Rochdale Coroners Court heard Charlie had suffered severe bullying since publicly identifying as a boy from the age of 12, and that he had been admitted to Junction 17 on three occasions from the age of 17.
His mother Sam told the jury that she struggled to keep him safe during periods of home leave and locked household items away in her bedroom so that he couldn’t hurt himself.
The court heard that Charlie was known to self-harm while at Junction 17, especially after returning from home leave.
The jury said Trafford Children’s Services did not engage with mental health services and “failed to provide support for Charlie’s mum and siblings”.
It also concluded that a nurse who was responsible for his care did not know he had low haemoglobin levels on the night of his death.
Had this been known to the nurse, he would have had one-to-one care that probably could have prevented his death, the jurors concluded.
Speaking outside the court, Charlie’s mother Sam said she would look to call for a public inquiry.
But she said was glad questions have been answered after the “constant fight” for support.
“It was just sad that he was failed, we were failed as a family by so many people.”
