Margaret Aitchison
3 Sept 2024 · Coroner N J Mundy · South Yorkshire East
The coroner's concerns
1. lack of formal systems for checking residents after fire alarm activations
“The evidence from a care worker who was at the home at the relevant time, and remains a care worker at the home, that there are still no formal systems for checking of residents after fire alarm activations, is at odds with the evidence I heard from the care manager that there had been comprehensive changes and a training programme implemented.”
2. inadequate training of senior staff
“Further training of senior staff.”
3. absence of clear processes for staff response to fire alarm activations
“A requirement for senior staff to each put in place clear processes for staff to respond to fire alarm activations.”
4. inadequate training of carers in resident safety and fire door exit checks
“Training of carers, and any other relevant staff members, in terms of checking resident safety and fire door exits.”