It was in June this year that staff helped a resident to get to his balcony to smoke. The staff then left the patient to continue with other tasks. The patient was then unattended and a fire broke out, which led to the user dying from the injuries despite the staff taking action, according to Lex Sarah's report.
The Inspectorate for Health and Care Investigation shows that measures have been taken without delay by Kungsbacka Municipality so that a similar situation can not occur again. Therefore, IVO closes the case.