15 andahalf.16 (Pause)17 A.Iamjustgettingtotheend.18 Q.Yes,sure.{D9/31/3}19 (Pause)20 A.Yes.21 Q.Youcanquicklyreadit.22 A.Sorry,Iamaslowreader.23 Q.That'sallright,no,no.24 (Pause)25 A.Okay.
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1 Q.Ionlywantedyoutoreaditsoyouhavethefull2 context,it'sonlyfairthatyoushouldseetheentirety3 oftheletter.4 A.Mm.5 Q.Justpickingupononeortwopointsonthis,itwould6 appear,doyourememberthis,therecameatimewhen7 MsHernandezwasproposingwholesalechanges?8 A.Yes.9 Q.Andyouwereobviouslynotatallhappywiththat?
10 A.No.Notsomuchthechanges,Imean,IthinkIamquite11 clearaboutthat,ItellherthatIamnotopposedto12 hermakingchanges,it'sjustthemannerinwhichshe13 wasgoingaboutit.Imean,priortothis,youhave14 alreadyseenwiththeholiday,therewasaseriouslack15 ofcommunicationandIthoughtinterestonherpart,you16 know,realinterestintermsofcomingdownandseeing17 whatwasgoingonandworkingwithus,youknow.So18 Iwasquitefrustrated.19 AsIsayinthisletter,"Iamnotopposedtoyou20 changing,that'sfine,Iwouldliketohelpyoudoitin21 anappropriatemanner".ThisiswhatIproposedtoher,22 inaperhapsstronglywordedmanner,butnevertheless23 IthinkonacoupleofoccasionsImakereferencethat24 "I'mhappytohelpyoumakethechangesbutlet'swork25 togetheronit".
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1 Q.Ithinkyourproposalwaslaterthanthat,isn'tit?
2 A.Letme‐‐IthinkI'vejustreadsomething‐‐
3 Q.YourproposalwasfortheMarch2005,Easter.
4 A.Okay,youmeanthat‐‐okay,sorry.
5 THECHAIRMAN:Ithinkatthisstageyoumusthavebeen
6 waitingforaresponsetoyourproposal.
7 A.Itcouldhavebeen.Yeah.Eitherway,Imean,ithas
8 tobeunderstood,Idon't‐‐Imean,Ican'tanswerfor
9 herthinking,butwhenJoannacamein,Ididnotmeet
10 herpersonally,Idon'tthinkwehadameetingforher
11 tointroduceherselfeitheratallordefinitelynot
12 withinthefirsttwoorthreemonths.
13 Iwas‐‐shewasbasedinGiraldi,Iwasat
14 MerlotHouse.SoIdidn'thave‐‐evenifIhadbeenat
15 Giraldi,whenyouaretakingcareofavulnerable
16 serviceuser,disabled,youdon'thavetimetogoinfor
17 achatandgettoknowyourmanager.Youknow,sheis
18 theonewhohastotakethetime,Iwouldsay,it'smy
19 opinion,tocome,orsetupameeting,tokindof
20 presentitas"Thisneverhappened".
21 Myonlycontactatthispointwithherwerethrough
22 memos,someofwhichmayhavemademoresense,someof
23 whichmadeless.Andtobefair,eventheoneswhich
24 didn'tmakesensetome,itdoesn'tmeantosaytome
25 thattheywerewrongorthatshehadnoproperreason
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1 fordoingthings,Ijustfelttheneedtobe,youknow,
2 moreinvolvedintheprocess.IfeltthatIcouldbe
3 usefultoherinherwork,andIfeltthatIwasbeing
4 ignoredinthatsense.Meandmanyotherworkers.
5 So‐‐
6 MRENGLEHART:Yousaythecompletereplacement.Whowas
7 theteam?Therewasyouandtherewasthesenior‐‐
8 A.Thesenioratthetime,Ican'tremember,Imean,Iam
9 rememberingmorefromwhatIseeherethandirectly.
10 IbelievethatmaybeKirushkaCompsonwouldhavebeen
11 aseniorforaperiod,DenielleGomezforanother
12 period.Thosearethenames,andItellyou,Igetthem
13 morefromthedocumentsIhavebeenseeingthesedays
14 thanfromdirectmemory.
15 Q.It'salongtimeago.
16 A.Thenthereweretwoworkersonnightduty,itwas
17 Immaculada,Ican'trememberhersurname,and
18 ChristianSantos,andtherewasalsoGayleEverest,and
19 ifImaysayso,Ithought,youknow,eventhoughwe
20 occasionallyhad,youknow,oddmaybeprofessional
21 discrepancies‐‐
22 Q.Disagreements?
23 A.‐‐ordisagreements,Ithoughtwegenerallyworkedvery
24 welltogetherandweprovidedtheconsistencythat[name
25 redacted]sodearlyneeded,youknow.
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1 Q.WastheproposalyousaytoreplacethewholeofZ's
2 teaminonego?
3 A.Yes.Imean,Iknew,yeah,theproposalwas,andin
4 factitwaschangedalmostentirelyexceptformyself,
5 andIknewfromorworkerswhohadbeenaskedtotakeon
6 myshifts‐‐well,Icametotheconclusionthat
7 Ihadn'tbeenchangedbecausetheyjustcouldn'tfind
8 theworkerthatwaswillingtocomeintomyshift
9 pattern.Becausetherewereotherworkerswhotoldme,
10 "Yes,IhavebeenaskedtotakeoverbutIsaid,'Look,
11 IhavenightsandIamnotchangingtodays'",things
12 likethis.
13 Justtoputyouinthepicture,forgettingnoweven
14 aboutthedisabilities,whichareanotherattenuantthat
15 shouldbetakenintoaccount,butevenputtingthisto
16 oneside,an8‐yearoldchild,youknow,tochange,to
17 take,foran8‐yearoldchild,theprimarycaregivers,
18 thepeoplewhoaretherewithhimday‐to‐day,within
19 aperiodoftwoweeksandreplacethemwithpeoplewho
20 arestrangersorwithwhomhehashadverylittle
21 contact,Ithinkthisisprobablyoneofthemost
22 difficultthings[nameredacted]everhadtogothrough.
23 Wearetalkingaboutthepeoplewhofeedyou,thepeople
24 whotakeyoutobed,thepeoplewhotakeyoutoschool,
25 whogiveyouyourmeds,whowashyou,thiswouldhave
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1 beenveryhardforhim.
2 Q.Iunderstand,wehaveheardalotofevidenceabout
3 continuitybeingimportant.CouldIjustaskyou,you
4 arenotpartytothisletterbutIwonderwhetherit
5 jogsyourmemoryandwhatit'sallabout.Ifyoulook
6 at,afterthat,yourletter,shortlyafterit,
7 MsHernandezwrotetoMsTosso,andthereferenceis
8 {D34/8/1}.It'squiteashortletter.
9 (Pause)
10 Wereyouawareofanygrossmisconductatthistime?
11 A.Atthistime,atthetimeofthisletter,Iwasnot
12 awareofthis.Well,Iamnotawareofthis,ofgross
13 misconductintheteamatanypoint.Idon'tthink
14 anybody‐‐Iamhappytospeakformycolleagueswho
15 Ithoughtwerealwaysveryprofessional.
16 ThefirstIheardoftheactualreasonsbehindthe
17 changeswasduringthemeetingfor‐‐theverbalwarning
18 meetingfortheholidayproposal,whichwaslateron.
19 Q.TelltheChairmanaboutthat.
20 A.We‐‐shecalledmein,asIsaidearlier,Iexpressed
21 toherthatIthoughtitwasquiteunprofessionalto
22 bringthisupsofarafterwhenshehadn'teven
23 commenteditatthetime,youknow,givenmeany
24 feedbackatthetime.Andthisledtoaquiteheated
25 exchangebetweenMsHernandezandmyself,andhereshe
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1 saidtomethereasonsthatshesaidtometheteamhad2 beenchangedwasthatthetopsofthekitchencupboards3 were,youknow,ifyouunderstand,thetoppartofthe4 kitchencupboards,notinside,outside,weregreasy,5 werecoveredingreaseanddustanddirt,andthatshe6 hadfoundsomevegetablesthathadgoneoffinthe7 fridge.TowhichIsaid:well,Ithinkthisisreally8 notenoughofabasis,Imean,tellus,youknow.First9 ofallIquestionedher,"Isthishowyoudealwiththe
10 problem?Youtakeitfromoneplaceandyouputitin11 another,ifthisisyourproblem?"AndIquestioned,12 youknow,"Doyouthinkthisisreallyenoughreasonto13 createthiswholeupheavalin[nameredacted]'slife?"14 Q.Thankyou.Youareobviouslyawareofsomeofthe15 evidence,atleast,thathasbeenbeforethisInquiry,16 becauseyouhavedonethesecondwitnessstatement.17 A.Mm.18 Q.Idon'twanttotakeyouthroughit,it'sthere,and19 theChairmanhasit.20 A.It'sthere.21 Q.CanIjustsaythis:youcomment,Ithink,onthe22 evidencewehaveheardfromMrValarinoaboutthistrip23 toMorocco?24 A.Yes.25 Q.Idon'tthinkthereisanydisputeaboutit,youwere
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1 apprehended,Ithink,withasmallamountofcannabison
2 youandyoureceivedapolicecaution?
3 A.IreceivedapolicecautionandIresignedfrom‐‐
4 Q.That'swhatIwanttoaskyouabout,becausewedon't
5 haveany‐‐atleastnodoubtsomeonewillshowmeifwe
6 do,butIcan'tseeanydocumentsaboutthis.You
7 resigned?
8 A.Well,yeah,IrememberatthetimeIwasinitially
9 suspendedforamonthpendingadisciplinaryhearing.
10 Q.Right.
11 A.But,well,Imean,Iwasgivenalloftheseissues,
12 IwaskindofabitfedupwiththeHomemyself,and
13 becauseofmystrainedrelationshipwithMsHernandez,
14 Iknewshewouldbeonthepanel,and‐‐
15 Q.Thepanelofthedisciplinary?
16 A.Ofthedisciplinary.EventhoughIknew,youknow,
17 Imean,IknewIhaddonewrong,Iapologisedtothe
18 father,IthinkIpaidthepriceformyactions,and‐‐
19 but,youknow,thisweighedheavily,myrelationship,
20 thestrainedrelationshipwithJoannaHernandezweighed
21 heavily,andIdidnotwanttoputmyselfinaposition
22 whereshewould‐‐andrightlyso,shewouldbetelling
23 meofforreprimandingme,inthiscasewithallthe
24 rightintheworld,butIjustdidn'twanttoputmyself
25 throughthat.
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1 Q.Remindme,youwere23,wereyou,atthetime?2 A.Iwas23,24atthetime,yes.3 Q.Yousay,didyouwritealetterofresignation?4 A.Idid,yeah.5 Q.BecausethenIwouldliketoputtoyoutwopassages6 fromMsHernandez'sevidence,whicharerather7 contradictory,butstill,andseewhatyousayabout8 them.CanwelookatbundleE67,it'sMsHernandez's9 thirdstatement,atparagraphs247to254?{E/67/69}.
10 Couldyoureadtoyourself247to254?11 A.Mm.(Pause).Indeed,yes,youcangoover.{E/67/70}12 (Pause).Justalmostthere.(Pause).13 Q.Iamnotgoingtoaskyoutocommentonit,butasit's14 quiteavividpicturethat'spainted,andMsPerezhas15 alreadygivenevidencesayingshedisagreedwiththis,16 butthereweare.Whereisthereferencetoyouiswhat17 Iwanttoaskabout.18 A.Okay.19 Q.Youweren'tapparentlyatthisvisit,itwasMsPerez.20 Wereyoutheseniorattheflat?21 A.No.22 Q.No?23 A.It'simpossible,Iwasasupplyworker,Icould‐‐24 Q.Youwereasupplyworker.Youneverhadafull‐‐25 A.Icouldneverreachthatgrade,because‐‐
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1 Q.Youneverhadapermanentcontract?
2 A.Exactly.Iwashiskeyworker.
3 Q.MsHernandezsaysthatsheremovedyouimmediately,as
4 shewasdeeplyunhappywiththecarethatwasbeing
5 providedforZ.Isthatright?
6 A.No,thisisnot‐‐no,notrightatall.Iamnotsure,
7 what'sthedateofthis?
8 Q.Canwegoforward?Iamnotsurewehavebeentold.If
9 wegotothepreviouspage,maybethathelps.
10 A.No,itdoesn'tsay.Eitherway‐‐
11 Q.Anyway,shesayssheremovedyouimmediately.Canwe
12 nowlookatparagraph365?{E/67/99}.Hereitis
13 somewhatdifferent,it's:
14 "MarieGomezdirectedmetodismiss[you].Ididso
15 onherdirection."
16 Iagreeit'snotwhollyconsistent,but‐‐
17 MRENRIGHT:Thisisatotallydifferentinstance.
18 MRENGLEHART:Youweredirectedandshedidso,doyou
19 rememberbeingdismissedonthedirectionofMsGomez?
20 A.No,notatall.Mymemoryoftheissue,whatIstated
21 earlier,whichiswhathappened,isthatIwassuspended
22 foraboutamonthpendingadisciplinaryhearing.
23 IwonderhowIcouldhavebeendismissedwithout
24 adisciplinaryhearingforstarters,butanyway,Iwas
25 suspendedforamonthpendingadisciplinaryhearing,
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1 andasthedateapproachedIthoughtaboutit,andas
2 IsaidIdidnotwanttoputmyselfthroughit,so
3 Isentinaletterofresignation,andIjustbasically
4 didn'tturnupanymore.
5 THECHAIRMAN:Dowehavetheletter,MrEnglehart?
6 MRENGLEHART:Noletter.
7 THECHAIRMAN:Ofresignation.
8 MRENGLEHART:Eitherway,Ihaven'tbeenabletofindone.
9 Ishouldbeveryinterestedifsomeonehasmanagedto
10 findin61,000documentsthisletter.
11 A.Idon'tknowifthis‐‐Idon'tknowifyouwant,I'll
12 addsomething,whichIdon'tknowhowmuchweightit
13 has,butIwas,afterthiswholeincident,Idon'tknow,
14 IwasyoungerandIsupposecheekier,andIwrote,and
15 thislettermustbesomewhere,totheagencyactually
16 demanding,becausewhenyouareasupplyworkeratthe
17 timeyouhadtherighttoadayandahalfofleaveper
18 monthwhichInevertook,anddespite,youknow,the
19 unfortunatecircumstancesofthewayIleft,Ithought,
20 well,Inevertookthosedays,youknow,andIthought,
21 youknow,andIwrotekindofdemandingthatmoneyand
22 theysaidno.Idon'tthinkIwouldhavefeltwiththe
23 righttodothatifIhadbeendismissed,youknow.You
24 know,againIreiterate,Isentinaletterof
25 resignationandIneverheardfromJHagain.
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1 Q.Ihaven'tbeenabletolocateeitheryourletterof
2 resignationorindeedanyletterfromMsHernandez,but
3 maybeonewillturnup.
4 Didyousendittoherpersonally?
5 A.Iwouldhavemadeit,Ithink‐‐Idoubtit.Idoubtit
6 giventhestrain.Ican'tremember.Ican'tremember.
7 Butitwouldhavehadcopiesperhapstootherpeople.
8 Ihonestlyreallycan't.IimagineIwouldhavesentit
9 toheadoffice,butgiven,youknow,particularlyagain
10 giventhestrainedrelationshipwithMsHernandezatthe
11 time,Iwantedtohaveaslittletodowithheras
12 possible.
13 Q.Wouldyoureadtoyourselfparagraph367?Leavingaside
14 thingswhichyouknownothingabout.
15 (Pause)
16 A.Mm.
17 Q.Imean,isitfactuallycorrect?
18 A.No.No.
19 Q.Areyouthenephew?
20 A.Ah,youmeanabout‐‐sorry.Sorry,yes,Iam
21 MrNetto'snephew,yes.
22 MRENGLEHART:Right.Ihavenomorequestions.Butsome
23 othercounselmay.
24 A.Thankyouverymuch.
25 THECHAIRMAN:Yes,MrVasquez.
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1 QuestionssuggestedbyMRVASQUEZ
2 MRVASQUEZ:Verybriefly.
3 YouworkedwithSeanMattoandSharonBerini?
4 A.Yes,Iworkedwiththem,yes.
5 Q.SharonBeriniwastheactingmanagerforalittlewhile
6 whilstyouwereasupplyworkeratthebeginning?
7 A.Indeed,yeah.
8 Q.Canyougiveusyourviewsonher?Yousaidthatyou
9 sawhermorefrequentlythanyousawJoannaHernandez‐‐
10 A.Indeed,well,muchmorefrequently.Sharonwasvery
11 muchahands‐onmanager,Iunderstoodatthetimeand
12 Istilldothatshehadcomeupthroughtheranks,and
13 shewassomebodywhowould‐‐firstofall,shehad
14 averykeenawareness,sheknewtheserviceusersvery
15 well.She‐‐againunfortunatelyshewasverythinly
16 spreadbecausetherewasalotofstaff,therewere
17 alotofsupplystaffaswellwhocouldsaynoto
18 ashiftatthelast,soshealways‐‐butshewasthe
19 kindofpersonwhowouldrunaround,andifshehadto
20 stephimbecausesomebody,asupplystaffhadsaidnoto
21 ashift,shewouldhappilydothat.
22 Q.Shewouldworktheshiftasacarer?
23 A.Shewouldworktheshiftifshehadto.Obviouslyshe
24 wouldn'tleaveanybodyunattendedto.Youknow,she
25 wouldcomealongwhenheradministrativeduties
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1 permittedher,shewouldcomealongondaytripsperhaps
2 thatweorganisedandshewouldkindofsuperviseand
3 help,andalsoforusnewcarerswhenwewerecomingin
4 shewashappyalwaystoofferadviceandstuff,
5 especiallyonthefirstdays,butalsothroughouther
6 timethere,whenshewasactingsenior,whenshewas‐‐
7 sorry,actingmanager,whenshewentbackdownto
8 assistantmanager.Ihave‐‐Ithinkprofessionally
9 Sharonwasaverygoodpersontoworkwith,youknow.
10 Q.Youtrustedandrespectedher?
11 A.Verymuchso.
12 Q.AndSeanMatto,doyouhaveanyexperienceofhim?
13 A.Yes,Ihave‐‐Iworkedaswellwithhimondifferent
14 occasions.Againveryoftenontripsthatwemade
15 togetherwiththewhole‐‐youknow,withvarious
16 residentstothebeach,torivers.Seanwas,like
17 Sharon,veryawareoftheneedsofserviceusers,he
18 was‐‐Seanwasaverygoodcommunicator,sohe
19 transmittedthatinformationverywell.Healsohad
20 aknack,Iremember,youknow,Irespectedhimalot
21 becausehe,youknowthateverybodyhasthingswhich
22 theyareverygoodatandstuff,andforexamplethere
23 wouldbecarerswhowouldmaybeverygoodwiththe
24 childrenbuthadtroubleintheinteractionwithparents
25 andintheserelations,andSeanwassomebodywhocould
79
1 speaktodifferentpeopleattheirownlevel,youknow,
2 andhewasequallyateasewithaserviceuser,aswith
3 aparent,aswithseniormanagement,andthisgaveas
4 aworkerthisgaveone‐‐
5 Q.Slowdownabit,yes.
6 A.Sorry.Thisgaveyoualotofconfidenceandease,you
7 know,inyourwork.UnfortunatelyIwouldsaytheywere
8 thinly‐‐perhapsthinlyspreadduetothestructure.
9 Q.Weheardevidenceaboutresources.
10 A.Butintermsofthat‐‐
11 Q.SeanMattowasasenioratthattime?
12 A.Hewasasenior,maybehemighthavebeenacting
13 assistantmanagerforawhileatthattime.
14 Q.Forawhile?
15 A.Forawhile,atthattime,Ifeltsupportedandwell
16 takeninbythem.
17 MRVASQUEZ:Thankyouverymuch.
18 THECHAIRMAN:MrEnright?
19 QuestionssuggestedbyMRENRIGHT
20 MRENRIGHT:Yes,sir.
21 MynameisDavidEnright,Irepresent
22 JoannaHernandez,Iwouldliketoaskyouafew
23 questions.
24 A.Goodmorningtoyou.
25 Q.Goodmorningtoyou.YoucaredforResidentZforquite
80
1 sometime,isn'tthatright?2 A.Thatistrue.3 Q.Hewasaveryyoungchild,anepilepticchild?4 A.Indeed.5 Q.Couldwehave{E/64/40}?Thisispartofthepackage6 youputtogetherforthetrip.Youwillseethepicture7 oftheboysthere.IamcorrectinsayingthatZison8 therightaswelookatit;yes?9 A.Indeed,yes.
10 Q.Verysmallchild?11 A.Mm.Well,yeah,takeintoaccountthat[nameredacted]12 wasaverylargechild,so‐‐buthewasayoungchild.13 Q.It'sworthlookingatthesepictures,becausethese14 childrenhavebeenpaintedtobesometimesogresin15 theseproceedings,theywereveryyoungchildren‐‐16 A.Yeah,yeah.17 Q.Ithinkweallneedtoremindourselvesofthat.Canwe18 have{E/64/3}?Thisisyourstatement.Lookat19 paragraph16whereyoudescribethetypesof‐‐thetwo20 typesofthingsyoucoulddotothechild:givehim21 atime‐outormakehimsitonamat?22 A.Sorry?23 Q.Furtherdownitsaystheothersanctionyouhadwasto24 gethimtositonamat.25 A.Letme‐‐canIhaveareadofthis,doyoumind?
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1 Q.Absolutely,paragraph16ofyourstatement.2 (Pause)3 A.Idon'tknowwhatyoumeanbyamat.4 Q.Myapologies,Ihavereaditwrong.Anyway,youwere5 abletojustgivethematime‐out,thatwasallyou6 coulddo?7 A.Mm.8 Q.Yes?9 A.MaybeIcouldadd,thesewereperhapstheinitialthings
10 thatwouldmakethe‐‐withtimeand,forexample,with11 contactwithpeoplelikeSeanandSharon,whoperhaps12 didn'thavethetimetositdownandgiveyouacourse13 onit,butwhentheycamealongthroughexamplethey14 wouldleadandtheywouldshowusways,forexample,15 whenhesweared,justtogiveyouanexample,tokindof16 veerhimoffanduseasimilarwordtokindofgethim17 offonthattangentorredirecthim,butthesewere18 thingsthatcameonthroughtheprocess,throughthe19 timeweworkedthere.20 Q.Canwehave{E/64/36}?Thisisyourreportof21 10January2004.22 A.Mm.23 Q.Ifyoulookatthelastparagraph‐‐24 A.Thelastparagraph?25 Q."Wecamehome,Ilockedhiminhisroomforhalf
82
1 anhour."2 Wetalkedaboutthatearlier?3 A.Mm.4 Q.Itdoesquiteexplicitlysaythere"Ilockedhiminhis5 roomforhalfanhour".6 A.Well,therewasnolock,andthatcanbeverified,at7 theendoftheday‐‐8 Q.Surelyyouwouldhaveput"Iputtohim",youwere9 asked‐‐youdoquiteclearlysay"Ilockedhiminhis
10 room".11 A.No,it'sanexpression,thereisnothingmoretothat.12 Imean,ifyouwanttogoroundandlook,andifyou13 wanttoturnthewheelabitaround‐‐14 Q.Theyareyourwordsandyousaytheymeansomething15 else.16 A.‐‐that'sfine,butno,Isenthimtohisroom,Icould17 havesaidIsenthimtohisroom,Icouldhavesaid18 Iputhiminhisroom,IcouldhavesaidIlockedit‐‐19 Q.Yes,youcouldhave.20 A.Thepointishehadatime‐outforhalfanhour.It21 wouldhavebeenphysicallyimpossibletolockhiminhis22 room.23 Q.Thoseareyourwords.24 A.Yes,that'sfine.25 Q.Thisisyourreportof13December2003.Ifwelook
83
1 towardsthebottom:2 "Hedidnotlikethis,andthethreatofsticking3 himinthecoldshower"‐‐4 MRNAVAS:Excuseme,sir,IfeelIhavetointerjectonmy5 client'sbehalf.Idon'tknowwhatthepurposeofthis6 lineofquestioningis.Idon'tknowwhatMrEnright's7 clientorMrEnrightistryingtoachievewiththis.8 Idon'tknowwhetherMrEnrightorhisclientare9 entitledtomakethesequestions.Ithinkmyclienthas
10 dealtwiththisevidencecomprehensivelyintheevidence11 andboththewrittenandtheoralevidenceprovided12 today,andIreallydon'tknowwherethisisgoing.If13 wearehere‐‐ifMrEnrightwantstomakeanexampleof14 myclient,Idon'tthinkthisisthetimeortheplace15 forit.16 THECHAIRMAN:Well,MrNavas‐‐17 MRNAVAS:Really,Ifindthiscompletelyoutoforder.18 Iseewhereheisgoingwiththis,andthisis19 completelysensationalistcross‐examinationoftheworst20 kind.IfIremembercorrectly‐‐21 MRENRIGHT:Thosearehiswords.22 MRNAVAS:‐‐thiswasnottheaimortheobjectiveofthis23 InquiryorwhatthisInquirywaspreparedtoallowto24 do.25 THECHAIRMAN:Youarequiterightinsayingthiswas
84
1 13December2003,whichisbeforeyourclientactually2 arrived,MrEnright,andIthinkIdidmakeclearthe3 otherdaythatwhatIamlookingforisquestioningon4 behalfofthosewhoweredirectlyimplicatedinthe5 subjectmatterofwhateveritisthatyouwanttoask6 about.7 MRENRIGHT:Yes.8 THECHAIRMAN:SoIthinkMrNavasisrightatleastin9 sayingthatthisissomethingoutsidethescopeofwhat
10 Iindicatedwouldbetheappropriatescopeforthese11 questions.12 MRENRIGHT:IunderstandandIamconsciousofthat.13 MrTeumahaspresentedhimselftodayasbeingvery14 caringofthischildandcarefulofhiscare,andthere15 areissueshereintheevidencewhich,inhisownwords,16 don'tseemtosuggestthat'sthecase.17 MRNAVAS:Whichisfranklyirrelevanttohisclient's18 evidenceorpositionwithinthisInquiry.19 THECHAIRMAN:Please,MrNavas.WhatI'mgoingtodo,20 MrEnright,istoconfineyou,asIhavebeentryingto21 confineotherpeople,toquestionsaffectingtheir22 clientdirectlyinrelationtoincidentswhichare‐‐23 MRENRIGHT:Iamwithyou.24 THECHAIRMAN:‐‐directlyconcerningtheirclient,and25 Ithinkyouwouldagreethatthisdoesn'tfallwithin
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1 thatcategory.Iamnotgoingtodescribeyour
2 questionsinanysortofpejorativeway,butitseemsto
3 methatthatiswhatwearelookingforhere,andthat's
4 certainlywhatwouldassistme.
5 MRENRIGHT:It'sonlytotheextentthatthegentlemanhas
6 beenquitecriticalofmyclient,andIthinkit'sonly
7 fairthatifthereareissuesaroundhiscredibility,
8 thattheybeputtohimandhecandenythem.
9 THECHAIRMAN:Well,hehas,andIthinkthatisprobably
10 wherewecanleaveit.Youhaveyourinstructionsand
11 Iappreciatethat.Youhavealsoheardwhatthewitness
12 hassaidaboutit,andIthinkwecanmoveon.
13 MRNAVAS:Sir,justonelastpoint.MrTeumahasnotbeen
14 criticalofhisclient.MrTeumahasrespondedto
15 allegationsmadeagainsthimbyhisclientandhasfelt
16 obligedtorespondinthatfashion.
17 THECHAIRMAN:Well,MrTeumahasrespondedandisperfectly
18 capableofrespondingtothesequestions.Frommypoint
19 ofviewIamnotassistedbyquestioningdealingwith
20 issueswhichareoutsidethescopeofaparticular
21 individualinthisroom.ButMrTeumahasbeen
22 extremelyhelpful,hehasbeenveryclearinhis
23 evidence,andthereweare,letthatstand.
24 MRENRIGHT:Iwillmoveon.
25 MSBALESTRINO:Sir,nowthattheinterruptionhasbeenmade
86
1 IwouldbegratefulifMrEnrightwouldtakebackthe
2 referenceto"ogres",Idon'tthinkanybodyhasreferred
3 tothemas"ogres"hereinthisInquiryandIthinkit
4 isquiteunreasonable.Challengingbehaviour,yes,but
5 togoasfaras‐‐
6 THECHAIRMAN:Ididn'thearthat,MsBalestrino.
7 MSBALESTRINO:Well,Ididanditwasmade.
8 MRENRIGHT:Well,IwouldliketoclarifybecauseIam
9 obsessive.Myclient'sconcernwasthatthechildren
10 werebeingdescribedasveryviolent,verydangerous,
11 andIwouldliketobringpeople'sattentionbacktothe
12 factthatthesewerechildren,verytinychildren,one
13 ofthem.
14 THECHAIRMAN:Ithinkifthatwordwasused,Ithinkyou
15 canwithdrawthat.
16 MRENRIGHT:Absolutely,butIwanttosaythattheywere
17 childrenandshouldbelookedafteraschildren.
18 THECHAIRMAN:Ithinkthat'saboutasfaraswecantake
19 that,MsBalestrino.
20 MSBALESTRINO:Yes.
21 THECHAIRMAN:Now,MrEnright,wehavegottooneo'clock.
22 Iwouldliketogoon,howmuchlongerdoyouthinkyou
23 willbe,confiningyourquestionsinthewayinwhich
24 Iindicated?
25 MRENRIGHT:SubjecttoMrTeuma'sanswers,aboutten
87
1 minutes.
