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| Version 2 | Version 3 |
|---|---|
| Jai Joshi fire death 'could not have been prevented' | Jai Joshi fire death 'could not have been prevented' |
| (about 2 hours later) | |
| The death of a four-year-old boy killed in a fire deliberately started by his mother could not have been predicted or prevented, a serious case review has found. | The death of a four-year-old boy killed in a fire deliberately started by his mother could not have been predicted or prevented, a serious case review has found. |
| Janma Joshi, 40, and Moksha Jai Joshi, known as Jai, died in the blaze in Moscow Drive, Liverpool on 8 May 2014. | Janma Joshi, 40, and Moksha Jai Joshi, known as Jai, died in the blaze in Moscow Drive, Liverpool on 8 May 2014. |
| Ms Joshi had failed to return Jai to his father Paresh, who had won custody. | Ms Joshi had failed to return Jai to his father Paresh, who had won custody. |
| The report said agency failures "added to an already messy and complex set of family and parental dynamics". | The report said agency failures "added to an already messy and complex set of family and parental dynamics". |
| 'Missed opportunities' | 'Missed opportunities' |
| Jai's father, from Preston, and mother had separated acrimoniously before he was born in August 2009 and the acrimony continued "to varying degrees" until his death in 2014. | Jai's father, from Preston, and mother had separated acrimoniously before he was born in August 2009 and the acrimony continued "to varying degrees" until his death in 2014. |
| Following his birth, Lancashire Constabulary had taken Ms Joshi to the Royal Liverpool and Broadgreen University Hospital for a mental health assessment. | Following his birth, Lancashire Constabulary had taken Ms Joshi to the Royal Liverpool and Broadgreen University Hospital for a mental health assessment. |
| She "gave a history of low mood" but no evidence of other mental illness was found. | She "gave a history of low mood" but no evidence of other mental illness was found. |
| Later, allegations and counter-allegations about domestic abuse from both parents resulted in the child becoming subject to police protection, culminating in a brief placement in foster care. | Later, allegations and counter-allegations about domestic abuse from both parents resulted in the child becoming subject to police protection, culminating in a brief placement in foster care. |
| In a court hearing in 2011, the judge said both parents had lost sight of the fact that Jai's welfare "was or should have been their paramount concern" but "each parent had a justifiable concern about the behaviour of the other". | In a court hearing in 2011, the judge said both parents had lost sight of the fact that Jai's welfare "was or should have been their paramount concern" but "each parent had a justifiable concern about the behaviour of the other". |
| The parents continued to make allegations against each other about domestic abuse to police. | The parents continued to make allegations against each other about domestic abuse to police. |
| Key recommendations | |
| They were told their allegations against each other adversely reflected on their ability to promote the child's welfare. | They were told their allegations against each other adversely reflected on their ability to promote the child's welfare. |
| 'Heart-breaking case' | 'Heart-breaking case' |
| The review, carried out by the NSPCC on behalf of Lancashire Safeguarding Children Board, looked at the role of agencies involved in the case. | The review, carried out by the NSPCC on behalf of Lancashire Safeguarding Children Board, looked at the role of agencies involved in the case. |
| The report highlighted "missed opportunities" by Merseyside Police and the Health Visiting Service of Liverpool Community Health NMS Trust to effectively respond to information they received about alleged domestic abuse. | |
| Why boy's death could not have been foreseen | |
| The Serious Case Review found: | |
| It said both failed "to fully examine and appreciate" the child's "day-to-day experiences". | It said both failed "to fully examine and appreciate" the child's "day-to-day experiences". |
| A number of recommendations have been made including looking at cases where there are concerns about a parent when there is no evidence of mental illness. | A number of recommendations have been made including looking at cases where there are concerns about a parent when there is no evidence of mental illness. |
| In a joint statement, the chairs of both the Lancashire and Liverpool Safeguarding boards, said they supported the review's findings and changes "have already begun". | |
| It said: "Both boards will continue to make sure that all agencies have put in place effective responses which ensure that learning from this tragic event improves the way professionals keep children safe in future." | It said: "Both boards will continue to make sure that all agencies have put in place effective responses which ensure that learning from this tragic event improves the way professionals keep children safe in future." |
| Sir Tony Hawkhead, chief executive of the Action for Children charity, said it was a "horrifying and heart-breaking case" and showed the crucial importance of professionals never losing sight of a child in custody battles. | |
| Purpose of serious case reviews | Purpose of serious case reviews |
| •To establish what lessons are to be learned about the way agencies work together and individually to safeguard children | •To establish what lessons are to be learned about the way agencies work together and individually to safeguard children |
| •To clearly identify those lessons and decide how and when they will be acted upon | •To clearly identify those lessons and decide how and when they will be acted upon |
| •To improve inter-agency working and better safeguard children in future | •To improve inter-agency working and better safeguard children in future |