PFD report

Amanda Richards · Prevention of Future Deaths report

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Issued 12 May 2014•Coventry

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
2

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Lack of domestic sprinkler systems in special accommodation
    Part of recurring concern: Inadequate sprinkler protection in residential accommodation
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.1

  1. Action

    Work with other agencies to understand risks affecting residents in special accommodation and agree specific safety actions.

    Stated by WM Housing GroupStated plannedThe respondent said that this action was planned when they made their response on 12 May 2014.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Decisions on resident-specific safety measures, including sprinklers, will be agreed through joint agency working before installation is considered.

    Stated by WM Housing GroupRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking 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

Lack of domestic sprinkler systems in special accommodation

Wider context from the report

“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. ”

Is this part of a recurring concern?

Yes — Inadequate sprinkler protection in residential accommodation.

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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

Work with other agencies to understand risks affecting residents in special accommodation and agree specific safety actions.

Verbatim wording from the response

“The action plan will include specific actions for Whitefriars Housing Group, and we have agreed with others present that all agencies need to work together to better understand the risks and issues surrounding the needs of individual residents in special accommodation. Through those agencies working together we will agree specific actions to be undertaken or works to be implemented to meet the needs of the resident. If through such joint working it is agreed that the provision of a domestic sprinkler system to an individual dwelling would be the appropriate action to be taken then I confirm that Whitefriars Housing Group would consider and pay for the installation. I can also confirm that such works would be carried out without delay once the course of action had been agreed.”

Source location

2014-0228-Response-by-Whitefriars-Housing
Page 1 · response
Published 12 May 2014

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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

Decisions on resident-specific safety measures, including sprinklers, will be agreed through joint agency working before installation is considered.

Verbatim wording from the response

“The action plan will include specific actions for Whitefriars Housing Group, and we have agreed with others present that all agencies need to work together to better understand the risks and issues surrounding the needs of individual residents in special accommodation. Through those agencies working together we will agree specific actions to be undertaken or works to be implemented to meet the needs of the resident. If through such joint working it is agreed that the provision of a domestic sprinkler system to an individual dwelling would be the appropriate action to be taken then I confirm that Whitefriars Housing Group would consider and pay for the installation. I can also confirm that such works would be carried out without delay once the course of action had been agreed.”

Source location

2014-0228-Response-by-Whitefriars-Housing
Page 1 · response
Published 12 May 2014

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

    Attend the serious incident review led by the West Midlands Fire Service.

    Stated by WM Housing GroupStated completedThe respondent said that this action was complete when they made their response on 12 May 2014.

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

Attend the serious incident review led by the West Midlands Fire Service.

Verbatim wording from the response

“On the 16 June 2014 ████████ Director of Housing and Neighbourhood Services for Whitefriars Housing Group, attended the serious incident review which as you will be aware, was led by the West Midlands Fire Service. All key agencies participated in the incident review, and I understand that the learning outcomes will form the recommendations in the plan to be produced by the Fire Service.”

Source location

2014-0228-Response-by-Whitefriars-Housing
Page 1 · response
Published 12 May 2014

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

Official responses located
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Data last updated 7 September 2026