2 THECHAIRMAN:Wewillcallittenminutesandthat'sall
3 youwillget,afterthatwewillhavetoadjournfor
4 anhourorso.
5 MRENRIGHT:Iwill,sir,thankyouverymuch.Couldwe
6 have{E/67/68}?ThisisMsHernandez'sthird
7 statement,andIamlookingatparagraph245tostart
8 offwith.
9 A.Whichparagraph,sorry?
10 Q.245.
11 A.Yes.
12 Q.MsGomezsayshisdietismadeupofmainlytakeaways?
13 A.Notonmywatch.
14 Q.Canwehavethenextpage?{E/67/69}
15 A.Whichone?
16 Q.Wewillgoparagraphbyparagraph.Readthefirstfew
17 linesof246.
18 (Pause)
19 Washecomingtoschooldirty,withoutunderpants?
20 A.NotthatI'mawareof,no.No.Imean,Iwouldhave
21 picked‐‐myrolewastopickhimupfromschool,and
22 Inormallyhadthekindof3to9shift,andInever,
23 never,everfoundhim,ifIhadIwouldhavereported
24 it,withoutappropriateclothingoranythingofthe
25 like.
88
1 Q.Movingontoparagraph247,thatwasthatwith
2 JessicaPerez.
3 (Pause)
4 Haveyouanythingtosayaboutthat?Youdidsayin
5 evidencethatthecabinetsweregreasy,vegetableshad
6 goneoffinthefridgeyouadmittedthatmuch?
7 A.Er‐‐
8 THECHAIRMAN:Ithinkwehavebeenoverthis,MrEnright,
9 hehasgivenhisevidenceaboutit,ifsomethingisnot
10 clear,thenbyallmeanslet'sclarifyit.
11 MRENRIGHT:Thishadnotbeenputdirectlytohimaboutthe
12 actualcare‐‐
13 A.Iwould,forthebenefitofmynightcolleagueswhowere
14 veryprofessionalandkepttheflatclean,contraryto
15 what'ssaidhere,Iwouldsayyouhavegottobearin
16 mindtheywouldstartat9whenthechildwaseither
17 asleeporsoontogotosleep,thenalltheirduties
18 entailedasfromthenonwouldhavebeentocleanthe
19 flat,cleanthekitchen,thefloors,thehall,the
20 bathroom,etcetera,etcetera.Thenat8o'clockor
21 whatever,moreorless,getthechild‐‐startgetting
22 thechildreadyforschool,youknow.Cleaningthe
23 flat,especiallywhenit'sbeendoneonadailybasis,
24 whichiswhyIamsosurprisedbyMsHernandez's
25 comment,doesn'ttakethatlong,youknow.Soyoucan
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1 imaginethattheymaygettheircleaningdutiesdone2 between10and1‐‐3 THECHAIRMAN:IthinkMrEnrightisdirectingyoutothe4 lasttwolinesofparagraph247.5 A.Thisisabsolutely,youknow...(Pause)6 MRENRIGHT:Washesleepingonabaremattress?7 A.No,thisisabsolutelyfalse,thisisabsolutelyfalse,8 andalie.Idon'tknow,itcouldbe‐‐theonlykind9 of,let'ssay,healthyinterpretationthatIcouldtake
10 soasnottosecond‐guessyourclientwouldbethatshe11 cameonadaywhenthebedsheetswereinthewash.12 Thisistheonly‐‐andeventhentheywouldhavebeen13 replacedbyanothersetofbedsheets.But[name14 redacted]hadaquilt,[nameredacted]hadquiltcovers,15 someofwhich‐‐theyweremainlytherewhenIarrived,16 butIamawarethatthefamilycontributedtothisand17 theHome,thisisabsolutelyfalseandlies.18 Q.Hismedications,weretheyoutofdate?19 A.Hismedicationswererenewed,hehadamedsbox,like20 mostserviceusersthere,Iamnotsureifyouare21 familiarwiththem,theyaremedsbox,theygofrom22 MondaytoSunday,withlittlecompartmentsfor23 different‐‐forthedifferentdaysandtimeswhenhe24 had‐‐andwehadonemedsboxperweekorperhapsby25 twoweeks,andtheywouldhavebeenregularlychanged,
90
1 onceyoutaketheMondaymorningtabletout,it'sgone,
2 youknow,andthenextMondaymorningyouneedanother
3 one.Youknow,sotheywouldhavebeenrenewedon
4 aweeklybasis.
5 Q.Andfinallyparagraph252.{E/67/70}
6 (Pause)
7 A.Yeah,Iwouldliketoknowwhothesepeopleare,and
8 whattheyhavetosayaboutit.
9 Q.Theysayitwassodirtythatpeoplehadtoscrapethe
10 dirtoffthefridge.
11 A.Idon'tbelievethis.
12 THECHAIRMAN:Youtellmewhatyourememberaboutthe
13 conditionofthefridge.
14 A.Thefridgewas‐‐Iamnotgoingto‐‐shemighthave
15 found,likeshesaidtomeinthatmeeting,some
16 vegetableswhichwereoff,it'spossibleitcouldhave
17 beenoverlooked,Idon'tthinkit'saveryseriousissue
18 tohavetoanswerforittenyearslater,butanyway,it
19 wasnowherenearwhatshedescribes.Shewouldn'thave
20 needed‐‐likeIsayagain,thenightshiftworkerswho
21 wereresponsibleforthecleaningoftheflatwereboth
22 veryprofessionalinthatsenseandInever‐‐infact,
23 asadayworker,ifthishadbeen,ifstufflikethis
24 hadbeenthecase,Iwouldhavecomplainedbecauseit
25 wouldhaveinterferedwithmywork.Ifthedishesfrom
91
1 thepreviousdinner,forexample,weren'tdonethenext
2 day,itwouldmeanthatwhenIhavetocookforhim,
3 Iwouldhaveto,beforecookingforhim,cleanthemand
4 thiswouldnothavesatwellwithme,Icantellyouand
5 Iwouldhavereporteditmyself.Thisisridiculous.
6 Q.Canwehave{F/23/3}?Iamlookingatparagraph18.
7 ThisisawitnessstatementofDeniseHassan.She
8 describesthehygieneconditionsatMerlotHouseas
9 "disgusting".
10 A.It'snottrue.
11 Q.Okay.
12 A.Doyouwantmetoreadanythinginparticularorjust
13 respondtothat?
14 Q.Thatwasanotherperson'sview.Wehavebeentakento
15 thecorrespondence,therewasaletterof21February
16 whereMsHernandezwascomplainingtoMsTossoabout
17 you,sayinggrossmisconduct.Wouldyouacceptthat
18 conditionslikethisweregrossmisconduct?
19 A.Well,it'sreally‐‐no,Iwouldn'tacceptitatall,
20 andit'sreallybewildering,becauseifshefeltthat
21 therewasgrossmisconduct,whywouldshethenpropose
22 tosendtherestofustoworkwithothervulnerable
23 individuals?Itjustdoesn'tmakeanysense.Either
24 sheishighlyirresponsibleorjustdoesn'tknowwhat
25 sheisdoingorsheislying.I'llletyouchoose.
92
1 Q.Finally,aboutyourwishtotakethechildrenonatrip
2 abroad.Youwereconcernedthatshedidnotrespondto
3 youonthat?
4 A.Mm.
5 Q.Youhaveseenwhatshesays,shewasveryconcerned
6 aboutyourcareoftheresidents.Youdidtake
7 aresidentabroad,ResidentXIbelieve,andwhenyou
8 camebackyouwerearrestedforcarryingdrugs,soshe
9 wasrighttobeconcernedaboutyou?
10 THECHAIRMAN:Well,letmeintervenehere,MrEnright,
11 becausethereisnodisputeaboutthisandMrTeumahas
12 acceptedit,hedoesn't‐‐well,hefeelsbadaboutit,
13 asonewouldwellexpect.It'sallbeendealtwith,and
14 Ican'tseethepointofraisingthat,becausefurther
15 evidenceaboutthatisn'tgoingtohelpmeinanywayat
16 all.
17 MRENRIGHT:Iacceptthat,sir,Ihavenomorequestions.
18 THECHAIRMAN:MrNavas?
19 MRNAVAS:Noquestions,thankyou.
20 THECHAIRMAN:MrTeuma,yourevidenceisfinished,thank
21 youverymuchindeed.
22 THEWITNESS:Thankyouverymuch,goodluckwithyourwork.
23 THECHAIRMAN:Iamverygratefultoyouforyourhelpand
24 haveagoodtripbacktoMadrid.
25 THEWITNESS:Thankyouverymuch,goodluck.
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1 (Thewitnesswithdrew)
2 THECHAIRMAN:Wewillresumeat25past2.
3 (1.10pm)
4 (Theshortadjournment)
5 (2.25pm)
6 THECHAIRMAN:Yes,MrEnright.
7 MRENRIGHT:It'sjustaboutwhatyousaidthismorning,
8 sir,inregardofsittingonFriday.ObviouslyIamnot
9 goingtoholduptheInquiry,andIwillbehereifit
10 needstobe,butyoucanimagineIhavecommitmentsin
11 London,Ihavebookedflights.Butifitgoeson,it
12 goeson.It'sjustifit'spossible‐‐
13 THECHAIRMAN:Iamsorrytohearthat,MrEnright.Iwas
14 abouttosaythatwewillactuallyneedtositon
15 Friday.
16 MRENRIGHT:Ifwemust,wemust.Thankyou.
17 THECHAIRMAN:Idon'tknowwhatIcandoaboutthat.
18 MRENRIGHT:Ijustwantedtoraiseit.
19 THECHAIRMAN:Anyway,thankyouformentioningit.
20 Yes,MrEnglehart?
21 MRENGLEHART:It'sMsOpenshaw.
22 THECHAIRMAN:Right.
23 MSSHARONOPENSHAW(called)
24 THECHAIRMAN:MsOpenshaw,thankyouverymuchforcoming,
25 andthankyouforprovidingyourstatement,andturning
94
1 upheretohelpus.Ifyouhavebeensittinginthe
2 roomabit,youwillknowhowthingsgo.Haveyoubeen
3 here?
4 A.Yes.
5 THECHAIRMAN:Don'tbenervous.MrEnglehartwillaskyou
6 somequestionsandtheremaybeotherquestionsfrom
7 othercounsel.Wewillnotkeepyouhereanylonger
8 thanweneedyou.Ifyouneedtogivethenameoryou
9 needtorefertoanyindividual,wehaveabitofpaper
10 therewhichyoucanseehowtodoit.It'snotvery
11 easytodo,andifanameslipsout,don'tworry,butwe
12 aretryingtopreserveanonymitywherewecan.
13 A.Yes.
14 THECHAIRMAN:CouldIstartbyaskingyoutogiveyourfull
15 nameandaddressfortherecord?
16 A.SharonOpenshaw,andmyaddressisAllSaintsVicarage,
17 Rochdale,UK.
18 THECHAIRMAN:Thankyou.MrEnglehart.
19 QuestionedbyMRENGLEHART
20 MRENGLEHART:Ithinkyouareparticularlyconcernedwith
21 theyoungmanwecallResidentL.IsitMsorMrs?
22 A.Ms.
23 Q.MsOpenshaw,canweturnup,firstofall,{E/61/1}.
24 Doyourememberrecentlymakingthiswitnessstatement?
25 A.Ido.
95
1 Q.Isthereanythingthatyouwanttoaddto,detractfrom,
2 sayanything‐‐
3 A.No.Imayhavegotsomedateswrong.
4 Q.Somedateswrong?
5 A.Mayhavegotdateswrong.
6 THECHAIRMAN:Itwasquitealongtimeagosoitwouldn't
7 besurprising.
8 MRENGLEHART:Apartfromthat,youarebroadlycorrectwith
9 whatyousay.
10 A.Yes.
11 Q.Verygood.Justforthetranscript,fortherecord,
12 it'sbundleE,tab61.
13 Right,youarenow,asIunderstandit,employedin
14 runningtwochildren'shomesinthenorthofEngland?
15 A.That'scorrect.
16 Q.InRochdale?
17 A.Yes.No,sorry,Wigan.
18 Q.Verywell.Yourunthewholeofthetwohomes,isit?
19 A.Yes.
20 Q.Whatdoesrunningtheminvolve?
21 A.Iamtheregisteredmanager,registeredbyOFSTED,and
22 theentireresponsibilityofthehomesisonmy
23 shoulders.
24 THECHAIRMAN:Sorrytointerrupt.MsOpenshaw,couldIask
25 youtofacethiswayabitmore,andkeepyourvoiceup,
96
1 ifyoucould.Idon'thavethebenefitofany
2 microphoneoranythingsoyouneedtospeaktomeso
3 Icanhear.
4 MRENGLEHART:Asamatterofinterest,aretheseNHShomes
5 oraretheyprivatehomes?
6 A.No,theyareprivaterun.
7 Q.YouworkedfortheSocialServicesAgencyherein
8 Gibraltar,youtellus,betweenAugust2007until
9 May2011?
10 A.That'sright.
11 Q.Soyoudon'toverlapwithMsHernandezatall?
12 A.No.
13 Q.Therecameatime,asweknowfromotherevidence,when
14 theyoungmanwhoIhavementionedseemstohavemade
15 somesortofallegationconcerningyouandtwoothers?
16 A.Yes.
17 Q.Firstofall,that'syou,RoseRobba,and
18 ManolitaAdamberry,whowasherethismorning.Ithink
19 youhavebeenheretoday?
20 A.Yes.
21 Q.Firstofall,canyouexplaintheset‐upasbetweenyou
22 three?
23 A.Iwastheunitmanagerandtheothertwostaffwerethe
24 nightshift.
25 Q.Sorry,youwerethe?
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1 A.Iwastheunitmanager.
2 Q.AndsoRoseRobbaandManolitaAdamberrywerethecare
3 workers?
4 A.Yes.
5 Q.Whoreportedtoyou?
6 A.Yes.
7 THECHAIRMAN:Yousaythenightshift;weretheyallthe
8 timethenightshift?
9 A.Theywereregularnightstaff,yes.
10 MRENGLEHART:Andyouwerenightstafftoo,wereyou?
11 A.No,Iwasdays.
12 Q.Youwereday?
13 A.Yes.
14 Q.Whowasreportingtoyouthenfromthisteam,ifImay
15 callitthat,duringtheday?
16 A.Allthecareworkers,thedaystaff,thenight
17 staff‐‐asinnames?
18 Q.Wearetalkingaboutaflat,aren'twe?
19 A.Yes.
20 Q.Yes,sotherewereaprettyfinitenumberofcare
21 workersthere?
22 A.Yes.
23 Q.Whowouldithavebeenwhowouldbereportingtoyou
24 duringtheday?
25 A.DuringthedayitwasFlorGarcia,CoryAlman,
98
1 LucyMiddletonandMaryNoakes.
2 THECHAIRMAN:Wouldtherenormallybetwoofyouthere
3 duringtheday?
4 A.Therewastwoduringtheday,yes.
5 THECHAIRMAN:Youplusone?
6 A.No,twoplusme.
7 MRENGLEHART:Soitwasatwotooneortwoandahalfto
8 one,ifyoucountyourselfasahalf,care.
9 A.Yes.
10 Q.AtnighttherewouldbeRoseRobbaand
11 ManolitaAdamberry,asyoumentioned.Theywereon
12 theirown,werethey?
13 A.No,therewas,theothernightshifttendedtobe
14 supply,soitwasquiteirregularwhowasontheother
15 nightshift.
16 Q.Right,sowheredotheyfitin?
17 A.RoseandManolitaworkedsomanynightsaweekandthen
18 wehadsupplystaffworktheothernights.
19 Q.Isee,right,buttherewasnoseniorondutyatnight?
20 A.No.
21 Q.Right.Now,yourefertoadocumentwhichyouexhibit,
22 indeed,let'shaveitup,it'sbundle{E/61/15}.We
23 haveseenthisbefore.Youhavetooobviously,because
24 yourefertoit.DoyouseeResidentLismentioned,
25 andhisdateofbirth,on20October1993.He'sin
99
1 England,inUK,atthistime?
2 A.Yes.
3 Q.The"Reasonforandpurposeofstrategydiscussion".Do
4 youseethatsomenotveryexplicitallegationofabuse
5 was,physicalabuse,madeagainstyou,RoseRobbaand
6 ManolitaAdamberry.Doyouseethat?
7 A.Yes.
8 Q.That'sall,therewereobviouslynodetailsgiven,but
9 ifwemaynowlookattheconsequenceofthis
10 allegation,whichhadbeenmadeintheUnitedKingdom,
11 atbundle{E/61/19}.Youreceivedthisletter,you
12 wereinTorremolinos,actually.Isthatwhereyouwere
13 living?
14 A.No,IwaslivinginLaLinea.
15 Q.8October2009,youreceivedasuspension?
16 A.Yes.
17 Q.Pendinginvestigation.Asfarasyouwereaware,the
18 samehappenedtoRoseRobbaandManolitaAdamberry?
19 A.Tomyknowledge,yeah.
20 THECHAIRMAN:Wasthisthefirstthatyouhadheardofit,
21 MsOpenshaw,orhadyoubeenmadeawareofthese
22 allegationsbefore?
23 A.No,IactuallygotthisonthedayIreturnedto
24 Gibraltarfrommymother'sfuneralinUK.
25 MRENGLEHART:Thatpreviousdocumentwewerelookingat,
100
1 youhadn'tseenthat,hadyou?
2 A.Sorry,thisdocument?
3 Q.No,thepreviousone,sorry,thehandwrittenonewhich
4 talksabouttheunspecificallegation?
5 A.I'veonlyseenthatthisweekwithmysolicitor.
6 Q.Preparing,Iunderstandthat.
7 A.Yes.
8 Q.Thefirstyouknewaboutanyofthiswas,as
9 Iunderstandit,thisdocumentwearelookingatnow‐‐
10 A.WaswhenIwashandedit.
11 Q.E,tab61,page19,isthatcorrect?
12 A.IwashandedthisletterwhenIwentintotheoffice
13 uponmyreturnfromtheUK.
14 Q.WhattheChairmanisinterestedinknowingis:didyou
15 knowanythingabouttheallegationsbeforeyougotthis
16 letter?
17 A.No.
18 THECHAIRMAN:No,thiswasthefirstyouhadheardofit,
19 Ithinkyouweretellingme.
20 A.WhenIgotthatletter,yes.
21 MRENGLEHART:Soitwasasurprise?
22 A.Ashock.
23 Q.Abombshell,Icanimagine,yes.Anyway,thatwas2009.
24 Ithinkyouwereinfactinterviewedbythepolice?
25 A.Yes.
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1 Q.Wehavetherecordofitsononeedtogointothat.2 Timemarcheson,andyoutellusinyourstatementyou3 actuallycontactedthepolicethefollowingMay,that's4 May2010,toaskwhatwashappening?5 A.ThatmaybewhereIgotthedateswrong,butIdid6 contactthemearlyinthenextyear.7 Q.Didyou?Becauseyouhadheardnothing?8 A.Ihadheardnothingfromsocialservices.9 Q.Didyouask,hadyouaskedsocialserviceswhat's
10 happening?11 A.Ihadnocontactwithsocialservicesatall,Ihadno12 pointofcontact,Iwaswaitingforthemtocontactme,13 soIcontactedthepolicetofindoutwhatwas14 happening.15 Q.DidyouknowMarieCarmenSantos?16 A.Byname.17 Q.Bynameonly?18 A.Yes.19 Q.Isee.HadyoudealtwithanyoneinTheCareAgency?20 A.Inwhatrespect?21 Q.Wasthereno‐oneinTheCareAgencyyoucouldringup22 andsay"What'shappeningtothiscase,mysuspension?"23 A.MylinemanagerwasMariaElena,andIcouldn'tcontact24 MarieElenabecauseshewascarryingouttheGibraltar25 investigationasfarasIwasaware.
102
1 Q.BythatyoumeanMacias?
2 A.Yes,sorry.
3 Q.No,justsoIknowwhoyoumeant.Wewillhearfromher
4 later.CanIask,youweresuspended,butbeingpaid?
5 A.Yes.
6 Q.Andthatwasjustcarryingon?
7 A.Andon,andon.
8 Q.Anyway,youcontactedthepolice,andwhenyoudidthat
9 whatdidtheytellyou?
10 A.Thatasfarastheywereconcernedeverythingwas
11 unfounded.
12 Q.Unfounded?
13 A.Unfounded,yes.
14 Q.Sowhatdidyoudothen?
15 A.Ithenwaitedforsocialservicestocontactmebecause
16 theyweredoingtheirowninvestigation.
17 Q.Youexhibit‐‐sorry,wereyouintouchwith
18 ManolitaAdamberryorRoseRobbaatthistime?
19 A.Notatall.
20 Q.Notatall?
21 A.Notatall.
22 Q.Sodidyouthinkyouweregoingtobe,yoursuspension
23 wouldbelifted?
24 A.Iwashopingso.
25 Q.ButyoumadenoenquiriesofTheCareAgencytofind
103
1 out?2 A.LikeIsaid,asfarasIwasaware,GibraltarPolice3 had‐‐theUKpolicehaddonetheirinvestigation,4 GibraltarPolicehaddonetheirs,Iwasawarenowthat5 GibraltarCareAgencywerecontinuingtheir6 investigation.7 Q.Isee.8 A.So‐‐9 Q.TheCareAgency,asfarasyouwereconcerned,were
10 stillinvestigating?11 A.Yes.12 Q.Isee.Butyoutellusinparagraph14,{E/61/2}13 Iappreciatethedetailsafterallthistimeare14 probablyabitvague,butthattherewasalso15 anallegationagainstyouofsomemismanagementof16 medication?17 A.Yeah,IfoundthatoutwhenIgotaphonecallaskingme18 toattendtheoffice,assumingIwasgoingbacktowork,19 tobetoldthatthereisadifferentallegationnowso20 suspensionwascontinuing.21 Q.Couldyoubeshown,please,adocument,Idon'twantto22 takeyouthroughitbecauseIdon'tthinkitreally23 impingesontheissuesthattheChairmanhastoenquire24 intointhisInquiry,butit'sbundle{E/61/23}.This25 isinyourhandwriting,isit?
104
1 A.Yes.
2 Q.Page21canwenowhave.{E/61/21}Youseeitsays
3 "Report"?
4 A.Yes.
5 Q.Itdealswiththemedicationmatter,ifImayputit
6 thatway.Whatwerethecircumstancesinwhichyoucame
7 towritethisreport?
8 A.ThatwasonceIhadbeenintotheofficeandtoldthat
9 theinvestigationhadchangedfromtheallegation
10 againsttheyoungpersontothemismanagementof
11 medication.Ithensentthatreportintotheoffice.
12 Q.Right.
13 THECHAIRMAN:Whatdatearewetalkingabout,MsOpenshaw,
14 roughly?
15 A.WhenwereIcalledinforthechangeofallegation.
16 THECHAIRMAN:Canyougivemeayear?Obviouslyit'ssome
17 timebetween‐‐
18 A.Itwouldbe2000and‐‐
19 THECHAIRMAN:HowlonghadyoubeenattheHomeatthat
20 time?
21 A.Ihadbeensuspendedforninemonthssoitwasjust
22 afterthat,whentheallegationchanged.
23 THECHAIRMAN:Soarewetalkingabout2008or2009?
24 MRENGLEHART:Ithinklater,aren'twe?
25 A.Suspendedin‐‐
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1 Q.Paragraph19ofyourwitnessstatementIthinkhelps.
2 {E/61/3}
3 A.Suspendedin2008,sothiswouldhavebeen2009.
4 THECHAIRMAN:Sometimein2009.
5 MRENGLEHART:YouremainedsuspendedfromOctober2009
6 untilMay2011.
7 A.Yes.
8 THECHAIRMAN:Sorry,Iamabitconfusedthen.Sothis
9 incidentwiththemedicationwaspriortothe
10 suspension,before‐‐
11 A.Sorry?
12 THECHAIRMAN:Itwasbeforethesuspension?
13 A.Theincidentwas,yes.
14 MRENGLEHART:CanIaskyoutolook‐‐thismayclarify
15 matters‐‐atbundle{O16/13A/1}.Thisis
16 12October2009.It'saminuteofameeting.Canyou
17 justreadthroughthat?
18 (Pause)
19 Doyouseethepenultimateparagraph?
20 A.Pardon?
21 Q.Doyouseethepenultimateparagraphabouttherectal
22 diazepam?
23 A.Yes.
24 Q.Isthatwhattheinvestigationwasabout?
25 A.No.
106
1 Q.It'sanotherone,Isee.Sotheinvestigationwas,you
2 hadbettertellusverybriefly,becauseIdon'tthink
3 weneedbetroubledaboutitfortheInquiry?
4 A.Therectaldiazepamwassomemedicationthatwasfound
5 bymembersofstaffinthekitchenoftheflat,itwas
6 aprescribeddrugthatwashighlysedativeandshould
7 neverhavebeenthere,wedon'tknowwhereitcamefrom.
8 Theallegationagainstmyselfwasexcessmedicationthat
9 wasfoundontopofawardrobe.
10 Q.Isee.Anyway,tocutalongstoryshort,well,it's
11 notthatlong,it'slongintermsoftime,butifyou
12 lookat{E/61/25},wouldyouliketoreadthatto
13 yourself?
14 (Pause)
15 THECHAIRMAN:Isthattheendoftheletter,MrEnglehart?
16 MRENGLEHART:No,itgoesover,wecanturnover.{E/61/26}
17 A.Yes.
18 (Pause)
19 Q.Anyway,soyouhadhadenoughbynow,toputit
20 colloquially?
21 A.Yeah.
22 Q.Andyoudecidedthatafterallthistimeyouwouldgive
23 upinGibraltarandgobacktotheUK?
24 A.Yes.ImovedontoAustralia.
25 Q.Sorry?
107
1 A.ImovedontoAustraliafirst.
2 Q.YouwenttoAustraliafirst,didyou?
3 A.Yes.
4 MRENGLEHART:Verywell.Ipersonallyhavenomore
5 questions,sir.Maybesomeoneelsewill.
6 THECHAIRMAN:WouldanyonewishtoaskMsOpenshawany
7 questions?
8 QuestionssuggestedbyMSMORAN
9 MSMORAN:Sir,Iamjustlookingforthecorrectdocument.
10 Ididhaveit,butIcan'tseemtoputmyhandsonit.
11 Idobelievetherewasaninterviewwith
12 MariaElenaMacias,andMsOpenshaw,inJune2010,where
13 thatsecondallegationwas,andthensheremainedon
14 suspensionuntiltheMay2011.Itwassimplytoclear
15 thatupforyou.
16 THECHAIRMAN:Didyouhearthat,MsOpenshaw?It's
17 suggestedbyMsMoranthattherewasaninterviewwith
18 MariaElenaMaciasinJune2010,wherethesecond
19 allegationwasdiscussed,Ithink.
20 A.Yes.
21 THECHAIRMAN:Youdorememberthat?
22 A.Yes.That'swheretheytoldmethattheallegations
23 fromtheyoungmanhadbeenunfounded,howeveryouare
24 remainingsuspendedduetoanewone.
25 THECHAIRMAN:Right.
108
1 MSMORAN:IamafraidIcan'tfindthelettertoshowthe
2 court,ortherecordofthe‐‐
3 THECHAIRMAN:Sherememberstheoccasion.
4 MSMORAN:ItwassimplytoclarifyMrEnglehart's
5 questioningearlier.
6 MRENGLEHART:MrsMaciasisgivingevidencelateranditis
7 actuallyreferredtoinherwitnessstatement.
8 THECHAIRMAN:Doweneedtolookatit?
9 MRENGLEHART:Iwouldn'thavethoughttherewasanyneedat
10 all.
11 THECHAIRMAN:Right,Ithinkthatfinishesyourevidence,
12 MsOpenshaw,thankyouverymuchindeedforcomingand
13 thankyouforthehelpthatyouhavegivenus.Thanks
14 verymuch.
15 (Thewitnesswithdrew)
16 THECHAIRMAN:Yes,MrAzopardi?
17 MRAZOPARDI:WearegoingtocallRoseRobbanext.
18 MRSROSEROBBA(called)
19 THECHAIRMAN:Goodafternoon,MrsRobba.
20 A.Goodafternoon,sir.
21 THECHAIRMAN:Thankyouverymuchforcoming.Wouldyou
22 prefertogiveyourevidenceinSpanish?
23 A.No,inEnglishisallright.
24 THECHAIRMAN:Idon'tknowwhetheryouhavebeeninthe
25 roombefore‐‐
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1 A.Si.
2 THECHAIRMAN:Youhave,soyouhaveseenroughlywhat
3 happens.Ifyouneedtorefertoaresident,
4 aparticularresidentattheHome,pleaseusethe
5 lettersthatwehavebeenusing.Youhaveabitof
6 paperthere,Ithink,whichtellsyouwhichtheletters
7 are.
8 Ifyoucouldjustbeginbygivingyourfullnameand
9 youraddress,please?
10 A.MynameisRoseRobba,Mrs,Ilivein19Medview
11 Terrace.
12 THECHAIRMAN:Youmighthavetokeepyourvoiceupalittle
13 bit,becauseIhavetobeabletohearwhatyousay.
14 MRNAVAS:Sir,ifImayjustassistinexplainingthe
15 reasonfortheinterpreter.MrsRobbarequestedthe
16 assistanceofaninterpreterincasethereisanything
17 thatshecannotexpressadequatelyinEnglishorany
18 documentthatshedoesn'tunderstand.Thankyou.
19 THECHAIRMAN:MrsRobba,ifyoufeelinanydifficultyin
20 speakinginEnglish‐‐
21 A.No,no,it'sallright,IspeakinEnglish.
22 THECHAIRMAN:‐‐youspeakinSpanishandthegentleman
23 nexttoyouwillsorteverythingout.
