John, an elderly gentleman, found himself living miles away from his family in a care home following a hospital stay for injuries sustained in a fall at home. The distance made family visits rare, leaving John feeling isolated and distressed. He had been placed in that care home simply because it was the only available bed, and he required a period of assessment to determine his long-term care needs.
To support him in making decisions about his future, an Independent Mental Capacity Advocate (IMCA) was appointed. Our advocate met with John, listening carefully to his wishes, concerns, and hopes for where he wanted to live. John was clear: he wanted to return home to live with his partner. The advocate compiled a report reflecting John’s views and supported him to participate in a best interest meeting with his social worker and other professionals.
Although John could not immediately return home, the meeting resulted in a positive step: he was moved to a care home closer to his family. This change allowed more frequent visits, which John appreciated, but he continued to express that “there is nowhere like home” and remained determined to live with his partner again.
Recognising John’s persistent wishes, the IMCA challenged the decision preventing his return home. Acting as John’s Relevant Person’s Representative under the Deprivation of Liberty Safeguards, the advocate helped coordinate a review of his placement. Together, they requested an occupational therapy assessment to examine both John’s mobility and the suitability of his home environment. The assessment concluded that, with appropriate adaptations and a tailored care package, John could safely return home.
A trial period was arranged to test this plan, and after its success, John was formally discharged from residential care. Today, he lives happily at home with his partner, supported by the necessary equipment and care services.
Why Advocacy Matters
John’s story demonstrates the power of person-centred advocacy. By listening to his wishes, coordinating with professionals, and focusing on practical solutions, the advocate enabled John to live safely in the environment he preferred. It highlights how thoughtful advocacy can uphold dignity, respect autonomy, and empower individuals, even in complex care decisions.
For John, the message is clear: home is not just a place, it’s where happiness, safety, and family meet and advocacy can help make that possible.