P3

Private and voluntary organisations · Registered charity

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First report 5 May 2022•Latest report 5 May 2022

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

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

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

Concerns and recipient responses

Statements from P3 linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Black Country

    AI-generated summary

    Mr Keith Holmes · 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

    Mr Keith Holmes was found unresponsive and later confirmed deceased in his room at McHugh House after a fire in the early hours of 30 December 2021. The fire investigation could not determine whether the fire was caused by an electrical fault involving a fridge or by smoking materials igniting clothing or bedding. The principal concerns were the increased fire or accident risk from unmaintained electrical equipment during the Covid-19 pandemic, the failure to reassess that risk, and the absence of a contingency plan for a similar lockdown situation.

    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 P3; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of maintenance of electrical equipment

    Wider context from the report

    “(1) There was an increased risk of fire or accident due to unmaintained electrical equipment during the Covid 19 pandemic; ”
    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 P3; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to reassess risks from non-testing of electrical appliances

    Wider context from the report

    “(2) P3 failed to carry out a reassessment of the increased risks posed by the non-testing of electrical appliances in McHugh House during the Covid 19 Pandemic. This was during a time when it was expected that residents would spend significant periods of each day in their room; ”
    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 P3; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a contingency plan for risks from absent PAT testing

    Wider context from the report

    “(3) I was told in evidence that P3 do not have a contingency plan on managing the increased risks posed by the absence of PAT testing in the event the UK is placed into a similar lockdown situation as experienced during 2020/2021. ”
    Open source report
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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