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recurance

Sean Ennis

21 Feb 2022 · Coroner Andrew Walker · Northern District of Greater London

The coroner's concerns

  1. 1. inadequate fire risk assessment

    “All Responsible Persons should carry out a comprehensive fire risk assessment that details the fire safety provisions that are in the property and where identified ensure”
  2. 2. unregulated telecare legislation

    “The London Fire Brigade believe that a review should be undertaken with regards to Telecare legislation and regulations”
  3. 3. telecare not linked to smoke detection

    “Telecare is not always offered to vulnerable people or if individuals do receive it, is not always linked to smoke alarms or AFSS”
  4. 4. lack of TSA accreditation

    “Barnet Assist are not Telecare Services Association (TSA) accredited, it is recommended that they become accredited”
  5. 5. absence of fire safety visits

    “For those properties housing vulnerable people (such as Sheltered Housing and Assisted Living) Landlords should consider the requirement for a home fire safety visit by the local fire and rescue service as part of tenancy agreement”
  6. 6. missing person centred risk assessments

    “Person Centred Risk Assessments should have been carried out for the residents of Knightleas Court and should be carried out as best practice for residents in Sheltered Accommodation /Assisted Living properties”

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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