Theo Treharne-Jones
16 Oct 2025 · Coroner Gavin Knox · South Wales Central
The coroner's concerns
1. unsupervised access to swimming pool by vulnerable child
“[the deceased] was particularly vulnerable in that: 1. He had developmental delay; 2. He had no sense of danger; 3. He was prone to waking during the night; 4. He was fully mobile; 5. He loved swimming and had some sensory needs; 6. He was unable to swim.”
2. lack of physical barrier around swimming pool
“The pool that [the deceased] was found in did not have any physical barrier in place to prevent uncontrolled or unsupervised access by children.”
3. inadequate room door security
“[the deceased]'s parents recognised the risk of [the deceased] leaving the room unsupervised and attempted to mitigate this by locking the door and putting additional impediments in the way of the door including 2 pushchairs and an empty suitcase;”
4. absence of secondary door security
“There was no secondary security measure such as a chain in place;”
5. fire safety lock design allowing child exit
“The door locks in the hotel room were of a design to promote safety during a fire and could be easily disengaged from the inside;”