Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed DOLS processing and missing reassessment
The earlier warning
Eliza Simpson · 27 Aug 2015 · Emma Brown, Birmingham and Solihull
“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.”
judiciary.uk/prevention-of-future-death-reports/eliza-simpson-2
What was promised
No published response from Birmingham City Council was found for the earlier reports.
What recurred
- 3 Aug 2016 · Winston Harris · Louise Hunt · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · 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.”
Later · Winston Harris · 3 Aug 2016
“The application for DOLS order was not processed before Mr [name redacted] death.”
What happened next
No web check of the stated actions has been published for this chain.