19 Feb 2026 Jacqueline JOSEPH · Prevention of Future Deaths report Bedfordshire and Luton
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Concerns raised 1
Incorrect installation of battery-operated smoke alarms View source
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised. 3
Squared
Complete a comprehensive smoke and carbon monoxide alarm audit across all let homes.
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Squared
Survey identified alarm issues and remedy confirmed failures through emergency repairs.
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Squared
Survey leased properties to verify alarm compliance and replace alarms approaching the end of their service life.
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Jacqueline JOSEPH · Prevention of Future Deaths report
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Report summary
Jacqueline JOSEPH, who had limited mobility and care and support needs, was found deceased on 15 June 2025 after sustaining flame and heat while seated in an armchair at home. The inquest evidence identified two incorrectly installed battery-operated smoke alarms at the housing association property.
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How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Incorrect installation of battery-operated smoke alarms
Wider context from the report “The premises is a housing association property and Squared (Luton Community Housing Ltd) is the organisation responsible for this property and various other housing association properties and the evidence heard at the inquest was that the premises had two incorrectly installed battery-operated smoke alarms .
” Source location Jacqueline JOSEPH · Prevention of Future Deaths report
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How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Complete a comprehensive smoke and carbon monoxide alarm audit across all let homes.
Verbatim wording from the response “For the maximum avoidance of any doubt, a comprehensive smoke and CO alarm audit has been completed across all homes let by Squared (whether we own the freehold or not) to confirm that all devices are fitted in accordance with Smoke and Carbon Monoxide Alarm (Amendment) Regulations 2022 and are in good working order. All issues identified are being surveyed and any confirmed failures are being remedied without delay through emergency repairs. | Audit completed
Surveys in progress with target completion date of 30th May 2026” Source location 2026-0102 - Response from Squared
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Survey identified alarm issues and remedy confirmed failures through emergency repairs.
Verbatim wording from the response “For the maximum avoidance of any doubt, a comprehensive smoke and CO alarm audit has been completed across all homes let by Squared (whether we own the freehold or not) to confirm that all devices are fitted in accordance with Smoke and Carbon Monoxide Alarm (Amendment) Regulations 2022 and are in good working order. All issues identified are being surveyed and any confirmed failures are being remedied without delay through emergency repairs. | Audit completed
Surveys in progress with target completion date of 30th May 2026” Source location 2026-0102 - Response from Squared
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How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Survey leased properties to verify alarm compliance and replace alarms approaching the end of their service life.
Verbatim wording from the response “For properties where we do not hold the freehold (leased properties), we will undertake surveys to ensure that all alarms are compliant and are replaced as they approach the end of their service life. | Start date 20th April 2026
Target completion date 29th May 2026” Source location 2026-0102 - Response from Squared
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23 May 2016 Sadie PETERS and 2 others · Prevention of Future Deaths report Surrey
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Concerns raised 1
Failure to fit and maintain fully functioning smoke detectors inside caravans View source
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Sadie PETERS and 2 others · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
On 30 December 2014, a fire in a permanent mobile home caused the deaths of Sadie Peters and her two sons, Joseph and George. The fire was most likely caused by a solid fuel burner, and no smoke detector was fitted inside the caravan. The substantive concern was raising awareness among people living in mobile and static caravans about fitting and maintaining functioning smoke detectors.
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How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to fit and maintain fully functioning smoke detectors inside caravans
Wider context from the report “Fitting of Smoke Detectors in all Mobile and Static Caravans
1. Consideration should be given to maintaining or developing any existing programmes and, where appropriate, creating new programmes which are designed to raise awareness amongst people using or living in caravans, whether mobile or permanent, of the importance of fitting and maintaining a fully functioning smoke detector inside the caravan .
” Source location Sadie PETERS and 2 others · Prevention of Future Deaths report
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How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Fit free smoke alarms and, where required, carbon monoxide alarms at identified caravan sites.
Verbatim wording from the response “As you are aware following this and other incidents on static mobile home sites in Surrey, SFRS working with the Showmen’s Guild of Great Britain, private site owners and local authorities landlords of council controlled site have visited all identified sites in Surrey offering and conducting community fire safety visits and fitting 1000s of free smoke alarms and where required carbon monoxide alarms.” Source location 2016-0219-Response-by-Surrey-Fire-and-Rescue-Service
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How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Work with agencies and site owners to deliver a continuous smoke-alarm awareness message to caravan residents by October 2016.
Verbatim wording from the response “We are now planning to continue to raise and increase awareness of the importance of fitting and maintaining smoke alarms by working with the relevant agency and site owners to have a continuous message to those using or living in mobile or permanent caravans. It is planned that this will be in place by October 2016, but it should also be recognised that this also part of normal community safety work of raising the public awareness to a range of safety issues.” Source location 2016-0219-Response-by-Surrey-Fire-and-Rescue-Service
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30 Apr 2015 William THOMPSON · Prevention of Future Deaths report Inner North London
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Concerns raised 1
Lack of a smoke detection system in the bedroom View source
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
No linked response statements No respondent-stated action or position is linked to these concerns in the published data.
