Authors: Alan Bennett
The turnover of residents is quite rapid since whoever is quartered in
this room is generally in the later stages of dementia. But that is not what they die of. None of these lost women can feed herself and to feed them properly, to spoon in sufficient mince and mashed carrot topped off with rhubarb and custard to keep them going, demands the personal attention of a helper, in effect one helper per person. Lacking such one-to-one care, these helpless creatures slowly and quite respectably starve to death.
This is not something anybody acknowledges, not the matron or the relatives (if, as is rare, they visit), and not the doctor who makes out the death certificates. But it is so.
And if Mam has survived as long as she has it is because, though she can no longer feed herself, she nevertheless is anxious to eat; her appetite remains good and so she is easy (and satisfying) to feed. I spoon in the mince and carrot, catching the bits that dribble down her chin and letting her lick the spoon.
âJoined the clean plate club, Lily,' says the girl who is feeding Hilda, her neighbour. âAren't you a good girl?'
Hilda, grim, small-eyed and with a little curved nose and a face like a finch, is not a good girl, turning her head when the spoon approaches, keeping her teeth clamped shut with the spoon tapping to get in.
âKnock, knock,' says the girl.
Somewhere a phone rings. So, leaving the mince, the girl goes to answer it and does not come back. Ten minutes later comes a different girl who clears away the cold mince and carrot and substitutes rhubarb crumble.
While Mam polishes off hers, Hilda remains obdurate, beak closed.
âDon't want your sweet, Hilda?'
Hilda doesn't and it is left congealing on the tray while tea in lidded plastic beakers is taken round, which goes untouched also. So another mealtime passes and Hilda is quite caringly and with no malice or cruelty at all pushed one step nearer the grave.
Whose fault is it?
Her own, a little. Her relatives, if she has relatives. And the staff 's, of course. But whereas a newspaper might make a horror story out of it, I can't.
Demented or not, if Hilda were a child there would be a story to tell and blame attaching. But Hilda is at the end of her life not the beginning. Even so, were she a Nobel Prize winner, or not a widow from Darwen but the last survivor of Bloomsbury, yes, then an effort might be made. As it is she is gradually slipping away, which is what this place is for.
The water creeps over the sands.
Coming back to London on the train, I am relieved that I have done my perfunctory duty and need not come again for a fortnight or three weeks; I am still uneasy, though, and would be however often I were to visit.
That there is something not right around homes for the elderly is evident in the language associated with them: it's swampy, terms do not quite fit and categories start to slip. A home is not a home but neither is it a hospital nor yet a hotel. What do we call the old people who live (and die) there? Are they residents? Patients? Inmates? No word altogether suits. And who looks after them? Nurses? Not really since very few of them are qualified. As Mam herself pointed out early in her residency:
âThey're not nurses, these. Most of them are just lasses.'
And not knowing what to call them makes getting hold of one difficult, not least for the residents. In a hospital it would be âNurse!'. Here it tends to be âHello? Hello?', which said to nobody in particular and sometimes to an empty room already sounds deranged. Of course, calling them by name could be the answer, but though the staff all wear their name tags, names are what these lost women are not good at, not being good at names one of the things that has brought them here in the first place. And what do I call them, a visitor? Even if I cared for the word caring, âCarer!' is not a word you can call down a corridor.
As it is, and feeling like one of those old-fashioned gentlemen who call every policeman âOfficer', I settle for âNurse', remembering at the same time Mrs Catchpole, Alan Bates's mother-in-law, who, incarcerated in the geriatric ward at the Royal Free, remarked bitterly of one such whom she called âBouncing Betty': âShe's not as highly qualified as she makes out. And she has very hard hands.'
These blurred classifications â a home that is not a home, a nurse who is not a nurse â arise because strictly speaking the people in homes are not ill; it is not sickness that has brought them here so much as incurable incompetence. They are not dying; they are just incapable of living, though capable of being long-lived nevertheless. My mother lives like this for fifteen years.
