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recurance

Susan Samson

2 Mar 2026 · Coroner Rebecca Sutton · County Durham and Darlington

The coroner's concerns

  1. 1. lack of second banister rail

    “On 18 March 2025 (via an email timed at 16:19) a request was made by staff at Sedgefield Community Hospital to Darlington Borough Council (who were the landlord of the property where the deceased lived) to fit a second banister rail in the deceased's home”
  2. 2. lack of second banister rail

    “On 10 April 2025 a further request, by an Occupational Therapist working at the Rydal Care Home, was made to Darlington Borough Council to fit a second banister rail in the deceased's home”
  3. 3. lack of second banister rail

    “An appointment was made to fit the second banister in the deceased's home on 6 May 2025”
  4. 4. lack of second banister rail

    “For reasons unknown the appointment was changed from 6 May 2025 to 9 May 2025”
  5. 5. potential fall on stairs

    “I am concerned that, if similar circumstances arose today, or in the future, a Darlington Borough Council tenant could be exposed to a potentially avoidable risk of death while awaiting the installation of a second banister”

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