[2025] NSWCATGD 7
General information, not legal advice.
NCAT Guardianship
2025-07-04
Original judgment source is linked above.
GUARDIANSHIP - review of an enduring guardianship appointment - guardianship application - whether the subject person is in need of a guardian - person of advanced age - no evidence of a cognitive disorder - concerns regarding functional capacity - subject person entirely dependent on their guardian for all lifestyle and financial matters - concerns of significant neglect and control -accommodation decisions needing to be made - hoarding - evidence from the Ageing and Disability Commission regarding squalor of home - the subject person is in need of a guardian - who should be the guardian - current enduring guardian deemed unsuitable - enduring guardianship revoked - Public Guardian appointed.
FINANCIAL MANAGEMENT - review of enduring power of attorney - no evidence that the subject person lacked the legal capacity to make an enduring power of attorney - no evidence that the enduring attorney acted improperly in her role - Tribunal declined to review the making, operation or effect of the EPOA - financial management application - subject person found to be incapable of managing her financial affairs - entirely dependent on the attorney to manage her financial affairs - the state of the subject person's financial affairs is unclear - concerns regarding an intermingling of funds between the subject person and the attorney - NSW Trustee appointed as financial manager.
Powers of Attorney Act 2003 (NSW) ss 36(1)-(2), 50(3)
C S and M Y v the Guardianship Tribunal and the Public Guardian (Supreme Court (NSW), Windeyer J, 29 November 1999, unrep)
CJ v AKJ [2015] NSWSC 498
Holt & Anor v Protective Commissioner (1993) 31 NSWLR 227
IF v IG [2004] NSWADTAP 3
P v NSW Trustee and Guardian [2015] NSWSC 579
P v R [2003] NSWSC 819
PB v BB [2013] NSWSC 1223
Re B [2011] NSWSC 1075
Re D [2012] NSWSC 1006
Susan Elizabeth Parker v Margaret Catherine Higgins & Ors [2012] NSWSC 1516
YJC v Public Guardian [2024] NSWCATAP 160
NSW Ageing and Disability Commission (joined party)
NSW Ageing and Disability Commission (joined party)
NSW Ageing and Disability Commission (joined party)
004: Review of an Enduring Guardianship Appointment
NSW Ageing and Disability Commission (joined party)
Decisions of the Guardianship Division of the Civil and Administrative Tribunal have been anonymised to remove any information that may identify any person involved in the Tribunal's proceedings: Civil and Administrative Tribunal Act 2013 (NSW), s 65.
(1) A time limit would be placed on the presentation of oral evidence and submissions; and,
(2) The Tribunal would take evidence and submissions jointly on the application to review the EGA and the application for a guardianship order, and thereafter the Tribunal would take evidence and submissions jointly on the application to review the EPOA and the application for a financial management order.
(1) The Public Guardian was appointed as Zoe's guardian for an initial period of twelve months with the functions of accommodation, services, health care and access.
(2) Isobel's appointment under the EGA was revoked.
(3) The NSW Trustee and Guardian ("NSW Trustee") was appointed as Zoe's financial manager, with the order to be reviewed by the Tribunal within twelve months.
(4) The Tribunal declined to undertake a review of the EPOA.
LEGAL PRINCIPLES - GUARDIANSHIP APPLICATION AND REVIEW OF EGA
(a) the enduring guardian requests the revocation; or
(b) the Tribunal is satisfied it is in the best interests of Zoe that the appointment be revoked.
(a) have a personality generally compatible with the personality of the person under guardianship;
(b) have no undue conflict of interest (particularly financial) with those of the person; and
(c) be able and willing to exercise the functions of the order.
"the proper meaning to be given to the section is to read it as saying that the Public Guardian should not be appointed in circumstances in which an order can properly be made in favour of another person. That requires not only that the person be willing, reliable and responsible, but that the appointment will result in the policy considerations and principles set forth in the Act being given effect (W v G [2003] NSWSC 1170, [25])."