Now it is a year later or maybe two years. Nothing has changed except that there are new faces in the three other beds, all of them registering differing degrees of vacancy. None of them can talk, though one of them can shout.
I sit in the upstairs room and hold my mother's hand, the skin now just a translucent sheath for the bones, and a hand anyone who comes into the room is free to take and hold as Mam will not mind or even notice. And though there will be no replies forthcoming, having been told it is therapeutic I embark on a conversation.
âGordon will have been, I expect.
âSet up with their new baby. Grandparents now. You're a great-grandmother. Takes after Ian, Rita says. Fair.
âThey're going in for a new fridge apparently. One of those jumbo jobs.'
I have written conversations like this to point up the diminutive stature of our concerns and their persistence even into the jaws of death. But this conversation I now have to fabricate for real is as desultory and depressing as any of my fictions.
âThey tell you to talk,' I had once written of a visitor talking to someone unconscious.
âI think it's got past that stage,' says the nurse.
And so it seems with Mam, as nothing I ever say provokes a response: no smile; no turn of the head even.
The staff do it differently; make a good deal more noise than I do for a start, and one of the maids now erupts into the room and seizes Mam's hand, stroking her face and kissing her lavishly.
âIsn't she a love!
âAren't you a love!
âAren't we pretty this morning!
âWho's going to give me a kiss?'
The dialogue makes me wince and the delivery of it seems so much bad acting better directed at a parrot or a Pekinese. But, irritatingly, Mam seems to enjoy it, this grotesque performance eliciting far more of a response than is achieved by my less condescending and altogether more tasteful contribution.
Mam's face twitches into a parody of a smile, her mouth opens in what she must think is a laugh and she waves her hand feebly in appreciation, all going to show, in my view, that taste and discrimination have gone along with everything else.
But then taste has always been my handicap, and so here when in this sponged and squeegeed bedroom with an audience of indifferent old women I do not care to unbend, call my mother âchick', fetch my face close to hers and tell her or shout at her how much I love her and how we all love her and what a treasure she is.
Instead, smiling sadly, I lightly stroke her limp hand, so ungarish my display of affection I might be the curate, not the son.
The nurses (or whatever) have more sense. They know they are in a âCarry On' film. I am playing it like it's
Brief Encounter
.
âAren't you good, Lily? You've eaten all your mince.'
And Mam purses her lips over her toothless gums for a rewarding kiss. Twenty years ago she would have been as embarrassed by this affectation of affection as I am. But that person is dead, or forgotten anyway, living only in the memory of this morose middle-aged man who turns up every fortnight, if she's lucky, and sits there expecting his affection to be deduced from the way he occasionally takes her hand, stroking the almost transparent skin before putting it sensitively to his lips.
No. Now she is Lily who has eaten all her mince and polished off her Arctic Roll, and her eyes close, her mouth opens and her head falls sideways on the pillow.
âShe's a real card is Lily. We always have a laugh.'
âHer name's actually Lilian,' I say primly.
âI know, but we call her Lily.'
The strip lights go on this winter afternoon and I get ready to leave.
I never come away but I think that this may be the last time I shall see her, and it's almost a superstition therefore that before I leave I should make eye contact with her. It's sometimes for the first time as she can spend the whole hour not looking at me or not seeing me if she does. Kissing does not make her see me nor stroking her hand. A loud shout may do so, though, and certainly if I were to squeeze her arm or cause her pain she would look at me then or even cry out. Otherwise, there is this settled indifference to my presence.
To make her see me is not easy. Sometimes it means bringing my head down, my cheek on the coverlet in order to intercept her eye line and obtrude on her gaze. In this absurd position, my head virtually in her lap, I say, âGoodbye, Mam, goodbye,' trying as I say it (my head pressing into the candlewick) to picture her with Dad and print her face on my memory, Mam laughing on the sands at Filey with Gordon and me, Mam walking on the prom at Morecambe with Grandma. If this produces no satisfactory epiphany (a widening of the eyes, say, or a bit of a smile) I do it again, the spectacle of this middle-aged man knelt down with his head flat on the bed of no more interest to the other old women than it is to my mother.
