Investigation and inquest
After presiding over the inquest into the death of Ms Miriam Joyce Smith-Cox at 12.00 noon on 20th July 2015 at Truro Municipal Buildings, Truro
Circumstances of the death
Miriam Smith-Cox was found dead at around 14.10 pm on the 4th March 2015 at ████████, Newlyn, Penzance. She was found lying on her back on the stairs leading to the front door with a significant head injury. She was last known to be alive at around 17.00 pm on 3rd of March 2015. She was a large lady (BMI 55) who lived in unsanctioned conditions. She was known to Social Service and the Housing Association and her GP to self-neglect. She suffered from mild learning difficulties although not formally diagnosed. On that day her cat was to be taken to the vet/foster placement prior to Ms Smith-Cox being placed in a respite/rehabilitation placement in a Residential Home while her flat was cleaned and decluttered. She had been referred to the Pluss Work Choice Programme in August 2014 by the Disability Employment Advisor for the Job Centre Plus having been on benefits for many years. She was assessed as having psycho/social issues at that time which prevented her from accessing the work place. During the assessment by Pluss Work Choice Programme safeguarding concerns were raised by the Employment Team manager to Social Services in December 2014 with regards to the suitability and state of her accommodation which was not acknowledged or acted upon for unknown reasons. It was not clear the extent that neglect/self-neglect played a part in the death as the reason for her fall down the stairs was not established the cause of death was due to the injuries consistent with her fall down stairs.
Coroner’s concerns
That████████, ████████████████████ with Pluss Work Choice Programme Cornwall raised a safeguarding concern about the suitability of Ms Smith-Cox accommodation and living conditions in December 2014 (see attached letter to ████████ dated 4.12.14 and report) which ████████ gave evidence she did not receive or act upon. ████████ was a key stakeholder in the support of Ms Smith-Cox. Ms Smith-Cox fell down the stairs for unknown reason as raised as a concern by ████████ and this fall led to her death.