A coroner’s inquest hears that social services and other officials did not act on concerns raised about a “chaotic and squalid” home before four-year-old Draco Chapman died days later. According to the accounts presented in the inquest, a health visitor had reported concerns about the living conditions prior to the death and warned that the home posed risks. The boy subsequently suffered a serious injury when his head became trapped between two baby gates. The inquest materials describe that the gap between one stairgate and another positioned above it in a door frame was only about six inches, and that the boy tried to squeeze through it. As a result, he was left unable to breathe and sustained irreversible brain damage. The reports state that he died days after the incident. The inquest is examining the circumstances leading to the fatal injury and whether the earlier concerns were properly assessed and addressed by officials.