Investigation and inquest
On 20th July 2016 Senior Coroner Hassell began an investigation into the death of Ellen Eileen Margaret Kelly who died aged 86 on the 16th July, 2016 at St Mary’s Hospital Paddington.
The investigation concluded at the end of the inquest on 12th December 2016 conducted by myself, Assistant Coroner Edwin Buckett.
I made a determination at inquest that the deceased died as a result of smoke inhalation injuries sustained as a result of a house fire at ████████ which occurred on the 7th July, 2016.
Circumstances of the death
On the 7th July, 2016 Ellen Eileen Margaret Kelly had a cigarette at her home address ████████ which she did not fully extinguish. She placed it into a carrier bag containing other cigarette butts and this caught fire. An extensive fire then occurred at the flat and she suffered smoke inhalation injuries and died on the 16th July, 2016 at St Marys Hospital, Paddington.
Coroner’s concerns
Evidence was given by Watch Manager ████████ from the London Fire Brigade that:
1. ████████ is a block owned by London Borough of Camden.
2. At the time of the fire, the front door of Flat 13 was left open whilst the occupant went to raise the alarm. This caused the fire to spread more quickly than would have been the case had the door been shut. It also caused smoke to disperse in the common parts of the building.
3. Another family was trapped in Flat 15 (above Flat 13) until the London Fire Brigade attended.
4. The front door of Flat 13 should have been fitted with a self-closing mechanism but was not.
5. Other front doors in the block identified by the London Fire Brigade when they attended were not of a suitable standard in that they did not comply with the 30 minute fire resistant British Standard.
I consider that it is likely that there are front doors of flats within Kilburn Gate which do not have:
a. A proper self-closing mechanism in accordance with legal requirements as this was the case with the door to Flat 13, and
b. Do not comply with the relevant British Standard, in that they are not fire resistant for 30 minutes or more.