03:33
Tieng Anh Vui
There were "a number of significant missed opportunities" to save a two-year-old boy from being beaten to death by his mother, a report has found.
Rebecca Shuttleworth is serving a life sentence for murdering Keanu Williams.
The toddler was found with 37 injuries, including a fractured skull and torn abdomen, in Ward End, Birmingham.
A serious case review said social care workers, the police and health professionals had "collectively failed to prevent Keanu's death".
The different agencies had "become confused" as their strategy discussions had focused on the medical and forensic aspect of his injuries, the report said.
'Double-figure sackings'
It concluded that although Keanu's death could not have been predicted, the agencies involved could have seen that he was "likely to suffer significant harm".
The toddler should have been subject to a child protection plan "on at least two occasions" to address issues of neglect and physical harm, the report said.
Jane Held, from the Birmingham Safeguarding Children Board, said Keanu died because there were "failings across every agency".
"No-one walked in his shoes, staff were distracted by his mother's needs and by taking what she had told them at face value," she said.
Ms Held said there had been "double-figure sackings" since Keanu's death.
Shuttleworth, 25, of Cottingham Road, Manchester, was convicted of murder and four counts of child cruelty after a five-month trial. She was ordered to serve at least 18 years.
The serious case review report makes eight recommendations, including a review of front-line child protection.
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