Delayed DOLS processing and missing reassessment
Birmingham City Council received 2 coroners' reports about this hazard between 27 Aug 2015 and 3 Aug 2016.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Birmingham City Council was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“The Roseneath Care Home appeared to have no system for ensuring that when deprivation of liberty safeguarding orders expired the client was re-assessed to determine whether the need for an order persisted and, where appropriate, seeking further order.”
Original on judiciary.uk ↗ No published response from Birmingham City Council was found for this report.
- 11 months laterClosely relatedConfidence 0.90 · higha different coroner
“The application for DOLS order was not processed before Mr [name redacted] death.”
Original on judiciary.uk ↗ Birmingham City Council responded.Response (PDF) ↗
- All reports to Birmingham City Council
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2015 → 2016Winston Harris11 months after Eliza Simpson · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight failures in the timely assessment or processing of deprivation of liberty safeguarding (DOLS) orders, leaving residents without proper legal authority to be detained. The earlier report notes a missing system for reassessment when orders expire, while the later report points to delayed processing of a DOLS application before a resident's death.
Eliza Simpson · 27 Aug 2015
“The Roseneath Care Home appeared to have no system for ensuring that when deprivation of liberty safeguarding orders expired the client was re-assessed to determine whether the need for an order persisted and, where appropriate, seeking further order.”
Original on judiciary.uk ↗ Winston Harris · 3 Aug 2016
“The application for DOLS order was not processed before Mr [name redacted] death.”
Original on judiciary.uk ↗
No published response from Birmingham City Council was found for this report.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Birmingham City Council at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2015 → 2016 | 0.64 | 0.02 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.