by Rosie Lewis
‘I only eat porridge.’
‘That’s fine,’ I said, in a reassuring tone. ‘Porridge makes a great breakfast – we often have porridge too. But what else do you like to eat? Pizza? Roast, maybe?’
Phoebe began to retch, her throat making sickening noises as she heaved. Her eyes bulged and she leaned over, projecting the contents of her stomach over the carpet. She flapped her arms as if in a spasm, spattering the vomit that clung to her fingers all around the room.
I couldn’t believe how quickly the vomiting came on. As I leapt towards her she howled, her eyes swivelling back to reveal the whites. I grabbed hold of her hands to stop her from dancing in the mess but she fought away.
‘No, please, leave me, no!’
‘It’s alright, sweetie. Come to the bathroom and I’ll clean you up.’
My hands were sticky with vomit and my own stomach lurched as a foul smell rose to my nostrils. Guiding her into the bathroom, I held my breath and began filling the bath. Squeezing a generous amount of bath gel into the water, I swirled it around, knowing she would probably feel more comfortable in the water if it was full of bubbles.
‘Right, get those clothes off, sweetie.’
Phoebe began to pant, backing herself into the corner of the room. She looked terrified.
‘Would you prefer to clean yourself up?’ I tried to keep my voice even, soothing. I wasn’t surprised that she might feel too self-conscious to undress in front of a stranger, but why panic-stricken? She looked up at me with bulging eyes and gave an almost imperceptible nod.
‘OK, I’ll go and clean up your room. There’s soap and shampoo on the side. Call me if you need me, won’t you?’
I hesitated for a moment but she didn’t move so I walked out, leaving the door slightly ajar.
After conducting a hurried clean-up in her room I knocked on the bathroom door.
‘All OK in there, honey?’
There was no answer. I guessed that she had her ears under the water, rinsing off shampoo.
‘Phoebe?’ Ducking my head around the door, I gasped in shock. ‘Phoebe, no!’
Lunging towards the bath, I snatched the open bottle of bubble bath from her hands. Blood sprung from her lip and I realised that I must have caught her gum on the rim of the container as I yanked it away. Clamping her fingers over her mouth, she stared at me in horror.
‘I’m sorry, I didn’t mean to hurt you, Phoebe, but you mustn’t drink that. It’ll make you ill.’
She lowered her hand, staring at the string of bloody saliva entwined around her fingers. I expected her to cry but she continued to gape as droplets of blood spilt from her mouth into the bath water. Her whole body was trembling.
‘Did you hear me, Phoebe?’ I said, the metallic taste of panic filling my voice with urgency. She didn’t answer but a strange gurgling sound came from her throat. I began to tremble myself, worried that the thick liquid might congeal in her airways and choke her.
‘Don’t move. I’ll be right back.’
I dashed out of the bathroom and downstairs, grabbing a carton of milk from the fridge. If there were harsh chemicals in the potion, I guessed that milk might be the gentlest way to dilute the effects. As I darted back up the stairs my mind came up with a dozen catastrophic scenarios. What if she’d decided to start on the shampoo while I was gone? What if she lay convulsing on the other side of the door? Charging back into the bathroom, I was relieved to find Phoebe wedged between the toilet bowl and the bath. She was still naked and trembling with cold, her thin legs hugged protectively to her chest. Draping a small hand towel around her shoulders wasn’t easy in the confined space but I did the best I could.
‘Here, drink this,’ I said in a shaky voice. ‘It’ll make your throat and tummy feel better after drinking that yucky stuff.’
She shook her head, recoiling from me. I forced a soothing tone.
‘Come on, sweetie, have some milk and then we’ll go and explore the garden.’
She looked at me, unmoving. At the best of times it can be frustrating when a child flatly refuses to do as they are told. When their safety is at risk it can be exasperating. My usual coercion strategy is to make sure I have a few treats planned so that I can use them as leverage but at that moment there wasn’t any time for mind games.