LEGAL PRINCIPLES - FINANCIAL MANAGEMENT APPLICATION AND REVIEW OF EPOA
"On an application for s 36 review such as this the Court must first exercise a discretion under Powers of Attorney Act, s 36(1) to decide whether or not to conduct a s 36 review. In my view the Court does not have to conduct a full review of all documents associated with the operation of the subject power of attorney to do this. Something short of a full review must be able to justify the exercise of the s 36(1) discretion as to whether or not the Court should conduct a full s 36 review. In the circumstances of this case the Court can glean sufficient information to exercise the s 36(1) discretion by undertaking a general survey of what... (a party )...has produced."
(i) Zoe did not have the capacity necessary to make a valid enduring power of attorney > > (ii) The enduring power of attorney did not comply with the requirements of the Powers of Attorney Act > > (iii) the enduring power of attorney is invalid for any other reason, for example, dishonesty or undue influence.
(1) The person is not capable of managing those affairs, and
(2) There is a need for another person to manage those affairs on the person's behalf, and
(3) It is in the person's best interests that the order be made.
"... is to make a judgment as to the capacity and ability of the person concerned to cope with the ordinary routine affairs of living, particularly so far as they concern the person's property...the requisite judgment is to be made in the light of objective physical facts concerning the relevant person's property, money and other assets and the way the person is able to look after them. If there is a lack of capacity, the reason for it does not matter [26]."
"Of central significance is the functionality of management capacity of the person said to be incapable of managing his or her affairs, not: (a) his or her status as a person who may, or may not, lack 'mental capacity' or be 'mentally ill'; or (b) particular reasons for an incapacity for self-management."
"Is a person reasonably able to manage his or her own affairs in a reasonably competent fashion, without the intervention of a [financial manager] charged with a duty to protect his or her welfare and interests?
...
[A] focus for attention is whether the person is able to deal with (making and implementing decisions about) his or her own affairs (person and property, capital and income) in a reasonable, rational and orderly way, with due regard to his or her present and prospective wants and needs, and those of family and friends, without undue risk of neglect, abuse or exploitation."
(1) Zoe presented to hospital via the Emergency Department on 19 December 2024 for a "wheeze". She also presented with right sided chest pains and shortness of breath.
(2) "A bedside echo revealed trace pericardial effusion with severe aortic sclerosis and reduced leaflet mobility, mitral valve anterior leaflet also reduced mobility, moderate to severe systolic dysfunction and IVC dilated and minimal respiratory variation. CT chest/abdo/pelvis revealed large bilateral pleural effusions at least 4cm in depth at the lung bases and adjacent passive atelectasis with no convincing malignancy identified. It was concluded that the large bilateral pleural effusions, subcutaneous flank oedema and periportal oedema were likely secondary to congestive cardiac failure."
(3) Zoe was admitted to ICU following a diagnosis of aspiration pneumonia. She "was also investigated for dysphagia with an MRI brain which revealed multiple lacunar infarcts. She received speech pathology input and was also placed on NG feeds as per dietician."
(4) After receiving clearance from cardiology, Zoe was also required to undergo a gynaecological procedure involving "Hysteroscopy +D+C+Endometrial Biopsy + Mirena insertion".
(5) During her admission, Zoe was also investigated and treated in relation to (amongst other things) severe hyponatremia, UTI with transient delirium and hyperkalaemia.
(6) Zoe was cleared for discharge to Hospital B on 5 March 2025 with recommendations made for follow-up appointments in the community with a Gynaecologist and a Cardiologist, and continued allied health input.
(1) Zoe was a patient from 5 March 2025 until 19 March 2025, when she was cleared for discharge.
(2) During her admission to Hospital B, Zoe was found to be hyperkalaemic, and her medications were adjusted accordingly.
(3) Recommendations on discharge include the following:
(a) Review by GP within one week, with referrals required for specialist follow up.
(b) Specialist follow-up required with the gynaecologist in four weeks, and the cardiologist in two to three months (for consideration of Transcatheter Aortic Valve Implantation).
