Stephen MAGUIRE
5 May 2021 · Coroner Adam Hodson · Birmingham and Solihull
The coroner's concerns
1. PIT alarm not charged
“I heard evidence that the PIT alarm used by staff member, , did not work when pressed. I heard evidence this was alarm was checked after the incident and found to not have been charged. I heard evidence from that Options for Care Limited have a system whereby it is the night staffs' responsibility to check and charge the PIT alarms overnight, and it is the responsibility of the day care staff to check that their PIT alarms are charged and operational when they come on shift in the morning”
2. Unawareness of charging system
“I heard evidence that was an agency worker working for Options for Care at the time of Mr [name redacted] MAGUIRE's death, and there was a suspicion (but which could not be proven) that they may have either been unaware of the charging system, or made a simple error”