24 A.Okay.IspeakinEnglish.
25 QuestionedbyMRAZOPARDI
110
1 MRAZOPARDI:MrsRobba,Ijustwanttoaskyousome
2 questionsjusttobetterunderstandthisstatementthat
3 youmadetotheInquiry,whichisat{E/62/2}.Doyou
4 recognisethatstatement?
5 A.Yes.
6 Q.Yes?That'stheevidencethatyouaregivingthe
7 Inquiry;isthatcorrect?
8 A.Yes.
9 Q.YouworkedatTheCareAgency,intheDrGiraldiHome,
10 from2002?
11 A.No,I'veneverworkedinGiraldiHome.
12 Q.Sorry?
13 A.I'veneverworkedthere.
14 Q.Letmestartagain.Youworkedasacareworkersince
15 2002;correct?
16 A.Si.
17 Q.Yes.Duringyourtimeasacareworker,youworkedwith
18 ResidentL;isthatcorrect?
19 A.Yes.
20 Q.Ifyoulookatthelist?
21 A.Yes.
22 Q.Okay.Iunderstoodfromyourstatementthatyouhad
23 normallythenightshiftwithResidentL?
24 A.Yes.
25 Q.Andthatwouldbeanightshiftthatyousharedwith
111
1 MrsAdamberry?
2 A.Adamberry,yes.
3 Q.Isthatcorrect?
4 A.Yes.
5 Q.Wouldthatbewhatyouusuallydidafter2002?
6 A.Iwasonlywith[nameredacted]about‐‐sorry,L,for
7 aboutnearlytwoyears.
8 Q.Okay.Sofrom2002to2004;isthatcorrect?
9 A.No.
10 Q.No?
11 A.No.
12 Q.Tellus.
13 A.2008and2009.
14 Q.Okay,soyouwerewithResidentLtowardstheendofhis
15 stayinGibraltar?
16 A.EndofhisstayinGibraltar,si.
17 Q.BeforeyouwerewithResidentL,youworkedasacare
18 workerwithchildren?
19 A.Children,si,especiallychallengingbehaviour,usedto
20 work.
21 THECHAIRMAN:Sorrytobeanuisance,MrsRobba,couldyou
22 keepyourvoiceupabit?It'sabitdifficult.There
23 issomewaterthereifyouneedit.Itwillhelpifyou
24 lookthiswayalittlemore.
25 MRAZOPARDI:Thereasonyoustartedworkin2002withthe
112
1 children,andthereasonthatyouthenstartedworking
2 withL,wasbecauseLwas,wehaveheard,transferred
3 intothecareoftheChildren'sDepartment,ifIcanput
4 itthatway.
5 A.Yes,transferredtoFlatBastion.
6 THECHAIRMAN:FlatBastionRoad?
7 A.FlatBastionRoad.Therewasaflatthere.
8 MRAZOPARDI:ApartfromResidentL,didyouworkwithother
9 childrenofchallengingbehaviour?
10 A.Yes.
11 Q.Yes,okay.BeforeL?
12 A.BeforeL.
13 Q.Isee.ButLwasthefirstchildwithlearning
14 disabilitiesyouhaddealtwith;that'scorrect?
15 A.Yes.
16 Q.Sohehadthatcombinationthattheotherchildrenof
17 challengingbehaviourhadnothad.Didthatmakehim
18 moredifficulttodealwith?
19 A.Notreally,no.
20 Q.Okay.
21 A.IhadalotofhelpfromMrsAdamberry.
22 Q.Right.HowdidyoufindyourexperiencewithLduring
23 thosetwoyears?
24 A.Well,itwentverywellallthetime,Ithink,Irarely
25 hadanyproblemswithhim,becauseIkeptwithwhat
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1 MrsAdamberrytoldmetodo,andIdidn'treallyhave
2 anyproblemswithit.
3 Q.Yousayinyourstatementatparagraph17,ifIcantake
4 youthere,{E/62/3},thatyoudescribehimas
5 agenerallywellbehavedandlovingboy?
6 A.Yes.
7 Q.Althoughhisillnessmadehimpronetoviolentoutbursts
8 bothphysicalandverbal?
9 A.Si,sometimes.
10 Q.Canyougiveusabitmoreinsightintothat?
11 A.Well,withme,IonlywhenIthinkabouttwice,twice
12 really‐‐hehitmetwiceonlyreally,oncewasn'tmeant
13 formeandtheotheronehediditfornoreasonatall.
14 Justasanimpulse,no?Thenheusedtocryandsay
15 "I'msorry,I'msorry"andheusedtokissme.Intwo
16 yearsthat'stheonlyproblemIhadwithhimreally.
17 Q.WehavealsoheardthatLknewwhenhewasbecoming
18 aggressive?
19 A.Yes.
20 Q.Andhewouldaskforsomeonetohold‐‐
21 A.Si.MrsAdamberryusedtotellme"Don'tgetnearhim",
22 bythetimeshetoldmeIhadalreadybackedoff,she
23 usedtosay"Don'tgethim,heisgoingtoget"‐‐
24 becausesheknewhimsinceheislittle,"Don'tget
25 him",soIusedtobackoff.Thenwhenhecalmeddown
114
1 weusedtotalktohim.Iusedtodancewithhim,with
2 me,fromthebeginninghehadaverygoodrelationships.
3 Ididn'thaveanyproblemwhatsoever.Weusedtotake
4 himto‐‐summernights,weusedtotakehimtotheMed,
5 youknow.
6 Q.Atparagraph19ofyourstatementyousay‐‐
7 A.Weusedtotakehimtothefair.
8 Q.Atparagraph19ofyourstatementyousayhewasalarge
9 boy?
10 A.Si.
11 Q.Isupposebythenhewasateenagerbythetimeyouknew
12 him?
13 A.Si.
14 Q.Andcapableofoverpoweringyouwithease?
15 A.Si,hewascapablebuthenever‐‐Imean,Ididn'teven
16 givehimachancebecauseIusedtobackoffwhenIsaw
17 himlikethat.
18 Q.Isee.
19 A.LikeIsaid,Ididn'thaveanyproblemswithhim.
20 THECHAIRMAN:Soreallyyoumeanthathecouldhave
21 overpoweredyouifyouhadn'tbackedoff?
22 A.Yes.Meandaboutthreeofus,si,becausehewas
23 reallylargeandhewasverystrongaswell.Hewas
24 averystrongboyforhisage.
25 MRAZOPARDI:Wasthepracticewhenyousawhimbeing
115
1 aggressivetojustbackoffandlethimcooldown?
2 A.Si,andthenheusedtocalmdown.Sonottolethim
3 escalate,youknow,becauseweusedtobackoffandthen
4 heusedtocalmdownorusedtotalktohim,and...
5 Q.Washesenttohisroomtocalmdown?
6 A.No,notreally.Iusedtostaywithhiminthesame
7 room.
8 Q.Youusedtostaywithhim?
9 A.Staywithhiminthesittingroomorwhatever.
10 Q.Isee.
11 A.Asweworkednightshifts,whenwewenthewasalready
12 inbedandinthemorninghedidn'thavetimebecausehe
13 usedtogetdressedandhadhisbreakfast.
14 Q.Sofairtosaythatreallyyourexperienceofhimwould
15 normallyhavebeenduringhourswhereIsupposehespent
16 mostofthetimesleeping?
17 A.Si.Mostofthetime,yes.
18 Q.Isee.
19 A.Well,exceptweekendssometimeslikeIsaidweusedto
20 takehimtothefairortosummernightsthatwehadto
21 bewithhim.
22 Q.CanIaskyouaboutparagraph23?{E/62/4}Yousee
23 paragraph23,yousaythat,indescribinghim,inthe
24 secondsentence,thathewouldoftengetconfused,
25 especiallywhenrecallinganearlierincident,speak
116
1 veryerratically,usingonlykeywordsandactions,and
2 hischronologywaswrong,oftenwrong,mixingupevents.
3 A.Si.
4 Q.Canyougiveusanexampleofwhatyoumeanbythat?
5 A.Si.Whenheusedtocomesometimesfromhismother's
6 house,[nameredacted]explainedtousthathehadhit
7 hissisterthere.Heusedtosaythathismother's
8 boyfriendwouldhithim,butitwasn'ttrue,his
9 mother'sboyfriendwastryingtogetholdofhimsohe
10 couldn't...that.Orwhen[nameredacted]hadafight,
11 heusedtomixeverythingup.Andweknewitwasn't
12 true.Weknowthatitwasn'ttrue.
13 Q.Didheusedtodothatalot?
14 A.Sometimesusedtodoit,si.Soheusedtodoit
15 sometimes.Butknowinghim,weknewthatitwasn't
16 true,knowinghismother,weknewitwasn'ttrue.
17 THECHAIRMAN:Didyouthinkthathewasgenuinelyconfused
18 ordidyouthinkthathewasbeingmischievous,orwhat
19 didyouthink?
20 A.No,Ithinkitwasconfused,heusedtogetalotof
21 thingsmixedup,withnamesandpeople,andincidents,
22 heusedtocombinetwoincidentstogetherandmakeit
23 one,youknow.Incidentsthathadhappened,perhaps,
24 whenthedaybeforethenandheusedtogetthetwo
25 incidentsandmixedituptogether.
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1 THECHAIRMAN:Right.
2 A.Andweknewwhathadhappenedwas,weusedtoreadwhat
3 hadhappened.
4 MRAZOPARDI:Sohewouldmixeventsthathadhappened?
5 A.Si.
6 Q.Ithinkyousaidearlier,butIamjustcheckingwhat
7 yousaid,wouldhealsomakethingsup?
8 A.Aswell,yes.Sometimes,yes.
9 Q.Youtalkinyourstatementaboutachangeinhis
10 behaviourtowardstheend.Iamtalkingabout
11 specificallyparagraphs26and27.Yousayatthe
12 beginningof27thatwhentheychangedthemedication,
13 yousawachangeinhisbehaviour.Whatkindoftime
14 wouldthatbe?Wasthatverysoon,veryclosetothe
15 timethatheleftforEngland?
16 A.Si,itwasmoreorlessthetimeofthefair,because
17 whenwewenttomeetthedaystaff,andwewenttotake
18 himtothefair,wemethimoutsidethefair,andwesaw
19 [nameredacted]hadatic,doingallthetimelikethis
20 (indicated),whichweneversawwithhimbefore.Itwas
21 abitstrange.
22 THECHAIRMAN:WasthisaferiaorafairinGibraltar?
23 A.ThefairinGibraltar,roundaboutJune,July‐‐no,
24 September.
25 MRAZOPARDI:SothatwouldbeSeptemberbeforetheyear
118
1 thatheleft?
2 A.Theyearthatheleft,yes.
3 Q.SoitwouldbeSeptember2008?
4 A.Si,Irememberthatspecificallybecausewhenwesawhim
5 wesaw‐‐wedidn'tlikethewayhelookedthatday.
6 Q.HeleftforEnglandinaroundMay2009,Ithink?
7 A.Si,but‐‐
8 Q.Sowearetalkingaboutthelasteightorninemonths?
9 A.Yes,fromSeptember,that'sthefirstdayInoticedthat
10 somethingdifferent,Ithinkitwasperhapshis
11 medicationhadchanged,Idon'tknow,butwereported
12 it‐‐Imean,wewroteitdown,wedidn'tlikethetic
13 he...thewayhelooked.
14 Q.YouworkedwithLfortwoorthreeyears,Ithinkyou
15 said?
16 A.Nearlytwo,nearlytwo.
17 Q.Duringthattime,didyoueverseehimstrikeacarer?
18 A.Once,once.Once,aSpanishgirl.
19 Q.Okay.Thathestruckher?
20 A.Si.
21 Q.Isthatright?
22 A.IthinkManolitawasonleavethatday,andhedidn't
23 likesomebodynew.BecauseheknewIworkedwith
24 Manolita,andwhenIthinkshewasthesupply,and
25 she‐‐hedidn'taccepthertobewithme.
119
1 Q.Didyoueverseeacarerstrikehim?
2 A.No,no,never,never.Never.
3 Q.Orbeabusivetowards‐‐
4 A.No.
5 Q.‐‐himinanyparticularway?
6 A.No,never.
7 THECHAIRMAN:Washisbehaviourmorechallengingwhennew
8 carerscame,newfacesappeared?
9 A.Si.Si.
10 THECHAIRMAN:Howwouldhereacttonewpeoplecoming?
11 A.LikeIsaid,hewouldhit.Hewouldhit.Hedidn't
12 likenewfaces.
13 THECHAIRMAN:Hewouldtendtobecomemoreviolent?
14 A.Butthat'susuallywithautisticchildrenandthat,
15 becauseIworknowwithtwoautisticchildrenandthey
16 reactexactlythesameway.Theydon'thitbutyoucan
17 seethechanges.Theytakeofftheirshoes,youcan
18 see‐‐theycan'texpress,butI'vegotonewhodoesn't
19 talkatall,butyoucanseetheydon'tlike‐‐theway
20 thattheyareacting,theydon'tlike‐‐theydon't
21 acceptnewfaces.
22 MRAZOPARDI:Notsaiddirectly,butareyouputtingdown
23 thechangeinbehaviourtothechangeinmedicationthat
24 hehad?
25 A.Si,aswell,thatthing.Ithinkthatthemedicationas
120
1 wellhadalottodowithit.
2 Q.Plusalsothenewmembersoftheteamthat‐‐
3 A.Newmembersofteams.
4 Q.‐‐hewasreactingagainst?
5 A.Sometimessuppliesusedtocome,peoplefromADA,that's
6 acompanythatmaybeusedtocome.LikeIsaid,once
7 theyhavethingstheydon'taccept‐‐
8 Q.Sorry‐‐
9 A.Ithinkwearelikeafamilytothem,youknow.It's
10 normal,Ithinkit'snormalforthemtoreactthatway.
11 Q.Sorry,ADAareaprivateproviderofcarers,aren't
12 they?
13 A.Aprivateproviderofcarerswhentheydon'thaveenough
14 staff.
15 Q.Sowhatyouaresayingisthatfromtimetotime,dueto
16 lackofstaff,ADAwouldbeaskedtoprovidecarers?
17 A.Providecarersforus.
18 Q.Andthatwouldincreasethenumberofnewfacesthat‐‐
19 A.Ofcourse,ofcourse,ofcourse.
20 Q.‐‐woulddealwithL.Isee.
21 A.Evenforusit's,youdon'tfeelcomfortableorworking
22 withsomebodyyoudon'tknow,no?
23 Q.Yousayinyourparagraph29,Ithink,onthisissue
24 {E/62/5}thatwhilehewasreactingagainstthenew
25 membersoftheteam,equallytheywerequite
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1 apprehensiveandscaredabouthim?2 A.Si.Si,theywerescared.Youcouldsee‐‐andhe3 couldseetheywerescared.4 Q.DidbeingscaredofLmakethesituationworse?5 A.Ofcourse.Ofcourse,because...6 THECHAIRMAN:By"thesituation",Ithinkmadehis7 behaviourmorechallenging.8 A.Evenworse,yes,ofcourse,becauseheknewtheywere9 scaredofhim.
10 MRAZOPARDI:Sohewouldgetworse?11 A.Worse,si.12 Q.Tellme,whenthedecisionwastakentogetyoutowork13 withLandLwasthefirstchildwithalearning14 disabilitythatyouhadworkedwith,didtheSocial15 ServicesAgencyarrangeanytraining,specialtraining?16 A.Yes.17 Q.Yes?18 A.Si,Ihavehadquiteafewcourses,Ihavehadbeforeas19 wellcoursesinhospitalaswell,andinBleakHouse20 before,becauseIusedtoworkwithchallenging21 behaviour,IhadaDTR,thecourse,andIhadbreakaway22 courseaswell,especiallywhentheybecamevery23 violent,theytoldustoabreakaway,andtheytoldus24 howtodoitproperly.25 Q.Forgivemeforasking,becauseIjustdon'tknowthe
122
1 answer,isthereaspecialtypeoftrainingforpeople2 withchallengingbehaviourwhohavealearning3 disability,orisitthesametraininggenerallyfor4 everyonewithchallengingbehaviour?5 A.No,Ithinkit'sthesameone.6 Q.Isee.7 A.Ithinkit'sthesameone.8 Q.YourecallthatLleftforEnglandinMay2009,andyou9 areawareofcoursethatLmadesomeallegationsabout
10 youandotherpersonsintheCareAgency.Youcomment11 onthoseallegationsinyourstatement,butperhapsif12 ithelpsyoujusttorespondtomyquestion,ifIcan13 pulluponscreen{M27/23/4},whichisanemailwhich14 containsasummaryoftheallegations.Soifyoujust15 readittoyourself,thisisanemailbetween16 WarwickshirePoliceandGibraltarPolice.17 (Pause)18 A.Si,I'vereaditinthehouseaswell.19 Q.Whatdoyousaytothatallegation?20 A.Well,whenCarmenMaskilltoldme,Iwasshockedand21 thenIlaughedbecauseIsaidnobodyhad‐‐likeIsay22 theword‐‐gutstogetoverhimandputhisheadonthe23 toilet.Anyway,thetoiletwasthatsmallthatwhenyou24 hadtogetinthetoiletyouhadtogoactuallyinand25 thenturnandthenclosethedoor,andanywayInever
123
1 workedSharonOpenshaw,shewas‐‐Iwasnightstaffand
2 shewasdaystaff,soI'veneverworkedwithher.
3 IthinklikeMrsAdamberrysaid,thatwewerethelast
4 threepersons,Itookhimtotheairport,Ididn't
5 actuallygototheUK,butItookhimtotheairport
6 withManolitaandwestayedwithhimandIwentinside
7 to...IthinklikeIsaid,it'sgotallconfused
8 becausetheinjectionhehaditactuallyinsidethe
9 waitingroom,andthenhegotconfusedwiththethreeof
10 ushadbeenthere.Ithinkinnowayfourpersonswould
11 havegotinsidethetoiletwithhim.Therewasonly
12 roomforone,letalonefour.Andanyway,likeIsaid,
13 I'veneverworkedwithSharon.Iusedto‐‐Sharonin
14 meetings.That'swhereIusedtoseeSharon.Inever
15 workedwithher.Ineverworkeddays.
16 Q.Yousay‐‐
17 A.JustononeexceptionIworkeddaysthat,butIhadto
18 meetsomebodyinthePiazza,thedaystaffinthe
19 Piazza,that'stheonlydayIworked.
20 THECHAIRMAN:That'stheonlytime?
21 A.Time.That'stheonlytimeIworkedintheday,withL.
22 ButIneversawSharonthereanyway.Itwasanother
23 careworker,SarahJones.
24 MRAZOPARDI:Yousay,MrsRobba,inparagraph56ofyour
25 statement,{E/62/7}andthisisthe‐‐youhadmade
124
1 apointearlieraboutLbeingconfused,andyoudo
2 mentiontherethattherewasachildincare‐‐
3 A.Yes.
4 Q.‐‐calledRobert;isthatcorrect?
5 A.Yes.
6 Q.Isthisachildthathadsufferedasexualabuse?
7 A.Idon'tknow.Idon'trecallthat,butIknowtherewas
8 achildincarenamedRobert.
9 Q.Butyousaythere:
10 "Isuspectthathehadoverheardconversations
11 regardingsexualabuseaboutachildincare..."
12 A.Yes,yes,nowIrememberbutthatwasanotherchildwith
13 thisRobert.
14 Q.So‐‐
15 A.Notacarer,itwasachildthat'sinUKnowatthe
16 moment,withRobert.
17 Q.Sorry,therewas‐‐
18 A.SomethingthathappenedwithRobertandanotherchild
19 whowasincareaswell.
20 Q.Allright.
21 A.Andperhapshemusthaveheardsomething,Idon'tknow,
22 carerscommentingaboutit,Idon'tknow.
23 THECHAIRMAN:Youthinkhemixeditup?
24 A.Hemixeditup.
25 THECHAIRMAN:Andgotconfused?
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1 A.Hehasn'tgotanunclenamedRobert,andtherewasn't
2 anycarernamedRobert,onlythisRobert.Butanywayhe
3 never,heneverwaswithhim,becausehe‐‐sometimes,
4 si,insummernightstheyusedtobealltogether,but
5 likeIsaidheneverusedtobeinthehouseonany‐‐
6 butperhapshemusthaveheardsomethingabout‐‐
7 MRAZOPARDI:CanItakeitinstages,becauseIamgetting
8 confused?
9 A.Si.
10 Q.Areyousayingthattherewasachildincarenotcalled
11 Robertbutwho,toyourknowledge,thischildhad
12 sufferedsexualabuseand‐‐
13 A.Itwasamildone‐‐
14 Q.‐‐itwasinrelationtoapersoncalledRobert?
15 A.Si.
16 Q.Isthatcorrect?
17 A.Si.
18 Q.Isthatwhatyouaresaying?
19 A.No,no.
20 Q.That'swhyIwasconfused.Explainittome,then.
21 A.ThisRobert,theotherchildwhoisinUKnow‐‐
22 Q.IscalledRobert?
23 A.No.
24 Q.Allright.Let'shaveagoagain.
25 THECHAIRMAN:Don'tinterrupt,MrAzopardi,lether
126
1 describeit.
2 A.Heisnotincarenow.ThischildRobertisnotincare
3 now.Heusedtobeincare,andtherewasanotherchild
4 that'sincareinUK,hewassenttoUK,andtherewas
5 somethingtodowithsexualabuse,butverymild,
6 betweenthetwo.AsfarasIknow,but‐‐
7 MRAZOPARDI:Okay,sotherewasnoRobert?
8 A.TherewasaRobert,si,aboynamedRobert,si,incare.
9 AboynamedRobertandanotherboywhoapparentlydid
10 sexualabusetoRobert,whoisinUK.That'swhatIam
11 saying.
12 THECHAIRMAN:ThisInquiryisturninginto:whereis
13 Robert?
14 A.RobertisstillinGibraltarbutheisnotincarenow,
15 heusedtobeincare.
16 MRAZOPARDI:IthinkIhaveunderstooditnow.Iamnot
17 goingtotryagainbutIthinkIhaveunderstoodit.
18 Youweresuspendedfor‐‐
19 A.Ninemonths.
20 Q.‐‐pendinganinvestigationforninemonthsandthen
21 reinstated?
22 A.Reinstated,buttheagencyreally,CarmenMaskilltold
23 menottoworry,theyknewitwasunfounded,theyknew
24 itwasn'ttrue,andsi,theyreassuredmetheyknewbut
25 theyhadtosuspendedbecauseitcamefromUK,andthey
127
1 reallyhadtoinvestigatewhatissaid,it'snormal,no?
2 Itcouldbetrueanditnotbetrue,sotheysaid"Don't
3 worry,weknowit'snottrue",whenshecalledmetothe
4 officeto...
5 Q.Butyouwereanxiousandsurprised?
6 A.Anxious,surprised,anditcostmefourlittlestomach
7 ulcersandastomachhernia,fromtheworrying,you
8 worryanyway.Youknowitislittle,butyouworry.
9 Iworry,Iworryalot.
10 Q.Youarebackworkingwithchildreninthe‐‐
11 A.LikeIsaid,twoautisticchildren.
12 Q.Withchallengingbehaviour?
13 A.No.
14 Q.Justautisticchildren?
15 A.No,no,si,onedoesn'tspeakatall,theotherone,he
16 didn'tspeak,andsincehehasbeenwithushespeaks
17 SpanishandEnglishperfectly,heisveryintelligentas
18 well.
19 Q.Okay.
20 A.Theone,thetwoof...
21 MRAZOPARDI:Ihavenofurtherquestions,sir.
22 THECHAIRMAN:DoesanybodywishtoaskMrsRobbaany
23 questions?No.
24 MrsRobba,thankyouverymuchindeedforcoming.
25 Iappreciateit'sdifficulttodiscussthesemattersbut
128
1 youhavebeenagreathelp,thankyouverymuch.
2 THEWITNESS:Si,Iknow,it'sverydifficult.Thankyou
3 verymuch.
4 (Thewitnesswithdrew)
5 THECHAIRMAN:Yes,MrEnglehart.
6 MRENGLEHART:Sir,thereisonemorewitnesstoday,
7 MsVallender.Wouldyouwishtogostraighton?
8 THECHAIRMAN:Straighton,yes.
9 MRENGLEHART:Idon'tbelievethiswitnesswillbevery
10 long.MsVallender,please.
11 MSMANDYVALLENDER(called)
12 THECHAIRMAN:Goodafternoon,MsVallender,thankyouvery
13 muchforcoming.Makeyourselfcomfortableifyoucan.
14 Youknowroughlyhowthingsgo.Youwillfindabitof
15 paperinfrontofyouwiththeinitialsthatweare
16 usingtoidentifyparticularresidentsifyouneedto
17 mentionthem.
18 A.Okay.
19 THECHAIRMAN:Sowewilltryanddothat.It'sveryeasy
20 foranametoslipoutsodon'tworry,butifyoucan
21 usetheletters,itwouldhelp.
22 MrEnglehartwillaskyousomequestionsin
23 amoment,theremaybesomeotherquestionsfromother
24 counsel.Wewon'tdetainyouanylongerthanweneed
25 to.Couldyoustartbygivingyourfullnameandyour
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1 address,please?
2 A.MynameisMandyVallenderandIliveatVillaVerde1
3 inGuadacorte,Spain.
4 THECHAIRMAN:Right.Yes,MrEnglehart.
5 QuestionedbyMRENGLEHART
6 MRENGLEHART:Youhavemadeawitnessstatementquite
7 recently,canweputituponthescreen,itisbundle
8 {E/65/1}.Doyouremembermakingthatstatement?
9 A.Yes.
10 Q.Isitcorrect,oristhereanycorrectionyouwantto
11 make?
12 A.No.
13 Q.Addition,subtraction?
14 A.No.
15 Q.CanIaskyouafewquestionsaboutit,please?You
16 IthinkstartedworkingintheDrGiraldiHomeas
17 asupplyworker?
18 A.Yes.
19 Q.Isthatright?
20 A.That'sright,yes.
21 Q.Whenwouldthathavebeen?
22 A.Thatwasin2003,Ithinkthatwas.
23 Q.Thenyoubecameafull‐time‐‐
24 A.Afteraboutthreeorfourmonths,yeah.
25 Q.Areyoustillthere?
130
1 A.Yeah.
2 Q.Yes,Ithoughtyouwere,yes.Sowhenyouinitially
3 started,IbelieveIamrightinsayingyouwere
4 particularlyconcernedwiththeyounggentlemanwhowe
5 callResidentL;isthatright?Doyouhavealist
6 there?
7 A.Yeah.
8 Q.Isthatright?
9 A.Yes.
10 Q.Youmadeastatementlargelydealingwithmattersthat
11 hadbeenputtoyou,butIwouldjustliketogetupthe
12 documentsthatyoureferto.Wewillstartwith
13 adocumentyoureferto,whichistobefoundat
14 {D34/4/6}.ThisisthedocumentIthinkyouare
15 referringtoinparagraph3ofyourwitnessstatement.
16 Doyouseethat?
17 A.Yeah.
18 Q.Youmakethepointthatdoesn'tlooklike
19 KirushkaCompsonandifit'sanyconsolationtoyoushe
20 saysit'snothersignature?
21 A.Yes.
22 Q.Andshewasn'tasenior?
23 A.Iamnotsureifshewas.Ithinkshemighthavebeen
24 atthetime,yeah,Ithinkso,yeah.
25 Q.Right.Anyway,regardlessofwhetherit'smadebyher
131
1 orsignedbyher,isthereanythingthatyouwouldlike
2 tosayaboutthat?
3 A.That'sthefirstI'veheardofit,whenIpickedmy
4 papersupfortheInquiry,Ihadnotseennorheardof
5 itsincethen,Iwasn'tawarethatthatwasevenmade.
6 THECHAIRMAN:Youweren'tawareofitatthetime?
7 A.No.
8 MRENGLEHART:DidResidentL‐‐howdidyougetonwith
9 him?
10 A.Yeah,wehadquiteagoodrelationship,butobviously
11 he‐‐withhisproblemsandeverything,hewasvery
12 aggressiveattimes.
13 Q.Whatwouldmakehimaggressive,whatsortofthings?
14 A.Anychangeof‐‐evengoingtoschool,gettingonthe
15 businthemorning,hewouldlashoutsometimes,change
16 ofnewstaff,thingslikethat.
17 Q.Sowasthereanyparticularrhymeorreasonaboutit?
18 A.No,hejust‐‐that'showhewassometimes.
19 Q.Andquitesudden?
20 A.Yeah.Sometimesyoucouldpredictif,youknow,hewas
21 goingtobehavethatway,sometimesyoucouldn't.
22 Q.Didanyoneever‐‐Iknowwhatyouaregoingtosay,
23 Ithinktheanswerisno.No‐oneeverputthisincident
24 toyouuntiltheInquirytookplace;isthatright?
25 A.No,theincidentwasbroughttomyattentionbyJoanna,
132
1 IhadaninterviewwithJoanna‐‐
2 Q.Youdid?
3 A.Yes.
4 Q.Oh,right,Ididn'trealisethat.
5 A.ButforthisactualdocumentIdidn'tknowanything
6 aboutthis.
7 Q.Yes,that'stheone,youarequiteright.Soifwelook
8 at{P/24/14}.Well,let'slookat{P/24/7}to9.
