A jury has returned a verdict of accidental death at the inquest of a teenager who drowned at a West Norfolk beauty spot.
Umar Balogun, who was 16, died at the Bawsey Pits site, near Lynn, on July 16, 2013.
A short term ago, a jury at the Norwich coroner’s court returned a verdict that Umar’s death was an accident, caused by not implementing policies and procedures, a lack of training and experience and procedures not being adhered to prior to the trip and at the site.
During the four-day hearing, jurors heard that risk assessments carried out before Umar moved to the home put him at high risk for swimming and said he should only swim where lifeguards were present.
Yet they heard the manager of the care home, Lyana Sinclair-Russell, failed to read the assessment before the fatal trip went ahead or even check where the party were going on the day.
She accepted if she had, the trip would not have gone ahead.
The court also heard the two members of staff who accompanied Umar were not fully qualifed or experienced.
But, earlier today, having summed up the evidence, Norfolk coroner Jacqueline Lake confirmed she would not be filing a prevention of future deaths report against two organisations concerned in Umar’s death..
She said she will not be writing a report to Sibelco, which manages the West Norfolk beauty spot, or Castlecare Ltd, which owned the home which was responsible for Umar on the day he died.
Coroners have the power to file the report following an inquest if it appears there is a risk of other deaths occurring in similar circumstances.
But Mrs Lake later said she would not file the reports because of new policies, procedures and training that both organisations had implemented following the tragedy.