Chapter 8 — Cappoquin

Neglect

Dr McCabe disagreed with the opinion of the School Medical Officer, and suggested that properly fed children did not need to supplement their diet with cod liver oil. The Minister for Education was informed of the response of the Superior, and a decision was taken on 14th March 1944 to send a strong letter to the School. The terms of the letter sent two weeks later were that the Department did not accept any of the reasons given by the Superior or the Medical Officer, and directed the Superior to inform the Department of what action she intended to take as soon as possible.

The Superior responded that she had consulted with the Resident Manager and staff, and there had been no falling off in the diet of the children. She suggested that one explanation for the weight loss may be that there was too long a fast from the evening meal at 5pm to breakfast the next day. She proposed to introduce a ‘slight collation’ before bedtime. She wrote that she found: ... it was almost impossible to secure sufficient milk, to allow a pint per day to each child ... I may add that as far as our judgement goes – not to mention our good will – every precaution is taken to secure the health of the children – one of the few advantages that will probably fall to their future lot ... Should it not be too great an intrusion the Resident Manager would feel grateful for the address of the firm which supplies Cod Liver Oil in bulk.

Clearly frustrated, Dr McCabe informed the Department that she felt the children needed to be properly fed, and wondered what the ‘collation’ would contain. On 13th April 1944, the Department once again, wrote formally to the Superior, telling her the children were simply not getting enough food: ... The position is, however, that the dietary seems, in any case, to have been inadequate all along as evidenced by the failure of the children to put on weight in the normal way. What is required is an all-round increase in the amount of food given to the children and the Minister will be glad to learn that you have made arrangements to have this done ... It is noted that you have arranged for the issue of a collation before bed-time and I am to enquire of what it consists.

By letter dated 20th April 1944, the Superior acknowledged the Department’s letter and said: ... With regard to the dietary, which had been approved of, no change has been made, with the exception of butter being served to all the children, since Margarine has been unprocurable. Each child receives one pint of milk per day – more during the summer months – The Collation consists of bread and butter, which makes a fifth meal each day ... If dietary counts in the matter of health, the immunity of the children of this school from sickness, should be some proof, at least, of the suitability of the food supplied.

Dr McCabe held her ground, and told the Department that she was quite satisfied that the diet was inadequate, and added that, in her opinion, the Resident Manager was a domineering woman who resented criticism and challenged advice. The Department decided to let matters rest for a period, as some changes had been made to the diet. They could then monitor to see if the children gained weight. They instructed Dr McCabe to go to the School in September 1944 and weigh every child.

Dr McCabe visited the School on 21st August 1944 and, on the day in question, she reported receiving an excellent meal, and she stated: The day I visited the school there was certainly an excellent meal given and I intend to re-visit this school within the next few months to check up again – however I feel if the children were always as well-fed as the day I was there that they should put on weight.

The children had not in fact put on weight and still looked undernourished. She suggested that a letter be sent to the Manager with the following recommendations: To increase butter from 7lbs to 30 lbs per week; To introduce chips fried in dripping several times per week; To give all children a cup of milk or soup at 11am.

