PFD report

Sylvia Ruth GRIFFITHS · Prevention of Future Deaths report

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Issued 17 Nov 2020•Staffordshire South

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
7

Described in responses

Recipients and published 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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Concerns raised1

  1. Insufficient communication about and use of fire/smoke alarms directed at people suffering with dementia
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.3

  1. Action

    Redevelop Olive Branch training to accommodate changing community needs.

    Stated by Staffordshire Fire and Rescue ServiceStated completedThe respondent said that this action was complete when they made their response on 24 December 2020.
  2. Action

    Feed the inquest findings into Olive Branch training, including guidance on fire and smoke alarms for people with dementia.

    Stated by Staffordshire Fire and Rescue ServiceStated plannedThe respondent said that this action was planned when they made their response on 24 December 2020.
  3. Action

    Use Olive Branch training to improve communication with domiciliary-care groups and reinforce feedback about vulnerable people not using provided specialist equipment.

    Stated by Staffordshire Fire and Rescue ServiceStated plannedThe respondent said that this action was planned when they made their response on 24 December 2020.

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

Insufficient communication about and use of fire/smoke alarms directed at people suffering with dementia

Wider context from the report

“During the course of the inquest a suggestion was made that there can be fire/smoke alarms that are particularly directed at people suffering with dementia. It was mentioned that Staffordshire Fire and Rescue Service may well have links with groups helping the demented and that there could be greater communication about and use of such alarms. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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

Redevelop Olive Branch training to accommodate changing community needs.

Verbatim wording from the response

“Staffordshire Fire and Rescue Service work closely with partner agencies and Olive Branch training has recently been redeveloped to accommodate our ever changing community needs. The findings from the investigation into the death of Sylvia Griffiths and Neil Barre will be fed into these training sessions, particularly the availability and use of fire/smoke alarms that are designed for people suffering with dementia. These training sessions will also be used to improve communication with groups who provide domiciliary and reinforce feedback regarding people who may not be using the special equipment provided to them.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 2 · response
Published 24 December 2020

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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

Feed the inquest findings into Olive Branch training, including guidance on fire and smoke alarms for people with dementia.

Verbatim wording from the response

“Staffordshire Fire and Rescue Service work closely with partner agencies and Olive Branch training has recently been redeveloped to accommodate our ever changing community needs. The findings from the investigation into the death of Sylvia Griffiths and Neil Barre will be fed into these training sessions, particularly the availability and use of fire/smoke alarms that are designed for people suffering with dementia. These training sessions will also be used to improve communication with groups who provide domiciliary and reinforce feedback regarding people who may not be using the special equipment provided to them.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 2 · response
Published 24 December 2020

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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

Use Olive Branch training to improve communication with domiciliary-care groups and reinforce feedback about vulnerable people not using provided specialist equipment.

Verbatim wording from the response

“Staffordshire Fire and Rescue Service work closely with partner agencies and Olive Branch training has recently been redeveloped to accommodate our ever changing community needs. The findings from the investigation into the death of Sylvia Griffiths and Neil Barre will be fed into these training sessions, particularly the availability and use of fire/smoke alarms that are designed for people suffering with dementia. These training sessions will also be used to improve communication with groups who provide domiciliary and reinforce feedback regarding people who may not be using the special equipment provided to them.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 2 · response
Published 24 December 2020

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.4

  1. 1

    Use the review’s identified learning to review prevention and partnership activity to reduce the risk of further deaths.

    Stated by Staffordshire Fire and Rescue ServiceStated plannedThe respondent said that this action was planned when they made their response on 24 December 2020.
  2. 2

    Conduct a fatal fire review with partner agencies, incorporating the Coroner’s findings and reviewing related prevention and partnership activity.

    Stated by Staffordshire Fire and Rescue ServiceStated plannedThe respondent said that this action was planned when they made their response on 24 December 2020.
  3. 3

    Share the review’s learning with the Coroner’s office.

    Stated by Staffordshire Fire and Rescue ServiceStated plannedThe respondent said that this action was planned when they made their response on 24 December 2020.
  4. 4

    Share the review’s learning nationally through fire and rescue services’ prevent networks.

    Stated by Staffordshire Fire and Rescue ServiceStated plannedThe respondent said that this action was planned when they made their response on 24 December 2020.

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

Use the review’s identified learning to review prevention and partnership activity to reduce the risk of further deaths.

Verbatim wording from the response

“The fatal fire review will involve Staffordshire Fire and Rescue Service along with key partner agencies and will aim to capture any multi agency learning from this tragic event. Following which the identified learning will be used to review our prevention and partnership activity in order to ensure the potential for further deaths of this nature are prevented.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 1 · response
Published 24 December 2020

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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

Conduct a fatal fire review with partner agencies, incorporating the Coroner’s findings and reviewing related prevention and partnership activity.

Verbatim wording from the response

“Staffordshire Fire and Rescue Service will be conducting a fatal fire review of the case. This will involve your findings from the Coroner’s inquest along with a review of partnership and prevention activity the fire and rescue service conducts in cases such as this.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 1 · response
Published 24 December 2020

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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

Share the review’s learning with the Coroner’s office.

Verbatim wording from the response

“Due to current COVID 19 restrictions the fatal fire review will be taking place virtually W/C 22 February 2021 all actions and learning will be recorded. Staffordshire Fire and Rescue Service will ensure a record of the learning is shared through the Coroner’s office for your awareness by the 1st March 2021. It is proposed the learning will also be shared with local partner agencies along with fire and rescue services nationally on the above date.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 1 · response
Published 24 December 2020

Open published response

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

Share the review’s learning nationally through fire and rescue services’ prevent networks.

Verbatim wording from the response

“The learning will also be shared with other fire and rescue services nationally through our national prevent networks also aimed at raising awareness of cases such as this and to share best practice to ensure prevention activity meet the needs of our communities.”

Source location

2020-0238-Response-from-Staffordshire-Fire-and-Rescue-Service-Redacted.pdf
Page 1 · response
Published 24 December 2020

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026