Home is one of those simple yet elemental words that can convey powerful feelings of belonging and yearning. I was reminded of this when assessing a little boy with regard to his long-term future. He had spent much of his first year in hospital due to a condition which meant that he was unable to take food by mouth and that his vocalization was delayed. In addition, his parents had significant social and mental health issues, so that they effectively abandoned him in hospital. It took some months of trying various options before at last he ended up with very devoted foster carers; he needed constant care because of his disability. One of the issues was whether or not he should stay with the carers. There was a dispute about this, which necessitated a court process. The local authority had a view that he should be adopted, as they considered this would be in his long-term interests. However, if the foster carers were to adopt him, they would lose all the financial and service support they were entitled to as foster carers, and he needed 24-hour care.