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recurance

Paul Hutchinson

20 Apr 2026 · Coroner Richard Furniss · West London

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

The coroner's concerns

  1. 1. lack of specific requirement for PCFRA

    “The Regulatory Reform (Fire Safety) Order 2005 and the Fire Safety (Residential Evacuation Plans) Regulations 2025 do not appear to apply to the individual flats in ECSA because they are private dwellings”
  2. 2. non-standardised staff training

    “Staff training is not standardised for ECSA (or sheltered accommodation more generally) and may not include, for example, evacuation strategy, emergency evacuation plans, the use of telecare/fire alarm system and fire suppression systems”
  3. 3. Fire Risk Assessments not considering vulnerable residents

    “Fire Risk Assessments for premises providing ECSA and sheltered accommodation more generally may not contemplate vulnerable residents as forming 'any group of persons identified...as being especially at risk' (see article 9(7)(b) of the 2005 Regulations)”

Linked reports

Repeats an earlier warningAshleigh Timms26 Apr 2022 · 4 years earlier
Closely relatedConfidence 0.85 · high

Earlier report

“The operator of the premises failed to ensure that staff on duty were competent to carry out a fire evacuation”
Original on judiciary.uk ↗

This report

“Staff training is not standardised for ECSA (or sheltered accommodation more generally) and may not include, for example, evacuation strategy, emergency evacuation plans, the use of telecare/fire alarm system and fire suppression systems”
Full chain: Inadequate staff training for fire evacuation in specialist housing

Responses

No published response was found on judiciary.uk.

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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