I was tempted to grab her by the shoulders and yell, ‘DRINK IT!’ but instead I took a few calming breaths and reached for the empty bottle, scanning the label for advice. Avoid contact with eyes. If product enters eyes, rinse immediately with warm, clean water was all it said, but nothing about what to do if a vulnerable child whose care had been entrusted to you takes it into her head to down the half-full bottle in one.
‘Phoebe, please,’ I said, not too proud to use a begging tone. ‘Drink some milk and then we’ll get you dry.’
‘Drink some milk and then we’ll get you dry,’ she gurgled back, her pupils wide and staring.
Irritation cleared my head and I held up a large bath towel.
‘Come on then, up you get.’
Her bony hand darted out and she grabbed the towel, wrapping it around herself in a half-crouched position. The ends of the towel draped into the bath and over the toilet seat. When she finally stood up the floor got a soaking but at that moment a slip hazard was the least of my problems. Not wanting to let her out of my sight, I darted into my bedroom to grab the cordless telephone and guided her back into her own room.
‘You get dried and dressed while I make a phone call. Don’t worry, I won’t look.’
‘Don’t worry, I won’t look.’ Her voice rippled as though speaking underwater. Clasping the towel tightly around herself she went to her suitcase and rifled through the clothes. It struck me as peculiar that she showed no concern for her own welfare: when my own children were unwell, if they ever caught on that I was worried about them, they would ask endless questions, seeking reassurance. But it seemed as if Phoebe didn’t remotely care that she might be in danger. I wondered whether she lacked the mental capacity to understand the consequences of her actions.
A quick call to our local surgery reassured me that there was no need to dash to the hospital for an emergency stomach pumping. According to the doctor, children’s bubble bath was non-toxic and unlikely to cause any long-term damage but he did suggest that Phoebe drink plenty of milk or water and told me to keep an eye out for any further symptoms.
Before she went to bed that night I conducted a sweep of the room, removing anything I thought she might be tempted to nibble on and unwinding the decorative lights that Emily had twisted around the foot of the bed. I was still fretting about what might be going on in her stomach. She hadn’t eaten a morsel since arriving hours earlier, nothing edible at least. No wonder she was so thin, I thought. I had managed to persuade her to drink half a cup of milk, though only through a straw. She gagged whenever I tried to tempt her into eating anything else, heaving at the mere mention of food.
Consuming bubble bath was one thing but I worried that if she was really hungry she might decide to snack on something solid during the night. If an object slipped down her throat, how on earth would I know about it before the morning? The thought paralysed me and as I stood at the door and watched her climb into bed that night I almost sighed with relief at the temporary reprieve.
‘Goodnight, sweetie. Now, you mustn’t put anything in your mouth, OK? I’m just down the hall if you need me.’
As I went downstairs I felt as if I was lowering myself into a narrow box, the sides closing in around me and the lid nailed down by unseen hands. It may sound strange but at the beginning of every placement I’ve taken on, there has been a short period when I’ve felt trapped by my decision to foster. I guess it’s a natural reaction – it feels surreal to suddenly be responsible for another human being, especially when there is absolutely no connection between you.
Thankfully, I have managed to build a rapport with each of the children I’ve cared for in a short space of time, usually within a few days. As
each relationship strengthened, I found that the claustrophobia ebbed away. The trouble was, with Phoebe, I just couldn’t see it happening. Down in the living room, I visualised the virtual calendar I had in my head; she would be gone before the end of the Easter holidays – one day down, 13 to go.
Chapter 5
The next morning I woke at just after 6am, feeling a bit more positive. Phoebe had slept right through the night, something I hadn’t expected at all. Most children struggled to settle for the first few nights in a strange bed and so I had been prepared for some degree of sleep deprivation.
Relishing the silence, I washed and dressed then pottered downstairs and made myself a coffee. Sitting at the kitchen table, I watched a pair of robins settling on the branch of our apple tree, their wings shining in the bright, early morning sunshine. The scent of winter jasmine floated through the open window, boosting my already lightened mood. As I sipped my warm drink, I dared to think that the placement might not be as difficult as I had first thought. With firm boundaries in place, Phoebe’s symptoms might not be so pronounced as they were on her arrival. I wasn’t that knowledgeable about autism but I had heard that routine went a long way in helping sufferers to cope with the everyday stresses that other children barely noticed.
