Recipient

Royal Institute of British Architects

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First report 1 Apr 2019•Latest report 1 Apr 2019

Recipient record

Reports, concerns and published responses

Private and voluntary organisations · Professional membership body. 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
1

Across all linked responses

Stated actions
1

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
1stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Royal Institute of British Architects linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Wiltshire and Swindon

    AI-generated summary

    Andrew Robert Frank Clegg · 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

    Andrew Robert Frank Clegg, a 56-year-old vulnerable individual with corticobasilar degeneration, lived in a specialist care home where problems with the water system allowed legionella bacteria to colonise it. He was infected and died from legionella pneumonia, which the inquest jury concluded resulted from an accident. Concerns included inadequate water-safety design in care homes and insufficient inspector training to identify potential legionella risks.

    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 Royal Institute of British Architects; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of inspector training to identify potential legionella infection risks

    Wider context from the report

    “2. Care homes and other healthcare premises are regularly inspected by the Care Quality Commission. In recent years the inspection regime has included a duty on inspectors to check on water safety. Expert evidence at the inquest suggested that inspectors lacked training to help them identify risks relating to potential legionella infection. ”
    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 Royal Institute of British Architects; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of care-home and healthcare-premises architects to take water safety into account

    Wider context from the report

    “1. Expert evidence suggested that architects designing care homes and healthcare premises, rarely take into account the need for water safety. In combating the risk of a proliferation of legionella bacteria, it is desirable, among other things, to design a water system with short pipe runs and with areas of maximum water usage established at the end of pipe runs to ensure a regular flushing of the pipework. Legionella bacteria, flourishing as it does at temperatures in excess of 20 degrees centigrade, precautions need to be taken to avoid heat exchange between hot and cold-water pipes, calling for cold-water pipes to be set at a distance from hot-water pipes rather than being run in parallel. ”
    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
100%
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