Recipient

Manager

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First report 11 Dec 2013•Latest report 11 Dec 2013

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Manager linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. South and East Cumbria

    AI-generated summary

    Damion Stanley Joseph Henson · 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

    Damion Stanley was found dead in his flat on 4 July 2013 after overdosing principally on methadone and taking other drugs. The concern was that inadequate 24-hour supervision at a homeless residence used by some drug users may have contributed to the death and posed risks to others.

    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. The report was sent to Manager; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure appropriate placement and control of drug users in the homeless residence

    Wider context from the report

    “I am concerned that this is the second or third death at these premises and it seems to me that the death occurred, at least in part, because the property was not supervised 24 hours a day. I understand that the residence is for homeless people but by default some drug users have been placed there and unfortunately on occasions these drug users introduce other drug users into the property out of hours with risks to all those who are present. The address is not a drug rehabilitation unit but is a homeless unit but in the present way that it is being used, it appears to me that 24 hours supervision would be preferable. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Manager; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of 24-hour supervision at the premises

    Wider context from the report

    “I am concerned that this is the second or third death at these premises and it seems to me that the death occurred, at least in part, because the property was not supervised 24 hours a day. I understand that the residence is for homeless people but by default some drug users have been placed there and unfortunately on occasions these drug users introduce other drug users into the property out of hours with risks to all those who are present. The address is not a drug rehabilitation unit but is a homeless unit but in the present way that it is being used, it appears to me that 24 hours supervision would be preferable. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026