(c) Follow up of outstanding gynaecological lesion biopsy taken in Hospital A.
(d) Completion of Videofluoroscopic Swallow Study as an outpatient to assess swallowing.
(1) On 8 January 2025, during her admission to Hospital A, cognitive screening was undertaken by way of a Montreal Cognitive Assessment ("MOCA") in which Zoe scored 21/30. The Tribunal notes, however, that this screening was undertaken whilst Zoe was quite unwell and may not be a true reflection of her cognitive functioning.
(2) On the same date, in relation to completion of a Home Safety Questionnaire, the following is reported:
"Patients responses to safety and judgment questions indicate pt is heavily reliant on daughter [Isobel]. Pt has basic understanding on safety responses however would likely have difficulty problem solving home safety situations if home alone/left unsupported... (sic)"
(3) Notes from 17 January 2025 outline the following:
"OT reviewed home environment photos. ++ Hoarding and rubbish noted throughout house and property. From photos appears to be limited circulation space/access to kitchen, bathroom and bedrooms, particularly for equipment and aids would they need to be prescribed on d/c. Also concerning is there is no access to electricity or hot water to the property."
(4) Notes from 10 March 2025 outline the following:
"DISCUSSION RE SERVICES
- Pt reports nil need for services for personal care on D/C as daughter will be able to assist with dressing and showering and IADLs. Daughter does not work full time - quite flexible with hours.
- Pt reports that her other daughter has made up regarding no power or water at home - [Zoe] reports that her home is usable. The reasons for D/C to a friends house is that [Isobel] is clearing out the place since the passing of a family member and so there are boxes everywhere.
- Pt reports nil concerns regarding her daughter providing assistance with ADLs and IADLs.
- Pt hesitant regarding OT review in home environment post discharge as it is her friends house.
...
RECOMMENDATIONS
Pt not suitable for D/C from OT POV.
Would benefit from ongoing conversations regarding level of care that daughter can provide on discharge."
(5) Occupational Therapy progress notes dated 11 March 2025 outline the following:
"Current Care Needs
- Current care needs fluctuating however at times pt is requiring - 1 x A bed mobility, 1 x A incontinence pad management, 1 x A with showering and dressing. And will need 1 x A with most IADLS.
- [Isobel] confirmed that she will be able to provide this level of care on D/C. [Isobel] reports that at most pt will be home alone for 2 hours. [Isobel] is not currently working.
- OT explained hope that pt functioning may continue to improve on D/C in home environment. Offered OT SpACT follow up - pt and [Isobel] declined the need for same.
- OT explained option for services to assist with care needs - pt and [Isobel] again declined Isobel reporting that they will manage care needs.
...
IMPRESSION
Pt safe for D/C from OT POV
Pt's daughter able to provide current level of care needs.
Daughter and pt declining further OT follow up or services for D/C."
"The house that [Zoe] + [Isobel] live in is squalid. [Isobel] is a hoarder. While she has assured me that the clean-up is substantially underway, I asked that she SMS me a couple of photos to show progress but she refused. The house that I visited in 2022 would be a significant fall, fire and disease risk if nothing has changed since 2022.
Daughter [Isobel] is well known to me and appears to have a Personality Disorder. Her mother is a little afraid of upsetting Isobel as she then becomes very irate, loud and at times offensive. While I consider that [Zoe] has sufficient cognition to make her own health + lifestyle decisions, I feel that [Zoe] would always agree with [Isobel] to make for a peaceful life. I have significant concerns about financial management as I suspect that [Isobel] who I believe has no income of her own, lives off the pension of [Zoe], and has a large loan taken out by [Zoe] some years ago that is not being repaid - just interest only."
"Cognitive screening with the Mini-Mental State Examination (MMSE) yielded a score of 27 out of 30. Mild cognitive impairment was noted, which appears to be secondary to hearing difficulties rather than a true neurocognitive disorder. There was no clinical evidence of dementia. Her mood was appropriate, and no concerns were raised during the consultation.
