A 10-week-old girl died after her drunken parents tied her to a car seat for 15 hours in a hotel room, a damning report reveals.
The baby, known only as & # 39; Child M & # 39 ;, was also one of the three children of the couple who died tragically in the space of two years.
A Wigan Safeguarding Children Board report reveals that of the seven children the mother has given birth since June 2015, only four have survived more than 16 months and still live with their parents.
The tragic event took place during a four-day holiday, during which the parents took their six children to a complex just 56 km from Wigan, in the metropolitan area of Manchester (pictured).
The shocking report revealed how Child M died on the third day of the "high risk" family's holiday in July 2016.
It contains 11 recommendations that, if applied at that time, may have prevented the "potentially predictable" death of the baby.
The probe revealed how the parents had left three babies for six hours while getting drunk, and only visited them from time to time.
Authorities knew that mom and dad had problems with alcohol, but early interventions were suspended because the mother refused to ask for help.
The tragic event took place during a four-day holiday, during which parents took their six children to a resort just 35 miles from Wigan, Greater Manchester.
Both the mother and the father, a violent offender released from a 30-month jail term for robbery just before the relationship began, were known to social services.
The authorities were aware of reports of possible domestic violence after the mother appeared in her daycare job with two black eyes.
The A & E staff also reported her after she appeared drunk in the hospital when she was 20 weeks pregnant with her first pair of twins.
At the time of the death of Child M, the father was described as "unsupportive" and used to "have fun for days".
The condemnatory vacation included three children, all from elementary school and minors, a child of 13 months and the twins of 10 weeks.
Around 10 in the morning, the father found his indifferent youngest daughter in a baby seat in the hotel room next to his twin brother.
Twenty minutes later, the father took his lifeless infant to the hotel reception where the paramedics arrived after only two minutes.
Paramedics noticed signs of rigor mortis, which occurs as early as four hours after death, and took the heartbreaking decision to "suspend the resuscitation."
She was declared dead at 11.23 a.m.
The report says: The death of the child M occurred in the morning, after the second night of the family's vacation.
"The three youngest children stayed in the attic room at any time between 7 p.m. and 7:30 p.m. the night before.
The father took his lifeless infant to the hotel reception where the paramedics arrived after only two minutes
"The twin babies were placed to sleep in their car seats that were upright in the lower bunk.
"The parents had planned to use a sleep system that included transport cots, but it was reported to be too heavy to carry the three flights of stairs to the attic room.
The parents of Child M and their three older children went down to the hotel lounge to socialize.
"It was reported that the parents controlled the three smallest children every 30 minutes."
The police, who later conducted a criminal investigation, were able to verify that the parents had checked their children.
According to the parents, they returned to the room around 1 am after drinking at the hotel bar, and Child M was fed by his mother at 2:30 a.m.
After the tragedy, blood tests were taken of the parents after the police found "empty cans of beer and beer bottle" in the bedroom.
The report revealed how the two pairs of twins in the couple suffered a series of health problems.
Of the first group born in June 2015, one child died after three days and the other suffered "complex needs".
Child M was also considered "high risk" who needed to be resuscitated at birth and weighed only 920 g.
She remained under the care of the Neo-Natal Outreach Team (NORT) who worked with the family to prepare for their vacation & # 39;
The paramedics noticed signs of rigor mortis, which occurs as soon as four hours after death, and took the heartbreaking decision to suspend resuscitation.
The following review of the death of Child M read: "NORT members believed that children would sleep in & c.
"But the parents did not comply with this original plan since they were too heavy to climb the three flights of stairs to the family room."
In describing how the family had four referrals to child social care over a 10-year period, the reviewers stated: "The mother's use of alcohol was a recurring concern.
"There was some evidence that the professionals tried to work with the parents to evaluate their alcohol consumption.
& # 39; There were challenges for professionals in understanding how they could work more effectively with the mother [who] he minimized his alcohol consumption. "
At the time of Child M's death, the family was already subject to an intervention from section 17, which defines a child as "needy".
Child M was already considered "high risk" of sudden infant death syndrome, because he was a premature baby of a "multiple birth" in a home where his primary caregivers smoked and drank.
The review added: "The review has identified areas of inter-institutional practice that could be strengthened.
"But he has not identified any serious omissions in practice that contributed to the death of Child M.
"The parents were unable to comply with the plans to ensure that Child M could sleep safely at the hotel and made the decision to place Child M in the car seat.
"This is one of the most important risk factors in the sudden death of the baby.
"Depending on the source of information, parents are advised to remove their child from the car seat every 30 to 130 minutes to avoid sudden death."
The report found that, although certain areas of multi-agency practice must be strengthened, there were no "serious omissions in practice" that caused the death of Child M.
No criminal charges were filed following the investigation of the Greater Manchester police.
After an investigation, the coroner reported a narrative verdict, saying: "Having been fed at 2:30 a.m., Child M fell asleep while being secured in a car seat that was placed upright on a bunk in a hotel room.
"Shortly after 10.20 am, later that morning, the infant was found dead and still sitting in the right seat of the car.
"Despite a subsequent forensic autopsy, it was not possible to determine the cause of death."
Dr. Paul Kingston, independent chairman of the Wigan Safeguarding Children Board, said: "This is a truly sad loss for a child and we send our deepest and deepest condolences to the family."
"The findings highlight the difficulties families face in maintaining safe sleep arrangements, amid loopholes in cohesive professional counseling from many sources, especially in relation to sleeping in car seats, which is not an exclusive problem for Wigan.
"The commitment of the services that supported the child and the family in the years prior to the death of the child was unquestionable.
"The reviewers have identified many examples of good practice on the part of professionals to provide information and support."