Recurring concern

Unreliable smoke-alarm interlinking and status information for vulnerable people

Pin Get email alerts Request correction

First reported 24 Jan 2014•Latest report 4 Oct 2022

Definition

What this concern includes

Includes failures of controls specifically dedicated to interlinking smoke alarms with telecare or other alarm-response systems, and to accurately recording, displaying or communicating whether that interlink is present and operational for vulnerable people.

Not included

  • Excludes absence, incorrect installation, testing or maintenance of smoke alarms where no interlinking or interlink-status failure is identified.
  • Excludes generic fire-safety assessments, advice or emergency-response deficiencies not specifically concerning smoke-alarm interlinking or its status information.
  • Excludes telecare failures unrelated to receiving, identifying or responding to an interlinked smoke-alarm signal.
  • Excludes smoke or fire hazards in boats, workplaces or other settings unless the reported deficiency concerns the same smoke-alarm interlinking and status-information control.
Reports
4

Distinct published reports

Individual concerns
6

A report can raise multiple concerns

Date range
2014–2022

First to latest report issue date

Stated actions
7

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

Barnet Assist1
Care Quality Commission1
Chartered Trading Standards Institute1
Conwy County Borough Council1
Department for Business, Energy & Industrial Strategy1
Department of Health and Social Care1
Home Office1
Hotpoint UK Appliances Limited1
London Borough of Brent1
London Borough of Wandsworth1
London Telecare Limited1
Office for Product Safety and Standards1
Sovereign Network Homes1
The Community Equipment Code of Practice Scheme C.I.C.1
TSA – The Voice of Technology Enabled Care1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Inner North London

    AI-generated summary

    Reginald Cauthery · 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

    Reginald Cauthery was a frail man with limited mobility who lived alone and died in hospital after sustaining extensive burns in a smouldering fire at his flat. The report raised concerns that his telecare service was not reviewed despite his increased fire risk and deteriorating mobility, and that his smoke alarms were not connected to the telecare system, delaying contact with the Fire Brigade.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Smoke alarms not connected to telecare systems

    Wider context from the report

    “(2) The ability of frail and vulnerable people to get urgent help in a fire situation will often depend upon other people recognising that a smoke alarm has triggered and calling the Fire Brigade. This raises particular problems if the person lives alone and their smoke alarm is not connected to their telecare system. ”

    Source location

    Reginald Cauthery · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report

    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

    Encourage dissemination of the report’s findings and continued highlighting of telecare links to smoke alarms during fire safety checks.

    Verbatim wording from the response

    “To ensure that lessons from this case are learned, the Home Office will be sharing information from this case with the National Fire Chiefs Council (NFCC), which drives improvement and development throughout the UK FRSs. We will encourage it to disseminate the findings from your Regulation 28 report and ask FRSs (as part of their fire safety checks) to continue highlighting the importance of linking telecare systems to smoke alarms to help inform local agencies and carers about using them effectively.”

    Source location

    Response from Home Office
    Page 2 · response
    Published 20 October 2022

    Open published response

    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

    Publish the “What Good Looks Like” framework, including guidance for local authorities on considering technology-enabled care and linked preventative devices.

    Verbatim wording from the response

    “This Department published the “What Good Looks Like” framework for adult social care on 16 May. It is available on GOV.UK. The framework has been developed as part of Department of Health and Social Care and NHS England guidance to support health and care organisations with digitisation. The What Good Looks Like framework aims to bring together the needs of local authorities and care providers into one coherent guidance document that helps them to understand what they need to do to work well digitally.”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 20 October 2022

    Open published response

    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

    Develop the British Standard for technology-enabled care assessment, risk, design, installation and maintenance through BSI committee work.

    Verbatim wording from the response

    “In addition, TSA represents the TEC sector on British Standards Institute (BSI) working committees, to develop standards in public safety in TEC. We are currently working on a new British Standard with one of these committees, which will be called “BS 8684 - Technology enabled care – Assessment of user needs and risks, system design, installation and maintenance – Code of practice” and is aimed to specifically reduce the risks identified in this case. This development work will likely continue into 2023, but when it is complete, we will also be implementing this requirement within our QSF, which our auditors will then audit against to ensure it is implemented by certified TEC installation companies. This inclusion will most likely be achieved in our programmed review in September of next year.”

    Source location

    Response from TEC Services Association
    Page 6 · response
    Published 20 October 2022

    Open published response

    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

    Implement the completed British Standard’s requirements within the Quality Standards Framework and audit certified installation companies against them.