9 A.Thisonethat'sonthescreenatthemomentalso
10 Ididn'tseeuntilIpickedupmypapers.
11 Q.Youdidn'tseeit?
12 A.No.
13 Q.Let'slookattheoneImention,P,tab24.
14 A.ThisalsoIdidn'tseeuntilIpickedupmypapers.
15 Q.Thisone?
16 A.Yeah.
17 THECHAIRMAN:Whatarewelookingat,P/24/7?
18 MRENGLEHART:Yes,Ithinkweare.Yes.P/24/7.Thisis
19 thenoteofameetinginwhichJoannaHernandezhadwith
20 ResidentL.Haveyoueverseenthis?
21 A.OnlywhenIpickedmypapersupfortheInquiry.
22 Q.Let'sidentifyit,whatseemstohavebeensaidto
23 JoannaHernandez.Doyouseeinthemiddleofthe
24 left‐handpage:
25 "JH:Didsheslapyou?
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1 "L:Yes,onthatface."2 A.Yeah.3 Q.Hepointstohisrightcheek.4 "JH:That'snotnice,Idon'tlikethat.5 "L:Writeitdown?Tellhernottohitmeorhe6 willgetdie.GoawayMandy."7 WhichIassumeisyou?8 A.Yes.9 Q.Therewouldn'tbeanyotherMandy,wouldthere?
10 A.No,notthatIknowof.11 Q."JoannaHernandez:Didsomethingelsehappen,[L],do12 youwanttotellmesomethingelse?13 "L:Shethrewacupofwateratmyhead."14 Waseitherofthosesuggestionscorrect?15 A.No,notatall.16 Q.Thengoingoverthepage,{P/24/8}fourthlinedown:17 "Sean,Stefan,solo,SharoncallSharonnow."18 WhoIpresumewouldbeareferencetotheladywe19 havejustseen?20 A.No,no,nottheoneyouhavejustseen,SharonBerini.21 Q.Sosorry,youarequiteright.Ofcourse,thatwouldbe22 SharonBerini.Quiteright.23 A.Yeah.24 Q."JH:Wewilltrytogetsomeoneyoulike."25 Sharonwasaway.Thengoinghalfwaydownthepage,
134
1 doyousee?Itsays:
2 "L:Callthepolicenow."
3 A.No,I'velostit,sorry.
4 THECHAIRMAN:Abouthalfwaydown,wherethemarkis.
5 A.Yeah.
6 MRENGLEHART:"Glasson[nameredacted]'sheadclotheswet.
7 Puttingtheglasson[nameredacted]'shead.Sharon
8 cometosee[L]now.
9 "JH:Didyouchangeyourclothes?
10 "L:No.
11 "JH:Weren'tyoucold?Didyousleepwithwet
12 clothes?
13 "L:No,Mandydidit."
14 Iamnotquitesurewhatthatmeans,butIdon't
15 thinkyouareeither.
16 THECHAIRMAN:Canyouthrowanylightonthisatall?
17 A.Theonlythingwith[nameredacted]ismostmorningshe
18 wouldsoilhimselfbeforecomingoutofhisbed‐‐there
19 wouldbeaveryrareoccasionwherehedidn't.Hewould
20 cometohisdoorandhewouldopenthedooralittle
21 bit,andyouwouldseehim,andthenhewouldsay"Caca,
22 Mandy,caca",andhewouldbe‐‐youknow,hehas
23 alreadydoneit.
24 MRENGLEHART:Canwenowgo,then,that'stheinterview,
25 Ijustwanttoputthisincontext,becauseyousayyou
135
1 gotconfrontedbyJoannaHernandez,andthereis
2 aminutewehaveofthat,whichisatbundle{M1/4/1}.
3 It'sameetingwithyou.Doyourememberthismeeting?
4 A.Yes,butthisisn'ttheactualmeeting.
5 Q.Iamgoingtocometothat.
6 A.Okay.
7 Q.Thisiswhathasbeenretainedonthefiles,and
8 Iappreciatetoyourwitnessstatementyouhaveput
9 anamendedminute‐‐
10 A.Yeah.
11 Q.‐‐whichseemsnottohavebeenputonthefile,butwe
12 willcometothat.
13 A.Okay.
14 Q.Justlookingattheoriginaldocument,firstly.
15 A.Yeah.
16 Q.Thethirdparagraphdown,youweretoldthiswasnot
17 adisciplinary?
18 A.Mm.
19 Q.Doyouseethat?
20 A.Yeah.
21 Q.Wereboth‐‐itlooksasiftheywere‐‐SharonBerini
22 andJoannaHernandezatthismeetingwithyou?
23 A.Yes,theydid,yeah,Sharontooktheminutesand‐‐
24 Q.AndyoutoldJoannaHernandezthatyouhadnevereven
25 raisedyourvoicetohim,letalonehithim?
136
1 A.Yeah.
2 Q.Isthatright?
3 A.Yeah.
4 Q.Youneverhithim,didyou?
5 A.No.
6 Q.No.
7 A.Never.
8 Q.Thethrustofthisinterviewit'sonthenextpageover,
9 {M1/4/2}abouthalfwaydown.
10 "What[L]isexpressingisjustwithyou,notwith
11 NB~..."
12 That'spresumablyNigelBassadone?
13 A.Yeah.
14 Q."...thefocusisjustonyouandhehasconsistently
15 saidittodifferentpeople,hehasbeenveryclearin
16 relatingwhathashappened."
17 Yousay:
18 "Well,youdon'tknowmebutSharonknowsme."
19 A.BecauseI'venevermetJoannauntilthatinterview.
20 Thatwasmypointofsayingtoherwhenshewasspeaking
21 tomethewayshewas,becauseshewasveryintimidating
22 andjustnotparticularlyveryniceatall,soIwas
23 thengettingupsetbecauseshewassayingthistomeand
24 sothat'swhatIsaidwhatIsaidbecauseIhadknown
25 Sharon,sheknewme.SoIwassayingtoSharon,you
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1 know,"Youknowme,shedoesn't".SoIwasvery‐‐you2 know,Iwasupset.3 Q.YouthoughtSharonwouldthinkitwasn'tthesortof4 thingyouwoulddo?5 A.(Witnessnods)6 Q.AndMsHernandezisrecordedassaying:7 "Don'tgetupset,thesethingshappen."8 Andyouarerecordedassaying:9 "Iknowbutit'snotbloodynicewhenit'snot
10 true."11 A.Yeah.12 Q.Wasthatprettymuchwhatyouwerethinking?13 A.Yeah,yeah.14 Q.ThenyouweretoldbyJoannaHernandez:15 "Well,Ihavetomoveyoufromtheteamforyourown16 benefitbecauseofthethingsthat[L]issayingheis17 goingtodotoyou.Iwillpassthisinformationonto18 MarieGomezandifthereisgoingtobeadisciplinary19 thenIwillletyouknowinwriting."20 A.Yeah,yeah.21 Q.Sowhatwasyourreactiontothat?22 A.Well,Ijustthoughtitwasabitodd,becauseIassumed23 thatIwouldbe‐‐obviouslynotthatIwantedtobe,24 butIassumedthatIwouldbesuspendedbecauseifyou25 are‐‐
138
1 Q.Wereyou?
2 A.No.Ifyouhavebeenaccusedofsomethinglikethat,
3 Ididn'tunderstandwhytheyweremovingmetoflat2,
4 wherethereisclientsthataremorevulnerablethan
5 [nameredacted]is,andtheycan'tspeak,andifI've
6 justbeenaccusedofthat,formethatjustdidn'tseem
7 tomakeanysenseatall.
8 Q.Youexhibittoyourwitnessstatementadocumentwhich
9 wefindat{E/65/12}to14,whichIbelieveis
10 anamendedminute‐‐
11 A.Yes.
12 Q.‐‐ofthatsamemeetingwehavebeenlookingat?
13 A.Ididthisthefollowingmorning.
14 Q.Youdidthisthefollowingmorning?
15 A.Yes.
16 THECHAIRMAN:Sothehandwritingisyours,isit,
17 MsVallender?
18 A.Yeah.
19 MRENGLEHART:Anditissoyoudidn'tthinkthatitwas
20 fullyaccurate,thepreviousminute.
21 A.No,because‐‐sorry,no,Ididn'tdoitthefollowing
22 morning,Iwentinthefollowingmorning,becauseSharon
23 saidtomeifyoucomeinthemorningyoucanpickup
24 theminute,sowhenIwentinthemorningshehandedme
25 theminutesandshesaid"Ifyoucansignthose",and
139
1 Isaid"I'mnotsigningthemuntilI'vereadthem".So2 Itookthemhome,thisiswhenIrealisedtherewere3 bitsmissing,someofitisn'tparticularlyrelevantbut4 itwasstillsaid,soIaddedit,Ithentookitback5 thefollowingday.6 Q.Whenyousaythefollowingday?7 A.Sorry,itwouldbetwodaysafterthat,itwouldhave8 been,becauseIwouldhavepickedtheminutesupthe9 followingmorningandthenItookminein,soitwould
10 betwodaysaftertheinterview.Sorry.11 Q.Iamgettingveryfiercelooksfromthetranscriber.12 A.SoIwouldhavetakenittwodayslater.13 THECHAIRMAN:Twodayslater?14 A.Yes.15 MRENGLEHART:AndhandedittoJoannaHernandez?16 A.Idon'tremember,Ithink‐‐Idon'tknowiftheywere17 bothintheoffice‐‐18 Q.Whodoyoumeanby"both"?19 A.Sorry,SharonBeriniandJoanna,Ican'treally20 remember,butIknowItookitinandsaid,"Look,there21 isbitsmissingoffofthis,Ihaveaddedit,soifyou22 wanttoreadthroughit,typeitup,thenifyou23 believe,youknow,that'sallcorrect,thenI'llquite24 happilycomebackandsignit".Nothingelsewasdone25 aboutit,Ineverheardanythingmoreaboutit.
140
1 Q.DidyouevergobackwithL?
2 A.No.
3 Q.No?
4 A.No.
5 Q.Youmovedontoadifferentteam?
6 A.Yeah,theymovedmeto,IthinkIdidanightwith‐‐
7 IthinkIdidonenightwithAE,andthenIthinkIwent
8 toflat2,andIdiddaysandnightsthereafterthat.
9 Q.Thatwaswithwhom,sorry?
10 A.ThenitwouldhavebeenResidentE.
11 Q.Right.
12 A.ResidentT,ResidentAA,ResidentABandResidentAI.
13 Q.Youaddressinyourwitnessstatementsomeoftheissues
14 thatarebeforetheChairman,thathehastoconsiderin
15 thisInquiry.Ingeneralterms,youarestillthere,
16 Imean,havethingschanged‐‐
17 A.Yeah.
18 Q.‐‐since2005?
19 A.Yeah,yeah,theyhave,yeah.
20 Q.Forthebetterortheworse?
21 A.Forthebetter.Thereisdefinitelymore,youknow,
22 moretraining.Wedefinitelydidnothavetheright
23 trainingatthattime,whenIwaswith[nameredacted].
24 IhaveonlyjustnowdonemyDCRT1,Icouldhavedone
25 withdoingthatthen‐‐
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1 Q.Sorry,whatisDCRT?
2 A.Forrestraining,youknow,restrainingsomebodyinthe
3 properwayand‐‐
4 Q.Physically?Howtorestrainpeoplephysically?
5 A.Yeah.Yeah.
6 Q.Sodidyougetanytrainingbeforeyou‐‐
7 A.Yeah,wedidthebasictrainingonreportwriting,
8 confidentiality,thingslikethat,medication,and‐‐
9 Q.Butnot‐‐
10 A.Butnotanythinglikethat,thatIwouldhaveneeded
11 thatearlyon,becauseIhadonlybeenliterallythere
12 threeorfourmonthsbeforeIwasputwith[name
13 redacted]‐‐
14 Q.L?
15 A.Sorry.
16 Q.It'sveryeasilydone.Yes.Soyoureceivednospecial
17 trainingforthat?
18 A.No.
19 Q.Asfarasyouknow,didanyoneelse?
20 A.No,becauseitjustwasn't‐‐thereisnow,butthere
21 wasn'tatthetime.Itwasverysparse,therewasnot
22 verymuchatallreally.
23 THECHAIRMAN:Wehaveheardsomeevidencetotheeffect
24 thatthereweredifficultiesaboutattendingtraining
25 sessionsbecausethereweren'tenoughstafftogoaround
142
1 andthenifthetrainingsessionwasavailable,it
2 didn'tfollowthattherewasanybodythatcouldbe
3 pulledoffthejobtogoandattendit.Doesthat
4 accordwithyourmemory.
5 A.Yeah,yeah.
6 MRENGLEHART:Whilstweareonthattopic,whatabout
7 staff?Wehaveheardquitealotevidenceabouthow
8 thereweretremendousstaffshortages.Wasthatwhat
9 youwerethinking?
10 A.IonlyworkedmainlythenightshiftandIwastheonly
11 oneonthenightshift.Therewasnevertwopeopleon
12 anight.Duringtheday,hewouldhavetwocarers.
13 Q.Right.
14 A.Butonanighttherewasonlyone.
15 Q.Really?Didyoufindthatdifficultbeingtheonlyone?
16 A.Mostofthetimeitwasokay,becauseobviouslywhenyou
17 aregoinginat9o'clockhe'skindoflikegetting
18 readyforbedandthingslikethat.Hegenerallyslept
19 throughthenightreally.Hegotupquiteearlybuthe
20 didn'treally‐‐theonlymajorproblemIsupposewas
21 sortoftakinghimtoschoolbecauseyouhadtogoup
22 therampthereandsometimeshewouldsortofcreate
23 then,butsometimespeoplewouldbealreadyonshiftby
24 then,so‐‐becausehewasgoinguptothe‐‐uptothe
25 schoolbusat,like,quarterto9andsomepeoplethat
143
1 startedat9o'clockwouldgettherejustalittlebit
2 earlier.
3 Q.Whataboutsleepingonnightshift,wasthatsomething
4 thathappened?
5 A.No.
6 Q.Younevercameacrossit?
7 A.No.Ihavesince,butnotatthatparticulartime,no.
8 Q.Youhavesince?
9 A.Yes.
10 Q.Youneverheardofithappening?
11 A.No.
12 Q.Right.
13 THECHAIRMAN:Whenyousayyouhavesince,doyoumeanyou
14 haveheardofitsinceoryouhavewitnesseditsince?
15 A.No,I'vewitnesseditsince.
16 THECHAIRMAN:Right.
17 MRENGLEHART:Didyoueverfallasleeponnightshift?
18 A.No.
19 Q.Anyway,turningtoyourtreatmentoftheissues,you
20 keptasortofdiary,anincidentbook?
21 A.Yes.
22 Q.Yes?AreyouawareofanyincidentsofwhatIwould
23 callrealabuse?
24 A.No.
25 Q.Physicalabuse?
144
1 A.No.
2 Q.Doyourememberwhethertherewerecareplans?Yousay
3 therewere.Idon'tknowwhatyoumeanbycareplans
4 firstofall?
5 A.Theyarenothowtheyarenow,it'sdoneinadifferent
6 formatnow,butIknowwhenwestartedwith[name
7 redacted]hehadafile,butitwouldbekindoflike
8 whatyouhavethere,it'sjustpaperwork,it'slined
9 piecesofpaperwherepeoplehaveputin,Idon'tknow,
10 wayshowtohandlehim,ifitwasinthiskindof
11 situation,orsomethinglikethat.Butit'snothowit
12 isnow,asinit'sapropercareplanonaproper
13 form‐‐
14 Q.Astructureddocument?
15 A.Yeah.
16 Q.Butthatwasn'tthecase,therewererandombits‐‐
17 A.NotthatIremember,no.
18 Q.‐‐ofpaper?
19 A.Ijustreallyrememberkindofpiecesofpaperin
20 afile.
21 Q.Right.
22 THECHAIRMAN:Wealsoheardquiteabitofevidencethat,
23 onchangesofmanager,fileswentmissing,anditwas
24 difficultforthenewmanagerornewstaffcominginto
25 acquaintthemselveswithwhathadbeenhappeningbefore.
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1 A.Yeah.
2 THECHAIRMAN:Doesthataccordwithyourrecollectionor
3 canyoucommentonitatall.
4 A.Notalot,really,butyeah,becausewehavehadlike,
5 Ithinkit'stennow,wehavehadabouttenmanagersin
6 thatperiodoftime.So...
7 MRENGLEHART:Hasthatcausedproblems?
8 A.Notwithme,no.
9 Q.Butjustgenerally,didyouhavetheimpressionthatit
10 createddifficulties?
11 A.Notreally,no.
12 Q.Yousay,askedaboutworkingrelationship,didthestaff
13 getonwell?
14 A.Yeah.
15 Q.Onthewhole?
16 A.Yes.
17 Q.Weretheretwocamps,asfarasyouareaware?Have
18 therebeen?
19 A.NotthatIwasawareof.
20 Q.Youtalkabout,youstartedatBishopHealyandthere
21 wereclearlyissues,yousay,inthatteenagerswould
22 mixwithyoungerchildrenatrecreationaltime.When
23 yousaytherewereclearlyissues,Iamnotquitesure
24 Ifollowwhatyourmeaningis?
25 A.Ifounditveryodd,becauseImean,Ihaven'tstudied
146
1 todothis,it'sdifferentnowbecauseIknowthejob
2 butatthetimeIdidn't,butIfoundthatveryodd,
3 thattherewerechildrenandadultsmixedtogether.
4 Q.Yes?
5 A.WithinBishopHealy,becauseyouhadpeoplelike...you
6 havelikeResidentAE.
7 Q.Yes?
8 A.MixingwithResidentR,whoisconsiderablyyounger,and
9 Ijustthoughtthatwasadanger.
10 Q.Diditinfactgiverisetoanyproblemsthatyoucan
11 remember?
12 A.Yeah,IrememberonedaythatIwasthere,Idon'tthink
13 Ihadbeenthereverylong,andResident‐‐justbear
14 withme.ResidentAE,Iwasactuallyinside
15 ResidentL'sloungewith...
16 Q.ResidentAE,yes?
17 A.(Pause).IwasinResidentL'sloungewithResidentC,
18 becausehehadhadaseizure,andthemajorityofthe
19 otherresidentswereoutsideonthepatio,andthen
20 Iwasawarethattherewasacommotionoutside,andwhen
21 wewenttolookoutside,ResidentAEhadpickedup
22 agreatbigconcreteflowerpotandproceededtochuck
23 itacrossthepatio,andsoeverybodywasaskedtocome
24 inside.So‐‐
25 Q.Butwasthereanyspecificproblemsspecificallyrelated
147
1 tomixingofagesasopposedtodifficultbehaviour?
2 A.Well,yeah,Idon'tpreviousthatthat's‐‐
3 Q.Ofcourse,Iquiteunderstandthatshouldn'thave
4 happened.Butwasthatattributabletotheage
5 difference?
6 A.Erm...
7 THECHAIRMAN:Itsoundsfromwhatyouweredescribingas
8 thosetheincidentwiththeflowerpotwasjust
9 dangerousforeverybody,whatevertheirageandwhether
10 theywerestafforresident?
11 A.Yeah,butIdothinkit'saproblemifyouhaveafour
12 yearoldwithsomebodythat'sofa‐‐
13 MRENGLEHART:Yes,right,it'smoredangerousforafour
14 year‐old.Anyway,it'sprettyundesirableactivity
15 anyway.
16 A.Mm.
17 Q.Howdoyougetonwithrelatives?
18 A.Ididn'treallyhavemuchcontactwithResidentL'smum,
19 really,becauseIwasthenightshift.Ihaddonedays
20 withhim,butthemajorityoftheyearandahalf,the
21 twoyears,thatIwaswithhim,itwasnightshift.So
22 Ididn'thavemuchcontact.
23 Q.Right.YourefertoBishopHealybeinganoldbuilding
24 withlimitedfacilities?
25 A.Mm.
148
1 Q.It'sclosed,isn'tit?2 A.Ibelievesonow,yes.3 Q.Youdon'tknow?4 A.(Shakeshead)5 Q.Wheredoyouactuallyworknow?6 A.IamworkingatDrGiraldi'sflat1now.7 Q.Atwhat,sorry?8 A.Flat1Iamworkingatnow.9 Q.Right.Whatdidyoudoaboutmedicine?Howdidthat
10 work?Youwereonnights.Didyouhavetoadminister11 medicineduringnights?12 A.Idon'tremember.Ithink‐‐IamnotsureifIdidin13 themorningornot.Idon'treallyremember,Ican't14 rememberhistimesofmedicationoranythinglikethat.15 Q.Werethereanydifficultiesyourememberwith16 medication?17 A.No.18 Q.Soyouknewalwayswhatpillstogive?19 A.Well,Idon'tknow,Idon'tactuallyrememberdoingit,20 Ican'treallyrememberbecauseonadaytime,whenIdid21 workontheday,likeIsay,Ididn'tdoverymany22 shiftsduringthedaybutifIdidtheothercarerused23 todoit.SoitwouldbeeitherNigelorJordanDavis,24 JennyGarrett,soitwouldbetheonesthatweremore25 experienced,becauseIhadonlybeenthereacoupleof
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1 months.
2 Q.Youhavenevereverinyourtimeeverbeendistributing
3 medicines?
4 A.Sincethen?
5 Q.Yes,sincethen?
6 A.Yes,ofcourse.
7 Q.Youhavesincethen?
8 A.Yes.
9 Q.Whileyouhavebeendistributingmedicines,hasthe
10 systemgotbetter?
11 A.Yeah,itisnow,wehavenursesnowsotheydothat,but
12 atthemomentweareallintheprocessofdoingthe
13 medsassessments,soyouhavetopassobviouslythatto
14 beabletodothat,ifneedsbe.
15 Q.YousaythestandardofhygieneatBishopHealywasnot
16 good?
17 A.No,notreally,no.
18 Q.Whenyousaynotreally,wouldyouliketoexpandon
19 thatabit?
20 A.Well,therewasrats.
21 Q.Really?
22 A.Yeah.
23 Q.Howoftendidyouseethat?
24 A.Ipersonallysawitonemorning.
25 Q.Onemorning?
150
1 A.IwasreadingResidentL's‐‐astoryoutsideonthe2 patioanditwasjustinfrontofthekitchendoor,and3 heactuallysaidtome"Oh,rat,rat"andwhenIlooked4 therewasone,quiteabigone,runningacrossthe5 kitchenfloor.6 Q.Right,anyothertimes?7 A.No.Iknowtheydidcatchquiteafew.Butbathrooms8 were‐‐thethingisyouhavetodowhatyou‐‐youcan9 onlydowhatyouhavegot,youknow,andthebathrooms
10 towhattheyarenow,thenitwasjust‐‐nowwhenyou11 lookback,itwasterriblereally.12 Q.Bycomparisonwithwhatitistoday?13 A.Yeah.14 Q.Isee.Yousayyouhadneverseen,Ibelieve,acodeof15 conduct.Isthatright?16 A.Yeah.17 Q.Noteventoday?18 A.Sorry?19 Q.Noteventoday?20 A.Sorry,repeat?21 Q.Acodeofconduct?Youweresayingyouhadneverseen22 acodeofconduct?23 A.No,notthatIcan‐‐24 Q.Iwasjustsaying:haveyounotseenonetodayorthe25 lastyearorso?
151
1 A.No.No.
2 Q.Iwouldliketoaskyouaboutonedocumentwhichwefind
3 atbundle{M4/5/1}.Youarenamed,thisisthereason
4 Iamaskingyouaboutthis,onthetopright‐hand
5 corner.Doyouseethat?
6 A.Yes.
7 Q.It'sResidentT.Isthisyourhandwriting?
8 A.Yeah.
9 Q.Itis?
10 A.Mm.
11 Q.Right.Sothefirsttwoparagraphs,wouldyoujustread
12 themtoyourself,please?
13 (Pause)
14 A.Yeah.
15 Q.ThisIbelievearoseafterfollowingatripto
16 Barcelona,didn'tit?
17 A.Yeah,Ibelieveso.Thisreport,though,Idon'tknow
18 whythisisinhere,becauseasfarasIwasconcerned
19 nothingwasdoneaboutthis.
20 Q.No,no,Idon'twanttoaskyouthat.Doyouremember
21 theoccasion?
22 A.Yeah.
23 Q.Whataboutthebottomofthepage?"Theyaskthe
24 policeman",doyouseethat?
25 A.Yeah.
152
1 Q.Wouldyoureadthatandthenextfivelines?
2 (Pause)
3 A.Yeah.
4 Q.HereisResidentTobviouslycomplainingaboutthe
5 treatmentshewasgetting?
6 A.Yeah.
7 Q.Wasthatunusual?
8 A.FormethenbecauseIdidn'tknow,Ididn'tknowwhat
9 ResidentT‐‐wasitT?Yeah.Iwasn'tawareofher
10 behaviour,ofhowshecanbe,soI've‐‐Ididthisat
11 thattimebecauseshewasveryupset,shewasupsetmost
12 oftheday,mostofthatmorning,andthenIdidthis
13 report,andwhenIhandeditto,whoeveritwasnow,
14 LizGallagherIthink,shewasthesenioratthetime,
15 andshesaidtome"Iamnotgoingtodoanythingabout
16 that".Thiswasawhileago.Sheisveryrepetitive
17 andthisiswhatsheissayingallthetime,andIsaid
18 "Okay,Ididn'tknow,IwasdoingwhatIamsupposedto
19 do,soI'vedonethisreport".
20 Q.Yes,Iunderstandthat.Youstartedoffbysayingyou
21 didn'tknowwhatshewaslikeatthetime?
22 A.Mm.
23 Q.Wouldyouliketoexpandonthat,justtoexplainit?
24 A.Becausesheisveryrepetitiveandshestilltothisday
25 goesonaboutthis.
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1 Q.Isshereliableinthethingsshesays?What'syour
2 appreciationofit?
3 A.Ithinknow,if‐‐toanswerhonestlynow,Idon'tthink
4 thatsheisreliable,no.
5 THECHAIRMAN:MrEnglehart,Idon'tknowifyouhaveany
6 morequestions?
7 MRENGLEHART:Iwasgoingtositdownatthatpoint.
8 THECHAIRMAN:It'squartertofour,sowewilltake
9 aquarterofanhourtobreaknowandperhapsIcould
10 ask:doesanybodyelsehaveanyquestionsofthis
11 witness,MsVallender?
12 MRENRIGHT:Ihadonequestion.
13 THECHAIRMAN:Canwewaitaquarterofanhour?Ithink
14 thetranscribersneedarestandthenIwillaskyou,
15 MrEnright.
16 Ifyouwouldn'tmindstaying,MsVallender,just
17 aquarterofanhour,andthenthereisanotherquestion
18 tocome.
19 A.Yeah.
20 THECHAIRMAN:So4o'clock.
21 (3.50pm)
22 (Ashortbreak)
23 (4.00pm)
24 THECHAIRMAN:Yes,MrEnglehart.
25 MRENGLEHART:UnusuallyMrEnrightseemstobeabsent,and
154
1 MsVallendertoo.
2 MRNAVAS:Theyarecomingin.
3 THECHAIRMAN:MsVallender,wouldyoumindcomingbackjust
4 forashorttime?Thankyouverymuch.
5 A.Okay.
6 THECHAIRMAN:MrEnrighthasaquestiontoaskyou.
7 QuestionssuggestedbyMRENRIGHT
8 MRENRIGHT:Iamverysorryformakingyouwaitlikethat.
9 Itwillbeveryquickthough.
10 Understandablyyouwouldhavebeenupsetinregard
11 oftheallegationsthatthechildmade,Ifully
12 understandthat.Ihopeyouwillacceptitwascorrect
13 forthemanagertotakeitseriously,anallegationlike
14 that?
15 A.Yeah.
16 Q.Andtotakeacarefulnoteandtopassitupto
17 MarieGomeztomakeadecisionaboutwhattodoabout
18 it?
19 A.Yeah.
20 Q.Justfinally,youdidmentionBishopHealyHouseand
21 yourexperiencesofthat;couldyougiveusalittle
22 moreaboutBishopHealyHouse?Yousaidyouwerenot
23 happywiththebathrooms,etcetera,thatratswere
24 there?
25 A.Yeah,itwasjust,Imean,wemadeitascleanaswe
155
1 couldmakeit,butobviouslyitwasn'tagreatplaceto
2 be,itwasn'ttherightenvironmentIdidn'tthink.
3 Q.Atthattime,thereweretwochildresidentsthere;is
4 thatcorrect?
5 A.WhenIfirststartedthere,itwasall‐‐becausethere
6 hadbeenaflooding,sotherewas,Ithinktherewere
7 someresidentsliving‐‐thoughIcan'treallyremember,
8 butIknowitwasmainlyrespitethatwasupthere.
9 Yeah,itwasrespitelikeduringtheday,thenIgot
10 movedontothenightshift,sothentherewasonly
11 literallyacoupleofpeople,residentsonaweekendfor
12 respite.[Nameredacted]wasthereobviously
13 permanently.Theneverybodyelsegotmovedbackdownto
14 DrGiraldi'sandthenIthinkforthelastfourorfive
15 monthsthatIdidtherebeforeIwasmoved,Iwasonmy
16 job,therewasnobodyelsethere,itwasjustmeand
17 [nameredacted]onanight.
18 Q.Whatyearwasthat?
19 A.Thatwas,well,justpriortothatallegation,sothat
20 musthavebeen‐‐sothatwouldhavebeen‐‐Idon't
21 knowwhenthatwas.WasthatApril2005?Yeah.Soit
22 wouldhavebeenacoupleofmonthspriortothat,Iwas
23 onmyownupthere.
24 MRENRIGHT:Yes.Thankyouverymuch.
25 A.Thankyou.
156
1 THECHAIRMAN:Thankyouverymuch,MrEnright.Does
2 anybodyelsewanttoaskanyquestions?
3 Thankyouverymuch,MsVallender,thatistheend
4 ofyourevidence.YouhavebeenveryhelpfulandIam
5 verygrateful.Thankyouverymuch.
