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recurance

Joan Blaber

1 Oct 2018 · Coroner Veronica Hamilton-Deeley · West Sussex, Brighton and Hove

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. non-compliance with COSHH regulations

    “Historic and ongoing failure to comply with Control of Substances Hazardous to Health Regulations (COSHH)”
  2. 2. inadequate training on hazardous substance handling

    “Failures in training (both Trust and Agency Staff) and in particular to ensure that training has been understood and retained”
  3. 3. role confusion between cleaning and food handling staff

    “Confusion in roles. Mixing the roles of the cleaners with those members of staff who should only be dealing with food and water”
  4. 4. lack of communication of safety protocols

    “Failure to communicate important practices/protocols eg. water jug system”
  5. 5. insufficient training monitoring and control for agency staff

    “Failure in training and post training monitoring for Trust staff and lack of control over training for agency staff using hazardous substances”

Linked reports

Repeats an earlier warningEvelyn Kennedy7 May 2015 · 3 years 5 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“(3) Handover was incomplete and unhelpful. |”
Original on judiciary.uk ↗

This report

“Failure in training and post training monitoring for Trust staff and lack of control over training for agency staff using hazardous substances. Failures in supervisory staff in the housekeeping department (particularly those on the fourth floor of the Thomas Kemp Tower) to adhere to their own practices and requirements eg.”
Full chain: Incomplete handover documentation

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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error