4<\/p>\n High Kearins died at Chester Park Care Home in 2022Credit: Google Maps 4<\/p>\n The vulnerable OAP wandered through a fire doorCredit: Health and Safety Executive 4<\/p>\n He managed to get from his room to the car parkCredit: Health and Safety Executive<\/p>\n The vulnerable pensioner had stayed at the Clyde Unit of the\u00a0Chester Park Care Home in Glasgow<\/a>‘s Kinning Park since 2012.<\/p>\n In the early hours of December 26 he managed to wander from his room and get out of an unsecured fire door around 1am.<\/p>\n Mr Kearins managed to walk 320 steps<\/a> using a series of stairways and fire doors to make it to the care home’s car park just off Lambhill Street, where he was found dead around 7am.<\/p>\n But a damning probe into the tragedy<\/a> revealed several failings by staff at the facility, and even an effort to conceal their failings.<\/p>\n HSE<\/a> investigators were unable to find out who was the last person to use the door Mr Kearins used to exit the facility.<\/p>\n A member of staff discovered the door the door was open an hour after the OAP had gotten outside.<\/p>\n But despite staff being aware the door was found open, they never carried out a head count of the residents.<\/p>\n Mr Kearins’ file extensively noted a clear risk he he may abscond or wander due to his condition.<\/p>\n His care plan also said staff had to check on him every single hour to make sure he was safe.<\/p>\n The probe by the HSE made the shocking revelation that senior care assistant and a care assistant who had responsibility for Mr Kearins\u2019 care had falsified records.<\/p>\n Car bursts into flames in busy Glasgow street sparking rush hour chaos<\/p>\n They had said they performed vital tasks involving the OAP when he wasn’t even in the building.<\/p>\n Both care workers weren’t aware he wasn’t in his room or he had made it outside.<\/p>\n They had no idea the tragic pensioner had left the building until his body<\/a> was found later in the morning.<\/p>\n The probe found the company had failed to have a safe system of work<\/a> in place.<\/p>\n They also found the fire alarm for the internal fire door had been deactivated.<\/p>\n The probe also revealed a catalogue of failures at the facility.<\/p>\n CATALOGUE OF FAILURES<\/p>\n The Health and Safety Executive found:<\/p>\n The management failures in respect of the alarm door reactivation were not causative of Mr Kearins\u2019 death and would likely not have even come to light but for four individual errors:<\/p>\n Oakminster Healthcare Limited pled guilty to Health and Safety offences at Glasgow Sheriff Court<\/a>.<\/p>\n The firm was fined \u00a353,750 on July 23.<\/p>\n A Health and Safety<\/a> Inspector blasted the failings and said Mr Keavins’ death was “completely avoidable”.<\/p>\n HM Inspector Amna Shah said: \u201cThis incident was completely avoidable.<\/p>\n \u201cIt is hugely concerning that a vulnerable man was able to walk so far and through so many doors without being noticed.<\/p>\n \u201cWe counted he had walked more than 300 steps.<\/p>\n Read more on the Scottish Sun<\/p>\n \u201cThe fact this incident happened at Christmas<\/a> time makes it all the more tragic.<\/p>\n \u201cWe will always take action against those who fail<\/a> in their responsibilities.\u201d<\/p>\n![\"Chester](\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/08\/image_b3465b.png\")
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