In an internal Departmental report dated 9th September 1944, the opening sentence set the tone, and went on to describe the appalling state of affairs that continued to exist: This is another school run by the Sisters of Mercy which has a long record of semi-starvation. Dr. McCabe’s report following her inspection last November disclosed such an appalling state of affairs that we went over the head of the resident manager and issued an ultimatum to the Manager. Dr. McCabe’s latest report shows how far we have got. Out of 75 boys, 61 are under the normal weight for their age-height groups by from 3 lbs. to 21 lbs. The butter ration is exactly the same as it was in November, 1943 – 7 lbs. (At 6 ozs. per head it should be 28 lbs.) The boys continue to look pinched, wizened and wretched and look lamentably different from normal children. It is abundantly clear that the only hope of the required improvement lies in drastic action. The first and most obvious step is the removal of the present resident manager. Dr. McCabe informs me that she is a ruthless domineering person who resents any criticism and challenges advice. Her explanation of the children’s failure to gain weight – their "activity" – rivals Marie Antoinette’s "why don’t they eat cake?". She has bedded down long since into a groove out of which she cannot be shifted by some annual criticism, and it seems clear that she holds the manager in the hollow of her hand. I see no hope of improvement while she continues in office. The state of affairs existing in this school is so deplorable and indefensible that I think further strong action is required. I suggest that payment of the state grant be suspended for three months and, that the manager be informed that there will be a special inspection say, early next December. If that inspection shows that the underfeeding has ceased and that the weights generally are on the increase and tending towards normality, payment will be resumed. If not, consideration must be given to the withdrawal of the certificate. I might mention that Dr. McCabe’s account of the nuns’ schools generally is most alarming. Underfeeding is widespread. In fact, she tells me that in only one school Kinsale – is she completely satisfied with the diet. The general rule is what she describes as a bare "maintenance diet" – sufficient to keep children from losing weight but not enough to enable them to put on weight at anything approaching the normal rate. A third junior boys’ school run by the Sisters of Mercy – Passage West – is in the same category as Rathdrum and Cappoquin, and she proposes to visit it again shortly. She is strongly of opinion that we must hit the schools in their purses by threatening to stop grants – and stopping them if necessary in one or two of the worst cases – if we are to effect an improvement. This was followed by a series of notes between [the] (Inspector of Reformatories and Industrial Schools) and Dr McCabe. [The Inspector] was reluctant to take such drastic action as recommended by the Chief Inspector especially as he felt stopping the funds might make it worse for the children. Dr McCabe felt the only way to bring about improvement was to hit the school through the purse strings as similar action in other schools had brought about change. A decision was taken to insist on the removal of the Resident Manager with a follow up special inspection in three months. If conditions had not improved by then the grant was to be suspended. A further suggestion was mooted, to approach the Bishop of the Diocese, if things did not improve under the new Resident Manager.

On 21st September 1944, a statutory request from the Minister to remove the Resident Manager was sent to the Superior of the convent. This was accompanied by a strongly worded letter, setting out in detail why the Department could not allow the present state of affairs to continue: The Minister for Education has had before him the report of the Medical Inspector following on her recent visit to St. Michael’s Industrial School, Cappoquin, and has learned with regret that the physical condition of the children continues to be most unsatisfactory. Only ten boys have reached the normal weight for their age. Sixty-one boys are below the normal weight by amounts ranging from 3lbs. to 21lbs. I have already informed you that the Minister cannot allow this state of affairs to continue. Repeated representations to the Resident Manager having failed to bring about the desired improvement, I am directed by the Minister to inform you that he is satisfied that the Resident Manager has failed to discharge efficiently the duties of her position and that she is unsuitable to discharge those duties, and I enclose a statutory request to you to remove her from her position.

The letter went on to state that, if St Michael’s was to continue as a certified industrial school, it would be necessary ‘to effect a radical improvement in the feeding and care of the children’.

To achieve this end, a Resident Manager who would take ‘an active and sympathetic interest’ in the welfare of the children would have to be appointed, and she would have to comply with the suggestions and advice of the Medical Inspector.

The Superior responded with a letter dated 10th October 1944, and asked that the Resident Manager be allowed stay on and promised that things would improve.

The Minister, by letter dated 20th October 1944, refused to withdraw the statutory request. He again wrote on 6th and 7th November 1944, as he had not heard from the School about the new Resident Manager. On 11th November 1944, the Department received a telegram from the Superior to the effect that ‘the suggested arrangements at St. Michael’s School have been in effect since 21st ultimo’. The Department understood this to mean that a new Resident Manager had been appointed.

The Department then wrote to the Superior on 15th November 1944 and asked for the appropriate form to be completed with regard to the new Resident Manager. This elicited the following response from the Superior: Immediately on receiving a negative reply (22/10/44) to my request, that the then Resident Manager of St Michael’s School, be allowed to hold the position provisionally, I appointed Sr. [Adriana]2 to fill the post. I thought it well to defer notifying this waiting the Inspector’s visit. The strong censure contained in your Communication came as no small surprise, as apart from the failure of the children to put on weight we had no reason to think that Dr. McCabe was not satisfied with the general status of the School.

The Superior wrote to Dr McCabe directly on 27th November 1944 and suggested they meet to discuss the situation.