Steven Kirkham
18 Aug 2021 · Coroner Lorraine Harris · South Yorkshire (East)
The coroner's concerns
1. blind spot on door alarm system
“It appears that there is a "blind spot" on the”
2. uninformed users of door alarm systems
“I have been informed that, although Swallownest have replaced the doors with an alternative, that these door alarm systems may still be used in a variety of places where vulnerable people are housed. I am concerned that other users of these mechanisms may not have been informed of the potential danger.”
3. lack of remediation information
“I was not given any information with regard to what, if anything, has been done to rectify the "blind spot" area by Instatop and therefore have concerns that other users of the doors may be unaware of the issue”