Pauline Oakley

“There was no assessment of the safety or suitability of [the deceased]'s flat, or the appliances within the flat arranged by the NHS Trust Foundation responsible for her discharge home as part of the hospital discharge plan. The evidence was that had she had fallen on a modern electric heater, with a built in safety mechanism, there would have been no fire.”

“The fire alarm in the flats was apparently not monitored by East End Homes, the police or the London Fire Brigade. When an alarm was activated it was dependent upon a resident in the flats or a member of the public to call the emergency services. Residents of the flats may have thought that the alarm was monitored and therefore there was no need for any resident to call the emergency services.”