Sue picked Em up from Helen's tonight utterly dismayed. Apparently Helen had to dry Emily's clothes in the dryer as they were wet from her weeing herself. The obvious question - how often did you take her to the toilet? - was met with a response akin to "I was too busy" (apparently she's got a full house with it being half term).
This incident just really hit home that Em isn't getting the right "experience" (if that's the right term) going to Helen's. She doesn't need an obviously over-stretched childminder neglecting her bladder needs resulting in a heavy nappy and wet clothes.
Sue and I are seriously having to rethink our strategy with regards to Emily. I don't really know if a childminder who specialises in special needs kids is available in our area. Given the issues with someone like Em, I can imagine if there was they'd have a very low child to childminder ratio, thus increasing the cost exponentially.
Emily is special needs - there's no getting around that - and we need to address this with increased special needs-related services for her. A one childminder fits all approach obviously isn't working and I really don't know what the solution is - logistically, personally, financially.
Even taking a full time position to look after Em wouldn't be the best solution as we aren't trained or equipped to facilitate her needs fully.
The mind continues to boggle.