Source · Prevention of Future Deaths
Amar Majid
Ref: 2014-0495
Date: 11 Nov 2014
Coroner: S McGovern
Area: Coventry
Responses identified: 0 / 1
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Inadequate toilet checking procedures and confusion over protocols for prolonged occupancy led to a significant delay in discovering a person in distress.
Date
11 Nov 2014
56-day deadline
6 Jan 2015
Responses identified
0 of 1
Coroner's concerns
Inadequate toilet checking procedures and confusion over protocols for prolonged occupancy led to a significant delay in discovering a person in distress.
View full coroner's concerns
_ heard evidence from (Business Improvement Manager) of Coventry Council (CCC) that the disabled toilets in the library are used by individuals abusing drugs. Mr Majid was present in the toilet from 10.OOam heard to be making noises_ was concerned that no-one checked on his well-being for over 5 hours, despite what understand to be hourly cleaning of the toilet Earlier intervention may have prevented his death: Tinvite you to consider the installation of ultra-violet lights in the disabled toilet to make the location less attractive to intravenous drug users. Also | 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 used City and a considerable period of time_ Mr Majid was in the toilet from about 10.OOam to door being opened at about 3.OOpm. That delay have contributed to his death although was unable to make firm findings on that
Report sections
Investigation and inquest
opened an investigation on 14 August 2014 into the death of Amar MAJID, late of 198c Dillotford Avenue, Coventry: concluded 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.OOpm. He was found with a syringe in his hand and material believed to be heroin. He died from heroin toxicity: heard evidence that he was in the toilet from approximately 10.0Oam
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action:
Copies sent to
S McGovern the may point. You
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Report details
- Reference
- 2014-0495
- Date of report
- 11 November 2014
- Coroner
- S McGovern
- Coroner area
- Coventry
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 6 Jan 2015.
Sent to
- Coventry City Council