PFD report

Frederick POWELL · Prevention of Future Deaths report

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Issued 24 Oct 2023•Lincolnshire

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
8

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Failure to replace internal glass doors in properties
    Part of recurring concern: Inadequate safety glazing in doors
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.7

  1. Action

    Add internal glazing to stock-condition survey data requirements so its presence is captured across the survey cycle.

    Stated by Acis Group LimitedStated completedThe respondent said that this action was complete when they made their response on 1 November 2023.
  2. Action

    Contact identified tenants by priority band, providing information, advice and guidance about internal glazing and discussing potential replacement or encapsulation.

    Stated by Acis Group LimitedStated in progressThe respondent said that this action was in progress when they made their response on 1 November 2023.
  3. Action

    Engage a specialist contractor to support delivery of risk-prioritised remedial works.

    Stated by Acis Group LimitedStated plannedThe respondent said that this action was planned when they made their response on 1 November 2023.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Position

    Remedial glazing works depend on tenants consenting to the works being undertaken.

    Stated by Acis Group LimitedUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to replace internal glass doors in properties

Wider context from the report

“Although it is not suggested current building regulations were breached the Inquest was told many more properties in your stock retained internal glass doors. Is it time for a review to reconsider replacement ? ”

Is this part of a recurring concern?

Yes — Inadequate safety glazing in doors.

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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 internal glazing to stock-condition survey data requirements so its presence is captured across the survey cycle.

Verbatim wording from the response

“Like many of AGL’s peers, the stock condition survey programme has previously focused predominantly on Decent Homes Standard compliance, and the age and condition of relevant components within a property; this would include external windows and doors but did not focus on internal glazing. Since being notified of the incident we immediately added the presence of internal glazing to our data capture requirements of the stock condition survey meaning that this information will now be gathered over the stock condition survey cycle if it is not already known or has otherwise been identified. Should further properties be identified through our stock condition survey programme over the next cycle, they will be dealt with on a case-by-case basis, as they arise.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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

Contact identified tenants by priority band, providing information, advice and guidance about internal glazing and discussing potential replacement or encapsulation.

Verbatim wording from the response

“AGL has started to contact those customers, by priority banding. As part of this process, AGL is offering information, advice and guidance to its tenants, and is also discussing all possible actions to replace or encapsulate any identified glazing. AGL expects that the proactive contact with its tenants will be concluded by the end of March 2024, albeit that any resultant remedial actions will take longer, and will be contingent upon AGL’s tenants consenting to the works being undertaken.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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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

Engage a specialist contractor to support delivery of risk-prioritised remedial works.

Verbatim wording from the response

“AGL has also engaged a specialist contractor to assist with the delivery of remedial works which will be prioritised based on risk. Initial pre-works surveys are planned to commence in December 2023 with any urgent remedial works to immediately follow.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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

Revise the Lettable Standard to require replacement or encapsulation of single glazing before re-letting empty properties.

Verbatim wording from the response

“Prior to receiving the Regulation 28 Report To Prevent Future Deaths from the Coroner, AGL had already been working proactively to address the concern later raised by the Coroner in relation to internal glazing on their housing stock, for example in 2020 AGL’s Lettable Standard (the specification to which an empty property must meet prior to being re-let) was revised and included specific provision to replace or encapsulate single glazing prior to the re-letting of an empty property.”

Source location

Response from acis group
Page 1 · response
Published 1 November 2023

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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 properties containing internal single-glazed doors or panels and establish a risk-prioritised improvement action plan using tenants’ known age and health needs.

Verbatim wording from the response

“Following the tragic circumstances of the resident’s death, AGL has publicly expressed its condolences to the resident’s family and friends. AGL also immediately undertook an exercise to identify any other properties within AGL’s stock that might also incorporate internal single glazed doors and/or panels and an action plan has been set out to address those properties based on information held by AGL around the tenant’s age and health needs (where known) in order to prioritise a proactive programme of improvements based on the risk-based profile of the tenants.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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

Invite and support tenant reports of glazed doors through the website, digital portal, telephone contact and home visits, adding identified properties to remediation planning where appropriate.

Verbatim wording from the response

“AGL has also invited tenants with any concerns over glazed doors in their homes to make contact. AGL has reached out via its own website, its “MyAcis” digital customer portal, telephone calls by its Customer Service Centre to its tenants, and by making home visits. Those actions will enable AGL to provide advice and support to its tenants, and to also bring to light any properties that might have that type of door installed, but not recorded on AGL’s database, whether as an original fixture, or because of tenants undertaking DIY and replacing doors. Depending upon the source of the door, and time of installation, AGL will either add it to a planned remediation programme or signpost the tenant to other resources in cases where the tenant has installed the door themselves during their tenancy.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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

Conduct initial pre-works surveys and follow them with urgent remedial works where identified.

Verbatim wording from the response

“AGL has also engaged a specialist contractor to assist with the delivery of remedial works which will be prioritised based on risk. Initial pre-works surveys are planned to commence in December 2023 with any urgent remedial works to immediately follow.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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

Remedial glazing works depend on tenants consenting to the works being undertaken.

Verbatim wording from the response

“AGL has started to contact those customers, by priority banding. As part of this process, AGL is offering information, advice and guidance to its tenants, and is also discussing all possible actions to replace or encapsulate any identified glazing. AGL expects that the proactive contact with its tenants will be concluded by the end of March 2024, albeit that any resultant remedial actions will take longer, and will be contingent upon AGL’s tenants consenting to the works being undertaken.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

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

Existing arrangements addressed internal single glazing over time because the inherent risk was considered low.

Verbatim wording from the response

“The property also met the Regulator of Social Housing’s Decent Homes Standard, and AGL was not on notice of any defect relating to its repair and maintenance obligations, either in general or specifically in respect of the glazed door. Whilst AGL was aware of the presence of this type of glazing in some of its properties, the inherent risk was considered to be low, and therefore AGL initiated a policy to address it over time, as and when those properties with that type of glazing became empty, thus being picked up through the Lettable Standard.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.1

  1. 1

    Report the incident and response to the housing regulator and National Housing Federation to raise awareness of internal-glazing risks across the social-housing sector.

    Stated by Acis Group LimitedStated completedThe respondent said that this action was complete when they made their response on 1 November 2023.

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

Report the incident and response to the housing regulator and National Housing Federation to raise awareness of internal-glazing risks across the social-housing sector.

Verbatim wording from the response

“The Board of Acis Group Limited has been kept fully appraised of the position, and AGL asserts that there had been no breach of any Regulatory Standards or statutory obligations in respect of our repair and maintenance responsibilities. However, AGL took the decision to refer the issue to the Regulator of Social Housing in order to ensure that they too were fully apprised of the matter and the action that AGL has taken, and continues to take in response to it.”

Source location

Response from acis group
Page 2 · response
Published 1 November 2023

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026