Igor Szalapski
13 Nov 2023 · Coroner Mary Hassell · Inner North London
The coroner's concerns
1. lack of follow-up after finding Igor drowsy and incoherent
“On 14 April 2023, staff found [the deceased] outside, drowsy and incoherent, cold and wet, but did not re-contact the crisis team.”
2. lack of meaningful conversation with vulnerable young man
“[the deceased] was a vulnerable young man, recently homeless, but the last time that any member of staff had a meaningful conversation with him was on 20 April 2023, ten days before he died.”
3. insufficient staff conversation with Igor
“The Depaul executive director of services recognised at inquest that there should have been more staff conversation with [the deceased] throughout his time at the London Youth Hub.”
4. lack of engagement with partner agencies
“She also acknowledged that greater attempts should have been made by staff to engage with partner agencies regarding [the deceased]'s care and welfare.”
5. absence of family contact details at hostel
“[the deceased] was only 18 years old and his father did visit him, but the hostel did not have any contact details for his family.”
6. chaotic culture at London Youth Hub
“The report described the culture at the London Youth Hub as chaotic.”