6 THEWITNESS:Thankyou.
7 (Thewitnesswithdrew)
8 MRENGLEHART:Sir,therearenomorewitnessestoday.
9 THECHAIRMAN:Right.
10 MRENGLEHART:Wehaveafairlyfullprogrammetomorrow.
11 THECHAIRMAN:Ithinkwehavesixwitnessesintheframe.
12 MRENGLEHART:Ithinkonlyfive,sir.Wehavethreemore,
13 Icallitforshorthand,section11andthenMrWilson,
14 andMrIsola,Queen'sCounsel.
15 THECHAIRMAN:Right.Wemustgetthroughthemasbestwe
16 can.That'sitfortoday,ladiesandgentlemen,wewill
17 meetagainat10o'clocktomorrow.
18 (4.05pm)
19 (Thehearingadjourneduntil10.00am
20 onWednesday,16October2013)
21
22
23
24
25
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157
1 INDEX2 PAGE3 Housekeeping.........................................145 MRSMANUELAADAMBERRY(continued)....................267 QuestionedbyMRAZOPARDI(continued).........289 QuestionssuggestedbyMRVASQUEZ............19
1011 QuestionssuggestedbyMSMORAN..............211213 QuestionssuggestedbyMSBALESTRINO.........271415 QuestionssuggestedbyMRPITTO..............281617 QuestionssuggestedbyMRNAVAS..............321819 QuestionssuggestedbyMRENRIGHT............362021 MRJONATHANTEUMA(called)..........................372223 QuestionedbyMRENGLEHART...................382425 QuestionssuggestedbyMRVASQUEZ............77
158
12 QuestionssuggestedbyMRENRIGHT............7934 MSSHARONOPENSHAW(called).........................9356 QuestionedbyMRENGLEHART...................9478 QuestionssuggestedbyMSMORAN.............1079
10 MRSROSEROBBA(called)............................1081112 QuestionedbyMRAZOPARDI...................1091314 MSMANDYVALLENDER(called)........................1281516 QuestionedbyMRENGLEHART..................1291718 QuestionssuggestedbyMRENRIGHT...........15419202122232425
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159October 15, 2013 Dr Giraldi Home Inquiry Day 10
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A
AA (1) 140:12AB (1) 140:12abilities (1) 26:24able (7) 23:14 30:24
75:8 76:1 81:5109:13 149:14
abroad (2) 92:2,7absent (1) 153:25absolutely (6) 81:1
86:16 89:5,7,7,17abuse (9) 99:4,5 124:6
124:11 125:12126:5,10 143:23,25
abusive (1) 119:3accept (8) 59:20 91:17
91:19 92:17 118:25119:21 120:7154:12
accepted (1) 92:12accommodate (1)
37:8accompanied (2)
11:13 41:24accord (4) 10:3 11:19
142:4 145:2account (3) 50:3 69:15
80:11accurate (2) 16:6
138:20accused (2) 138:2,6achieve (1) 83:7acquaint (1) 144:25acted (1) 64:6acting (9) 20:15,19
44:9 46:8 77:5 78:678:7 79:12 119:20
actions (2) 72:18116:1
activities (1) 50:23activity (1) 147:14actual (4) 70:16 88:12
132:5 135:4ADA (3) 120:5,11,16Adamberry (33) 2:18
2:20,22 3:1 8:2318:23,24 19:1724:8 27:20 28:1728:20 29:15 32:2,732:9 34:16,1835:24 36:18 96:1897:2 98:11 99:6,18102:18 111:1,2112:21 113:1,21123:3 157:5
Adamberry's (1) 21:23add (5) 40:18 64:24
75:12 81:9 95:1added (2) 139:4,21Addition (1) 129:13address (8) 38:14 62:5
63:2 94:15,16109:9 129:1 140:13
Adelaide (3) 6:13 24:924:17
adequate (3) 28:4,1128:12
adequately (2) 51:2109:17
Adjacent (1) 32:19adjourn (1) 87:3adjourned (1) 156:19adjournment (1) 93:4administer (1) 148:10administrative (1)
77:25admirably (1) 30:2admitted (1) 88:6admitting (1) 50:9adults (1) 146:3
advance (1) 58:10advice (2) 26:8 78:4advise (1) 26:3advised (1) 26:18AE (9) 39:22 40:1 43:7
43:8 140:7 146:6146:14,16,21
affect (4) 12:8 26:2527:1,4
afraid (3) 26:1,6 108:1afternoon (3) 108:19
108:20 128:12age (5) 43:8,13 114:24
147:4,9agency (16) 1:15 9:16
16:2 63:23,2575:15 96:7 101:19101:21 102:25103:5,9 110:9121:15 122:10126:22
agent (1) 29:19ages (4) 43:5,12 56:11
147:1aggressive (6) 9:21
51:4 113:18 115:1131:12,13
ago (6) 1:20 12:1536:7 68:15 95:6152:16
agree (5) 9:19 29:4,1774:16 84:25
ah (2) 29:3 76:20AI (1) 140:12aim (1) 83:22airport (5) 15:3,3,7
123:4,5albeit (1) 9:11allegation (21) 13:18
13:24 32:5,6,1134:19 96:15 99:499:10 100:4 103:15103:19 104:9,15,22106:8 107:13,19122:19 154:13155:19
allegations (13) 12:2112:21,24,25 64:185:15 99:22 100:15107:22 122:9,11,14154:11
alleged (2) 32:2333:14
allow (3) 44:12 52:983:23
Alman (1) 97:25amended (2) 135:9
138:10amount (2) 54:15 72:1Angela (1) 10:24angry (1) 11:23animosity (1) 29:6Anne (1) 27:21anonymity (1) 94:12answer (16) 2:12 4:3
7:22 25:17 29:7,1730:1 31:8,10 56:1956:22 67:8 90:18122:1 131:23 153:3
answered (4) 23:2029:14,15 30:2
answers (2) 36:1786:25
antisocial (1) 53:5anxious (2) 127:5,6anybody (8) 23:23
70:14 77:24 86:2127:22 142:2153:10 156:2
anybody's (2) 17:13
35:20anyway (22) 10:1
41:14 61:15 74:1174:24 81:4 90:1893:19 100:23 102:8106:10,19 122:23122:25 123:12,22125:2 127:8 130:25143:19 147:14,15
Apart (2) 95:8 112:8apologies (1) 81:4apologise (2) 45:11
47:10apologised (1) 72:17apparently (2) 73:19
126:9appear (2) 13:12 66:6appeared (1) 119:8appears (7) 5:20 9:10
9:13,20 10:1 11:1324:7
appreciate (5) 26:1685:11 103:13127:25 135:8
appreciation (1) 153:2apprehended (1) 72:1apprehensive (1)
121:1approached (1) 75:1appropriate (4) 2:5
66:21 84:10 87:24April (2) 57:16 155:21area (2) 33:6 52:9arm (1) 8:10arms (1) 13:19arose (2) 2:1 151:15arrange (1) 121:15arrangements (1) 61:5arrested (1) 92:8arrive (1) 5:5arrived (4) 3:12 4:8
84:2 89:15aside (1) 76:13asked (18) 5:3 14:19
22:22 23:13 25:431:2 35:11,22,2345:4 58:20 69:5,1082:9 101:9 120:16145:12 146:23
asking (9) 14:20 34:2135:13,20 36:894:14 103:17121:25 151:4
asleep (2) 88:17143:17
aspect (1) 19:21assessment (3) 11:5,6
11:13assessments (1)
149:13assist (2) 85:4 109:14assistance (1) 109:16assistant (2) 78:8
79:13assisted (1) 85:19associated (1) 44:18assume (1) 133:7assumed (2) 137:22
137:24assuming (1) 103:18attempted (1) 24:10attend (3) 41:4 103:18
142:3attendance (3) 35:25
37:24 41:8attended (2) 40:23
60:3attending (2) 54:17
141:24attention (3) 41:16
86:11 131:25attenuant (1) 69:14attributable (1) 147:4August (1) 96:8Australia (3) 106:24
107:1,2autistic (4) 119:14,15
127:11,14availability (1) 37:5available (1) 142:1avoid (1) 22:14aware (27) 9:1 10:10
12:20,24 52:1756:11 64:3 70:1070:12,12 71:1478:17 87:20 89:1699:17,21 101:25103:2,4 122:9131:5,6 143:22145:17,19 146:20152:9
awareness (1) 77:14Azopardi (47) 2:16,17
2:24,25 3:1 4:13,187:16,23 13:10,1213:17 14:7,12,1414:21 16:23,2517:15,24,25 18:2,418:7,12,16 19:1,10108:16,17 109:25110:1 111:25 112:8114:25 117:4,25119:22 121:10123:24 125:7,25126:7,16 127:21157:7 158:12
A/22/1 (1) 32:7
B
baby (1) 16:14back (28) 5:8 13:19
36:21 42:4 48:2150:1 53:2 57:3,9,1378:7 86:1,11 92:892:24 103:18106:23 113:25114:16 115:1,3127:10 139:4,24140:1 150:11 154:3155:13
backed (2) 113:22114:21
bad (1) 92:12badly (1) 12:5Balestrino (11) 27:17
27:18,19,21 28:1685:25 86:6,7,19,20157:13
Banderas (1) 52:14Barcelona (1) 151:16bare (1) 89:6based (1) 67:13basic (1) 141:7basically (7) 2:10
44:18,21 45:2051:25 54:11 75:3
basis (6) 11:11 39:1155:11 71:8 88:2390:4
Bassadone (4) 35:4,936:9 136:12
Bastion (4) 28:10112:5,6,7
bathroom (1) 88:20bathrooms (3) 150:7,9
154:23beach (1) 78:16bear (7) 1:8 8:2 25:16
46:16 52:22 88:15146:13
becoming (1) 113:17bed (9) 8:25 33:21
34:4 69:24 89:1189:13 115:12134:18 142:18
bedroom (9) 33:15,1733:21,23 34:744:17 45:4,1361:16
bedrooms (2) 33:7,9began (1) 39:20beginning (5) 42:15
50:19 77:6 114:2117:12
begins (1) 62:4behalf (2) 83:5 84:4behave (1) 131:21behaved (3) 50:24
56:10 113:5behaviour (21) 9:22
10:21 12:3 50:1753:5 55:23 86:4111:19 112:9,17117:10,13 119:7,23121:7,21 122:2,4127:12 147:1152:10
believe (23) 3:1317:10 22:8 24:429:22 31:12 37:6,937:10 58:18 60:1968:10 90:11 92:7107:11 128:9 130:3138:9 139:23 148:2150:14 151:15,17
believes (1) 34:22belonged (1) 33:9benefit (3) 88:13 96:1
137:16benefitted (3) 27:24
55:25 56:4Berini (15) 19:21 20:3
20:6,18 35:4 46:847:13 59:3 62:1677:3,5 133:20,22135:21 139:19
Berkenshaw (1) 6:20best (7) 9:20 25:13
28:8 38:11 50:1261:12 156:15
better (9) 8:1 9:212:16 42:6 106:2110:2 140:20,21149:10
bewildering (1) 91:20beyond (1) 65:2big (5) 15:15 48:16
61:15 146:22 150:4bigger (1) 56:4birth (1) 98:25Bishop (7) 28:6 145:20
146:5 147:23149:15 154:20,22
bit (36) 1:16 25:3,1938:4 42:16 44:449:3,4,8 53:12,1353:13,14 56:7 57:459:21 72:12 79:582:13 94:2,9 95:25103:14 105:8 109:5109:13 111:22,22113:10 117:21128:14 134:21137:22 143:1144:22 149:19
bits (3) 139:3,21144:16
Bleak (1) 121:19bloody (1) 137:9bolt (2) 3:7,9
bombshell (1) 100:23book (8) 4:20 5:1,9,14
9:7 51:10 64:19143:20
booked (1) 93:11boss (1) 22:25Bossano (1) 2:3Bossano's (2) 2:1,13bother (1) 35:14bottom (6) 17:13
33:13,25 62:3 83:1151:23
bottoms (1) 18:20box (4) 32:15 89:19,21
89:24boy (7) 27:12 113:5
114:9,24 126:8,9,9boyfriend (2) 116:8,9boys (1) 80:7break (9) 10:23 31:18
36:20,25 58:12121:21,23 153:9,22
breakfast (1) 115:13bribe (1) 27:11briefly (2) 77:2 106:2bring (4) 11:3 29:24
70:22 86:11bringing (1) 52:23broadly (2) 39:25 95:8brought (2) 44:19
131:25budget (1) 61:13building (1) 147:23bullying (1) 35:7bundle (11) 57:6
64:23 73:8 95:1298:22 99:11 103:24105:15 129:7 135:2151:3
bureaucracy (1) 57:4bus (2) 131:15 142:25buy (1) 61:14
C
C (1) 146:17cabinets (1) 88:5caca (2) 134:21,22call (13) 6:20 42:20
62:6 87:2 94:2197:15 103:17108:17 130:5133:17 134:2143:23 156:13
Calle (1) 38:15called (25) 1:6,25 2:7
3:3 5:5 23:1 24:835:3 37:17 59:1660:1 70:20 93:23104:15 108:18124:4 125:10,14,22127:3 128:11157:21 158:4,10,14
calm (5) 44:2,12 115:2115:4,5
calmed (1) 113:25Cameron (1) 38:16camps (1) 145:17cannabis (1) 72:1capable (3) 85:18
114:14,15care (49) 9:3 11:14
23:6 62:5,17,22,2363:1,4,5,24 65:1467:15 69:17 74:484:14 88:12 92:697:2,16,20 98:8101:19,21 102:25103:5,9 110:9,14110:17 111:17112:3 122:10
123:23 124:2,8,11124:19 125:10126:2,2,3,4,8,14,15144:2,3,12
cared (2) 51:3 79:25careful (2) 84:14
154:16carer (10) 5:2 10:2
16:1 20:19 77:22118:17 119:1124:15 125:2148:22
carers (17) 10:5 20:925:24 26:9 41:1053:6 57:24 63:2178:3,23 119:8120:11,13,16,17124:22 142:12
carer's (2) 52:15 63:19caring (1) 84:14Carmen (3) 101:15
122:20 126:22carry (4) 2:17 18:11
23:14 31:25carrying (3) 92:8
101:24 102:6Caruana (1) 16:1case (13) 1:9,16,19
41:21 44:16 46:2350:4 72:23 84:1690:24 101:22109:16 144:16
cash (3) 47:1,24 48:1catch (2) 55:17 150:7category (1) 85:1caught (1) 8:20caused (1) 145:7caution (2) 72:2,3cent (1) 24:4centre (2) 40:4 52:4CEO (1) 61:7cereals (1) 50:6certain (7) 11:23
12:21 38:25 40:942:12,13 63:4
certainly (1) 85:4cetera (3) 88:20,20
154:23chain (1) 21:18Chairman (183) 1:4,21
1:23 2:1,12,16,192:22 7:16 14:1616:22,24 17:2418:1,24 19:11,1419:17 21:6 22:2123:20,24 25:3,1425:17,21 26:8,1326:16 27:17 28:1829:14 30:2 31:6,931:12,17,22 32:534:9,15,20,2435:23 36:3,17 37:237:4,8,12,16,18,2137:23 38:2,6,11,1840:20 43:4,7,11,2448:10,12 54:1358:17 60:5,1062:13 67:5 70:1971:19 75:5,7 76:2579:18 83:16,2584:8,19,24 85:9,1786:6,14,18,21 87:288:8 89:3 90:1292:10,18,20,2393:2,6,13,17,19,2293:24 94:5,14,1895:6,24 97:7 98:2,599:20 100:14,18103:23 104:13,16104:19,23 105:4,8
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105:12 106:15107:6,16,21,25108:3,8,11,16,19108:21,24 109:2,12109:19,22 111:21112:6 114:20116:17 117:1,22119:7,10,13 121:6123:20 124:23,25125:25 126:12127:22 128:5,8,12128:19 129:4 131:6132:17 134:4,16138:16 139:13140:14 141:23143:13,16 144:22145:2 147:7 153:5153:8,13,20,24154:3,6 156:1,9,11156:15
challenging (12) 40:342:21 86:4 111:19112:9,17 119:7121:7,20 122:2,4127:12
chance (1) 114:16change (12) 5:13
26:12 42:16 69:16104:15 117:9,13119:23,23 131:14131:15 134:9
changed (13) 3:2550:17,18 64:5 69:469:7 71:2 89:25104:9,22 117:12118:11 140:16
changes (7) 66:7,1066:12,24 70:17119:17 144:23
changing (2) 66:2069:11
chat (2) 47:7 67:17checking (1) 117:6cheek (1) 133:3cheekier (1) 75:14Cheryl (1) 14:17child (42) 3:10,13,15
8:24 11:23 20:1222:15 26:5 45:147:3 53:11 55:1061:19 63:24 69:1669:17 80:3,3,10,1280:12,20 84:1488:16,21,22 112:13121:13 124:2,6,8124:11,12,15,18125:10,11,21 126:2126:3 154:11 155:3
children (23) 52:2353:20 78:24 80:1480:15 86:9,12,1286:17,17 92:1111:18,19 112:1,9112:16 119:14,15127:10,11,14145:22 146:3
children's (2) 95:14112:3
choice (2) 50:1,12choose (1) 91:25Chris (1) 9:15Christian (1) 68:18chronology (1) 116:2chuck (1) 146:22circumstances (2)
75:19 104:6civil (1) 23:9claim (1) 2:14clarified (2) 14:13,16clarify (8) 2:5 19:20
20:1,5 86:8 88:10105:14 108:4
clean (7) 35:19 49:1588:14,18,19 91:3154:25
cleaning (3) 88:2289:1 90:21
clear (11) 9:12 28:735:2 55:16,1866:11 84:2 85:2288:10 107:14136:15
clearly (4) 41:13 82:9145:21,23
client (16) 1:18 29:430:8,15 40:1 83:7,883:9,14 84:1,22,2485:6,14,15 89:10
clients (1) 138:4client's (5) 2:9 30:4
83:5 84:17 86:9close (4) 25:9 52:4
117:14 122:25closed (1) 148:1closeness (1) 26:23clothes (3) 134:6,9,12clothing (1) 87:24code (3) 150:14,21,22coincided (1) 58:12cold (6) 48:22 49:1,2
49:24 83:3 134:11colleague (3) 6:6,11
20:14colleagues (2) 70:14
88:13collect (1) 47:1colloquially (1) 106:20combination (1)
112:16combine (1) 116:22come (30) 2:5 5:5
35:21,22,23 36:836:21 46:18 47:1350:13 51:6 52:1355:7 60:13 67:1969:8 77:12,25 78:1116:5 120:5,6134:8,20 135:5,12138:23 139:24146:23 153:18
comfortable (3) 37:21120:21 128:13
coming (22) 1:14,1724:2 36:18 37:1938:2 48:1 55:2256:12 66:16 78:387:19 93:24 108:12108:21 119:10127:24 128:13134:18 144:24154:2,3
command (1) 21:18comment (10) 30:14
47:2,11 51:5 56:2371:21 73:13 88:25122:10 145:3
commented (2) 58:2270:23
commenting (1)124:22
comments (1) 13:5commitments (1)
93:10common (2) 52:18,20commotion (1) 146:20communicate (6) 6:5
6:15 20:22 22:7,2431:5
communication (4)21:7 59:12 64:19
66:15communications (1)
51:10communicator (1)
78:18community (3) 52:23
53:5 63:7company (2) 29:20
120:6comparison (1)
150:12compartments (1)
89:22complained (1) 90:24complaining (2) 91:16
152:4complaint (1) 36:9complaints (1) 64:1complete (1) 68:6completely (2) 83:17
83:19completeness (1) 2:3complicated (1) 21:14comprehensive (1)
54:24comprehensively (1)
83:10Compson (3) 59:3
68:10 130:19concern (3) 2:9 61:25
86:9concerned (8) 92:2,5,9
94:20 102:10 103:9130:4 151:18
concerning (2) 84:2496:15
concerns (1) 22:5conclusion (2) 62:20
69:6concrete (1) 146:22condition (2) 27:6
90:13conditions (2) 91:8,18conduct (3) 150:15,21
150:22conducted (1) 14:2confidence (1) 79:6confidentiality (1)
141:8confine (2) 84:20,21confining (1) 86:23confirm (1) 30:14confronted (1) 135:1confused (10) 105:8
115:24 116:17,20123:7,9 124:1,25125:8,20
conscious (1) 84:12consequence (1) 99:9consider (1) 140:14considerably (1) 146:8consistency (1) 68:24consistent (1) 74:16consistently (1)
136:14consolation (1) 130:19consulted (4) 54:16
55:3,4,5contact (14) 29:11
47:23 56:14 67:2169:21 81:11 101:6101:11,12,12,23102:15 147:18,22
contacted (4) 35:18101:3,13 102:8
contacts (1) 41:24contains (1) 122:14context (3) 18:7 66:2
134:25continue (1) 1:12
continued (4) 2:20,25157:5,7
continuing (2) 103:5103:20
continuity (1) 70:3contract (2) 39:16
74:1contracting (1) 29:19contradictory (1) 73:7contrary (1) 88:14contributed (1) 89:16control (1) 25:2controls (1) 49:10conversations (1)
124:10cook (1) 91:2cooking (1) 91:3cool (1) 115:1copies (2) 59:2 76:7Corey (1) 6:17corner (3) 33:3,4
151:5corners (1) 61:22correct (26) 3:7 19:24
25:4 33:10 39:2345:21 60:20 76:1780:7 95:8,15100:11 107:9 110:7110:15,18 111:3,8112:14 124:4125:16 129:10133:14 139:23154:12 155:4
correction (1) 129:10correctly (3) 12:14
21:15 83:20correspondence (1)
91:15corridor (1) 33:5Cory (1) 97:25cost (1) 127:6counsel (4) 76:23 94:7
128:24 156:14count (1) 98:8country (1) 54:19couple (9) 21:4 23:22
31:20 38:9 44:666:23 148:25155:11,22
coupled (1) 62:20course (21) 8:9 16:17
19:14 28:10 40:2241:3 46:3 63:181:12 120:19,19,19121:5,5,8,21,22122:9 133:21 147:3149:6
courses (6) 40:24 41:441:11,13 121:18,19
court (1) 108:2courtyard (1) 52:8covered (4) 21:7 37:14
49:20 71:5covering (1) 19:4covers (1) 89:14create (2) 71:13
142:22created (1) 145:10credibility (1) 85:7critical (2) 85:6,14cross (1) 18:19cross‐examination (1)
83:19cry (1) 113:14crying (1) 25:24cup (1) 133:13cupboards (2) 71:2,4current (1) 61:5curtain (3) 8:21,22,25curtains (2) 8:18,18
cut (1) 106:10cutting (1) 57:7C1/2/2 (1) 30:7C2/2 (1) 30:5
D
daily (5) 55:6,7,1156:14 88:23
dance (1) 114:1danger (1) 146:9dangerous (4) 61:20
86:10 147:9,13date (8) 59:4 60:9
64:8 74:7 75:189:18 98:25 104:13
dated (1) 60:6dates (6) 29:9 40:25
95:3,4,5 101:5David (2) 36:5 79:21Davis (1) 148:23day (53) 1:4 5:1,2
10:15,15 17:1725:24 27:14 41:1241:12 44:25 46:2546:25 47:3 50:1650:18,19,20 55:7,775:17 78:1 82:784:3 89:11 90:2391:2 97:12,15,1697:24,25 98:3,499:23 116:24117:17 118:5,9,22123:2,18,19,21139:5,6 142:12146:12 148:21,22152:12,24 155:9
days (16) 15:19 46:1768:13 69:11 75:2078:5 89:23 97:11123:15,17 139:7,10139:12,13 140:8147:19
daytime (1) 148:20day‐to‐day (1) 69:18Day7:75/21 (1) 17:17Day7:76/1 (1) 18:4Day7:77/1 (1) 18:13DCRT (2) 140:24 141:1de (1) 38:16deal (5) 9:21 27:5 71:9
112:18 120:20dealing (2) 85:19
130:10deals (1) 104:5dealt (5) 51:8 83:10
92:13 101:19112:14
dearly (1) 68:25December (3) 62:18
82:25 84:1December(sic) (1)
60:22decided (3) 10:4,24
106:22decision (3) 10:16
121:12 154:17Decisions (1) 9:24decorative (1) 61:14deep (1) 12:13deeply (2) 51:3 74:4definitely (10) 42:7,7
42:7,23,24,2546:25 67:11 140:21140:22
degree (2) 39:6,7demanding (2) 75:16
75:21Denielle (1) 68:11Denise (3) 16:20 33:14
91:7
deny (2) 13:24 85:8Department (1) 112:3depends (1) 46:23describe (6) 11:8
15:22 80:19 85:1113:4 126:1
described (1) 86:10describes (3) 51:2
90:19 91:8describing (2) 115:23
147:7description (1) 9:23deserved (1) 56:10despite (2) 12:3 75:18detail (1) 62:1details (2) 99:8 103:13detain (1) 128:24detract (1) 95:1diaries (1) 1:9diarrhoea (1) 51:25diary (2) 4:5 143:20diazepam (2) 105:22
106:4dictated (2) 24:8,16die (1) 133:6diet (1) 87:12difference (1) 147:5different (17) 18:6
19:4 43:18,19,2074:13,17 78:1379:1 89:23,23103:19 118:10136:15 140:5 144:5146:1
difficult (11) 7:1820:22 26:16 69:22111:22 112:18127:25 128:2142:15 144:24147:1
difficulties (4) 9:18141:24 145:10148:15
difficulty (2) 7:11109:19
dining (1) 33:6dinner (1) 91:1direct (1) 68:14directed (2) 74:14,18directing (1) 89:3direction (2) 74:15,19directly (12) 6:15,17
6:24 22:5 58:14,2068:9 84:4,22,2488:11 119:22
dirt (2) 71:5 90:10dirty (2) 87:19 90:9disabilities (2) 69:14
112:14disability (3) 27:22
121:14 122:3disabled (2) 45:1
67:16disagreed (1) 73:15disagreements (2)
68:22,23disastrous (1) 10:21disciplinary (8) 72:9
72:15,16 74:22,2474:25 135:17137:18
discipline (1) 27:14discrepancies (1)
68:21discuss (7) 1:17 9:2,20
62:7,17 63:3127:25
discussed (1) 107:19discussion (1) 99:3disgusting (1) 91:9
dishes (1) 90:25dismiss (1) 74:14dismissal (2) 2:2,13dismissed (3) 74:19,23
75:23dispute (2) 71:25
92:11distressed (1) 49:15distressing (3) 49:22
50:4,10distributing (2) 149:2
149:9document (28) 4:4
9:11 24:18 48:654:8,24 60:1661:10 62:11,12,1462:25 63:12,1798:21 99:25 100:2100:9 103:21 107:9109:18 130:13,14132:5 135:14 138:8144:14 151:2
documents (4) 68:1372:6 75:10 130:12
doing (11) 5:12 12:1441:5 68:1 91:25102:16 117:19140:25 148:19149:12 152:18
door (11) 3:9,25 33:134:7,11 45:1951:12 122:25134:20,20 150:2
doubt (3) 72:5 76:5,5downstairs (2) 52:8
65:4Dr (11) 1:5 27:25 28:1
28:12 32:10 39:843:22 110:9 129:16148:6 155:14
draw (1) 45:2drawing (1) 44:24dressed (1) 115:13drink (2) 14:19 18:24drug (1) 106:6drugs (1) 92:8dry (1) 3:17DTR (1) 121:21due (3) 79:8 107:24
120:15duplicate (1) 37:15dust (1) 71:5duties (3) 77:25 88:17
89:1duty (3) 6:17 68:16
98:19dying (1) 30:19D34/4/6 (1) 130:14D34/8/1 (1) 70:8D9/140/2 (1) 64:23D9/142/26 (1) 58:25D9/31/1 (1) 60:16D9/31/2 (1) 63:20D9/31/3 (1) 65:18D9/31/4 (1) 62:15
E
E (4) 57:6 95:12100:11 140:10
earlier (8) 70:20 74:2182:2 108:5 115:25117:6 124:1 143:2
early (3) 101:6 141:11142:19
ease (4) 53:14 79:2,6114:14
easier (2) 52:1 53:8easily (1) 141:16Easter (2) 58:12 67:3easy (4) 48:10,14
161October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
94:11 128:19eat (1) 27:12effect (1) 141:23eight (3) 50:3,10
118:8either (16) 9:6 28:13
37:10 41:15 44:847:4 67:7,11 74:1075:8 76:1 88:1691:23 133:14134:15 148:23
Elena (9) 22:4,12,2322:25 23:1 101:23101:24 107:12,18
elicit (1) 34:25email (3) 13:3 122:13