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William THOMPSON · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
William Thompson died in a fire at his supported-housing home after discarded cigarette ignited his bedding, and he was killed by smoke inhalation. Although smoke and heat detectors were installed in the hall and kitchen, there was no smoke detection system in his bedroom. The report raised concern that his social workers had not considered bedroom smoke detection despite his significantly raised fire risk from smoking, drinking and immobility.
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How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Lack of a smoke detection system in the bedroom
Wider context from the report “The evidence I heard at inquest was that, whilst smoke and heat detectors were installed in Mr Thompson’s hall and kitchen, there was no smoke detection system in his bedroom .
He was known to be at significantly raised fire risk because of his smoking, drinking and immobility (he used a Zimmer frame). London Fire Brigade had been called to his home more than once in the past. However, his social workers never addressed their minds to the question of whether there was a smoke detector in his bedroom and, if not, whether that might be useful.
This seems to be an area that would benefit from exploration for particularly high risk service users.
” Source location William THOMPSON · Prevention of Future Deaths report
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17 Jan 2014 Julie Ann Camm · Prevention of Future Deaths report West Yorkshire Eastern
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Concerns raised 1
Failure to ensure smoke detectors are fitted in housing properties View source
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised. 9
Housing Leeds
Install hard-wired smoke detection in approximately 1,200 properties subject to fire-risk assessment.
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Housing Leeds
Install smoke detection through the CareRing system in 4,300 sheltered-housing dwellings during FY2014/15.
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Housing Leeds
Rewire approximately 1,100 properties during FY2014/15, including hard-wired smoke detection in each property.
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Housing Leeds
Identify approximately 40 properties for the ring-fenced March–April 2014 rewiring programme, which will include hard-wired smoke detection.
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Housing Leeds
Install battery smoke detection in remaining properties without detection over the next 12 months, using a targeted plan developed with West Yorkshire Fire and Rescue Service.
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Housing Leeds
Review and update the Electrical Specification to require hard-wired smoke detection when major electrical works are completed.
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Housing Leeds
Install battery and, where applicable, carbon-monoxide detection in sheltered dwellings lacking existing detection.
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Housing Leeds
Install battery detection in LCC-owned Caspon-type properties lacking existing detection, alongside the completed fire-safety works.
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Housing Leeds
Add smoke-detection identification to annual tenancy visits and refer properties without detection to West Yorkshire Fire and Rescue Service for interim detectors.
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Julie Ann Camm · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Julie Ann Camm, aged 49, was found dead at her home after deliberately starting a fire and sustaining multiple deep incised wounds. The principal concern was that the property had no smoke detectors, despite her vulnerability as a tenant; the report stated that a detector might have alerted others in time for her to be rescued.
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How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation Failure to ensure smoke detectors are fitted in housing properties
Wider context from the report “The Fire Service Report revealed that there were no smoke alarms fitted to the property . This property was originally in the ownership of a Housing Association and it was established that there had been a partial re-wire, kitchen sockets only in 2008. Had it been due for a full re-wire then hard-wired smoke detectors would have been installed. The Housing Association’s procedure at the time was to encourage their tenants to refer to the West Yorkshire Fire and Rescue Service to have a home fire safety check, but this was not in place when Miss Camm took out this tenancy. I am aware that the Fire Service provide fire safety advice to all members of the community and will provide and fix smoke detectors free of charge where necessary. A considerable amount of work has been carried out to forge links with other agencies and provide them with education in risk identification with regard to fire safety. The Fire and Rescue Service would encourage individuals or agencies to refer any member of the community to them, particularly those most vulnerable in the first instance through their local Fire Service. This property is now within the ownership of Leeds City council. Originally it was owned by a Housing Association - Leeds West North Homes. The Council took over on 1 October 2013.
It is a matter of grave concern to me that there were no smoke detectors in the property , notwithstanding the vulnerability of Miss Camm as a tenant. I, therefore, recommend that the owner of this property inspect all their housing stock and arrange for either hard-wired detectors to be fitted at the earliest opportunity. Until this can be achieved I further recommend that the landlord contact the West Yorkshire Fire and Rescue Service for home assessment teams to carry out the necessary assessment and, where appropriate, fit battery operated smoke detectors until such time as permanent hard-wired detectors can be installed.
Had a smoke detector been in place, it is likely that neighbours and members of the public in the vicinity would have been alerted to the fire in sufficient time for Miss Camm to be rescued and her death could have been avoided.
” Source location Julie Ann Camm · Prevention of Future Deaths report
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Install hard-wired smoke detection in approximately 1,200 properties subject to fire-risk assessment.
Verbatim wording from the response “Over the forthcoming 18 month period, hard-wired smoke detection equipment will be installed to all properties subject to a fire risk assessment. Detection will be installed in high & low rise properties and will consist of a mains powered optical smoke alarm with rechargeable lithium cells in the hallway and powered heat alarm with rechargeable lithium cells in the kitchen. This equates to some 1200 properties in the Housing Leeds region with a programme value of c.£200k. 4300 dwellings in Sheltered Housing Complexes and Sheltered Housing Dispersed Schemes citywide are also to receive smoke detection equipment via the CareRing system in FY2014/15 in £1.3m project.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Install smoke detection through the CareRing system in 4,300 sheltered-housing dwellings during FY2014/15.