    Verbatim wording from the response

    “In addition, TSA represents the TEC sector on British Standards Institute (BSI) working committees, to develop standards in public safety in TEC. We are currently working on a new British Standard with one of these committees, which will be called “BS 8684 - Technology enabled care – Assessment of user needs and risks, system design, installation and maintenance – Code of practice” and is aimed to specifically reduce the risks identified in this case. This development work will likely continue into 2023, but when it is complete, we will also be implementing this requirement within our QSF, which our auditors will then audit against to ensure it is implemented by certified TEC installation companies. This inclusion will most likely be achieved in our programmed review in September of next year.”

    Source location

    Response from TEC Services Association
    Page 6 · response
    Published 20 October 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Fire Safety Order does not apply to individual homes, and fire and rescue services lack statutory powers to enforce telecare system changes.

    Verbatim wording from the response

    “The Home Office is responsible for the Regulatory Reform (Fire Safety) Order 2005, which applies to existing non-domestic premises and the common parts of multi-occupied residential buildings. It does not apply to individual homes. The Fire Safety Order places certain duties on the person responsible for the premises (usually the owner, landlord or employer) to ensure their fire safety. It is Local authorities that have a duty under the Housing Act 2004 to take enforcement action if they identify seriously hazardous conditions - including fire - in residential accommodation. This is assessed using the Housing Health and Safety Rating System risk assessment tool.”

    Source location

    Response from Home Office
    Page 1 · response
    Published 20 October 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Telecare installation, maintenance and linking to smoke alarms must be undertaken by telecare engineers, not fire and rescue services.

    Verbatim wording from the response

    “Under the FSO, Fire and rescue services do not have statutory powers to enforce changes to telecare systems. Further, fire and rescue services (FRSs) do not install or maintain telecare systems and have no capability to link them to smoke alarms. Such work must be undertaken by telecare engineers.”

    Source location

    Response from Home Office
    Page 1 · response
    Published 20 October 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Local agencies are best placed to determine vulnerable people's required care packages and telecare equipment.

    Verbatim wording from the response

    “Local agencies are best placed to consider the care packages and equipment, including telecare systems, that are required to support vulnerable people. Officials from my Department have sought information from London Fire Brigade (LFB) on its policy regarding telecare systems. LFB confirmed that where telecare systems are installed it advises all care providers and support workers that the systems should be linked to smoke alarms as standard.”

    Source location

    Response from Home Office
    Page 2 · response
    Published 20 October 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Telecare and fire-service matters fall outside regulation, leaving no powers to prevent future deaths concerning those services.

    Verbatim wording from the response

    “However, the matters of concerns highlighted in the Regulation 28 report relate to services outside our scope of regulation. We do not regulate the fire service or the”

    Source location

    Response from Home Care Quality Commission
    Page 1 · response
    Published 20 October 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The investigation found no evidence that involved TEC services were specifically at fault, while identifying disjointed agency working as significant.

    Verbatim wording from the response

    “On this occasion and from our discussions, we could not see any evidence that the TEC services involved, were at fault in any specific way, but we do feel that the disjointed way of working between agencies is a significant factor in this case. However, we do believe that lessons can be learnt.”

    Source location

    Response from TEC Services Association
    Page 5 · response
    Published 20 October 2022

    Open published response
  2. North London

    AI-generated summary

    Sean Ennis · 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

    Sean Ennis was found in his flat after a fire and died in hospital from the consequences of smoke inhalation. The principal concerns included incomplete fire-risk assessment and inadequate smoke detection and telecare arrangements for a vulnerable resident, including the alarm centre not knowing he was a smoker and not responding when he did not answer calls.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to link telecare to smoke alarms or AFSS

    Wider context from the report

    “3. Telecare is not always offered to vulnerable people or if individuals do receive it, is not always linked to smoke alarms or AFSS. Telecare is often at the cost of the individual or Local Authority which may be why a full telecare system is not offered or installed. The Telecare Services Association should consider exploring a sustainable funding source to enable all vulnerable residents in need of telecare to be provided with a full system. ”

    Source location

    Sean Ennis · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Matters of Concern 2, 3 and 4 are not issues for the landlord to address.

