Fehim Ahmet: Prevention of Future Deaths Report

Other related deaths

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Date of report: 11/12/2024  

Ref: 2024-0683 

Deceased name: Fehim Ahmet 

Coroners name: Mary Hassell 

Coroners Area: Inner North London 

Category: Other related deaths 

This report is being sent to: National Trading Standards | Network Agencies Estate Agents 

Regulation 28: Prevention of Future Deaths report
THIS REPORT IS BEING SENT TO:

1.  National Trading Standards 
Estate and Letting Agency Team
1 Sylvan Court 
Sylvan Way 
Southfields Business Park 
Basildon
SS15 6TH 

2.  Network Agencies 
Estate Agents 
209 Seven Sisters Road
Finsbury Park 
London 
N4 3NG 
1CORONER

I am:   Coroner ME Hassell 
           Senior Coroner  
           Inner North London 
           St Pancras Coroner’s Court
           Camley Street 
          London  N1C 4PP 
2CORONER’S LEGAL POWERS

I make this report under the Coroners and Justice Act 2009, paragraph 7, Schedule 5, and  
The Coroners (Investigations) Regulations 2013, 
regulations 28 and 29. 
3INVESTIGATION and INQUEST

On  29  July  2024,  one  of  my  assistant  coroners,  Melanie  Lee, commenced an investigation into the death of Fehim Ahmet aged 81 years. The investigation concluded at the end of the inquest on 19 November 2024.  I do apologise for the lateness of this report. 
The medical cause of death was: 
1a  traumatic brain injury 
2    traumatic cervical spine injury,  
          chronic obstructive pulmonary disease with cor pulmonale
4CIRCUMSTANCES OF THE DEATH

Whilst sitting in a social club/café a little after 7.30pm on 7 July 2024, Mr Ahmet was hit by a man falling through the skylight above.  He died a fortnight later from the injuries sustained. 
The man had gone out onto the flat roof of the café via a window from the flat above and had sat on a plastic skylight, which had then given way.  The man was in the property having gone round to the flat to see friends who were brand new tenants. They had rented the property from Network Agencies. 
5CORONER’S CONCERNS

During the course of the inquest, the evidence revealed matters giving rise to concern. In my opinion, there is a risk that future deaths will occur unless action is taken. In the circumstances, it is my statutory duty to report to you. 

The MATTERS OF CONCERN are as follows.

1.  I  heard  at  inquest  that,  as  industry  standard,  there  is  no requirement or even guidance regarding action to be taken by estate agents about particular property hazards, say noting on the property  file  to  warn  tenants  about  a  flat  roof  that  is  easily accessible via a window but is not in fact safe to access.  Such information is not automatically passed on when tenants change and is not necessarily enshrined in the tenancy agreement. 

2.  In this instance the café owner downstairs had rung the estate agent to complain about tenants from the upstairs flat being on the roof of the café and it was reported that there were emails about this, but nobody from the estate agency had made a note or followed up with the tenants. 
6ACTION SHOULD BE TAKEN

In my opinion, action should be taken to prevent future deaths and I believe that you have the power to take such action.  
7YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report, namely by 10 February 2025.  I, the coroner, may extend the period. 
Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise, you must explain why no action is proposed. 
8COPIES and PUBLICATION

I have sent a copy of my report to the following.

[REDACTED], son of Fehim Ahmet  
HHJ Alexia Durran, the Chief Coroner of England & Wales

I am also under a duty to send a copy of your response to the Chief Coroner and all interested persons who in my opinion should receive it.
I may also send a copy of your response to any other person who I believe may find it useful or of interest.  
The Chief Coroner may publish either or both in a complete or redacted or summary form. She may send a copy of this report to any person who she  believes  may  find  it  useful  or  of  interest.  You  may  make representations to me, the coroner, at the time of your response, about the release or the publication of your response. 
9DATE                                                SIGNED BY SENIOR CORONER
11.12.24       ME Hassell