And anyway, that was the nature of fostering; no one ever said it would be straightforward. Whatever the reason for their removal from home, fostered children arrive in placement at probably one of the lowest points in their lives. It’s not surprising that they may then ‘act out’ their unhappiness, perhaps by stealing food, money or items of sentimental value, destroying property, refusing to wash, being deliberately provocative, violent or aggressive, or more passively, wetting the bed or self-harming. But having a hand in helping a child to mend was hugely satisfying and certainly worth all the hardships along the way.
That’s not to say there is always a happy ending. It took me a while to accept that. Alfie, for instance, whose mother was imprisoned for a short period for his neglect, stayed with me about four years earlier, while a Care Order was secured through the courts. Members of his wider family were assessed and it was decided to award his grandmother special guardianship. I have since heard through the grapevine that Alfie’s mother left prison and went straight to live with her own mother in the flat where she cared for Alfie.
Within weeks a new young boyfriend had joined her there and recently grandmother (who hadn’t yet celebrated her fortieth birthday) fell for a roofer from Essex and spent long periods of time drinking with him in his bedsit in Hornchurch. I have known social services to spend two years and an inordinate amount of money securing a Care Order through the courts, only for the children to then return home via obliging friends or relatives. It’s not an ideal system.
It is sometimes said that foster carers are ‘in it for the money’. I find it difficult to believe that anyone could survive more than six months as a foster carer unless there was a powerful drive to ‘heal’ hurt children.
For one child, a foster carer’s ‘wage’ is around £200 per week, although this amount varies depending on the local authority. On top of that an allowance of between £60 and £100 is paid (depending on the age of the child), an amount that must be spent solely on the child and meticulously accounted for. Surviving on £800 a month can be a struggle, particularly in a one-parent household. With two children in placement, life is a bit more comfortable but certainly not luxurious.
I’ve never been driven by money; for me a happy home life and contented children holds far more value and so being able to just about manage was all I needed to be content. Fostering had given me many ‘I will never ever forget this’ moments, some of them for their awfulness, but others that were almost magical.
By 7.30am I was beginning to find the stillness unsettling. In my experience it was unusual for the under-10s to sleep in. Reluctant to disturb the blissful peace but unable to relax without checking on Phoebe, I crept up the stairs and along the hall. The smell hit me before I reached her closed door and I groaned, anticipating the scene before I had even laid my hand on the handle.
It was worse than I’d thought.
Retching as violently as Phoebe had done the evening before, I clamped my hand over my mouth and forced my feet to shuffle into the room, flicking the light switch on with my elbow. Phoebe lay serenely in bed, the duvet pulled up to her neck just as it was when I left her the night before. The room was considerably different, though: the magnolia walls were smeared with streaks of excrement, each lilac butterfly spattered with a generous coating of stomach-churning brown. Even the curtains hadn’t escaped Phoebe’s attention, with clumps of stinking excrement clinging to the fabric.
I couldn’t help myself: ‘My God, what have you done?’
‘My God, what have you done?’
That was it. I charged into the room and yanked the duvet away from her. Phoebe squealed, drawing her soiled hands up to her cheeks and rolling to one side. Curled up in a foetal position, she buried her face in her stained and smelly pillow. My fury ebbed away at the sight of her lying there, so thin and pitiful. Instantly I felt ashamed that I’d broken my promise by entering her room without being invited. Still panting in shock, I stared down at her, frowning. There was something different about her, though, and it wasn’t just the streaks of brown across her hands.
‘Phoebe, you need to get out of bed so I can clean you up,’ I said, my voice wobbling with the strain of keeping my feelings of revulsion under control. She pushed herself up to a sitting position, watching me warily. As she stood up I realised what had changed; she looked bulkier, as if she’d put on half a stone overnight.
