Source · Prevention of Future Deaths

Michaela Haines

Ref: 2017-0415 Date: 23 Nov 2017 Coroner: Jonathan Layton Area: Carmarthenshire & Pembrokeshire Responses identified: 1 / 1 View PDF

The police STORM report was not consistently updated, leading to uncertainty about completed actions, potential loss of evidence, and duplicated work, highlighting a need for better training.

Date 23 Nov 2017
56-day deadline 24 Apr 2018 est.
Responses identified 1 of 1
Police related deaths

Coroner's concerns

AI summary
The police STORM report was not consistently updated, leading to uncertainty about completed actions, potential loss of evidence, and duplicated work, highlighting a need for better training.
View full coroner's concerns
The MATTERS OF CONCERN is as follows:

The STORM report had not been up-dated with actions taken. This caused uncertainty as to whether outstanding enquiries had been actioned or not. This may have resulted in evidence not being preserved. It could also result in work being duplicated with enquiries being made when they have already been undertaken. If the STORM report is to be used as an effective command and control document it is essential that it is updated in the light of changing developments. Training may be required to remind those using this vital work tool of the need to keep it up to date.

Responses

1 respondent
Response
23 Nov 2017 PDF
Action Planned

Following a review, the police force will implement eight recommendations including reviewing and amending the Sudden Death Policy, preventing closure of the STORM log until investigation completion, and recording all raised actions numerically. (AI summary)

View full response
Dear Mr Layton

Re: Michaela Marie Haines Inquest – Regulation 28 Report

I write in response to your letter dated 23 November 2017 concerning the above matter and sad circumstances surrounding the death of Ms Haines. I am also aware that you have met with the Chief Constable in order to discuss this issue and of course our meeting of last Friday at your office.

In my capacity as Head of CID for Dyfed Powys Police and on your instruction in accordance with Regulation 28, I caused a review to be conducted by a Force Senior Investigating Officer to explore the initial response and subsequent investigation. I am also aware of the Human Rights Article 2 Ruling On Engagement report, which I have read in pursuance of this review and letter.

Following the completion of the review I am firmly of the belief that there are no suspicious circumstances. The investigation concerning the events of the evening shows no evidence of third party involvement. However, it apparent that the recent separation from her boyfriend was causing Ms Haines some distress and I support your view that it was a cry for help which tragically resulted in her death.

I note and agree with your observations in relation to the inconsistent endorsement of the Police STORM log resulting in confusion in respect of officer in command, management / allocation of actions and their subsequent endorsement which did impact on the effective recovery and collection of CCTV. However, in light of these shortcomings, there was sufficient evidence elsewhere including CCTV to show no third party involvement which supports the Open Conclusion at the Inquest.

As a consequence of the review, eight Eich cyf/Your ref :

Ein cyf/Our ref : 2-2018 Gofynnwch am/Please ask for : Prif Gwnstabl • Mr. Mark Collins • Chief Constable Y Wobr Brydeinig am Wasanaeth o Safon

The National Award For Quality of Service

Mae Heddlu Dyfed-Powys yn croesawu Gohebiaeth yn y Gymraeg neu’r Saesneg.

Dyfed-Powys Police welcomes Correspondance in either Welsh or English. Buddsoddwyr Mewn Pobl

Investors in People

recommendations were identified which are currently subject to implementation and include:

 Review and amendment of Sudden Death Policy confirming officer in command and method to record enquiries  STORM log will not be closed until investigation is complete or transfer to alternative system to record enquiries  Clear decision and rationale outlining determination of investigation  All raised actions be recorded numerically

In drafting this letter and causing a review it is my intention to provide you with reassurance that the matters raised are being addressed, and more importantly, to confirm with the family that there is no third party involvement.

I cannot adequately express my sympathy for the family of Ms Haines and would willingly and sensitively be prepared to meet them and explain the process and findings of this review, if indeed they would find that helpful.

Report sections

Investigation and inquest
On 30th December 2016 I commenced an investigation into the death of Michaela Marie Haines who died on 23rd December 2016. The investigation concluded at the end of the inquest on 23rd November 2017. The conclusion I recorded was an open conclusion.
Circumstances of the death
(1) At approximately 02.36hrs on 23rd December 2016, police were dispatched to deal with a report of a female hanging in the stairwell of flats at Tenby Mount, Tenby. (2) A STORM (System for Tasking and Operational Resource Management) Command and Control System incident report was created and up-dated with developments as the investigation continued. (3) The STORM report identified the need to follow up enquiries with the occupants of persons living within the block of flats. It is not clear whether enquiries were followed up with the occupants of the block of flats as no record of such enquiries has been entered onto STORM. (4) The STORM report further identified that CCTV covered the stairs and would show anyone approaching the stairs. Whilst there was some evidence before the inquest that this did not operate, the STORM report was not updated to confirm the position. (5) CCTV from a local hotel was requested from the proprietors who preserved the same for police. They believe this was collected from them but it has not been entered into the property log. Had the STORM report been fully completed identifying this as a task and then recording steps taken to complete this task, then any issue as to whether this piece of evidence had been secured would have been resolved, thus avoiding the distress it caused to the family.
Copies sent to
Chief Constable, Dyfed Powys Police, Police Headquarters, PO BOX 99, Llangunnor, Carmarthen, SA31 2PF

Similar PFD reports

Shared signals

Related inquiry recommendations

Similar themes

Report details

Reference
2017-0415
Date of report
23 November 2017
Coroner
Jonathan Layton
Coroner area
Carmarthenshire & Pembrokeshire

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 24 Apr 2018 (estimated).

Sent to

Dyfed-Powys Police

Source links