122:15embarrassed (1) 2:6Emilia (1) 30:20Emilia's (1) 30:21emphasis (1) 52:22employed (1) 95:13employee (1) 39:13employers (1) 41:5empty (1) 61:16England (9) 10:17 11:8
12:21 13:5 95:1499:1 117:15 118:6122:8
Englehart (72) 37:2,337:6,9,13 38:12,1938:20 40:22 43:1544:1 48:12,13,1654:19 56:20 58:2360:13 62:14 68:674:18 75:5,6,876:22 93:20,2194:5,18,19,20 95:896:4 97:10 98:799:25 100:21104:24 105:5,14106:15,16 107:4108:6,9 128:5,6,9128:22 129:4,5,6131:8 132:18 134:6134:24 138:19139:15 142:6143:17 145:7147:13 153:5,7,24153:25 156:8,10,12157:23 158:6,16
Englehart's (1) 108:4English (13) 6:12 9:11
20:22 21:8 23:1023:11,17 108:23109:17,20,21,24127:17
enquire (1) 103:23enquiries (1) 102:25Enright (56) 1:12,13
1:21,22,24 2:9,1536:1,4,5,5,17 74:1779:18,19,20,2183:7,8,13,21 84:2,784:12,20,23 85:585:24 86:1,8,16,2186:25 87:5 88:8,1189:3,6 92:10,1793:6,7,13,16,18153:12,15,25 154:6154:7,8 155:24156:1 157:19 158:2158:18
Enright's (1) 83:6entailed (1) 88:18enter (1) 10:25entire (1) 95:22entirely (1) 69:4entirety (1) 66:2entitled (2) 24:7 83:9
entry (2) 4:5 51:10environment (1)
155:2EPE (1) 62:12epileptic (1) 80:3equally (2) 79:2
120:25Er (1) 88:7Erm (1) 147:6erratically (1) 116:1escalate (1) 115:3especially (6) 24:1
78:5 88:23 111:19115:25 121:22
este (1) 2:23et (3) 88:20,20 154:23evening (1) 3:12event (3) 15:12 59:24
59:25events (3) 15:10 116:2
117:4Everest (1) 68:18everybody (4) 78:21
146:23 147:9155:13
evidence (30) 2:1,132:21 17:24 19:2270:2 71:15,22 73:673:15 79:9 83:1083:10,11 84:15,1885:23 88:5,9 92:1592:20 96:13 108:6108:11,22 110:6141:23 142:7144:22 156:4
exactly (13) 3:15 5:1841:12 45:24 46:1047:24 51:13 54:2057:18 59:9 60:1574:2 119:16
example (13) 12:1046:22 51:24,2463:8 78:22 81:1081:13,14,15 83:1391:1 116:4
exception (1) 123:17excess (1) 106:8exchange (1) 70:25Excuse (1) 83:4exhibit (3) 98:21
102:17 138:8exhibited (1) 54:3existing (1) 41:21expand (2) 149:18
152:23expect (2) 31:20 92:13experience (7) 11:19
44:25 45:2 53:278:12 112:22115:14
experienced (1)148:25
experiences (1)154:21
explain (9) 30:18,2544:4 53:11,12 65:696:21 125:20152:23
explained (4) 7:2327:7 51:11 116:6
explaining (1) 109:14explicit (1) 99:4explicitly (1) 82:4express (3) 2:9 109:17
119:18expressed (1) 70:20expressing (1) 136:10expression (3) 45:17
51:15 82:11extent (2) 12:1 85:5
extremely (3) 55:1655:18 85:22
E/1/5 (1) 25:12E/1/6 (1) 21:21E/1/8 (1) 15:17E/61/1 (1) 94:23E/61/15 (1) 98:22E/61/19 (1) 99:11E/61/2 (1) 103:12E/61/21 (1) 104:2E/61/23 (1) 103:24E/61/25 (1) 106:12E/61/26 (1) 106:16E/61/3 (1) 105:2E/62/2 (1) 110:3E/62/3 (1) 113:4E/62/4 (1) 115:22E/62/5 (1) 120:24E/62/7 (1) 123:25E/64/2 (1) 38:22E/64/25 (2) 48:7,22E/64/26 (1) 48:20E/64/3 (1) 80:18E/64/30 (1) 57:13E/64/31 (2) 57:11,21E/64/36 (1) 81:20E/64/40 (2) 54:1 80:5E/64/41 (1) 54:10E/64/44 (1) 54:24E/65/1 (1) 129:8E/65/12 (1) 138:9E/67/68 (1) 87:6E/67/69 (2) 73:9
87:14E/67/70 (2) 73:11
90:5E/67/99 (1) 74:12E/69/1 (1) 39:2E67 (1) 73:8
F
face (2) 95:25 133:1faces (4) 119:8,12,21
120:18facilities (1) 147:24fact (8) 20:21 46:3
52:18 69:4 86:1290:22 100:24146:10
factually (1) 76:17faeces (2) 3:16 49:21fair (12) 54:15 66:2
67:23 85:7 114:7115:14,20 117:16117:18,18,22,23
fairly (3) 46:4 65:11156:10
Faith (1) 30:18fall (3) 49:12 84:25
143:17falling (1) 61:24false (3) 89:7,7,17familiar (2) 48:15
89:21family (6) 16:13,16
56:15 59:18 89:16120:9
Famous (1) 37:10fantasies (2) 16:17,18fantasise (2) 16:5,6far (16) 9:8 47:23
52:20 55:2 70:2286:5,18 99:17101:25 102:10103:2,9 126:6141:19 145:17151:18
fashion (2) 15:2285:16
father (4) 30:19 55:8,9
72:18fear (1) 22:12fearful (1) 56:7February (2) 65:12
91:15fed (1) 72:12feed (1) 69:23feedback (1) 70:24feel (3) 83:4 109:19
120:21feels (1) 92:12feet (2) 8:20,21fell (3) 8:18,19 53:1felt (10) 2:10 56:24
61:11 68:1,2,375:22 79:15 85:1591:20
feria (1) 117:22fierce (1) 139:11fight (1) 116:10file (3) 135:11 144:7
144:20files (2) 135:7 144:23filled (1) 30:15finally (3) 90:5 92:1
154:20find (14) 21:14 28:18
69:7 75:8,10 83:17101:13 102:25108:1 112:22128:14 138:9142:15 151:2
fine (9) 23:24 29:1029:16 30:23 48:1557:8 66:20 82:1682:24
fingers (1) 55:17finish (2) 13:11,12finished (3) 7:20 19:18
92:20finishes (1) 108:11finite (1) 97:20Fire (1) 31:22first (41) 3:2,12 5:19
6:2 9:16 11:8 13:713:21 32:10 33:1135:6 38:13 39:2044:7 46:10,1159:15,15 60:1 61:567:12 70:16 71:877:13 78:5 87:1694:23 96:17,2199:20 100:8,18107:1,2 112:13118:9 121:13 131:3144:4 151:11 155:5
firstly (1) 135:14fit (2) 24:13 98:16fits (1) 61:23five (4) 13:13 152:1
155:14 156:12flat (39) 18:25 19:3,5
27:24 28:8,10 29:829:8 32:21,22 33:943:15,16,17 45:746:16,19 47:13,1448:2 51:17,21 65:565:8 73:20 88:1488:19,23 90:2197:18 106:5 112:5112:6,7,7 138:3140:8 148:6,8
flats (2) 43:18,19flights (1) 93:11flooding (1) 155:6floor (3) 32:10 38:16
150:5floors (2) 43:20 88:19Flor (7) 6:10,16,17 7:3
7:4 8:9 97:25
Flor's (2) 5:22,24flower (2) 146:22
147:8focus (1) 136:14follow (3) 63:12 142:2
145:24following (9) 101:3
138:13,14,21,22139:5,6,9 151:15
food (1) 27:12fool (1) 52:10forbidden (1) 52:14forced (1) 8:14forceful (1) 65:12forgetting (1) 69:13Forgive (1) 121:25form (2) 22:13 144:13formal (1) 63:12format (1) 144:6Fortuna (1) 6:13forward (3) 9:18,19
74:8found (9) 71:6 87:23
90:15 103:17 106:4106:9 130:13145:25 146:2
four (10) 13:13 123:10123:12 127:6129:24 141:12147:11,13 153:8155:14
fourth (4) 11:10 60:2162:14 133:16
frame (1) 156:11frankly (1) 84:17frantic (3) 49:3,5,7frenetic (1) 49:3frequent (1) 9:21frequently (3) 19:23
77:9,10Friday (3) 1:8 93:8,15fridge (5) 71:7 88:6
90:10,13,14friendly (2) 61:19,19friends (1) 17:19front (2) 128:15 150:2frustrated (1) 66:18frustrating (1) 59:9full (7) 38:13 66:1
73:24 94:14 109:8128:25 156:10
fully (2) 138:20154:11
full‐time (5) 39:8,1139:13,21 129:23
funeral (1) 99:24further (6) 19:10 21:2
33:7 80:23 92:14127:21
F/23/1 (1) 16:20F/23/3 (2) 16:22 91:6
G
Gabrielle (1) 35:7Gallagher (1) 152:14Garcia (1) 97:25Garrett (1) 148:24gate (1) 11:1Gayle (1) 68:18general (4) 12:21
52:23 55:25 140:15generally (8) 32:14
41:12 64:5 68:23113:5 122:3 142:18145:9
gentleman (3) 85:5109:22 130:4
gentlemen (2) 53:22156:16
genuinely (1) 116:17
getting (14) 10:15,2011:23 22:21 52:552:24 65:17 88:21125:7 131:14136:23 139:11142:17 152:5
Gibraltar (16) 12:1613:4 23:10 96:899:24 101:24 103:2103:4,5 106:23111:15,16 117:22117:23 122:16126:14
Giraldi (12) 1:5 27:2528:1,12 32:10 39:843:22 67:13,15110:9,11 129:16
Giraldi's (2) 148:6155:14
girl (1) 118:18give (26) 7:21 15:7
20:11 38:13 44:1146:21 49:23 59:1760:8 69:25 77:880:20 81:5,12,1594:8,14 104:16106:22 108:22113:10 114:16116:4 146:10148:18 154:21
given (13) 36:19 37:2444:17 61:23 70:2372:11 73:15 76:6,976:10 88:9 99:8108:13
givers (1) 69:17giving (7) 42:8 49:24
61:22 108:6 109:8110:6 128:25
glad (1) 37:22glass (2) 134:6,7global (1) 62:23go (60) 7:17 9:22
10:17,19,20 12:417:16 18:4,1219:22 21:21 22:1822:19 27:7 28:633:4 37:13 41:1745:4 47:4,6,7,1048:20 52:13,1954:23 57:3,11,2158:25 62:1,1063:24 67:16 69:269:22 73:11 74:8,982:12 86:5,2287:16 88:17 89:2194:2 101:1 106:23122:24 123:5125:24 128:7,14133:6 134:24 140:1141:25 142:3,21
goes (4) 93:11,12106:16 152:25
going (52) 2:17 8:6,1112:18 13:2 17:2022:10 23:13 26:1,126:25 27:8,9,12,1329:24 31:15 35:1936:2 48:21 53:1054:23 63:1,2 64:1966:13,17 73:1383:12,18 84:1985:1 90:14 92:1593:9 102:22 103:18108:17 113:23126:17 131:14,21131:22 133:16,25135:5 137:17,18142:17,24 152:15153:7
Gomez (6) 68:1174:14,19 87:12137:18 154:17
good (27) 1:4 2:225:12 20:14,17 25:928:20 37:18,2038:9 50:23 78:9,1878:22,23 79:24,2592:22,24,25 95:11108:19,20 114:2128:12 131:10149:16
Government (3) 23:1629:19,21
grab (1) 52:7grabbed (4) 8:22
13:18,19 17:12grabbing (1) 38:8gracias (1) 2:22grade (1) 73:25grandmother (1) 55:9grandson (1) 30:21grasping (1) 50:21grateful (8) 21:1 28:16
35:25 36:19 37:2386:1 92:23 156:5
grease (1) 71:5greasy (2) 71:4 88:5great (4) 7:11 128:1
146:22 155:1gross (5) 70:10,12
91:17,18,21ground (1) 37:13group (1) 22:14GSD (1) 29:22Guadacorte (1) 129:3guitar (7) 52:6,7,10
63:8 65:1,4,6guts (1) 122:22
H
habit (2) 42:15,16half (10) 5:4 41:12
65:15 75:17 81:2582:5,20 98:7,8147:20
halfway (5) 14:3 32:14133:25 134:4 136:9
hall (1) 88:19hand (9) 8:4,6,13,20
45:16 49:11,1256:24,25
handed (5) 100:10,12138:24 139:15152:13
handle (1) 144:10handled (1) 47:24hands (2) 31:21
107:10hands‐on (1) 77:11handwriting (3)
103:25 138:16151:7
handwritten (1) 100:3happen (6) 13:25
23:13 25:23 34:3133:11 137:7
happened (18) 5:86:23 14:24 15:1015:13 22:19 52:467:20 74:21 99:18116:23 117:2,3,4124:18 136:16143:4 147:4
happening (8) 12:1025:6 101:4,10,14101:22 143:10144:25
happens (1) 109:3happily (2) 77:21
162October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
139:24happy (6) 38:1 66:9,24
70:14 78:4 154:23hard (4) 42:10,11,11
70:1Hassan (8) 16:20 17:6
33:14 34:2,10,1834:23 91:7
Hassan's (1) 17:25head (10) 10:24 13:20
16:17 35:2 76:9122:22 133:13134:6,7 148:4
health (1) 52:4healthy (1) 89:9Healy (7) 28:6 145:20
146:5 147:23149:15 154:20,22
hear (9) 26:10 58:760:1 86:6 93:1396:3 102:3 107:16109:13
heard (25) 53:1859:15,24 70:2,1671:22 75:25 79:985:11 99:20 100:18101:7,8 112:2113:17 124:21125:6 131:3,4139:25 141:23142:7 143:10,14144:22
hearing (5) 72:9 74:2274:24,25 156:19
heated (1) 70:24heavily (3) 40:6 72:19
72:21held (1) 9:1help (20) 20:16,16
21:14 23:15 26:435:24 36:19 44:1153:16 66:20,2478:3 92:15,23 94:1108:13 111:23112:21 128:1,21
helped (4) 20:1430:25 35:24 41:25
helpful (3) 13:2 85:22156:4
helps (3) 74:9 105:1122:12
Hernandez (33) 35:1236:6,7 45:25 46:847:22,23 56:2159:4,14,16 65:1166:7 70:7,25 72:1372:20 74:3 76:2,1077:9 79:22 91:1696:11 132:19,23133:11 135:1,22,24137:6,14 139:15
Hernandez's (4) 73:673:8 87:6 88:24
hernia (1) 127:7hesitate (1) 40:1highly (2) 91:24 106:6Historically (1) 11:16hit (14) 7:2,5 8:17
11:25 27:13 113:12116:6,8 119:11,11119:16 133:5135:25 136:4
hold (5) 23:23 49:1193:9 113:20 116:9
holding (1) 8:9holiday (6) 54:11,19
56:11,17 66:1470:18
home (27) 1:5 12:1619:1 22:18 27:25
28:1,5,12 29:532:10 39:8 51:1752:15,25 55:19,2063:20 64:7 72:1281:25 89:17 104:19109:4 110:9,11129:16 139:2
homes (6) 63:22 95:1495:18,22 96:4,5
honest (3) 58:18 60:962:23
honestly (3) 64:1676:8 153:3
hope (3) 1:8 57:6154:12
hoping (1) 102:24hospital (1) 121:19hot (1) 49:18hour (8) 50:4 82:1,5
82:20 87:4 153:9153:13,17
hours (4) 16:16 38:939:12 115:15
house (17) 12:12 28:443:24,25 46:4 52:361:14 65:3,7 67:1491:8 116:6 121:19122:18 125:5154:20,22
Housekeeping (2) 1:3157:3
houses (1) 63:24huddle (1) 26:5hurt (1) 11:10hygiene (2) 91:8
149:15
I
idea (2) 46:21 63:6ideas (1) 35:2identified (1) 54:1identify (7) 32:19
38:21,22 57:1261:4 128:16 132:22
ignored (1) 68:4illness (1) 113:7image (1) 35:20imagine (6) 60:7,24
76:8 89:1 93:10100:23
Immaculada (1) 68:17immediately (3) 65:4
74:3,11impinges (1) 103:23implicated (1) 84:4important (3) 17:4
22:11 70:3impossible (5) 10:20
13:21 45:22 73:2382:21
impression (2) 40:1145:9
impressions (1) 58:20improved (2) 55:23
61:6impulse (1) 113:14incident (23) 3:18
4:19,25 5:9,14 7:19:2,7 14:17 24:730:11,16 32:2,2333:14 75:13 105:9105:13 115:25131:23,25 143:20147:8
incidents (8) 9:4 10:284:22 116:21,22,23116:25 143:22
include (1) 5:22including (1) 9:14increase (2) 9:25
120:18increased (2) 10:3,6INDEX (1) 157:1indicate (1) 33:21indicated (4) 8:25
84:10 86:24 117:20indicates (1) 25:4individual (2) 85:21
94:9individuals (1) 91:23Industrial (4) 1:16,19
2:10 30:7information (4) 34:25
63:13 78:19 137:17informed (5) 1:10 9:5
9:6 10:7,9infrequent (1) 46:4initial (2) 60:21 81:9initially (3) 23:4 72:8
130:2initials (3) 38:4,5
128:15injection (2) 15:7
123:8Inquiry (16) 1:5 71:15
83:23,23 84:1886:3 93:9 103:24106:3 110:3,7126:12 131:4,24132:21 140:15
inside (9) 3:11 10:1934:8 71:4 123:6,8123:11 146:14,24
insight (1) 113:10installed (1) 3:7instance (1) 74:17instances (1) 64:20institution (1) 12:19instructions (5) 1:18
27:1,5 36:11 85:10integrate (2) 53:4,10integrated (1) 53:15intelligent (1) 127:17interaction (2) 55:24
78:24interest (6) 41:14
56:15 63:8 66:1566:16 96:4
interested (4) 4:7 52:675:9 100:14
interfered (1) 90:25interject (1) 83:4internal (1) 62:15interpret (3) 25:18,21
26:17interpretation (1) 89:9interpreter (35) 2:21
4:11,15 7:16,2113:8,11,14 14:6,914:11,13,18 17:1417:22 18:3,5,9,1523:21 24:15,1825:18,20 26:15,1827:3 31:19,2532:17 33:11,1336:16 109:15,16
interrupt (2) 95:24125:25
interruption (1) 85:25intervene (1) 92:10intervention (1) 41:3interview (8) 14:2
107:11,17 132:1134:24 136:8,19139:10
interviewed (1)100:24
intimidating (2) 35:8136:21
introduce (1) 67:11
invent (1) 16:8investigate (1) 127:1investigating (1)
103:10investigation (9)
99:17 101:25102:16 103:3,6104:9 105:24 106:1126:20
invite (1) 44:11invited (1) 41:17involve (1) 95:20involved (2) 42:21
68:2irregular (1) 98:14irrelevant (1) 84:17irresponsible (1)
91:24Isola (4) 1:13,22 2:3
156:14issue (5) 40:7,12
74:20 90:17 120:23issues (13) 31:15 62:6
63:2,4 72:11 84:1585:7,20 103:23140:13 143:19145:21,23
J
J (1) 33:15Jack (3) 46:12,13,14January (2) 41:1 81:21Jenny (1) 148:24Jessica (4) 58:19 59:2
62:16 88:2JH (6) 75:25 132:25
133:4,24 134:9,11Joanna (23) 35:12
36:6,7 46:16 56:2159:4,16 67:9 72:2077:9 79:22 131:25132:1,19,23 133:11135:1,22,24 136:19137:14 139:15,19
job (7) 5:13 12:1429:12 53:4 142:3146:1 155:16
jogs (1) 70:5joking (2) 50:15 51:5Jonathan (4) 37:3,17
38:15 157:21Jones (1) 123:23Jordan (1) 148:23JT (1) 61:1July (2) 38:21 117:23jump (1) 18:12June (3) 107:12,18
117:23J's (1) 33:17
K
keen (2) 55:22 77:14keep (7) 1:10 19:19
21:1 94:7 95:25109:12 111:22
keeping (1) 30:14kept (5) 56:9 65:6
88:14 112:25143:20
key (3) 3:10 74:2116:1
kick (1) 24:11kids (1) 56:8kind (31) 42:9 44:12
44:24 47:2 49:3,949:12,22 51:4,653:1 56:3,4,6,861:14 67:19 72:1275:21 77:19 78:2
81:15,16 83:2087:22 89:8 117:13142:17 144:7,10,19
King (3) 16:11,12,16Kingdom (1) 99:10Kirushka (3) 59:3
68:10 130:19kiss (1) 113:15kitchen (14) 32:16,21
33:1 34:2,4,6,6,1171:2,4 88:19 106:5150:2,5
knack (1) 78:20knew (28) 5:13 12:17
24:3,5 26:3 28:155:2 69:3,5 72:1472:16,17 77:14100:8 113:17,24114:11 116:11,15116:16 117:2118:23 121:8126:23,23,24136:25 148:18
knobs (1) 49:9know (181) 2:8 3:15
3:25 10:6,6 14:1415:1,9 17:15 18:2119:8 20:16 21:1022:9 23:17 24:1524:25 27:10 29:830:21 32:8 35:6,1135:15,17 39:16,1739:22 40:2,15,1841:13 42:10,1143:10 44:17,20,2144:22 45:1,3,15,1846:20 47:15,1848:13 49:20 50:2150:22 51:3,15,2252:18,21 53:3,1053:15,22 55:15,1555:17 56:7,10,1456:15,21 60:8,961:12,13,21,2262:25 63:6 64:465:5 66:16,1767:17,17 68:1,1968:20,25 69:1670:23 71:3,8,1272:16,19 75:11,1175:12,13,18,20,2175:23,24 76:9,1477:24 78:9,15,2078:21 79:1,7 81:383:5,6,8,12 88:2288:25 89:5,8 90:2,390:7 91:24 93:1794:2 96:13 100:15101:15 102:3 106:7108:24 114:5 115:3116:12,23 118:11120:9,22 121:25124:7,7,21,22126:6 127:3,8128:2,14 131:20,22132:5 133:10134:22 136:18137:1,1,2,9,19139:16,20,23140:21 141:2,19144:3,6,9 146:1148:3,19 150:7,9151:17 152:8,8,18152:21 153:5 155:8155:21
knowing (3) 100:14116:15,16
knowledge (2) 99:19125:11
known (1) 136:24
knows (2) 26:6 136:18
L
L (68) 7:1 8:22 9:3,189:21 10:5,14,17,1811:7,19 12:20 13:514:2 15:21 16:5,621:23 23:25 24:1025:9,13 26:23 27:653:22,24 56:2,3,394:21 98:24 110:18110:23 111:6,14,17112:2,2,8,11,12,13112:22 113:17118:14 120:20121:4,13,13 122:8122:9 123:21 124:1130:5 131:8 132:20133:1,5,11,13134:2,8,10,13136:10 137:16140:1 141:14
La (1) 99:14lack (5) 44:18,24 53:1
66:14 120:16ladies (1) 156:16lady (2) 24:8 133:18large (4) 3:9 80:12
114:8,23largely (1) 130:10lash (2) 10:23 131:15late (1) 9:19laughed (1) 122:21lavatory (1) 52:2lawyer (1) 35:16lay (1) 17:8layout (1) 32:11lead (1) 81:14learned (1) 17:19learning (3) 112:13
121:13 122:2learnt (1) 12:25leave (9) 22:16,19
28:1 30:24 41:975:17 77:24 85:10118:22
Leaving (1) 76:13led (4) 10:16 11:5
50:25 70:24left (10) 6:18 15:4
33:5 56:18 75:19117:15 118:1,2,6122:8
left‐hand (3) 32:1533:4 132:24
lessons (1) 63:10letter (35) 35:13,15,20
36:8,13,13,1559:23 60:5,10,1165:11,12 66:3,1970:4,6,8,11 73:375:3,5,6,10,15,2476:1,2 91:15 99:11100:12,16,20106:15 108:1
letters (3) 109:5,6128:21
let's (12) 26:13 30:331:17 34:24 66:2488:10 89:9 98:22125:24 132:8,13,22
level (1) 79:1lie (1) 89:8lies (2) 18:19 89:17life (1) 71:13lifted (1) 102:23light (2) 30:18 134:16limit (1) 37:5limited (1) 147:24line (9) 14:11 17:18
18:12,13,14,1683:6 101:23 133:16
Linea (1) 99:14lined (1) 144:8lines (6) 13:7,13 16:3
87:17 89:4 152:1lion (4) 16:11,12,12
16:16list (3) 38:5 110:20
130:5listen (2) 20:23 26:10literally (3) 45:21
141:11 155:11little (19) 7:17 21:15
29:11 30:14 33:742:16 56:8 69:2076:11 77:5 89:22109:12 111:24113:24 127:6,8134:20 143:1154:21
live (3) 38:15 109:10129:2
lived (1) 30:17living (4) 61:5 99:13
99:14 155:7Liz (1) 152:14Llambias (1) 35:7locate (1) 76:1located (1) 33:22lock (12) 3:6,6,9,14,21
45:14,23 51:9,1151:13 82:6,21
locked (6) 45:16,1881:25 82:4,9,18
locking (1) 45:21London (1) 93:11long (20) 3:8,16 4:10
19:20 22:21 25:1027:14 37:9 39:2558:6,9 68:15 88:2595:6 104:19 106:10106:11,11 128:10146:13
longer (3) 86:22 94:7128:24
look (27) 50:2 57:6,1160:16 63:17 69:1070:5 73:8 74:1280:8,18 81:2382:12,25 99:9105:14 106:12108:8 110:20111:24 130:18132:7,8,13 139:20146:21 150:11
looked (6) 27:23 56:686:17 118:5,13150:3
looking (15) 40:2342:4 50:1 63:980:13 84:3 85:387:7 91:6 99:25100:9 107:9 132:17135:14 138:12
looks (3) 39:3 135:21139:11
loss (1) 51:1lost (1) 134:3lot (21) 4:18 16:5,6
19:2 20:21 21:2231:1 37:13 52:2270:2 77:16,1778:20 79:6 112:21116:13,20 120:1127:9 142:7 145:4
lounge (2) 146:15,17Lourdes (2) 30:11,19loving (1) 113:5Lucas (1) 10:24
163October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
luck (2) 92:22,25Lucy (1) 98:1lying (2) 17:14 91:25L's (6) 8:4 10:2 146:15
146:17 147:18150:1
M
Macias (5) 22:4 102:1107:12,18 108:6
Madrid (3) 38:17 57:992:24
Magnum (1) 57:22main (1) 62:5maintain (1) 27:14major (1) 142:20majority (2) 146:18
147:20making (5) 16:7 66:12
94:24 129:8 154:8Malaga (1) 38:8man (3) 94:21 96:14
107:23managed (1) 75:9management (9) 9:16
10:4 28:22 29:646:5,7 56:16,2079:3
manager (23) 20:1927:2,5,7 28:23 29:546:8,22,23 47:1767:17 77:5,11 78:778:8 79:13 95:2196:23 97:1 101:23144:23,24 154:13
managers (1) 145:5manana (1) 2:23Mandy (11) 28:21,21
29:11 30:6 128:11129:2 133:6,9134:13,22 158:14
manner (4) 50:1566:12,21,22
Manolita (13) 4:724:11,16 96:1897:2 98:11,17 99:699:18 102:18118:22,24 123:6
MANUELA (2) 2:20157:5
manuscript (1) 30:9March (3) 54:21,21
67:3marches (1) 101:2margin (1) 14:5Maria (8) 22:4,12,23
22:25 23:1 101:23107:12,18
Marie (5) 74:14101:15,24 137:18154:17
mark (2) 1:22 134:4Mary (1) 98:1Maskill (2) 122:20
126:22mat (3) 80:21,24 81:3matter (4) 58:21 84:5
96:4 104:5matters (4) 37:15
105:15 127:25130:10
Matto (5) 19:22 20:777:3 78:12 79:11
mattress (1) 89:6Maureen (1) 16:1mean (52) 14:23
25:17 34:20 40:240:25 41:11 44:1644:22 45:17,1846:21 50:2,9 51:13
55:6 58:6 60:8,2461:10,11,20,2364:18 66:10,1367:4,7,8,24 68:869:3 71:8 72:11,1776:17,20 81:382:12,14 87:2091:2 102:1 114:15114:20 116:4118:12 139:18140:16 143:13144:3 145:25154:25
meaning (1) 145:24means (3) 17:14 88:10
134:14meant (4) 19:25 43:21
102:3 113:12Med (1) 114:4medicated (1) 40:7medication (14) 41:2
103:16 104:5,11105:9 106:4,8117:12 118:11119:23,25 141:8148:14,16
medications (2) 89:1889:19
medicine (2) 148:9,11medicines (2) 149:3,9meds (5) 69:25 89:19
89:21,24 149:13Medview (1) 109:10meet (5) 62:7 67:9
117:17 123:18156:17
meeting (28) 9:1,5,109:13,14,20 22:848:2 56:16 57:1357:19 60:3,19 64:264:7,8 67:10,1970:17,18 90:15105:16 132:19135:3,3,4,22138:12
meetings (1) 123:14member (2) 30:10
63:25members (5) 63:24
106:5 120:2,3,25memory (6) 62:21
63:19 68:14 70:574:20 142:4
memos (1) 67:22mental (1) 12:19mention (9) 13:18
19:24 28:25 44:154:16 124:2 128:17132:13 154:20
mentioned (13) 2:312:1,2,22 14:2515:2 17:5 19:2345:16 65:2 96:1498:11,24
mentioning (1) 93:19Merlot (6) 43:17,24
43:25 46:4 67:1491:8
met (2) 117:18 136:19method (2) 44:2,7microphone (2) 28:18
96:2midday (1) 6:18middle (7) 33:13,18
33:19,20,23 50:20132:23
Middleton (1) 98:1Milbury (2) 23:7,12mild (2) 125:13 126:5mind (15) 1:9 15:8,8
