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■f - - - - _ - - — JOINT COUNTIES…

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■f — JOINT COUNTIES ASYLUM. MEETING OF VISITORS. A quarterly meeting of the Committee of Visi- tors of the above Institution was held at the Asylum o. Thursday, 21st inst. Mr. J. W. G-wyme-Hughes, Tregeyb, presided. Also pre- sent were: Rev. Professor D. E. Jones, Carmar- then; Mr. J .Lloyd, Fenybank Mr. W. N. Jones, Tirydail; Mr. J. Lewis, Meiros Hall; Mr. E. Rob- inson. Boncatli: Dr. Style, Pembroke; Rev. J. Griffiths, Maenygroes; Rev. J. Williams, Cardi- gan; Rev .A. Thomas, Llandvssul; Dr .G .Griffith, Milford Haven; Mr. Llewellyn Rees, Lampeter Velfrey Mr. Joseph Williams, Llanelly; together with the Acting Clerk (Mr. Hubert M .Griffiths); and the Medical Superintendent (Dr. J. Rich- ards). The Lunacy Commissioners reported as follows: On visiting this asylum we found, as our col- leagues at their proviou 's vi-sit had anticipated, that the deadlock between the various authorities continues, with the result that rtone of the more important matters in connection with its general administration, such as the new proposed sewage disposal scheme ,the reconstruction of the laun- dry, and the provision of'additional and much re- quired accommodation, all of which would entail the expenditure of a good deal of money, ane any nearer being taken in hand than they were last year. Dr. Richards does his best, but the neces sary work has been allowed to fall into arrear for so long that the Asylum as a whole is very much below the average as regards the arrangements for the care and treatment of its imnates, It is m-ucli to be hoped that some means m;;y r/till be found to impress upon the Authorities responsible for this state of things, a proper sense of their re- sponsibilities. As a further result of this unfor- tunate quarrel, minor matters such as external and internal painting and re-decoration are ne- glected ,the sanitary arrangements are much be- hind the time, and the appearance of the Asylum Ilind the timdei., stinctly shabby. We desire to im- press upon the Committee that it is not sufficient to be able to point to a low maintenance rate; it is easy to kep the weekly rate low if all matters which urgently require the expenditure of even small sums of money are persistently neglected. We are glad on the other hand to notice that the bakehouse has been completely renovated, and a Mew modern oven installed, that the new Infec- tious Hospital is now ready for use; that cubicles are to be provided for the nurses who now sleep in the dormitories, and that a new alternative exit for use in case of fire has been supplied to F. Ward 7. As regards the present laundry, two new boilers have been provided, but in the entire absence of modern mechanical appliances, it must be very difficult to get, through the work. We found the patients as a whole contented their dress and personal appearance was fairly tidy, and we have no doubt that they are kindly treated. Some of the better wards looked very comfortable. and the dormitories were all fresh ,and the beds and bedding in proper order. We saw a good din- ner of meat pie .potatoes, and bread served to the majority of the patients in the Recreation Hall, which appeared to be appreciated. We observe that on some of the days the dinner consists of soup alone and currie and rice. We hope that motives of economy will not be allowed to stint the amount of quality of the dietary upon which so much of the contentment of the patients de- pends. There are 45 patients of the private class, who pay from ] O. to 32s. per week. We hope that it may be found possible to provide separate accommodation in a small ward of their own for some of the better female private patients, in the same way as is now done on the male side. Under the present arrangements these female private patients do not appear to derive any very mater- ial advantage from the extra payments made on their behalf. There has been no use of mechanical restraint or seclusion. The deaths were all from natural causes, an inquest being held in one case of cardiac failure from delirium tremens. "The general health of the Asylum is good. We have been struck with the relatively large number of patients who are regarded its suicidal, and are therefore under special supervision. They amount to 50 in all, namelv 27 males and 23 females. It is very important these numbers should be kept as low as possible, consistently ivitli the proper safeguarding of the patients; and therefore that the list of those for whom caution cards are issued should be subject to frequent and careful revision. The Church services on Sunday appear to be well attended—57 per cent. of the patients going in the morning, and 51 per cent. in the aftemoon; 39 per cent. are usually present at the w eekly en- tertainments .and 30 per cent. usually walk out weekly beyond the Asylum estate, only 8 per cent. being confined to the wards anci airing courts; 52 per cent, are usefully employed. The staff of at- tendants and nurses for day duty is below the average, and shows only 1 to every- 11 patients. No one has been dismissed or allowed to resign for misconduct. Mr. Robinson proposed that the report be adopted, and submitted that they would be setting the Commissioners at defiance by not carrying out their wishes. Professor D. E. Jones-I move that our Clerk write to the Lunacy Commissioners that the min- ority regrets very much that the majority carried the day. The consideration of the report was deferred on the motion of the Rev. Arthur Thomas j MEDICAL SUPERINTENDENT'S REPORT. The quarterly report of the Medical Superin- tendent was as follows: — During the quarter ending Sept. 30th. 1909, the movement in numbers has been as follows; Males, emitted, 16; discharged, 10; died, 6; remaining, 351. Females: Admitted, 8; dis- charged, 8; died, 7 remaining. 