Daniel Pelka Report: 'No One Suspected Abuse'

By Lisa Dowd, Midlands Correspondent

Chance after chance was missed to intervene in the case of a four-year-old boy who was beaten to death by his mother and stepfather.

A serious case review into the death of Daniel Pelka found repeated failures by agencies set up to safeguard children's welfare.

But it concluded that nobody could have predicted his death at the hands of an abusive mother and stepfather last year.

The report's author, Ron Lock, said: "No one professional, with what they knew of Daniel's circumstances, suspected or could have predicted that he would be killed.

"This was a complex and tragic case.

"Daniel's mother seemed plausible in her concerns about him, and no concerns were expressed by neighbours or the wider community.

"Strong concerns nevertheless emerged about Daniel's circumstances and his care, although at no point were practitioners who had contact with him prepared to think the unthinkable and consider that he might be suffering abuse.

"But if professionals had used more enquiring minds, and been more focused in their intentions to address concerns, it's likely that Daniel would have been better protected from the people who killed him."

Magdelena Luczak and Mariusz Krezolek were both jailed for life

Daniel was brought up in a chaotic family where violence and heavy drinking were the norm. He was known to police, social services, teachers and doctors.

But the report found that not one professional asked him what was going on at home.

Mr Lock said: "He didn't speak good English. His self-esteem was so low, he was a very isolated little boy so people found it hard to engage him.

"His mother often spoke on his behalf, as did his sibling, so rather than ask Daniel others were asked what he was thinking and to ask his mum and sibling was not going to give the correct answers."

Daniel was terrorised at his home in Coventry by his mother Magdelena Luczak and his stepfather Mariusz Krezolek.

He was starved, beaten and force-fed salt. At school he rooted through bins for food and once turned up with two black eyes. He later died from a serious head injury on March 3, 2012.

The review found the couple misled authorities by lying about his injuries and pretending he had an eating disorder, rendering Daniel "invisible" to health professionals.

But it also highlighted how stretched children's services were in the city.

The four-year-old had 40 injuries on his body when he died

It described overworked staff who were "naive", who were not "inquisitive" and assumed others were "intervening".

It noted missed opportunities to help Daniel, including 27 reports of domestic violence to police.

In January 2011 he went to hospital with a broken arm - a spiral fracture suggested twisting - but professionals were too ready to accept it was accidental.

In September, when Daniel started school, teachers noticed a pattern of injuries which they failed to record or act on.

In February 2012 he saw a community paediatrician - his weight loss was not recognised and child abuse was not even considered.

A few weeks later the four-year-old was dead. He had 40 injuries and a doctor said he looked like a concentration camp victim.

Martin Reeves, chief executive of Coventry City Council, said: "Professionals didn't have the whole picture. Daniel's voice wasn't heard at all.

"Arguably they are basic errors, but we have to put this against a backdrop of social care workers, police, health colleagues working every day making what some would argue are impossible judgement calls on child protection, so I think our key now is how do we learn from those issues."

The review, by the Coventry Safeguarding Children Board, has published 15 recommendations aimed at preventing such a failure happening again.

Luczak and Krezolek, both originally from Poland, were convicted of Daniel's murder in a trial earlier this year and are now both serving minimum 30-year terms in prison.

Ray Jones, Professor of Social Work at Kingston University, told Sky News that up to 170 serious case review reports were prepared every year.

He said: "We're giving more time to the bureaucracy and procedures than giving time to actually spending the hours finding what is happening in a family. We've got the priorities wrong."

The British Association of Social Workers (BASW) also questioned the effectiveness of serious case reviews.

Chief Executive Bridget Robb said that the findings are not properly shared with child protection social workers.

Research the BASW carried out showed that one quarter of its members never get the chance to read serious case review reports.

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