18:19 21:12 22:1328:7 46:17 47:352:22 58:2 80:2588:16 153:16 154:3
mine (3) 5:22 50:8139:9
minute (7) 10:22105:16 135:2,9138:10,20,24
minutes (7) 31:21,2387:1,2 135:23138:25 139:8
misbehaving (1) 52:3mischievous (1)
116:18misconduct (5) 70:10
70:13 91:17,18,21mismanagement (2)
103:15 104:10missing (3) 139:3,21
144:23mistakes (3) 21:17
45:12 50:5mix (3) 116:11 117:4
145:22mixed (6) 15:22
116:21,25 124:23124:24 146:3
mixing (4) 15:10 116:2146:8 147:1
Mm (26) 39:1 46:248:23 53:21,2554:2,12 55:1 59:160:18 62:9,19 66:471:17 73:11 76:1680:11 81:7,22 82:392:4 135:18 147:16147:25 151:10152:22
model (1) 56:3modus (1) 42:18moment (8) 19:16
26:13 36:7 38:12124:16 128:23132:9 149:12
Monday (3) 89:2290:1,2
money (2) 47:1175:21
month (6) 47:20,2272:9 74:22,2575:18
months (16) 12:2046:11 47:18 59:759:23,25 67:12104:21 118:8126:19,20 129:24141:12 149:1155:15,22
Morag (3) 46:12,13,14Moran (22) 21:3,4,4,7
22:22 23:3,22,2524:16,19 25:8,1626:22 27:4,16107:8,9,17 108:1,4157:11 158:8
morning (25) 1:4 2:2228:20 37:18,2050:19 79:24,2590:1,2 93:7 96:18115:12 131:15138:13,14,22,22,23138:24 139:9148:13 149:24,25152:12
mornings (1) 134:17Morocco (1) 71:23mother (3) 12:11 55:9
116:16mother's (4) 99:24
116:5,7,9motivation (1) 34:22mouth (3) 8:5,7,14move (4) 28:5 85:12
85:24 137:15moved (7) 106:24
107:1 140:5,6155:10,13,15
moving (2) 88:1 138:3Muchas (1) 2:22mum (2) 44:20 147:18mustn't (1) 60:13M1/4/1 (1) 135:2M1/4/2 (1) 136:9M27/14/4 (1) 4:4M27/14/5 (1) 4:12M27/18/1 (1) 9:11M27/18/2 (1) 9:22M27/23/4 (2) 13:3
122:13M27/24/9 (1) 24:6M27/29/1 (1) 16:1M27/29/2 (1) 16:3M27/36/25 (1) 11:6M27/36/27 (1) 11:14M27/36/30 (1) 11:15M27/37/3 (1) 14:1M4/5/1 (1) 151:3
N
N (3) 17:5 32:3,12name (53) 12:22
14:17 27:21 32:336:5 38:3,13,1544:16 45:7 47:5,749:2,5 51:3 55:8,2255:24 56:1,6 57:2458:14 59:17 68:2469:22 71:13 79:2180:11 89:13,1494:8,11,15 101:16101:17 109:8,10111:6 116:6,10117:19 128:20,25129:2 134:6,7,17138:5 140:23141:12 144:6155:12,17
named (6) 124:8125:1,2 126:8,9151:3
names (3) 68:12 97:17116:21
nature (1) 40:9naughty (1) 44:20Navas (29) 31:12,14
31:18,20,22,2432:1,2,6,18 33:1434:10,13,16,22,2583:4,16,17,22 84:884:17,19 85:1392:18,19 109:14154:2 157:17
Nazareth (2) 6:12,16NB (1) 136:11near (2) 90:19 113:21nearly (4) 19:18 111:7
118:16,16need (25) 7:17 26:17
31:18 38:3,6,848:20 62:1 68:180:17 90:2 93:1494:8,8,9 96:2 101:1106:3 108:8,9109:3 111:23128:16,24 153:14
needed (5) 10:5 20:1668:25 90:20 141:10
needle (1) 15:5needs (4) 12:17 78:17
93:10 149:14Neither (1) 34:6nephew (2) 76:19,21nervous (1) 94:5Netto's (1) 76:21never (64) 4:25 6:23
8:13,16 11:2513:23 16:7 17:1217:13 18:18,22,2219:5,6 20:25 29:2330:17 31:3 36:1239:13,14,16 48:351:3,4 67:20 73:2473:25 74:1 75:1875:20,25 87:22,2390:22 106:7 110:11110:13 114:15117:20 119:2,2,2,6122:25 123:2,13,14123:15,22 125:3,3125:5 135:24 136:4136:7,19 139:25142:11 143:6,10149:2 150:14,21
nevertheless (1) 66:22new (20) 10:22 11:21
23:25 24:2 25:1378:3 107:24 118:23119:7,8,10,12,21120:2,3,18,24131:16 144:24,24
NHS (1) 96:4nice (4) 50:23 133:4
136:22 137:9Nigel (7) 30:25 35:4,9
35:13 36:9 136:12148:23
night (37) 1:14 5:26:11,11,14 19:625:23 68:16 88:1390:20 96:24 97:7,897:9,10,16 98:1098:13,15,19 110:23110:25 115:11123:1 140:6,7142:10,11,12,14,19143:3,17 147:19,21155:10,17
nights (9) 69:11 98:1798:18 114:4 115:20125:4 140:8 148:10148:11
nine (4) 104:21 118:8126:19,20
Noakes (1) 98:1nods (1) 137:5normal (5) 26:2 49:19
120:10,10 127:1normally (9) 39:17
47:4 49:19,23 52:887:22 98:2 110:23115:15
north (1) 95:14note (2) 132:19
154:16noted (1) 63:21notes (1) 14:1notice (2) 24:3 59:8noticed (1) 118:9November (5) 60:17
63:19 64:9,12,15nowadays (1) 52:14no‐one (2) 101:21
131:23nuisance (1) 111:21number (5) 32:19 33:9
38:16 97:20 120:18nurses (1) 149:11N's (2) 17:8,9
O
objective (1) 83:22obliged (1) 85:16observe (1) 41:25observing (1) 50:6obsessive (2) 40:9
86:9obtaining (2) 27:1,4obviously (17) 7:20
41:9 59:4 66:971:14 77:23 93:898:23 99:8 104:16131:10 137:23142:16 149:13152:4 155:1,12
occasion (8) 6:1335:12 40:8,1151:25 108:3 134:19151:21
occasionally (1) 68:20occasions (6) 50:25
51:23 52:12 53:1766:23 78:14
occupied (1) 1:10occur (1) 40:8occurred (6) 3:8 5:1
5:15 16:7 32:2433:15
October (6) 1:1 98:2599:15 105:5,16156:20
odd (7) 1:24 40:1951:23 68:20 137:22145:25 146:2
offer (1) 78:4offering (2) 27:13
50:23office (7) 76:9 100:12
103:18 104:8,11127:4 139:17
OFFICER (1) 62:12official (1) 59:8OFSTED (1) 95:21ogres (3) 80:14 86:2,3Oh (6) 16:15 39:13
42:7,23 132:4150:3
okay (58) 2:16 3:214:11,21 5:16 8:138:17 9:1,10 10:9,910:13 11:2 13:8,1013:14,16 14:916:19 17:5,15,2218:9,15 28:6 31:2532:23 33:16,2134:13 36:15 37:1237:22 45:3 48:1958:3 59:15 60:2265:25 67:4,4 73:1891:11 109:24110:22 111:8,14112:11,20 118:19126:7 127:19128:18 135:6,13142:16 152:18154:5
old (4) 69:16,17147:12,23
older (1) 56:4once (16) 35:10 42:2
42:10,12 44:847:20,22 57:2 62:690:1 104:8 113:12118:18,18,18 120:6
ones (3) 51:24 67:23148:24
one's (1) 23:18Onset (1) 24:7open (3) 3:11 63:25
134:20
opened (1) 36:13Openshaw (31) 5:21
6:3,15,21,22 7:419:25 21:5,20,2121:24 22:6 24:1,924:19,22 37:793:21,23,24 94:1694:23 95:24 99:21104:13 107:6,12,16108:12 123:1 158:4
operandi (1) 42:18opinion (6) 20:11
21:23 34:3,21,2367:19
opportunity (2) 41:1847:2
opposed (3) 66:11,19147:1
opposite (1) 30:21oral (1) 83:11order (2) 57:1 83:17organised (1) 78:2original (1) 135:14outbursts (3) 40:8
65:8 113:7outside (13) 10:18
11:1,4 34:6 52:2471:4 84:9 85:20117:18 146:19,20146:21 150:1
overdue (1) 36:20overheard (1) 124:10overlap (1) 96:11overlooked (1) 90:17overpowered (1)
114:21overpowering (1)
114:14overtime (2) 19:6,7overwhelmed (2) 49:4
49:4o'clock (6) 86:21
88:20 142:17 143:1153:20 156:17
O16/13A/1 (1) 105:15
P
P (1) 132:13package (1) 80:5page (38) 4:9,11,11,15
5:20 9:12,22 11:816:3 17:17,2118:11,13 25:1548:20,21 50:1854:10,24 57:12,2162:3,10,13,14,2163:17 65:14 74:987:14 100:11 104:2132:24 133:16,25136:8 151:23 157:2
pages (1) 62:12paid (2) 72:18 102:4painted (2) 73:14
80:14panel (2) 72:14,15paper (7) 38:4 94:9
109:6 128:15 144:9144:18,19
papers (4) 131:4132:10,14,21
paperwork (1) 144:8para (1) 2:23paragraph (50) 4:7
11:9,10,15,1715:16 16:21,2517:6 21:24,25 22:124:10 25:14,14,2030:5,7,8,12 57:2157:22 61:5 74:1276:13 80:19 81:1
164October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
81:23,24 87:7,9,1687:16 88:1 89:490:5 91:6 103:12105:1,19,21 113:3114:6,8 115:22,23120:23 123:24130:15 135:16
paragraphs (4) 11:1973:9 117:11 151:11
Pardon (1) 105:20parent (1) 79:3parents (6) 54:25 55:3
55:4,7 57:3 78:24part (12) 1:8 4:9 7:7
7:14,15 8:4 9:1517:21 22:13 66:1571:3 80:5
participation (1) 2:4particular (16) 4:6,6
6:25 13:6 14:321:24 61:18 63:4,585:20 91:12 109:4119:5 128:16131:17 143:7
particularly (10) 11:1546:19 50:4 61:1961:20 76:9 94:20130:4 136:22 139:3
parts (2) 8:1,2party (1) 70:4pass (4) 4:15 137:17
149:13 154:16passage (3) 6:2 8:1,15passages (1) 73:5patio (6) 3:9 28:6,8
146:19,23 150:2pattern (1) 69:9patterns (1) 41:9Pause (45) 4:14,16
11:12,18 13:9,1514:10,15 17:2,8,2318:10,17,25 19:1622:2 24:12,1425:22 30:13 32:848:18 58:3 59:1159:15 65:16,19,2470:9 73:11,12,1276:15 81:2 87:1888:3 89:5 90:6105:18 106:14,18122:17 146:17151:13 152:2
pay (1) 41:16pejorative (1) 85:2pending (6) 55:20
72:9 74:22,2599:17 126:20
penultimate (2)105:19,21
people (39) 1:8 9:1414:25 15:2 19:522:9 24:2 27:928:14 48:17 52:2453:3,3,4,9 54:1669:18,19,23,23,2476:7 79:1 81:1184:21 90:7,9116:21 119:10120:5 122:1 136:15141:4 142:11,23,25144:9 146:5 155:11
people's (1) 86:11Perez (6) 58:19 59:2
62:16 73:14,1988:2
perfect (2) 32:1844:22
perfectly (2) 85:17127:17
period (14) 28:22 29:1
29:5,18,18 39:942:17 46:9 47:1751:22 68:11,1269:19 145:6
permanent (2) 23:674:1
permanently (1)155:13
permission (5) 55:1955:20 57:2,3 59:18
permitted (1) 78:1person (7) 26:13
53:12 56:5 77:1978:9 104:10 125:14
personal (5) 26:2341:14,23 44:2545:2
personally (6) 50:2156:23 67:10 76:4107:4 149:24
persons (3) 122:10123:4,10
person's (1) 91:14petty (3) 47:1,23 48:1phone (1) 103:17phoned (3) 58:10,13
58:19physical (3) 99:5
113:8 143:25physically (3) 82:21
141:4,4Piazza (2) 123:18,19pick (9) 10:19,20 11:3
21:16 47:6,1152:13 87:21 138:23
picked (8) 65:3 87:21131:3 132:10,14,21139:8 146:21
picking (2) 47:5 66:5picture (3) 69:13
73:14 80:6pictures (1) 80:13pieces (2) 144:9,19pills (1) 148:18Pitto (10) 28:17,18,19
28:20 29:16 30:431:6,8,10 157:15
place (13) 9:3 28:2,3,349:21 58:4 62:5,2263:1 71:10 83:14131:24 155:1
placed (1) 10:11places (1) 61:12plan (8) 11:14 32:7
62:17,22,23 63:5,6144:12
plane (2) 15:4 22:11plannings (1) 47:12plans (5) 47:3 62:5
63:1 144:2,3play (7) 28:7 41:25
49:9 52:6,9,10 56:9playful (1) 50:14Playing (1) 18:5please (11) 4:15 60:16
63:18 84:19 103:21109:4,9 128:10129:1,15 151:12
plus (3) 98:5,6 120:2pm (5) 93:3,5 153:21
153:23 156:18point (23) 12:1 16:13
25:8 29:24 33:1744:23 48:16 56:1256:13,14 59:1865:10 67:21 70:1382:20 85:13,1892:14 101:12 124:1130:18 136:20153:7
points (3) 23:22 66:5133:3
pole (2) 8:18,22police (16) 13:3,4 14:2
16:2 72:2,3 100:24101:3,13 102:8103:2,3,4 122:16122:16 134:2
policeman (1) 151:24policy (4) 63:23 64:3,4
64:17position (6) 2:6 8:13
34:5 63:22 72:2184:18
positive (1) 55:25possibility (2) 1:7,11possible (10) 20:15
22:17 26:22 38:749:16 58:21,2476:12 90:16 93:12
pot (2) 146:22 147:8practice (2) 52:20
114:25precautions (1) 9:3preceding (1) 57:12predict (1) 131:20prefer (1) 108:22preferable (1) 42:5premises (1) 10:25prepare (1) 53:9prepared (4) 11:7
54:13,15 83:23Preparing (1) 100:6prescribed (1) 106:6presence (1) 12:11present (2) 24:20
67:20presented (1) 84:13preserve (1) 94:12presumably (1)
136:12presume (1) 133:18pretty (4) 46:15 97:20
137:12 147:14previous (8) 24:14
48:21 74:9 91:199:25 100:3 138:20147:2
pre‐placement (1)11:6
price (1) 72:18primary (2) 40:12
69:17principle (1) 10:16prior (7) 41:23 47:5
53:10 66:13 105:9155:19,22
private (5) 63:22 96:596:6 120:11,13
privileged (1) 1:18PROACT‐SCIP (1) 41:2probably (7) 14:8
31:23 64:6 65:269:21 85:9 103:14
problem (8) 23:2 50:971:10,11 113:16114:3 142:20147:11
problems (8) 20:25112:25 113:2114:19 131:11145:7 146:10,25
proceeded (1) 146:22proceedings (3) 2:2,4
80:15process (4) 23:3 68:2
81:18 149:12profess (1) 46:14professional (6) 5:12
26:24 68:20 70:15
88:14 90:22professionally (2)
56:24 78:8programme (1)
156:10progress (1) 1:11prompt (1) 62:21prompted (1) 63:18prone (2) 61:23 113:7proper (4) 67:25 141:3
144:12,12properly (1) 121:24proposal (9) 53:19
54:1 58:6 67:1,3,669:1,3 70:18
propose (2) 37:1391:21
proposed (2) 57:1766:21
proposes (1) 54:19proposing (2) 54:10
66:7proven (1) 55:24provide (2) 120:16,17provided (3) 68:24
74:5 83:11provider (2) 120:11,13providing (1) 93:25public (1) 52:1pull (1) 122:13pulled (2) 8:21 142:3punishment (1) 48:24purpose (5) 9:18 32:6
61:17 83:5 99:3purposes (1) 61:14pushing (1) 56:25put (39) 7:25 8:5,6 9:3
13:19,20 15:1217:19 49:7,13 58:661:6 62:5 63:169:13 71:10 72:2172:24 73:5 75:280:6 82:8,8,18 85:888:11 104:5 106:19107:10 112:3122:22 129:7130:11 131:23134:25 135:8,11141:12 144:9
putting (5) 59:2 63:969:15 119:22 134:7
P/24/14 (1) 132:8P/24/7 (3) 132:8,17
132:18P/24/8 (1) 133:16
Q
quarter (6) 36:21142:25 153:8,9,13153:17
Queen's (1) 156:14question (27) 3:2 7:20
14:4,20 17:1922:22 23:21 25:1727:19,22 29:14,1530:3,4 34:9,13,1734:20 36:1,2 42:953:12 64:18 122:12153:12,17 154:6
questioned (12) 2:2538:19 71:9,1194:19 109:25 129:5157:7,23 158:6,12158:16
questioning (4) 83:684:3 85:19 108:5
questions (59) 3:15:18 6:2 7:25 8:319:10,12,15,1921:3,5 27:18 28:17
28:19 29:2 31:1331:15,23 32:1 36:236:4 38:12 76:2277:1 79:19,23 83:984:11,21 85:2,1886:23 92:17,1994:6,6 107:5,7,8110:2 127:21,23128:22,23 129:15153:6,10 154:7156:2 157:9,11,13157:15,17,19,25158:2,8,18
quick (1) 154:9quicker (1) 57:1quickly (3) 31:24
49:16 65:21quilt (2) 89:14,14quite (49) 3:14 4:9
12:3,5 15:15,2422:21 24:13,2439:18,19 41:7 49:549:7,15 50:20 54:854:23 66:10,1870:8,21,24 73:1479:25 82:4,9 83:2585:6 86:4 95:698:14 120:25121:18 129:6131:10,19 132:7133:21,22 134:14139:23 142:7,19144:22 145:23147:3 150:4,7
R
R (1) 146:8raining (1) 65:5raise (2) 31:16 93:18raised (2) 22:5 135:25raising (1) 92:14ramp (1) 142:22random (1) 144:16rang (1) 35:7ranks (1) 77:12rare (2) 15:24 134:19rarely (1) 112:24rat (2) 150:3,3ratio (1) 10:2rats (2) 149:20 154:23reach (1) 73:25reached (1) 18:2react (3) 119:10,16
120:10reacting (2) 120:4,24reaction (2) 26:9
137:21read (34) 5:3,3 14:8
14:12,14 21:8 22:123:10 24:10 48:848:13 58:1,2 59:1060:24 65:14,2166:1 67:2 73:1076:13 80:25 81:487:16 91:12 105:17106:12 117:2122:15,18 139:1,22151:11 152:1
reader (1) 65:22reading (1) 150:1ready (2) 88:22
142:18real (2) 66:16 143:23realise (1) 132:4realised (1) 139:2really (46) 5:8 22:10
31:12 34:20 41:1647:10 48:10 51:1,256:25 71:7,12 76:883:12,17 91:19,20
103:22 112:19113:1,12,12,16114:20,23 115:6,14126:22 127:1139:19 141:22142:15,19,20144:19 145:4,11147:18,19 148:13148:20 149:17,18149:21 150:11155:7
reason (12) 35:2149:17 64:22 67:2571:12 99:3 109:15111:25 112:1113:13 131:17151:3
reasons (3) 59:2370:16 71:1
reassured (1) 126:24recall (6) 3:5,21 17:11
17:12 122:8 124:7recalling (1) 115:25receive (2) 59:8,12received (6) 35:15
72:2,3 99:11,15141:16
recognise (2) 39:4110:4
recollection (2) 10:3145:2
recommendations (1)61:6
record (5) 38:14 94:1595:11 101:1 108:2
recorded (2) 137:6,8recreational (1)
145:22recruitment (1) 23:3rectal (2) 105:21
106:4redacted (35) 32:3
44:16 45:7 47:5,849:2,5 51:4 55:8,2255:24 56:1,6 57:2458:14 59:18 68:2569:22 71:13 80:1189:14,14 111:6116:6,10 117:19134:6,7,17 138:5140:23 141:13144:7 155:12,17
redirect (2) 50:2281:17
refer (20) 17:3,4 24:630:5 38:3 46:3,448:6,22 54:2560:25 62:24 64:2394:9 98:21,24109:3 130:12,13147:23
reference (6) 21:2166:23 70:7 73:1686:2 133:18
referred (4) 3:4 16:986:2 108:7
referring (3) 20:2,3130:15
refers (3) 4:22 24:1430:11
reflect (1) 44:13refused (1) 35:4regard (2) 93:8 154:10regarding (7) 1:18
21:24 32:3,1256:17 63:23 124:11
regardless (2) 64:17130:25
registered (2) 95:2195:21
regular (2) 11:10 97:9regularly (2) 15:21
89:25reinstated (2) 126:21
126:22reiterate (1) 75:24relate (3) 19:20,21
52:24related (1) 146:25relating (2) 47:3
136:16relation (6) 3:2 27:19
27:23 30:4 84:22125:14
relations (3) 59:21,2278:25
relationship (7) 25:1072:13,19,20 76:10131:10 145:12
relationships (1) 114:2relatively (2) 39:9
46:24relatives (1) 147:17relaxation (1) 3:3relevant (1) 139:3reliable (2) 153:1,4relied (1) 53:7reluctant (2) 42:25
43:2remained (2) 105:5
107:13remaining (1) 107:24remember (70) 3:8,11
3:14 4:2 9:8 10:1811:24 25:5 29:930:19,22 40:4,641:2,7,7,13 44:5,746:10,13 47:15,2448:1,4 50:11 58:1861:9,10,11,11,1562:23 63:14,15,1664:7,14,16 66:668:8,17 72:8 74:1976:6,6 78:20 83:2090:12 94:24 107:21118:4 124:12 129:8135:3 139:16,20144:2,17,19 146:11146:12 148:12,13148:14,15,19,20151:20 155:7
remembering (1) 68:9remembers (1) 108:3remind (3) 43:4 73:1
80:17removed (2) 74:3,11renewed (2) 89:19
90:3reoriented (1) 32:8repeat (1) 150:20repetitive (4) 40:9,10
152:16,24replace (2) 69:1,19replaced (1) 89:13replacement (1) 68:6replied (1) 35:17report (26) 4:19,20
5:17 9:8,9 11:721:11,19 24:6,1431:3 35:3,8 41:250:2 56:18,2281:20 82:25 104:3104:7,11 141:7151:17 152:13,19
reported (7) 51:2464:17,21 87:2391:5 97:5 118:11
reporting (2) 97:14,23represent (5) 21:5
27:21 28:20 36:6
165October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
79:21reprimanding (1)
72:23reputation (1) 40:5requested (1) 109:15requirement (1) 23:9resident (57) 17:3,4,5
21:23 22:20 23:2525:9,13 26:23 27:627:23 32:3,5,1233:15,17 38:339:21 40:14 52:1553:22 63:13 79:2592:7,7 94:21 98:24109:3,4 110:18,23111:14,17 112:8130:5 131:8 132:20140:10,12,12,12,12146:6,8,13,14,15146:16,17,17,21147:10,18 150:1151:7 152:4,9
residents (12) 28:230:21 40:20,2142:20 78:16 92:6128:16 146:19155:3,7,11
resignation (5) 73:375:3,7,25 76:2
resigned (2) 72:3,7resisting (1) 49:8resolve (1) 49:16resource (1) 53:8resources (1) 79:9respect (2) 2:6 101:20respected (2) 78:10
78:20respective (1) 43:5respite (4) 29:7 155:8
155:9,12respond (4) 85:16
91:13 92:2 122:12responded (2) 85:14
85:17responding (2) 38:25
85:18response (3) 2:12
59:14 67:6responsibility (2) 56:5
95:22responsible (1) 90:21rest (3) 54:17 91:22
153:14restrain (2) 8:10 141:4restraining (3) 7:12
141:2,2result (3) 9:2 10:1
35:22resume (1) 93:2retained (1) 135:7return (1) 100:13returned (1) 99:23rhyme (1) 131:17ridiculous (2) 59:25
91:5right (103) 1:12,23
2:12,19 3:21,24 4:25:11 6:19 10:1412:4 14:18 16:1518:1 19:11,13 21:621:7 28:2,3,14 32:632:21 33:1,12 34:334:15,24 36:3 37:437:16 38:18 39:639:10,20,24 42:1542:19 43:11 44:645:25 46:5 48:2160:19 64:14 65:2372:10,24 74:5,675:17,23 76:22
80:1,8 83:25 84:892:9 93:22 95:1396:10 98:16,19,21104:12 107:25108:11,23 109:21112:22 117:1118:21 124:20125:24 129:4,19,20130:3,5,8,25131:24 132:4,7133:3,21,22 136:2140:11,22 142:13143:12,16 144:21147:13,23 148:9150:6,15 151:11155:2 156:9,15
rightly (1) 72:22right‐hand (2) 32:17
151:4ring (1) 101:21ringed (1) 57:22rise (1) 146:10risk (1) 49:17risking (1) 65:10rivers (1) 78:16Road (3) 28:10 112:6
112:7Robba (18) 96:17 97:2
98:10 99:5,18102:18 108:17,18108:19 109:10,15109:19 110:1111:21 123:24127:22,24 158:10
Robert (20) 124:4,8124:13,16,18 125:1125:2,2,11,14,21125:22 126:2,7,8,8126:9,10,13,14
Rochdale (2) 94:1795:16
role (2) 56:3 87:21roll (1) 27:11room (34) 3:3,3,4,5
17:8,9 25:1,5 28:534:8 44:11,14,1444:15,21 45:3,6,1661:16 81:25 82:582:10,16,17,18,2285:21 94:2 108:25115:5,7,9 123:9,12
Rose (16) 6:8,8 11:2111:22 22:16 96:1797:2 98:10,17 99:599:18 102:18108:17,18 109:10158:10
rough (1) 56:8roughly (5) 32:10 43:5
104:14 109:2128:14
round (4) 50:15 58:1382:12 117:23
rule (1) 52:17run (4) 2:11 77:19
95:18 96:6running (4) 1:5 95:14
95:20 150:4
S
s (8) 44:16 45:7 55:858:14 59:18 71:13134:6,7
sad (1) 12:3safe (1) 65:7safer (1) 61:24Saints (1) 94:16sanction (1) 80:23sandwich (1) 41:11Santos (2) 68:18
101:15Sarah (1) 123:23sat (1) 91:4saw (22) 9:6 10:22
12:9,9 25:24 27:830:25 31:3 34:336:13 41:17 77:9,9114:16,25 117:13117:18,20 118:4,5123:22 149:24
saying (30) 5:9,19 8:815:10,12 17:626:19,20 42:1960:20 73:15 80:783:25 84:9 91:17120:15 125:10,18126:11 130:3136:20,23,25 137:6137:8,16 150:21,24152:17,20
says (20) 8:12,14 9:179:24 15:5 16:3 17:830:10 34:2,24 61:474:3,11 80:2387:12 92:5 104:2130:20 134:1 153:1
scalding (1) 49:18scared (7) 22:10 25:24
121:1,2,3,4,9schedule (1) 1:6school (11) 10:18,25
47:5,6 69:24 87:1987:21 88:22 131:14142:21,25
scope (3) 84:9,1085:20
scrape (1) 90:9screen (3) 122:13
129:7 132:9Sean (11) 19:22 20:7
20:12 77:3 78:1278:16,18,25 79:1181:11 133:17
seat (1) 30:24second (8) 11:16 35:6
59:13 63:17 71:16107:13,18 115:24
secondly (1) 13:22second‐guess (1)
89:10section (1) 156:13sedative (1) 106:6see (104) 4:5 5:18,19
5:23 7:9 9:12,16,2311:15 12:4,1313:17 14:4 16:4,1016:11 17:5 18:721:17 22:4,12,1722:23 25:3 26:630:25 31:17 33:134:7,7,8,24 36:838:21 39:13,2045:14,25 46:2247:5,22 50:16,1851:8 54:1,25 57:1257:14 59:21,2260:17 62:4,8,1663:17,19 66:2 68:972:6 73:7 80:683:18 92:14 94:1098:19,24 99:4,6101:19 103:7,12104:2 105:19,21106:1,10 112:13114:18 115:10,18115:22 118:17119:1,17,18,19120:20 121:2,3122:6 123:14130:16 132:10,11
132:14,23 134:1,8134:21 135:19149:23 150:14151:5,24
seeing (4) 8:11 32:966:16 68:13
seen (25) 3:13 4:20,204:25 15:19 16:930:17 35:5,1041:22 51:10 58:266:14 92:5 98:23100:1,5 109:2131:4 132:20133:19,20 150:14150:21,24
sees (1) 22:9seizure (1) 146:18send (3) 45:3 76:4
91:22sends (1) 44:20senior (14) 12:12
20:15,16 68:7,8,1173:20 78:6 79:3,1179:12 98:19 130:22152:14
seniors (1) 47:25sensationalist (1)
83:19sense (12) 31:6 44:22
53:9 55:15 60:8,1267:22,24 68:490:22 91:23 138:7
sent (15) 11:7 35:1236:13 45:4 56:1856:22 59:3 75:3,2476:8 82:16,17104:11 115:5 126:4
sentence (4) 9:16 18:862:4 115:24
separate (2) 44:1445:6
September (4) 117:24117:25 118:3,9
serious (2) 66:1490:17
seriously (1) 154:13Seruya (2) 6:8,8served (1) 1:13service (9) 23:9 40:3
42:19 61:19 67:1677:14 78:17 79:289:20
services (8) 1:15 9:1696:7 101:8,9,11102:15 121:15
session (1) 142:1sessions (2) 42:3
