Susan Samson
2 Mar 2026 · Coroner Rebecca Sutton · County Durham and Darlington
The coroner's concerns
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. 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. lack of second banister rail
“An appointment was made to fit the second banister in the deceased's home on 6 May 2025”
4. lack of second banister rail
“For reasons unknown the appointment was changed from 6 May 2025 to 9 May 2025”
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.