Source · Prevention of Future Deaths
Damion Stanley Joseph Henson
Ref: 2013-0307
Date: 11 Dec 2013
Coroner: Ian Smith
Area: Cumbria (South & East)
Responses identified: 0 / 2
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A homeless unit, housing drug users, lacked 24-hour supervision, allowing unauthorized individuals to enter out of hours, thereby increasing risks in a facility not designed for drug rehabilitation.
Date
11 Dec 2013
56-day deadline
5 Feb 2014 est.
Responses identified
0 of 2
Coroner's concerns
A homeless unit, housing drug users, lacked 24-hour supervision, allowing unauthorized individuals to enter out of hours, thereby increasing risks in a facility not designed for drug rehabilitation.
View full coroner's concerns
I am concerned that this is the second or third death at these premises and it seems to me that the death occurred, at least in part, because the property was not supervised 24 hours a day. I understand that the residence is for homeless people but by default some drug users have been placed there and unfortunately on occasions these drug users introduce other drug users into the property out of hours with risks to all those who are present. The address is not a drug rehabilitation unit but is a homeless unit but in the present way that it is being used, it appears to me that 24 hours supervision would be preferable.
Report sections
Investigation and inquest
On 9th July, 2013 I commenced an investigation into the death of Damion Stanley Joseph Henson, aged 42 yrs. The investigation concluded at the end of the inquest on 9th December, 2013. The conclusion of the inquest was that the deceased died from abuse of drugs and the cause of death was Methadone Toxicity with Bronchopneumonia.
Circumstances of the death
The deceased was found dead in his own flat on 4th July, 2013, having overdosed principally on methadone but having taken other drugs as well.
Similar PFD reports
Report details
- Reference
- 2013-0307
- Date of report
- 11 December 2013
- Coroner
- Ian Smith
- Coroner area
- Cumbria (South & East)
Responses identified
Responses identified
0 of 2
2 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 5 Feb 2014 (estimated).
Sent to
- Riverview, 62 Lound Road, Kendal
- Riverview, 62 Lound Road, Kendal