329. Of the ad- missions, 5 were private patients, and of this num- 'ber 1 was criminal. The attack occurred for the first time in 13, the second in 8, the third in 2, ( and in 1 it was unknown whether first attack or not. Of the admissions G were suicidal and n dangerous. The bodily health was good in 1, fair in 20, and reduced in 3. Of the admissions, 13 are possibly recoverable. Of the discharges, 13 left recovered. 4 relieved, and 1 not improved. The deaths numbered 13. and were all due to natural causes. One female patient escaped, and was out of control for 8 hours. No resort was made to seclusion or restraint in the treatment of patients. One male patient accidentally fell on a path and sustained a fracture at the ankle. The general health was fairly satisfactory. The report of Visiting Committee was as follows —" August 19, 1909,-1 have to-day visited the Asylum main buildings and Job's "YN ell, and seen the patients .and found all the wards well kept and in good order. The patients seemed to be bright and cheerful, and well looked after. They made no complnint.-D. E. Jones. The Auditor (Mr. Hy. Lewis) reported that the income under maintenance account for the quarter amounted to £ 3.997 14s. 4d., and the expenditure to £ 4.563 3s. 3d., leaving a. balance against the, Asylum of R565 8s .lid.. The rate to be charged for the maintenance of; the pauper patients during the ensuing six months was fixed at 8s. 9d..the same as last year. j The plans and specifications as to the drainage. laundry and other matters mentioned in the 1907 report of the Lunacy Commissioners was deferred. With regard to the petition of the male night attendants to be allowed payment in lieu of rations, or the revision of their scale of pay, and their diet scale, it was proposed and seconded that no extra diet be given ,but that £4 a veir be given instead. The next business was to consider the new rules as to the admission of private patients prepared by the Medical Superintendent. At present patients can only be aùmItted from 9 a.m. till 10 p.m. Mr. J. Lewis said patients ought to be admitted b' y night as well as by day. Dr Griffith said it would be very hard upon the staff to be called up at all hours ofthe night. He certainly thought that up to a certain hour j patients should be admitted. Mr. J. Lewis—Surely, doctor, you do not oh j ject to getting up in the night? Dr. Richards said it was most unusual to admit patients in the Might in any asylum, unless it was a special case. The night attendants had all their work cut out at present. The rule as passed by j the committee w as to the effect that no cases should be admitted before 9 a.m. and not after 10 j p.m. Before this rule was passed they had cases coming there at 4 a.m. Mr. J. Lloyd moved that cases be admitted up till 12 p.m. Dr. Richards said that in urgent cases people were admitted. Tl reply a member said that in no case had a patient been sent away when he or shecame late. THW had always been admitted. The matter was then dropped. RESIGNATION OF THE CLERK. The next and most important business was to receive the resignation of the Clerk (Mr. W. Mor- j| gan Griffiths), and to appoint a successor. The Clerk wrote a letter in which he stated lie had decided to resign the clerkship, which he had held for over 30 years, and he took this oppor- tunity of ttianking the members for the kindness which he had received from tkeir haRds. | Mr. Robinson—I beg to move that the resigna- tion be accepted, but with regret. I The Chairman said they were all ery sorry to kntew about Mr. Morgan Griffiths. He had been a very good clerk, and from the very beginning he had done all he could. Dr. Griffith said he had been a member for many years, and he could always say that Mr. Griffiths had acted towards them in a courteous and farour- able manner. He bad conducted his duties well, and he thought it would take a, good man to beat him. He for one was very sorry that lie had come there to-day to accept his resignation. It took him as a. little surprise that this resignation was in consequence of Mr. Griffiths's ill-health. He knew all the committee would be sorry to lose the services of their late clerk. Professor D. E. Jones said they were all of the same opinion, and were very sorry in the circum- stances which compelled Mr. Griffiths to tesign the position as their Clerk. The resignation was accepted. Dr. Griffith said they had accepted the resigna- tion of theix Clerk, and they were now without one. The office of clerk was a very important one, and lie was there to represent the three coun- ties. He certainly thought that they should not consider the appointment of a successor at once, but that they give due notice, and give the oppor- tunity for anyone to apply for the office. He had a high opinion of their late clerk and his son, but he thought that they ought to advertise, and he moved that an advertisement should appear, and that a sub-committee be appointed to see into the in n tter,. The Chairman said that before thev put that matter before the meeting be should like to state that Mr. C. M. Williams in a. letter lie hadsent stated if he was present at the meeting he would have great pleasure in sunporting Mr. Hubert Gi-ffiths to succeed his father, who