Prevention of Future Deaths reports · 2025
Regulation 28 report to prevent future deaths, reference 2025-0604, written 1 Dec 2025. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 1 Dec 2025 |
|---|---|
| Reference | 2025-0604 |
| Deceased | Abdullah Ali |
| Coroner | Melanie Lee |
| Coroner area | Inner North London |
| Category | Child Death (from 2015) |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
Regulation 28: Prevention of Future Deaths report
ABDULLAH MOHAMED ALI (died 20 July 2025)
THIS REPORT IS BEING SENT TO:
1. Granddwell Estates
By post to:
Registered office: Js & Co Accountants, 26 Theydon Road,
London, England, E5 9NA
Correspondence address: 51 Craven Park Road, London, United
Kingdom, N15 6AH
1
CORONER
I am: Melanie Sarah Lee
Assistant Coroner
Inner North London
St Pancras Coroner’s Court
Camley Street
London N1C 4PP
2
CORONER’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.
3
INVESTIGATION and INQUEST
On 22 July 2025 an investigation was commenced into the death of
Abdullah Mohamed Ali aged 6 months. The investigation concluded at
the end of the inquest on 1 December 205. I made a determination at
inquest natural causes.
4
CIRCUMSTANCES OF THE DEATH
Abdullah Mohamed Ali was 6 months old when he died. He lived in a
one bedroomed flat with his mother and 4 siblings, aged 2, 3, 4 and 5.
The property was a one-bed privately rented flat. Baby Ali and his
mother shared the bedroom, and his 4 siblings shared a double
mattress on the floor in the living room. The flat had extensive mould
and damp, along with a history of other disrepair matters, including a
1
problem with the windows and a mouse infestation, dating back to at
least August 2021.
In June 2025 the children were diagnosed as having chicken pox.
Whilst Baby Ali’s rash had resolved by 15 July, he has seemed in
discomfort with suspected tummy pain in the 24 hours before his death.
At around 6.30am on 20 July 2025, after he was fed by his mother,
Baby Ali was laid down to sleep on a mat on the living room floor. At
around 9.15am his father found him unresponsive. London Ambulance
Service were called and Babi Ali was transported to the Homerton
Hospital in asystole. Despite advance resuscitation efforts, he was
pronounced dead at 11:19am.
There were no concerning findings at post-mortem although Baby Ali
was small for his age. The cause of death was encephalitis due to
Varicella Zoster Virus (chicken pox).
5
CORONER’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.
I have seen photographs and police body worn video footage of the
mould in the property in which the Ali family live. The mould in the
property is extensive, thick and black. On the walls it is around knee
height, it extends up the walls in the corners and around the ceiling where
the ceiling and walls meet. It covers the curtains and furniture where soft
furnishings and furniture is in contact with the walls.
I am concerned that mould in the property and mould and/or other
disrepair in other properties renovated and managed by Granddwell
Estates may pose a risk that future deaths could occur.
6
ACTION SHOULD BE TAKEN
In my opinion, action should be taken to prevent future deaths and I
believe that your organisation has the power to take such action.
7
YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date
of this report, namely by 26 January 2025. I, the coroner, may extend
the period.
2
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.
8
COPIES and PUBLICATION
I have sent a copy of my report to the following.
• Parents of Baby Abdullah Mohamed Ali
• London Borough of Hackney Benefits and Homeless Prevention
Service
• London Borough of Hackney Environmental Health Department
• London Borough of Hackney Trading Standards Department
• Child Death Review Panel
• 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. He may send a copy of this report to any person who
he 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.
9
DATE SIGNED BY ASSISTANT CORONER
01 December 2025
3
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
GRANDDWELL ESTATES LTD Response to Prevention of Future Deaths (PFD) Report Dear Sir / Madam, Thank you for your correspondence. We confirm that we have reviewed the Prevention of Future Deaths (PFD) report concerning the late Abdullah Mohamed Ali. We note the Coroner’s conclusion that the cause of death was encephalitis due to Varicella Zoster Virus (chickenpox). We wish to express our sincere condolences to the family. In response to the matters raised, we confirm that: - The property was inspected by the London Borough of Hackney. - An Improvement Notice was served and the required remedial works were undertaken. - Temporary accommodation was offered to the occupants to allow the works to be completed safely. - The Council has since reinspected the property, with only formal confirmation outstanding at the time of writing. We remain willing to cooperate fully with the Coroner and the local authority should any further information be required. Yours faithfully, Granddwell Estates Ltd
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