Getting no response, I kiss her and go to the door, looking back for what I always think will be the last time. What I want to see is her gazing lovingly after me, her eyes brimming with tears or even just looking. But she has not noticed I've gone, and I might never have been in the room at all. I walk to the station.
âYou have given the best,' says a hoarding advertising another home, ânow receive the best.' And in a film faintly would come the sound of the geriatric Horst Wessel, that sad and mendacious anthem, âI am H-A-P-P-Y.'
Once her speech has unravelled, any further deterioration in her personality becomes hard for an onlooker to gauge (and we are all onlookers). Speechless and seemingly beyond reach, she dozes in the first-floor bedroom in the house above the bay, regularly fed and watered, her hair done
every fortnight, oblivious of place and time and touch. In the other beds women come and go, or come and die, my mother outlasting them all. On the horizon ships pass and it is as if her own vessel, having sailed, now lies becalmed, anchored on its own horizon, life suspended, death waiting and in the meantime nothing: life holds her in its slack jaw and seems to doze.
So much of my childhood and youth was lived in dread of her death, never seeing that what would unsettle and unstitch my life much more would be the death of my father. It was his going that had cast the burden of care on my brother's family and myself and sent my mother stumbling into her long twilight.
In the event her death is as tranquil and unremarked as one of those shallow ripples licking over the sands that I had watched so many times from her window. All her life she has hoped to pass unnoticed and now she does.
As a boy I could not bear to contemplate her death. Now when it happens I almost shrug. She dies in 1995, I think. That I am not certain of the date and even the year and have to walk down to the graveyard to look at her gravestone to make sure is testimony to how long she has been waiting on the outskirts of mortality. My father's death on 3 August 1974 I never forget. There was before and after. With my mother nothing changes. Did she look at me the last time I took my leave? I can't remember.
Mindful of the snarl on my father's dead face I make no attempt to see my mother dead. Times are different anyway and in the self-loving nineties death is enjoying less of a vogue. Besides, there is little point in seeking out reminders of mortality. I am sixty myself now and my own reminder.
So while she rests at the undertaker's my brother and I consult our diaries and decide on a mutually acceptable date for the funeral, and I take the train to Weston-super-Mare for what I hope will be the last time now, though getting off at Nailsea, which is handier for the crematorium. It's a low-key affair, the congregation scarcely bigger than the only other pub
lic occasion in my mother's life, the wedding she had shrunk from more than sixty years before.
Of the four or five funerals in this book, only my father's is held in a proper church; the rest, though scattered across England, might all have been in the same place, so uniform is the setting of the municipal crematorium.
The building will be long and low, put up in the sixties, probably, when death begins to go secular. Set in country that is not quite country it looks like the reception area of a tasteful factory or the departure lounge of a small provincial airport confined to domestic flights. The style is contemporary but not eye-catchingly so; this is decorum-led architecture which does not draw attention even to its own merits. The long windows have a stylistic hint of tracery, denomination here a matter of hints, the plain statement of any sort of conviction very much to be avoided.
Related settings might be the waiting area of a motor showroom, the foyer of a small private hospital or a section of a department store selling modern furniture of inoffensive design: dead places. This is the architecture of reluctance, the furnishings of the functionally ill at ease, decor for a place you do not want to be.
It is neat with the neatness ill-omened; clutter means hope and there is none here, no children's drawings, no silly notices. There are flowers, yes, but never a Christmas tree and nothing that seems untidy. The whole function of the place, after all, is to do with tidying something away.
In the long low table a shallow well holds pot plants, African violets predominating, tended weekly by a firm that numbers among its clients a design consultancy, an Aids hospice, the boardroom of the local football club and a museum of industrial archaeology.