had done "'ilemdid service to them for upwards of thirty years. Mr. J. Williams said he would second Dr. Grif- fith's motion. It was only right to. advertise. Mr. J. Lloyd—What is the present salary? The Chairman said it was £ 50 a year. Mr. W. N. Jones—Before Dr. Griffith's motion is nassed we ought to settle the salary. Professor D. E. Jones—If we decide to adver- tise for a clerk then we still have time to fix the salary. Mr. W. N. -Toiies-Tt has not been passed. I propose that the salary be £50 a year ,the same as before. Mr. J .Williams said they ought to decide whether the new clerk must be a solicitor. He for one would be loath to appoint one who was not. He moved that the new clerk must be a solicitor. Mr. W. N .Jones said his sympathy was with Dr. Griffith, and that they should advertise, thought it ought to have been done before that day. Mr. J. Lloyd—How were we to do it? Mr. W. N. Jones—Certainly it ought to have been done before to-day. We have. so we under- stand, two applications before us. People would say that they were simply advertising to blind the ratepayers. Rev. J. Williams—Mr. Jones has no right to make that insinuation. I protest against it. We have not made any promise to anyone. Members in chorus—Not 1. Dr. Griffith said they ought to give the oppor- tunity to everybody. Let them vote like men, as they thought proper. A vote was taken as to whether the appoint- ment should be decided that day, or that an ad- vertisement be sent out. Two voted for the appointment to be made that day. and the other members voted against, so the motion to advertise was adopted. Mr .Joseph Wliliams—1 propose that Mr. Hu- j bert Griffiths, as a qualified solicitor, should be temporary clerk till a new one was appointed. Mr. W. N. Jones seconded. This was carried. Dr. Griffith proposed, and Mr. J. Williams seconded that the salary be t,50 a year, and that the new clerk should be a qualified solicitor. This was carried, and it was also agreed that the appointment of clerk be made at the next quar- terly meeting, which would be in January next. CHAPLAIN'S INCREASE OF SALARY. The Chaplain (Rev. J. Marsden, B.D.) applied for an increase of his salary. The rev. gentleman said that before they took the matter into con- sideration he would like to make a few remarks bearing on the subject. His salary was exactly the same now as it was 40 years ago. They were all aware that the place was nearly twice as large, and the number of inmates in the institution was also twice as large than when he entered on his duties there on 20th April, 1870. He had visited the various places connected with the institution regularly without any'reward whatever. They would find that nearly all the other officers in the Asylum had had increases in their salaries more or less. He had been told by a member of the committee that it was his fault that he did not apply in the past. After 40 years' service a man must get oldish, and would require assistance in the future. In reply to a member it was stated that the sal- ary attached to this office was £ 150 a year. After somg discussion the matter was dropped. Mr. E. Robinson proposed That the Medical Superintendent be instructed to procure estimates for new rims and tyres for the Asylum omnibus. and that it be left to his discretion as to the coach- builder lie may employ to carry out the work." Professor D. E. Jones seconded Mr. Robinson's proposition. Mr. W. N. Jones said that if they went in for a new 'bus it would be something. Mr. John Lloyd said it would be something to have a motor-car. The Rev. J. Williams said it was only the ques- tion of the comfort of the committee. He thought they ought to leave the matter as it was: Professor .Jones-I.t is not only for ourselves, but the patients also. Rev J. Williams—It is very seldom that patients come up in the 'bus. The Medical Superintendent said that all the patients came up in it. A member said it was a disgrace to the Asylum and the three counties to-own such a 'bus. and ask them and the patients to ride in it. Dr. Griffith said it was a very important ques- tion, and ought to be decided then. A new bus ought to be bought to carry the whole committee. Professor Jones said that in the event of them having a new 'bus he would move that they have the different sizes .of 'busses before them and than decide (laughter).. Rev. J .Williams—T move myself the matter be left as at present. Mr. Robinson said a new 'bus would cost LIOO, whereas the things proposed by him would only cost about £10.. Professor Jones said he would support Mr. Robinson again. They could get rubber tyres un- til they got what Dr. Griffith wanted (laughter), j Mr. Robinson's motion was carried. The question of a roll-top desk for the Medical Superintendent's office was then considered. A Member—How much would it cost ? The Medical Superintendent-From t5 to £ 12. It was decided that such a desk be purchased at a sum not exceeding £10. Mr. Robinson, Boncath. drew attention to the fact that the Superannuation Bill, introduced into Parliament by the Home Secretary, only awaited third reading and Royal assent to become law. The Bill, he said, was intended to provide peli- i sions for attendants at every Lunatic Asylum throughout the kingdom, and was introduced at) the instigation of the Lunacy Commissioners, as their wishes in reference to superannuation had been practically ignored by committees of visitors more especially at Carmarthen. Mr. Robinson said he was delighted to find that attendants would now have a pension. [

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