An elderly mother and her daughter were found dead in their east London flat five months after police had raised urgent care concerns about the family, a review has found.
The bodies were discovered in a state of decomposition when officers forced entry to their Redbridge home in June last year.
An investigation has now outlined how the 83-year-old mother and her 56-year-old daughter were failed by care services, which may have led to âthe death of one or both of the womenâ.
A report commissioned by Redbridge town hall, which gives the mother the pseudonym Jasmine and her daughter the name Rowena to protect the identity of surviving family members, said neighbours who had not seen the women âfor some time, and had noticed flies at the windows and a smell coming from the flatâ called police.
It states: âThe police found the bodies of both women in a state of decomposition.
âJasmine was in her bedroom and Rowena in the hall, with no signs of violence or any previous forced entry. The flat evidenced conditions of neglect and hoarding.â
Months earlier, on January 6, 2023, the Met was called to a neighbour dispute at the womenâs home and recorded âbizarre behaviourâ and having to âdemand to see Jasmine who was bed-boundâ.
Officers considered it evident that Rowena could not look after her mother and said neighbours reported âongoing strange encounters and outburstsâ from the daughter who had seen a âhuge deterioration in her mental healthâ.
The force raised a safeguarding concern with the local authority that same month, but when social services and GPs were unable to contact the women they did not follow up.
âIt is of concern that the safeguarding procedures appear to have been left in limbo, with no managerial overview or monitoring,â the report states.
It adds: âThe multi-agency safeguarding procedures were initiated in January 2023 with regard to Jasmine but lapsed into inactivity without being formally closed, resulting in Jasmine not being safeguarded and, potentially the death of one or both of the women.â
Redbridge council on Thursday confirmed it had updated its âdealing with emergenciesâ policy and adopted all of the reportâs 13 recommendations. Barking, Havering and Redbridge Hospital NHS Trust (BHRUT) said it was âreviewing our policies and proceduresâ following the case.
The councilâs investigation found that signs Rowena was abusive towards her mother had been ignored by medical authorities during the womenâs many interactions with them between 2020 and 2022.
Her âthreatening and controllingâ behaviour had resulted in the pair becoming estranged from her brother and other family members.
Police attended the home in October 2020 and Rowena told officers that she had unplugged her landline as she believed her neighbour âhad wired everyoneâs landline phoneâ and was âprotected by politiciansâ.
The Met shared their concerns with social worker in Redbridgeâs mental health service team but there is no record of their report being assessed or any action being taken.
GPs, Redbridge social services and BHRUT did not follow concerns about possible neglect of Jasmine by Rowena, despite multiple hospital visits and paramedics being called to the home on at least two occasions.
In December 2015 Rowena was referred to services over her diabetes, but did not attend appointments. The report states it âis of concern that, having had an appointment with the Diabetes Service and her need for support, presumably, established, that the referral wasnât followed upâ by either the NHS trust or Rowenaâs GP.
Post-mortems found Jasmine died from pneumonia and an abscess of her chest, while Rowena died from heart disease.
A Redbridge council spokesman said: âUpon notification of these tragic deaths, an urgent multi-agency review of the circumstances was immediately initiated, and several actions were promptly implemented.
âAs part of our response, we’ve amended and updated our âDealing with Emergenciesâ policy and procedure, which has been disseminated to all frontline staff.
âThe policy outlines the steps for health and social care staff to follow when contact with a person cannot be established, ensuring their status is promptly investigated. The policy also includes guidance on forced entry where there are concerns about the person’s safety and whereabouts.
âThe review’s recommendations have been incorporated into a comprehensive multi-agency action plan. This plan ensures that all recommendations, including those from Safeguarding Adults Reviews, are acted upon and tracked for completion.â
A spokesman for BHRUT added: âIn line with the recommendations for our Trust in the report, we are reviewing our policies and procedures to see where improvements can be made.â
An inquest at North London Coronerâs Court heard a post-mortem examination found their cause of death to be unascertained, while no toxicology report could be carried out due to the passage of time.
Tasneem suffered from diabetes and was a carer for her elderly mother, who was almost immobile and had âailmentsâ but did not suffer from any known medical conditions.
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