Investigation and inquest
I opened an investigation on 13 January 2014 into the death of Amanda Richards, late of 5 Kildare Close, Coventry. I concluded the inquest on 24 April 2014 and returned a conclusion that her death was accidental.
Circumstances of the death
Ms Richards suffered from Peri-ventricular Leukomalacia and was a wheelchair user.
She had live-in carers 22 hours per day. On 3rd December 2013 it seems she dropped a cigarette and died in the subsequent fire. The fire occurred while she was alone.
Coroner’s concerns
I heard from Fire Investigation Officer Holder that the provision of a domestic sprinkler system would have made the death far less likely. I accept that the provision of such a system throughout your housing stock would be prohibitively expensive but I ask you to consider such provision in special accommodation such as Ms Richards.