    Verbatim wording from the response

    “Matter of Concern 2:”

    Source location

    2022-0054-Response-from-Network-Homes_Published.pdf
    Page 7 · response
    Published 24 February 2022

    Open published response
  3. Inner West London

    AI-generated summary

    Mrs Elizabeth Marion Griffin · 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

    Mrs Elizabeth Marion Griffin, who was wheelchair bound due to advanced multiple sclerosis, was alone at home in bed when a dishwasher fire started on 14 July 2017. She activated her pendant alarm, but the responder did not recognise the smoke alarm, could not communicate effectively with her, and did not call the fire brigade; Mrs Griffin later died in hospital on 21 August 2017 from smoke inhalation injuries and bronchopneumonia. The concerns included delayed action by the dishwasher manufacturer, lack of appliance-owner registration and contact, and shortcomings in telecare arrangements, including unlinked fire alarms, responder training, communication, and escalation procedures.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to visibly flag unlinked fire alarms in client records

    Wider context from the report

    “12. That telecare systems providers and WWA in particular, highlight on the front screen of the client details, if that client has an unlinked fire alarm, until such a time as the unlinked alarm is replaced by a linked one, so as to alert call responders that sounds heard in the back ground or call may represent an activated fire alarm and thus the fire brigade may need to be called to the client’s home by the call responder. ”

    Source location

    Mrs Elizabeth Marion Griffin · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Unlinked household fire alarms in telecare users' homes

    Wider context from the report

    “5. That users of telecare systems have the fire alarms in their homes directly linked to the telecare systems. ”

    Source location

    Mrs Elizabeth Marion Griffin · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to identify and replace unlinked fire alarms in a timely and auditable manner

    Wider context from the report

    “9. That telecare systems providers and WWA in particular, take active steps to identify clients without linked fire alarms and arrange for them to be replaced with linked fire alarms and that this should be done in a timely and auditable fashion. ”

    Source location

    Mrs Elizabeth Marion Griffin · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report
  4. North Central & North East Wales

    AI-generated summary

    Alfred Leonard Hodges · 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

    Alfred Leonard Hodges, who had severe mobility, frailty and hearing difficulties, died aged 97 after a fire at his home on 26 June 2013. The report raised concerns that his smoke alarm was not interlinked with his Telecare system, that interim protections were unclear, and that he had not received a free Fire Home Safety Check. The inquest concluded that the medical cause of death was carbon monoxide poisoning and severe ischaemic heart disease.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of standard interlink connection for smoke alarms on the Conwy County Telecare package

    Wider context from the report

    “(1) Individuals on the Telecare package in Conwy County do not have a standard a provision that their smoke alarm is connected via interlink although this is seen as necessary in all other North Wales Counties due to the vulnerability of those on the scheme. ”

    Source location

    Alfred Leonard Hodges · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    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 current Council and Fire Service practice for providing linked smoke detectors with Telecare.

    Verbatim wording from the response

    “The Council and NWFRS reviewed the current practice in October 2013. The NWFRS concluded that it would be beneficial for people in Conwy if a linked smoke detector was installed as part of the basic Telecare package on initial installation, or during regular support visits to those already with a Telecare package. The NWFRS donated 900 linked smoke detectors to the Council for the Conwy Telecare Service to install for clients identified as not having a linked detector.”

    Source location

    2014-0033-Response-by-Conway
    Page 3 · response
    Published 24 January 2014

    Open published response

    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

    Establish a six-month full-time Council post to accelerate installation of linked smoke detectors for Telecare clients.

    Verbatim wording from the response

    “Officers from NWFRS and Conwy County Borough Council met again on 11th December 2013 and reached an agreement for the funding of a full time post in the Council for 6 months in order to install the linked smoke alarms in a considerably shorter timescale. The NWFRS also agreed to provide 500 smoke alarms during 2014/15 and have provided refresher training for Conwy Telecare Services installers on the correct positioning of smoke detectors in domestic dwellings and, will be providing fire safety awareness training for social services staff. Between December and February 105 detectors have been installed and the new full time officer has now started work.”

    Source location

    2014-0033-Response-by-Conway
    Page 4 · response
    Published 24 January 2014

    Open published response

    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 linked smoke detectors for Telecare clients identified as lacking them, using the accelerated installation programme.

    Verbatim wording from the response

    “The Council and NWFRS reviewed the current practice in October 2013. The NWFRS concluded that it would be beneficial for people in Conwy if a linked smoke detector was installed as part of the basic Telecare package on initial installation, or during regular support visits to those already with a Telecare package. The NWFRS donated 900 linked smoke detectors to the Council for the Conwy Telecare Service to install for clients identified as not having a linked detector.”

    Source location

    2014-0033-Response-by-Conway
    Page 3 · response
    Published 24 January 2014

    Open published response
Back to top

Data last updated 7 September 2026