Using the Clinical Frailty Scale, [Zoe] was assessed as mildly frail CFS-5. This is likely reflective of her recent hospitalisation and underlying cardiac condition, which have diminished her physiological reserve.
The most pressing clinical concern is fluid overload, likely secondary to heart failure in the setting of valvular heart disease. Additional issues include her recent bereavement and subsequent loss of social support, mild frailty, and lack of engagement with community services. She is not currently registered with My Aged Care, despite an increasing need for practical and social support. She currently expresses a desire to remain at home and maintains capacity to make these decisions, and is open to support and assistance as able. A detailed capacity assessment for other functions was not undertaken today.
...
In terms of broader support, I recommend initiating registration with My Aged Care so that she may access domestic assistance, transport support, and potentially psychological or bereavement counselling..."
"These people often have more evident slowing, and need help in high order IADLs (finances, transportation, heavy housework, medications). Typically, mild frailty progressively impairs shopping and walking outside alone, meal preparation and housework."
(1) The ADC became involved with Zoe following a report made to them on 14 October 2024 identifying concerns "about self-neglect, medical neglect, lack of home care supports and financial abuse of [Zoe] by her daughter [Isobel]". It appears that this complaint was instigated by the NSW Police.
(2) The ADC provided to the Tribunal photographs of the condition of Zoe's home taken by the NSW Police prior to the ADC's involvement. Some of these photographs are included at Appendix A to these Reasons for Decision [Appendix removed for publication.].
(3) The ADC made contact with the geriatrician on 12 November 2024, who indicated that he is aware of the concerns regarding the squalid conditions of the house. The geriatrician also reported that although Zoe has not been subject to a geriatrician's assessment, "she is fully dependent for her lifestyle and financial decision on [Isobel]". The geriatrician also reported age-related cognitive changes.
(4) The ADC undertook an initial meeting with Zoe and Isobel in a public location on 13 November 2024[4]. It is reported that although Zoe appeared to understand the questions asked, her responses were prompted by Isobel throughout the discussion. Zoe "had very minimal information about her finances and said that [Isobel] manages her finances".
(5) During the first meeting with Isobel and Zoe the ADC provided Isobel with information regarding My Aged Care. The ADC report the following:
"We consider the provision of services, including to address the hoarding and squalor in the home, to be necessary for [Zoe's] safety and wellbeing, however to date [Isobel] has not taken action to arrange home care supports for [Zoe]. We note that based on our interactions with [Zoe] she would be unable to organise and coordinate these services herself and deferred to [Isobel] in regard to this issue."
(6) Zoe is reported to decline a meeting with the ADC at her house. Ultimately the ADC were required to issue a notice of requirement to Isobel to allow the ADC to meet with Zoe at her home, undertake a home inspection, and obtain a view from Zoe independent of Isobel. The ADC conducted a home visit on 17 December 2024. On this date the visit was conducted in the front yard in circumstances where Zoe and Isobel denied the ADC entry to the property. The ADC report outlines the following regarding that visit:
"[Isobel] was extremely combative in her response to our visit, despite receiving written notice, and advised that she would contact her lawyer. Her distress and attitude towards the ADC appeared to influence [Zoe] who was concerned at her daughter's level of distress. Initially [Isobel] refused to allow the ADC staff to speak privately with [Zoe], however after extensive discussions reluctantly agreed to move away from the area of the front yard that [Zoe] was sitting in, to allow us to speak with some privacy.
...
[Zoe] said that she is managing her pension by herself and [Bank B] account. She owns the house and confirms reverse mortgage which was being paid off jointly with [Isobel]. She was not aware about the details of mortgage such as amount and the reason of the mortgage."
(7) The ADC have taken steps to try to ascertain the nature of Zoe's financial affairs. Their report outlines the following:
(a) Zoe's property at regional NSW is owned in Zoe's sole name and is listed as the office address for a real estate company (a business run by Zoe and Isobel). The property has an estimated median value of $1.6 million according to the Domain website.
