A serious case review (SCR) by Salford Local Safeguarding Children’s Board found that although her death could not have been predicted or prevented, social workers could have done more to protect Tia during her short, chaotic life.
The 12-year-old was placed on the child protection register prior to her birth due to her mother’s drug abuse and incidents of domestic abuse. Such concerns continued until her death.
The SCR concluded that due to the ongoing neglect and poor quality of care by the mother, social workers should have "very seriously considered" launching care proceedings in 2008.
Around this time, Tia witnessed a number of "disturbing" suicide attempts by her mother. Among the board’s concerns were social workers’ "over-optimistic and unrealistic perception" of her mother’s ability as a parent.
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