Verbatim wording from the response “Over the forthcoming 18 month period, hard-wired smoke detection equipment will be installed to all properties subject to a fire risk assessment. Detection will be installed in high & low rise properties and will consist of a mains powered optical smoke alarm with rechargeable lithium cells in the hallway and powered heat alarm with rechargeable lithium cells in the kitchen. This equates to some 1200 properties in the Housing Leeds region with a programme value of c.£200k. 4300 dwellings in Sheltered Housing Complexes and Sheltered Housing Dispersed Schemes citywide are also to receive smoke detection equipment via the CareRing system in FY2014/15 in £1.3m project.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Rewire approximately 1,100 properties during FY2014/15, including hard-wired smoke detection in each property.
Verbatim wording from the response “Additionally, £2.55m has been allocated to full re-wire of dwellings in the Housing Leeds for FY 2014/15. This equates to the re-wiring of around 1100 properties and will include the installation of hard-wired smoke detection equipment in all cases. Additional funding programmes of this nature are also secured for the other regions of Housing Leeds.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Identify approximately 40 properties for the ring-fenced March–April 2014 rewiring programme, which will include hard-wired smoke detection.
Verbatim wording from the response “Furthermore, an additional £100k of funding has been ring-fenced for full rewires between March 2014 and April 2014. Housing Leeds is currently identifying which properties will benefit from this programme, anticipated to be in the region of 40 properties. Again, this work will include the installation of hard wired smoke detection equipment in all cases.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Install battery smoke detection in remaining properties without detection over the next 12 months, using a targeted plan developed with West Yorkshire Fire and Rescue Service.
Verbatim wording from the response “Of the remaining properties with no smoke detection equipment, Housing Leeds plan to install, as a minimum, battery detection equipment over the next 12 month period. This will be done in consultation with West Yorkshire Fire & Rescue Service to produce an efficient, coherent and targeted plan.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Review and update the Electrical Specification to require hard-wired smoke detection when major electrical works are completed.
Verbatim wording from the response “The Electrical Specification issued to contractors operating for and on behalf of Housing Leeds is presently being fully reviewed and, where applicable, updated. I can confirm that part of this updates includes for the installation of hard-wired smoke detection in the event that any major electrical works are completed within the dwelling. This replaces the existing document which specifies the installation of hard-wired detection equipment as part of a full re-wire only.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Install battery and, where applicable, carbon-monoxide detection in sheltered dwellings lacking existing detection.
Verbatim wording from the response “Battery detection installation schemes have already been completed in 2013 in the West of the city, specifically targeting sheltered accommodation whereby battery detection and carbon monoxide detection equipment (where applicable) was installed in all sheltered dwellings with no existing detection equipment. Additionally, following a fire to a privately owned Caspon-type property in 2012, all properties of this construction type owned by LCC have had battery detection installed (where existing not present) in addition to the ‘hot strip’ completed by West Yorkshire Fire and Rescue Service following this fire. Both these programmes have been accounted for in the above data and recorded on Keystone.” Source location 2014-0023-Response-by-Leeds-City-Council
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Install battery detection in LCC-owned Caspon-type properties lacking existing detection, alongside the completed fire-safety works.
Verbatim wording from the response “Battery detection installation schemes have already been completed in 2013 in the West of the city, specifically targeting sheltered accommodation whereby battery detection and carbon monoxide detection equipment (where applicable) was installed in all sheltered dwellings with no existing detection equipment. Additionally, following a fire to a privately owned Caspon-type property in 2012, all properties of this construction type owned by LCC have had battery detection installed (where existing not present) in addition to the ‘hot strip’ completed by West Yorkshire Fire and Rescue Service following this fire. Both these programmes have been accounted for in the above data and recorded on Keystone.” Source location 2014-0023-Response-by-Leeds-City-Council
Open published response
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Source evidence
How this respondent action was interpreted
PFD Monitor created a concise, searchable interpretation from the published response wording shown below.
PFD Monitor interpretation Add smoke-detection identification to annual tenancy visits and refer properties without detection to West Yorkshire Fire and Rescue Service for interim detectors.
Verbatim wording from the response “As part of its commitment to delivering a customer focused service, Housing Leeds targets to visit 100% of customers in their homes on an annual basis. This visit is known as the Annual Tenancy Visit and focusses on a number of areas, including vulnerability, safeguarding and compliance with statutory inspections (for example the annual gas safety visit). With effect 1st April 2014, the Annual Tenancy Visit will now include the identification of smoke detection equipment. In cases where smoke detection is not present, these properties will be referred to West Yorkshire Fire & Rescue Service for provision of smoke detectors until such time that hard wired detection equipment is provided.” Source location 2014-0023-Response-by-Leeds-City-Council
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Actions and positions describe what organisations say in published responses. Implementation is not independently verified.