Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of emergency alarm or communication device
The earlier warning
Edna Davenport · 3 Apr 2020 · Joanne Lees, Black Country
“buzzer/alarm in the deceased room had been removed/disabled due to a previous incident where the deceased had attempted to place the cord around her neck.”
judiciary.uk/prevention-of-future-death-reports/edna-davenport
What was promised
No published response from Wolverhampton City Council was found for the earlier reports.
What recurred
- 25 Aug 2022 · Charles Evans · Joanne Lees · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Edna Davenport · 3 Apr 2020
“buzzer/alarm in the deceased room had been removed/disabled due to a previous incident where the deceased had attempted to place the cord around her neck.”
Later · Charles Evans · 25 Aug 2022
“There was no emergency bell/alarm or telephone in the residents' dining room.”
What happened next
No web check of the stated actions has been published for this chain.