Eliza Simpson
27 Aug 2015 · Coroner Emma Brown · Birmingham and Solihull
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. failure to re-assess clients when deprivation of liberty safeguarding orders expire
“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”
2. absence of CCTV
“The absence of CCTV hampered the Police investigation”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“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 report
“The application for DOLS order was not processed before Mr [name redacted] death.”
Responses
No published response was found on judiciary.uk.