(b) Zoe has a credit card account and a mortgage account with Bank A. The mortgage account had a balance of $333,521 with repayments on an interest only basis. The loan was taken out in 2005.
(c) Zoe has a bank account with Bank B. She receives around $26,490 annually from Centrelink, which is paid into the account. Zoe's ongoing expenses, as determined by review of her bank statement, are around $12,000 annually, with a further $36,000 annually by way of mortgage repayments.
(d) At a meeting at Hospital A on 24 January 2025, Isobel confirmed that she is managing Zoe's affairs pursuant to her appointment under the EPOA but refused to provide any information about Zoe's financial affairs.
(e) The ADC have been unable to obtain further information regarding arrangements for the repayment of Zoe's mortgage or other expenses as Isobel and Zoe have declined to meet with the ADC to discuss the issues further.
(8) In relation to the need for a substitute decision-maker the ADC report that "from our meetings with [Zoe], ADC have observed that she is fully dependent on [Isobel] for her lifestyle decision and financial management. We also note that [Isobel] appeared to exert a high level of control over [Zoe]."
(1) The ADC issued a further Notice of Requirement on 3 April 2025 requiring Zoe and Isobel to meet with the ADC at Zoe's residence on 16 April 2025. This meeting was postponed multiple times, with the ADC eventually meeting with Zoe and Isobel at the property they are currently residing at on 23 April 2025.
(2) Prior to this visit the ADC attended Zoe property. From the outside of the property "the condition of the house (externally) appeared unchanged with hoarding and rubbish visible. We spoke with one of [Isobel's] friends who was present there and informed us that they are helping [Isobel] to reduce the rubbish and there was evidence of items having been burnt."
(3) Isobel showed the ADC a copy of the Bank A mortgage statement with additional payments totalling $39,777 in the month of February 2025. The description listed against these additional repayments is stated as "Legal Loan from [Isobel]".
(4) Notwithstanding these additional payments the ADC hold concerns regarding the sustainability of these arrangements in circumstances where Zoe's expenses far exceed her income. The ADC reports that "[Isobel] has declined to provide the ADC information about her employment/income source/s or confirm how she will continue to contribute towards [Zoe's] mortgage payments".
CONSIDERATION - ISSUES RELATING TO MANAGEMENT OF ZOE'S PERSON
(1) Zoe is a person in need of a guardian; and,
(2) Isobel does not meet the requirements under the Act to be appointed as Zoe's guardian.
(1) Isobel has been uncooperative with the ADC in their investigation of complaints made regarding concerns for Zoe's welfare. The ADC is a statutory body mandated to promote the rights of older people to live free from abuse, neglect and exploitation. The fact that Isobel has failed to meaningfully cooperate with the ADC to undertake their investigation demonstrates her inability to act objectively to promote Zoe's welfare and interests.
(2) Isobel has failed to act on consistent recommendations from an array of professionals as to the need for Zoe to access appropriate support services in the community, and declined referrals made for appropriate allied health support in the community consequent to Zoe's discharge from hospital[5]. At Hearing Isobel continued to deny the need for same[6]. If the Tribunal accepts that Isobel was acting under the belief that the EGA had not been enacted and that any decisions regarding these matters were decisions for Zoe to make herself, the evidence clearly indicates Zoe's dependence on others, particularly surrounding her discharge from hospital. There is no evidence that Isobel, in her capacity as Zoe's carer, has taken any steps to support Zoe to implement these recommendations herself, or to encourage Zoe to do so. At Hearing, Isobel was asked whether, on reflection, she would have done anything different to support Zoe upon her discharge from hospital. In response to this question, rather than reflecting on her conduct, Isobel became combative with the Tribunal and demanded that the Tribunal articulate what it is she should have done[7].
(3) As discussed above, Isobel is not receptive to acting on professional advice as it relates to promoting Zoe's welfare and interests.