141:25set (5) 33:19,20 60:3
67:19 89:13setting (2) 42:15
53:16set‐up (1) 96:21sexual (5) 124:6,11
125:12 126:5,10shadowing (3) 41:21
41:22 42:3Shakes (1) 148:4shared (1) 110:25Sharon (61) 3:6 5:5,21
6:3,15,20 7:4 15:1819:21,23,25,2520:2,3,6,18 21:2021:20,21 22:6,2424:1,19,22,25 25:435:4,14 46:15,2347:13 59:3 62:1677:3,5,10 78:9,1781:11 93:23 94:16123:1,13,13,14,22
133:17,17,20,22,25134:7 135:21,23136:18,25,25 137:3138:22 139:19158:4
sheets (2) 89:11,13Sheila (1) 16:14shift (28) 19:6 25:23
41:9 50:4,10,1169:8 77:18,21,2277:23 87:22 90:2096:24 97:7,8 98:1398:15 110:23,25142:10,11,23 143:3143:17 147:19,21155:10
shifts (4) 40:19 69:6115:11 148:22
shock (1) 100:22shocked (1) 122:20shoes (1) 119:17short (10) 34:14 36:25
39:9 58:11,12 70:893:4 106:10 153:22154:4
shortages (1) 142:8shorten (1) 25:3shorthand (1) 156:13shortly (3) 30:3 60:10
70:6shoulders (2) 8:9
95:23show (9) 4:23 15:25
16:19 17:15 25:2532:7 72:5 81:14108:1
showed (1) 56:15shower (6) 49:8,13,23
49:24 51:6 83:3shown (3) 5:17 62:21
103:21shut (2) 45:19 51:12si (43) 7:13 23:8 25:11
32:20,20 33:8109:1 110:16111:16,19 113:9,21114:10,13,15,22115:2,17 116:3,5116:14 117:5,16118:4,7,20 119:9,9119:25 121:2,2,11121:18 122:18125:4,9,15,17126:8,8,24 127:15128:2
side (5) 30:10 32:1532:17 56:6 69:16
sign (3) 24:21 138:25139:24
signature (6) 5:20,205:23,24,25 130:20
signed (3) 24:19,22131:1
signing (1) 139:1similar (1) 81:16simple (1) 31:8simply (3) 22:23
107:14 108:4sir (27) 1:13 2:15,17
19:10 21:4 27:1928:16,17 31:1436:1 37:3 62:1279:20 83:4 85:1385:25 87:5 92:1793:8 107:5,9108:20 109:14127:21 128:6 156:8156:12
sister (1) 116:7sit (7) 1:7 16:11 80:21
80:24 81:12 93:14153:7
sitting (5) 8:24 35:393:8 94:1 115:9
situated (1) 33:2situation (10) 11:5
22:14 49:5,16,1949:22 51:1 121:4,6144:11
six (1) 156:11skip (1) 57:4slap (1) 132:25sleep (2) 88:17 134:11sleeping (3) 89:6
115:16 143:3slept (1) 142:18slightly (6) 1:5 33:5,23
36:20 50:14 56:4slip (3) 49:11,12
128:20slips (1) 94:11slow (2) 65:22 79:5slowly (2) 7:17 21:9small (4) 13:22 72:1
80:10 122:23smart (1) 54:8smearing (1) 49:21social (9) 1:15 9:15
58:14 96:7 101:8,9101:11 102:15121:14
Society (1) 27:22softening (1) 61:22soil (1) 134:18solicitor (4) 1:15,17,24
100:5solo (1) 133:17somebody (12) 19:4
21:14 23:15 56:977:13,20 78:25118:23 120:22123:18 141:2147:12
somewhat (1) 74:13soon (2) 88:17 117:14sorry (67) 4:18 14:11
18:16 26:15 27:329:3 30:7 31:1832:3,4 45:9 47:1047:10 49:7 55:8,856:3,12 57:6,10,1357:17 58:16 59:1362:15,15 64:2465:22 67:4 76:2076:20 78:7 79:680:22 87:9 93:1395:17,24 96:25100:2,3 102:2,17105:8,11 106:25110:12 111:6,21113:15,15 120:8,11124:17 133:21134:3 138:21 139:7139:10,19 140:9141:1,15 148:7150:18,20 154:8
sort (12) 14:3 15:2127:11 35:7 85:296:15 109:23131:13 137:3142:21,22 143:20
sorted (1) 60:2sorts (1) 63:25sounds (1) 147:7Spain (2) 57:25 129:3Spaniards (1) 23:19Spanish (7) 6:3 55:12
55:13 108:22109:22 118:18127:17
sparse (1) 141:21spat (1) 7:8speak (18) 6:3,12 21:8
21:9 23:10,1755:12,13 70:1479:1 96:2 109:21109:22,24 115:25127:15,16 138:5
speaking (5) 26:1432:14 39:25 109:20136:20
speaks (1) 127:16special (4) 44:14
121:15 122:1141:16
specific (6) 13:1728:25 43:17 46:1761:10 146:25
specifically (3) 117:11118:4 146:25
spell (3) 44:5,8 52:5Spencer (1) 28:21Spencer‐Ball (2) 28:21
30:6spend (1) 49:8spent (2) 54:15 115:15spite (1) 20:21spoke (3) 4:22 6:23
55:10spoken (1) 7:19spread (2) 77:16 79:8square (2) 24:24 32:15staff (32) 6:11 10:22
11:10 29:6 30:1042:25 43:2 63:2463:25 77:16,17,2096:23 97:9,10,1697:17 98:18 106:5117:17 120:14,16123:1,2,18 131:16141:25 142:7,8144:24 145:12147:10
staffing (1) 9:25stage (1) 67:5stages (1) 125:7stand (1) 85:23standard (1) 149:15standing (1) 34:10start (10) 3:2 11:23
43:7 87:7 88:16,2194:14 110:14128:25 130:12
started (17) 5:7,910:23 11:21 23:1641:19 43:13 50:17111:25 112:1129:16 130:3 143:1144:6 145:20152:20 155:5
starters (1) 74:24starts (5) 4:7 11:9,14
11:16 14:4stated (1) 74:20statement (43) 1:13
12:6 15:16,25 16:216:19 21:22 25:1229:1 30:5,6,1538:20,24 41:2354:4 71:16 73:980:18 81:1 87:791:7 93:25 94:24101:2 105:1 108:7110:2,4,22 113:3114:6,8 117:9122:11 123:25129:6,8 130:10,15135:8 138:8 140:13
statements (1) 37:23states (1) 30:8
166October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
stay (6) 41:25 111:15111:16 115:6,8,9
stayed (1) 123:6staying (1) 153:16Stefan (1) 133:17step (1) 77:20sticking (1) 83:2stomach (2) 127:6,7stop (1) 52:7store (1) 33:6stories (2) 16:7,8story (2) 106:10 150:1straight (2) 128:7,8strain (1) 76:6strained (5) 59:21,22
72:13,20 76:10strange (1) 117:21strangers (1) 69:20strategy (1) 99:3straws (1) 50:21street (2) 38:16 53:17stressed (1) 44:10strike (2) 118:17
119:1strong (2) 114:23,24strongly (1) 66:22struck (2) 7:1 118:19structure (1) 79:8structured (1) 144:14struggle (1) 8:17stuck (1) 15:5students (1) 41:24studied (1) 145:25stuff (3) 78:4,22 90:23subject (3) 41:8 84:5
86:25subtraction (1) 129:13successful (1) 22:15sudden (1) 131:19suffer (2) 53:3,4suffered (2) 124:6
125:12suffices (1) 31:10suggest (1) 84:16suggested (21) 19:15
21:3 27:18 28:1932:1 36:4 77:179:19 107:8,17154:7 157:9,11,13157:15,17,19,25158:2,8,18
suggesting (1) 22:8suggestions (1) 133:14suited (2) 12:16 28:9summarise (1) 13:4summary (1) 122:14summer (4) 44:8
114:4 115:20 125:4summers (1) 44:6Sunday (1) 89:22supervise (1) 78:2supplies (1) 120:5supply (16) 20:13 23:6
39:11,18,19 40:1973:23,24 75:1677:6,17,20 98:1498:18 118:24129:17
supported (1) 79:15suppose (6) 51:14
61:21 75:14 114:11115:15 142:20
supposed (2) 56:16152:18
sure (16) 3:22,23 15:136:12 46:13,1555:14 65:7,18 74:674:8 89:20 130:23134:14 145:23148:12
Surely (1) 82:8surname (1) 68:17surprise (2) 1:17
100:21surprised (3) 88:24
127:5,6surprising (1) 95:7surrounding (1) 62:6suspect (1) 124:10suspended (12) 72:9
74:21,25 102:4104:21,25 105:3,5107:24 126:18,25137:24
suspension (7) 99:15101:22 102:22103:20 105:10,12107:14
sweared (1) 81:15swung (1) 8:22system (1) 149:10
T
T (5) 140:12 151:7152:4,9,9
tab (3) 95:12 100:11132:13
tablet (1) 90:1take (47) 4:4 9:3 12:12
13:2 14:1 17:2024:25 25:5 32:247:2 48:6 51:16,2152:1,8,15 57:17,2458:4 67:18 69:5,1069:17,24,24 71:1071:18 80:11 86:186:18 88:25 89:990:1 92:1,6 103:22113:3 114:3,4,7115:20 117:17119:17 125:7 153:8154:13,16
takeaways (1) 87:12taken (10) 10:16
12:18 28:3 36:1150:3 69:15 79:1691:14 121:12139:12
takes (1) 42:16talk (8) 26:7 45:21
53:11 114:1 115:4117:9 119:19145:20
talked (1) 82:2talking (8) 1:21 3:18
69:23 97:18 104:13104:23 117:10118:8
talks (1) 100:4tangent (1) 81:17teacher (1) 11:3team (14) 12:14 24:1
25:13 54:17 60:1968:7 69:2 70:1371:1 97:14 120:2120:25 137:15140:5
teams (1) 120:3teenager (1) 114:11teenagers (1) 145:21tell (29) 4:2 5:7 6:22
7:20 14:6,7 20:2025:13 39:20,2440:14,22 51:866:11 68:12 70:1971:8 90:12 91:496:8 101:2 102:9103:12 106:2111:12 113:21121:12 133:5,12
telling (3) 41:5 72:22100:19
tells (2) 42:14 109:6ten (6) 13:7 86:25
87:2 90:18 145:5,5tend (1) 119:13tended (2) 10:13
98:13terms (13) 1:6 21:18
23:3 27:1,4 39:1152:23 62:24 63:566:16 79:10 106:11140:15
Terrace (1) 109:11terrible (1) 150:11testing (1) 49:14Teuma (15) 37:3,17
37:18 38:15,2043:4 54:14 84:1385:13,14,17,2192:11,20 157:21
Teuma's (1) 86:25thank (44) 2:15 19:10
20:4,6,18 27:1631:10 32:9 34:1636:18,20,22 37:1837:22 38:2 54:971:14 76:24 79:1787:5 92:19,20,2292:25 93:16,19,2493:25 94:18 108:12108:13,21 109:18127:24 128:1,2,12154:4 155:24,25156:1,3,5,6
thanks (2) 32:18108:13
theirs (1) 103:4Theoretically (1)
39:15thing (10) 26:22 36:12
44:22 48:12 60:165:1 119:25 134:17137:4 150:8
things (46) 5:8,13 9:2310:13,19,23 11:2212:9,10 15:21 16:921:10,13,15 26:1827:13 30:9 38:2540:10 42:12 44:153:8 57:1 61:2163:10 68:1 69:1169:22 76:14 78:2180:20 81:9,18 94:2116:21 117:7 120:7128:14 131:13,16137:7,16 140:16141:8 142:18 153:1
think (169) 2:1 3:5,103:14 4:1,19 5:56:12,13 7:16 12:1512:17 13:6 14:1614:21,24 15:116:18,23 17:4 19:721:25 22:7,2123:20 24:23 26:2227:24 29:14 30:231:6,10,14,1534:18 35:21 36:1738:6 40:6,13,17,2440:25 41:1 42:4,1043:8 44:19 45:2,2546:8,14 47:17,2548:20 50:2 51:2,951:16 53:6 58:1058:11,19 61:1,4,1562:1 64:6,9,1366:10,23 67:1,2,567:10 69:21 70:1371:7,12,21,25 72:1
72:18 75:22 76:578:8 80:17 83:9,1484:2,8,25 85:6,9,1286:2,3,14,14,18,2288:8 89:3 90:1794:20 96:18 100:19100:24 102:22103:22 104:24105:1 106:2 107:19108:11 109:6112:24 113:11116:17,18,19,20117:6 118:6,10,14118:22,24 119:25120:9,10,23 121:6122:5,7 123:3,7,10124:23 126:16,17129:16,22 130:14130:23,24 131:23132:18 134:15137:3 138:19139:16 140:6,7,7145:5 146:12147:11 148:12152:14 153:3,3,13155:2,6,14 156:11156:12
thinking (6) 10:1737:4 65:1 67:9137:12 142:9
thinly (3) 77:15 79:8,8third (6) 11:16 34:13
35:12 73:9 87:6135:16
thought (24) 2:4 4:2318:18 22:9,11 26:341:14 42:8 55:2056:10 59:24 66:1568:19,23 70:15,2175:1,19,20 108:9130:2 137:3,22146:9
threat (4) 49:24,2551:2 83:2
three (25) 7:2,3 8:1911:25 14:25 15:224:20 26:5 33:7,1933:20 35:18 47:1547:16,18 62:1267:12 96:22 114:22118:14 123:4,9129:24 141:12156:12
three‐day (1) 54:19threw (2) 36:14
133:13throw (1) 134:16thrust (1) 136:8Thursday (1) 1:14tic (2) 117:19 118:12time (117) 3:8,13,16
5:17 9:15 10:2,4,1012:15 14:7 19:2420:11 22:10 23:1225:10 26:14 28:1229:4,18 30:1932:11 33:22 35:6,637:4 38:6 40:6,1340:17,23 43:944:12,17 46:7 49:249:9,14,23 53:1854:15,16,18 55:2558:11,13 59:2160:4 66:6 67:16,1868:8,15 70:10,1170:11,23,24 72:873:1,2 75:17 76:1177:11 78:6 79:1179:13,15 80:181:10,12,19 83:14
95:6 96:13 97:899:1 101:2 102:18103:13 104:17,20105:4 106:11,22110:17 112:24113:22 114:11115:12,16,17117:13,15,16,19118:17 120:15,15123:20,21,21130:24 131:6140:23 141:21142:16 143:7 145:6145:22 146:2 149:2152:11,14,17,21154:4 155:3
times (11) 11:25 16:535:18 47:15,1656:7 63:22 89:23131:12 148:14150:6
time‐out (8) 3:4 25:544:2,12 50:2480:21 81:5 82:20
timing (1) 42:9tiny (1) 86:12today (13) 12:15 35:3
37:25 83:12 84:1396:19 128:6 150:12150:17,19,24 156:8156:16
toilet (8) 13:20,2115:13 52:1 122:23122:23,24 123:11
told (26) 14:13,1623:18 27:15 30:930:16 44:7 45:2552:14 59:17,19,2269:9 74:8 103:19104:8 107:22 113:1113:22 121:23,23122:20 126:22135:16,24 137:14
tomorrow (2) 156:10156:17
top (11) 8:19 9:1217:9,14 33:4,2534:1,1 71:3 106:9151:4
topic (1) 142:6tops (1) 71:2tore (1) 36:14Torremolinos (1)
99:12Tosso (2) 70:7 91:16totally (1) 74:17touch (2) 18:20
102:17tough (3) 22:10 29:18
53:4train (2) 30:20 38:8trained (1) 41:15training (20) 40:24
41:19 42:5,6,9,1344:18,24 53:1121:15,15 122:1,3140:22,23 141:6,7141:17,24 142:1
transcriber (1) 139:11transcribers (2) 7:18
153:14transcript (2) 17:16
95:11transfer (1) 26:21transferred (2) 112:2
112:5transition (2) 42:17
53:15transitional (1) 29:18translate (10) 4:8 11:9
11:17 13:6 14:816:25 17:18,2018:5,13
translated (5) 4:3 24:824:16 30:1,12
translator (1) 4:6transmitted (1) 78:19treatment (2) 143:19
152:5tremendous (1) 142:8Tribunal (4) 1:16,19
2:10 30:7tried (6) 20:23 25:12
26:2,4 50:22,24trip (8) 21:25 55:19
58:4 71:22 80:692:1,24 151:15
trips (3) 57:24 78:1,14trouble (1) 78:24troubled (1) 106:3true (31) 5:4,7,19 7:1
7:7,10,11,14,15 8:18:2,5,8,17,22 15:919:8,9 57:10 80:291:10 116:8,12,12116:16,16 126:24127:2,2,3 137:10
trusted (1) 78:10try (7) 7:19 19:20
22:14 63:7 126:17128:19 133:24
trying (6) 7:14,25 83:784:20 94:12 116:9
Tuesday (1) 1:1turn (11) 49:13 54:6
54:10 56:17,2175:4 76:3 82:1394:23 106:16122:25
turned (1) 63:9turning (3) 93:25
126:12 143:19twice (3) 113:11,11,12two (67) 10:5,6,11
11:24,25 15:1916:3 19:12,1930:20 31:14,22,2333:9,11 35:1842:19 47:15,16,1853:20,22 56:857:16,16 59:7,2359:25 66:5 67:1268:16 69:19 73:580:19 89:4,2595:14,18 96:15,2398:2,4,6,7,7 111:7112:23 113:15116:22,24 118:14118:16,16 119:15126:6 127:11,20139:7,10,12,13142:11,12 145:17147:21 151:11155:3
two‐year (1) 44:8type (2) 122:1 139:22types (2) 80:19,20
U
UK (14) 21:25 94:1799:1,24 100:13103:3 106:23 123:5124:15 125:21126:4,4,10,25
ulcers (1) 127:7unattended (1) 77:24uncle (1) 125:1underpants (1) 87:19understand (21) 6:1
6:25 7:23,25 20:23
21:8 31:18 45:1053:18 70:2 71:384:12 95:13 100:6100:9 109:18 110:2138:3 147:3 152:20154:12
Understandably (1)154:10
understanding (1)19:23
understood (6) 12:967:8 77:11 110:22126:16,17
undesirable (1)147:14
unfair (2) 2:2,13unfortunate (2) 50:1
75:19unfortunately (3) 4:9
77:15 79:7unfounded (5) 102:11
102:12,13 107:23126:23
unhappy (1) 74:4unit (4) 27:2,5 96:23
97:1United (1) 99:10unnecessarily (1)
37:15unprofessional (2)
59:19 70:21unreasonable (1) 86:4unrelated (1) 34:14unspecific (1) 100:4unusual (1) 152:7Unusually (1) 153:25upbringing (1) 53:2upheaval (1) 71:13upset (6) 136:23 137:2
137:7 152:11,11154:10
upsetting (1) 22:14use (11) 38:3 44:7
49:12,24 50:1251:9,11 52:2 81:16109:4 128:21
useful (2) 65:9 68:3user (3) 61:19 67:16
79:2users (5) 40:3 42:19
77:14 78:17 89:20usually (2) 111:5
119:14
V
vague (1) 103:14Valarino (1) 71:22Vallender (12) 128:7
128:10,11,12 129:2138:17 153:11,16154:1,3 156:3158:14
variety (1) 40:21various (7) 9:23 40:23
41:1 42:3 50:2563:22 78:15
Vasquez (12) 19:11,1219:15,16,19 21:176:25 77:1,2 79:17157:9,25
veer (1) 81:16vegetables (3) 71:6
88:5 90:16venture (1) 53:6verbal (8) 59:17,20
60:1,5,7,12 70:17113:8
Verde (1) 129:2verified (1) 82:6verify (1) 51:14
167October 15, 2013 Dr Giraldi Home Inquiry Day 10
Official Court Reporters +44 (0)20 3008 5900Opus 2 International [email protected]
Vicarage (1) 94:16Vicente (1) 38:16view (4) 32:18 34:4
85:19 91:14views (1) 77:8Villa (1) 129:2violent (8) 40:5,7,12
44:10 86:10 113:7119:13 121:23
visit (2) 47:13 73:19visits (2) 46:5,20vivid (1) 73:14voice (4) 95:25 109:12
111:22 135:25voluntarily (1) 41:6volunteer (1) 23:4volver (1) 2:23vulnerable (3) 67:15
91:22 138:4
W
wait (8) 7:19 10:1811:1 19:16 49:2057:2 153:13 154:8
waited (3) 5:4,6102:15
waiting (3) 67:6101:12 123:9
walk (1) 47:4wall (3) 33:25,25,25want (32) 2:7 6:1
23:22 24:25 29:134:25 39:24 49:1751:6 52:19 55:1771:18 72:4,21,2473:17 75:2,1182:12,13 84:586:16 91:12 95:1103:21 110:1129:10 133:12134:25 139:22151:20 156:2
wanted (16) 2:9 4:236:23 20:1,5,2427:10 49:15 55:2156:25 57:4 63:666:1 76:11 93:18137:23
wanting (1) 57:24wants (3) 24:15 31:25
83:13wardrobe (1) 106:9warning (7) 59:17,20
60:2,5,12,13 70:17warnings (1) 50:13Warwickshire (3) 13:3
14:2 122:16wary (2) 53:13,14wash (2) 69:25 89:11wasn't (42) 5:4,7,10
5:17 6:8 8:19 12:1815:14 19:2 28:2,428:12,14 30:2435:19,19 40:7,1242:11 46:18 47:2449:19 61:12,17,18113:12 116:8,11,12116:15,16 125:1126:24 130:22131:5 137:3 141:20141:21 144:16152:9 155:1,2
watch (4) 16:11,1548:5 87:13
water (9) 14:19 18:2448:22 49:1,2,14,18111:23 133:13
way (41) 1:25 9:18,1911:23 12:9,9,1715:15 20:15 21:12
21:13,16 22:2125:13 38:9 40:2441:16 44:9,1961:14 67:7 74:1075:8,19 85:2 86:2392:15 95:25 104:6111:24 112:4 118:5118:13 119:5,16,19120:10 123:10131:21 136:21141:3
ways (4) 18:6 42:1381:14 144:10
weaker (1) 56:5Wednesday (1)
156:20week (6) 39:17 58:11
58:13 89:24 98:17100:5
weekend (1) 155:11weekends (1) 115:19weekly (1) 90:4weeks (4) 57:16,16
69:19 89:25weighed (2) 72:19,20weight (1) 75:12welcome (1) 1:4went (24) 5:2,8 6:17
22:4,12,20,2325:23 30:18 41:1848:3 78:7 100:12107:2 112:24115:11 117:17,17123:6 138:22,24140:7 144:23146:21
weren't (9) 10:9 12:1327:10 50:5 73:1991:1 131:6 134:11141:25
Westside (1) 52:9wet (2) 134:6,11whatsoever (1) 114:3wheel (1) 82:13whichever (2) 21:12
42:20whilst (2) 77:6 142:6whittled (1) 31:14wholesale (1) 66:7wholly (1) 74:16Wigan (1) 95:17willing (1) 69:8Wilson (2) 9:15
156:13window (1) 33:24wish (4) 92:1 107:6
127:22 128:7withdraw (1) 86:15withdrew (5) 36:23
93:1 108:15 128:4156:7
witness (40) 1:14 7:2016:19 21:22 23:2028:25 30:5,6,1531:13 36:22,2337:3,6 38:20,2454:3 71:16 85:1191:7 92:22,25 93:194:24 105:1 108:7108:15 128:2,4,6,9129:6 130:15 135:8137:5 138:8 140:13153:11 156:6,7
witnessed (2) 143:14143:15
witnesses (4) 1:651:14 156:8,11
witness's (1) 34:21wonder (2) 70:4 74:23wondering (1) 63:18
word (6) 51:1,9,1181:16 86:14 122:22
worded (1) 66:22words (9) 32:15 37:10
50:1,12 82:14,2383:21 84:15 116:1
work (31) 11:21 15:1715:20 17:11 23:925:13,25 26:1941:19 42:13 43:166:24 68:3 77:2277:23 78:9 79:790:25 91:22 92:2298:18 103:18111:20,25 112:8119:15 121:12,20148:5,10,21
worked (44) 17:1119:2,5 20:7,9,12,1220:13,13,18,21,2425:10 28:22 39:839:21 40:14 50:2468:23 77:3,4 78:1381:19 96:7 98:17110:9,11,13,14,17111:17 115:11118:14,23 121:14123:1,2,13,15,15123:17,19,21142:10
worker (15) 23:658:14 69:8 73:2373:24 74:2 75:1677:6 79:4 90:23110:14,17 111:18123:23 129:17
workers (8) 68:4,1669:5,9 90:20 97:397:16,21
working (22) 6:1415:8,8,20 19:221:10 23:14,16,1927:10 39:17,2141:23 42:2 66:17112:1 120:21127:10 129:16145:12 148:6,8
world (1) 72:24worried (1) 23:13worry (9) 19:17 94:11
126:23 127:3,8,8,9127:9 128:20
worrying (1) 127:7worse (10) 10:13,15
26:1,2 51:1 121:4,8121:10,11 140:20
worsening (2) 10:2112:3
worst (1) 83:19worth (1) 80:13wouldn't (17) 18:19
49:12 52:6,19,2057:2 58:22,2461:18,20 77:2490:19 91:19 95:6108:9 133:9 153:16
write (11) 5:1,9 9:821:8,11,13 23:1062:25 73:3 104:7133:5
writing (6) 41:2 48:1150:7,8 137:19141:7
written (10) 5:6 20:224:9,15,18,1932:16 50:3,6 83:11
wrong (13) 19:24 27:937:5 60:20 67:2572:17 81:4 95:3,4,5101:5 116:2,2
wrote (9) 4:25 36:854:13 60:10 65:1170:7 75:14,21118:12
X
X (1) 92:7
Y
yeah (94) 26:4 39:3,1139:19,23 42:2,1243:16 44:5 46:1650:8 51:13,1554:18 57:15 59:561:3,8,10 63:4,1065:13 67:7 69:372:8 73:4 77:780:11,16,16 90:799:19 103:17106:21 129:24130:1,7,17,24,24131:10,20 132:16133:2,23 134:5135:10,15,20,23136:1,3,13 137:11137:13,13,20,20138:18 140:6,17,19140:19,19 141:5,5141:7 142:5,5144:15 145:1,4,14146:12 147:2,11149:11,22 150:13150:16 151:8,14,17151:22,25 152:3,6152:9 153:19154:15,19,25 155:9155:21
year (10) 11:24 64:10101:6 104:16117:25 118:2147:12,20 150:25155:18
years (9) 1:19 11:2521:10 90:18 111:7112:23 113:16118:14 147:21
year‐old (1) 147:14yesterday (7) 3:3,5,19
4:22 7:13,23 23:4young (9) 53:22 80:3
80:12,15 94:2196:14 104:10107:23 130:4
younger (5) 41:2456:5 75:14 145:22146:8
Yvette (3) 19:2,5,8
Z
Z (29) 40:15,16,2343:11,12 44:2 45:445:8 46:4 47:9,1049:6,7 51:16 53:2353:24 57:13 60:1961:23,23 62:6,1762:22 63:20,2164:7 74:5 79:2580:7
zoomed (1) 30:11Z's (7) 55:8,9,9 58:15
58:18 61:5 69:1
0
00:14 (2) 14:4,6
1
1 (11) 18:13,25 19:3,562:21 89:2 129:2
140:24 148:6,8157:3
1.10 (1) 93:310 (5) 1:4 18:16 81:21
89:2 156:1710.00 (2) 1:2 156:19100 (1) 24:4107 (1) 158:8108 (1) 158:10109 (1) 158:1211 (1) 156:1311.30 (1) 36:2411.45 (1) 37:112 (2) 36:21 105:1612‐hour (2) 50:10,11128 (1) 158:14129 (1) 158:1613 (2) 82:25 84:114 (3) 57:16 103:12
138:9145 (1) 62:1015 (1) 1:1154 (1) 158:1816 (4) 65:12 80:19
81:1 156:2017 (1) 113:318 (1) 91:619 (6) 100:11 105:1
109:10 114:6,8157:9
1993 (1) 98:25
2
2 (9) 29:8,8 32:2233:10 93:2 138:3140:8 157:5,7
2.25 (1) 93:52:1 (1) 9:2520 (3) 16:21,25 98:252000 (1) 104:182001/2002 (2) 29:5,192002 (5) 110:10,15
111:5,8,252003 (6) 17:11 39:9
43:5 82:25 84:1129:22
2004 (4) 64:12,1581:21 111:8
2005 (7) 39:9 54:2160:6 65:12 67:3140:18 155:21
2007 (1) 96:82008 (4) 104:23 105:3
111:13 118:32009 (10) 99:15
100:23 104:23105:3,4,5,16111:13 118:6 122:8
2010 (3) 101:4 107:12107:18
2011 (3) 96:9 105:6107:14
2013 (2) 1:1 156:2021 (4) 17:18 91:15
104:2 157:1123 (5) 43:9 73:1,2
115:22,2324 (7) 43:9 60:17,22
63:19 64:15 73:2132:13
245 (2) 87:7,10246 (1) 87:17247 (4) 73:9,10 88:1
89:425 (1) 93:2252 (1) 90:5254 (2) 73:9,1026 (1) 117:1127 (3) 117:11,12
157:13
28 (2) 54:21 157:1529 (2) 64:9 120:23
3
3 (5) 30:5,7,12 87:22130:15
3rd (1) 38:163.50 (1) 153:2130 (1) 54:2131 (2) 57:21,2232 (1) 157:1736 (3) 25:14,20 157:19365 (1) 74:12367 (1) 76:1337 (1) 157:2138 (1) 157:23
4
4 (4) 57:21 60:6 64:11153:20
4.00 (1) 153:234.05 (1) 156:1840 (1) 21:2540‐hour (1) 39:1744 (1) 54:24
5
5 (1) 57:2250 (1) 38:1656 (1) 123:24
6
6 (3) 38:8 43:13,1461 (3) 15:16 95:12
100:1161,000 (1) 75:10661 (1) 14:6
7
7 (2) 17:17 32:1975 (1) 17:1777 (1) 157:2579 (1) 158:2
8
8 (3) 43:13 88:2099:15
8‐year (2) 69:16,17
9
9 (10) 6:18 18:12,1450:11 87:22 88:16132:8 142:17,25143:1
93 (1) 158:494 (1) 158:6
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