By Allison Lampert
MONTREAL, Feb 12 (Reuters) - A 2014 fire that killed 32
people at a Quebec nursing home was made worse by inadequate
staffing, delays by rescuers and a section of the building that
failed to meet provincial codes, a coroner's report said on
Thursday.
Quebec Coroner Cyrille Delage's report was based on the
testimony of more than 50 witnesses at hearings into the fire at
the Residence du Havre home in L'Isle-Verte, located about 230
km (143 miles) northeast of Quebec City.
The nearly total destruction of the residence on Jan. 23,
2014, prevented experts from knowing the specific cause of the
blaze.
Delage said the fire started near the ground-floor kitchen
and was probably accidental, but he noted many contributing
factors.
Part of the home did not "satisfy the legal norms and
regulations" required for physically dependent residents, Delage
wrote.
There were not enough staff members, and they were not
adequately trained to help residents in an emergency. The report
also pointed to lengthy delays before firefighters arrived and
requested help from neighboring municipalities.
"It was the combination of all these factors, during the
winter on top of that, that led to the result we knew," the
coroner wrote.
The fire shocked Canada because of the number of vulnerable,
elderly victims, and it raised calls for the installation of
mandatory sprinklers in such facilities.
In his report, Delage also called for automatic sprinklers,
as well as better training for staff and heat-and-smoke
detectors connected to a central alarm.
(Editing by Jeffrey Hodgson and Lisa Von Ahn)
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