Investigation and inquest
I opened an investigation on 14 August 2014 into the death of Amar MAJID, late of 198c Dillotford Avenue, Coventry. On 11 November 2014 I conducted the inquest on 11 November 2014 and returned a conclusion that his death was a drugs related death
Circumstances of the death
Mr Majid was found dead in the disabled toilets of the Public Library, Smithford Way Coventry at approximately 3.00pm. He was found with a syringe in his hand and material believed to be heroin. He died from heroin toxicity. I heard evidence that he was in the toilet from approximately 10.00am
Coroner’s concerns
I heard evidence from ████████ (Business Improvement Manager) of Coventry City Council (CCC) that the disabled toilets in the library are used by individuals abusing drugs. Mr Majid was present in the toilet from 10.00am and heard to be making noises. I was concerned that no-one checked on his well-being for over 5 hours, despite what I understand to be hourly cleaning of the toilet. Earlier intervention may have prevented his death.
I invite you to consider the installation of ultra-violet lights in the disabled toilet to make the location less attractive to intravenous drug users.
Also I invite you to review your procedures concerning checking the toilets as it seems there was confusion as to the correct procedure to follow when a toilet was occupied for a considerable period of time. Mr Majid was in the toilet from about 10.00am to the door being opened at about 3.00pm. That delay may have contributed to his death although I was unable to make firm findings on that point.