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recurance

Clarice Berry

22 Jun 2026 · Coroner Bronia Hartley · Manchester West

The coroner's concerns

  1. 1. lack of compliance with Housing Health and Safety Rating System guidance

    “neither S&G Properties (No 2) Limited nor KMPM are following the Department for Communities and Local Government guidance for landlords and property related professionals in respect of the Housing Health and Safety Rating System designed to avoid, or at the very least minimise, potential hazards, in particular by ensuring that conditions are reviewed regularly to try to see where and how its properties or the properties it is managing can be improved and made safer”
  2. 2. absence of clear hazard management systems

    “there are no clear systems in place at either company and at the intersection of the two companies to prevent the recurrence of circumstances such as those leading to the deceased's death, namely the development of a serious hazard during a tenancy which, as in the deceased's case, is reported but is not appropriately or timeously responded to, or which is not identified by the tenant, including in relation to: i. the categorisation of defects (e.g., urgent, structural, routine); ii. how structural concerns are escalated (including by way of the instruction of a structural engineer); iii. ensuring the timeous completion of works (and the implementation of interim measures, such as fencing off, where delay is envisaged)”
  3. 3. lack of post-incident hazard evaluation

    “neither S&G Properties (No 2) Limited nor KMPM have carried out a post-incident evaluation of whether the properties owned and management by them respectively are free from serious hazards which remain outstanding and have not come to the attention of the Local Authority and that these circumstances create a risk that other deaths will occur”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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