‘What have you got on under those pyjamas?’ I demanded, wondering what other horrors might yet be uncovered.
‘What have you …?’
‘That’s enough,’ I shouted, my finger raised and pointing at her. ‘I don’t want you to copy me, do you hear? Now go to the bathroom, right now!’
Without warning she ducked and ran past me, out of the room. I tried to grab her but she was too quick, darting out of reach.
‘Phoebe, come back,’ I called, trying to sound firm but unthreatening. Holding my breath, I followed the brown prints her soiled feet had made on the cream carpet. The air smelt vile.
‘What’s all the noise, Mum?’ Jamie’s timing couldn’t have been more devastating. Bleary-eyed, he sauntered out of his room as Phoebe tore along the hall, holding out his hands in a defensive action as she flapped her arms through the air. His look of horror told me that he realised exactly what she was covered in.
‘Sorry, Jamie,’ I muttered, charging past him and, with damage limitation at the forefront of my mind, followed Phoebe down the stairs.
‘Urgh, she is sooooo disgusting!’ Jamie, usually so mild-mannered, wailed angrily from upstairs. ‘Come and have a look at her room, Mum.’
Ignoring him, I followed Phoebe into the living room, desperate to catch her in case she nursed an intention of sprawling herself out on one of the sofas in all her self-decorated glory. There was no sign of her there so I quickly scanned the dining area, half-aware of Jamie’s bewildered shouts of disbelief floating down from upstairs. ‘Mum, really, you’ve got to come and see this. You won’t believe what she’s done in here.’
‘Eww-urgh!’ Another horrified shriek announced Emily’s emergence from her room. ‘Mum, what’s happened to my butterflies?’
Phoebe was crouched in the corner of the kitchen, her face full of fear. She held her dirty hands protectively in front of her.
Ten minutes later Phoebe sat in the bath with the door open while I gathered together every cleaning product in the house to spray, squirt and obliterate the smell permeating each room. Jamie hunkered down in his room with Emily. I was pleased that they had chosen to recover from their shock together. The pair had always shared a good relationship and it seemed that bad experiences brought them even closer. I could hear their urgent chatter drifting beneath the closed door, low tones inters
persed with manic giggles.
As I scrubbed Phoebe’s soiled room, I was gripped by regular heaving fits: it wasn’t only the acrid smell – every time I set about cleaning a new area, the mess spread. What it really needed was a power hose.
Every few minutes I stopped what I was doing and peered around the bathroom door to make sure Phoebe wasn’t feasting on anything she shouldn’t. After the ‘Bubble Gate’ affair I had cleared the bathroom of anything that wasn’t nailed down but there was a chance I might have overlooked something. For all I knew, even the bath plug might be adequate fodder in her eyes.
The hollow gaps above her clavicles were so deep with undernourishment that the bath water pooled there as she sat up. Resolving to try and tempt her into eating with double chocolate pancakes for breakfast, I leaned into the bathroom and, with reluctant, pincered fingers, picked up her discarded pyjamas from the floor. Her soiled knickers were knotted up with the legs so I tried to separate the items, realising there was far more than one pair of pyjamas in the tangled heap. Unravelling the clothes, I pulled out four pairs of knickers and three sets of bottoms.
A dismal, draining feeling crept across my skin as the memory of another little girl I had cared for broke the surface of my thoughts. Four-year-old Freya came to stay soon after I first registered as a foster carer seven years earlier, along with her younger sister and baby brother. She had a habit of wearing all of her clothes in bed, one layer on top of another. It was her way of trying to keep herself safe, should anyone pay an unwelcome nightly visit to her room, as her father had done.
Feeling nauseous, I stared at Phoebe’s fragile back, trying not to let past experience colour my perception. Foster carers, like social workers, can be prone to jumping to conclusions and piling on layers of clothing was not necessarily an indication of abuse; it could simply be yet another manifestation of her condition. ‘Phoebe,’ I said gently, holding up the smelly clothing. ‘Why did you wear so many pairs of pyjamas to bed?’