(4) Isobel was often evasive to the Tribunal's questioning, with the Tribunal regularly needing to bring Isobel back to the questions asked and insist on an answer that was responsive to the question.
(5) The fractured relationships amongst Zoe's daughters are evident on the material before the Tribunal, and the conduct of both Isobel and Kathryn at Hearing re-enforced those concerns. Whilst the Tribunal acknowledges that these issues are likely contributed to by multiple parties, having regard to the nature of the relationships between Isobel and her extended family the Tribunal cannot be satisfied that Isobel would be able to exercise the functions of guardianship in a manner consistent with the s 4 principles in the Act, including promoting Zoe existing family relationships and ensuring that she consults with significant important people in Zoe's life when making important decisions on Zoe's behalf.
CONSIDERATION - ISSUES RELATING TO MANAGEMENT OF ZOE'S AFFAIRS
(1) She has not been charged or convicted of any criminal offences involving fraud or dishonesty.
(2) She has previously been bankrupt because of the actions of her ex-spouse, however, she has been discharged from bankruptcy for a considerable period of time.
(3) Isobel denied any inter-related property interests between herself and Zoe, including denying that there have been any loans made from Zoe to herself, or vice versa.
(1) She has not been charged or convicted of any criminal offences involving fraud or dishonesty.
(2) She has not been bankrupt or involved in bankruptcy proceedings.
(3) She does not have any inter-related financial interests with Zoe.
(1) There is a complete lack of transparency on Isobel's behalf with respect to the extent to which her financial circumstances and Zoe's financial circumstances are intertwined.
(2) Isobel's evidence was not credible so far as it relates to a purported loan made by her to Zoe, and whether there is an expectation of repayment of such funds.
(3) Despite reluctantly conceding her willingness to manage Zoe's financial affairs under the supervision of the NSW Trustee, having regard to her conduct and demeanour towards the Tribunal at Hearing, and her unwillingness to engage with other safeguards, such as the ADC investigation, the Tribunal cannot be positively satisfied that Isobel would conduct herself in a manner consistent with the requirements imposed by the NSW Trustee.
(4) Decisions made by Zoe's guardian may have financial implications for both Zoe and Isobel. For example, if a decision is made by Zoe's guardian that she would not be safe to return to her home, such decisions will have financial implications for Zoe (potentially extending to the need for her home to be sold and/or payment towards alternative accommodation) and Isobel (in terms of necessitating the need for her to find alternate accommodation without financial support from Zoe). If tasked with managing Zoe's financial affairs there are lingering doubts as to whether Isobel would make financial decisions in aid of decisions made by Zoe's guardian if she were not in agreement with such decisions and/or if such decisions were contrary to her own interests.
(1) There has been an opportunity for an independent financial manager to appropriately investigate the nature of Zoe's financial affairs, including the nature of any interrelated financial interests between Zoe and Isobel; and,
(2) Following the implementation of any major decisions regarding Zoe's ongoing care by her guardian.
I hereby certify that this is a true and accurate record of the reasons for decision of the Civil and Administrative Tribunal of New South Wales.
[1] The Tribunal notes that although leave was granted to Isobel to be legally represented, she represented herself at Hearing.
[2] Date is handwritten, and it may be the case that the day identified above is incorrect, but in any event the report is dated in late May 2025.
[4] The date of this meeting is inconsistently reported in the ADC, with subsequent references made to the meeting occurring on 13 December 2024.
[5] The Tribunal notes that Isobel confirmed that she had facilitated Zoe's attendance on follow up medical consultations, including with the cardiologist, however she had not implemented the recommendations regarding the need for support services and various allied health interventions.
[6] Isobel told the Tribunal that she would register Zoe for My Aged Care "in case she needed something, but she doesn't need anything".
[7] In a raised voice Isobel said words to the effect of "What could I do differently?"
[8] This arrangement may be consistent with agreements reached between Isobel and Zoe, however there is a lack of transparency to assist the Tribunal in assessing this issue.
(1993) 31 NSWLR 227