Ash Banister
Age 167 Aug 2021
Leicester, Leicestershire (United Kingdom)
Suicide
Ash died by suicide in a care home. At the inquest into their death the Coroner expressed grave concerns about the organisation running the children's home in which they died.
Ash had a complex childhood in foster care, & long history of CAMHs involvement. They died after being moved from Croydon to a residential home in Leicester, & failings in their care by staff running the home.
The Reg 28 report found the home where Ash lived deviated from the Care Plan. At time of Inquest they had still failed to carry out an investigation, & children in their care "remain at risk" until "appropriate & effective action is taken & changes are implemented & embedded".
Coroner had "grave concerns" United Children's Services were "running homes in knowledge that they have an inadequate investigation process in place for over two years."
Ash was "clever and amazing...they just needed the right support to get through."