Recommendation 4

The serious nature of a Prevention of Future Deaths report will not be lost on the new HMCI. We expect him to make every effort to address the coroner’s report fully. Ofsted should review the seven areas of concern set out in the coroner’s report following the inquest into the death of Ruth Perry and put in place changes to ensure that each of these have been addressed as a matter of urgency. They must monitor the impact of the changes they have already put in place and commit to making further changes if these have not been shown to have a meaningful impact. Going forward we expect HMCI to report to this Committee on a six-monthly basis on Ofsted’s progress in addressing these significant concerns. (Paragraph 17) The inspection process