Report on HMP Addiewell 6-17 August 2018

Annex A

Summary of Recommendations

For the Director

Recommendation QI 1.2: HMP Addiewell should ensure that all prisoners are provided with information about the prison regime, routine, rules and entitlements in a form that they can understand. The translation line service should be offered to all prisoners where English is not their first language.

Recommendation QI 1.2: The Kiosk should be more accessible to prisoners with little to no English as it did not translate fully into foreign languages.

Recommendation QI 1.2 : HMP Addiewell must take a proactive approach in engaging with and supporting prisoners who face barriers to full participation in the admission and induction process, in order to ensure that the individual needs and requirements of all prisoners are met.

Recommendation QI 1.3: Only staff trained in warrant calculation should undertake warrant checks in the Reception.

Recommendation QI 1.5: HMP Addiewell should change the regime in Douglas B hall to allow for a full regime for protection prisoners.

Recommendation QI 1.8: HMP Addiewell should ensure that protection prisoners and those for whom English is not their first language attend induction, and have equity of access to the full range of opportunities, supports and interventions as mainstream prisoners, including family visits.

Recommendation QI 2.4: HMP Addiewell should consider advertising Canteen meetings more widely to give more prisoners an opportunity to attend.

Recommendation QI 3.6: HMP Addiewell Management must review their approach to identifying responders to ensure that the appropriate response is available at all times.

Recommendation QI 4.2: Management should review their processes to ensure that Rule 95 and Rule 41 are appropriately applied and not used consecutively as was found during the inspection.

Recommendation QI 5.3: HMP Addiewell should review prisoners not having a safe and secure place within their cells to secure private information or store medication, and consider the introduction of secure storage facilities within each cell.

Recommendation QI 5.4: The SPS’ contract monitoring team and HMP Addiewell management must engage to ensure that the focus of the contract is on engagement with the regime on offer, rather than merely the provision of spaces. The contract should be an enabler not an inhibitor (repeated below as also for the SPS).

Escalated Recommendation QI 5.5: Prisoners on protection in Douglas B hall should be given access to induction and a regime should be developed.

Recommendation QI 5.7: HMP Addiewell should consider including the complaints process in the Kiosk system.

Recommendation QI 6.1: The prison should review and extend the number and type of employment opportunities on offer to prisoners, and include relevant vocational qualifications where appropriate.

Escalated Recommendation QI 6.3: Around 10% of the prison population, located in Douglas B hall, were excluded from participating in educational activities within the academy. HMP Addiewell should address this urgently.

Recommendation QI 6.4: HMP Addiewell should consider making much more use of the physical activities areas and recreation.

Recommendation QI 6.6: The prison should consider proactive engagement with all prisoners to extend the variety of cultural and social activities, including raising the profile of equality and diversity, cultural differences and other social themes such as violence against women and mental health. Prisoners should be consulted on the range of activities and their participation in these activities encouraged.

Recommendation QI 6.7: Management should review the process by which prisoners access the outside to ensure that all prisoner groups have equal access and feel able to take advantage of this important activity.

Recommendation QI 6.8: The lack of sex offender inclusion, i.e. to attend a group service was disappointing and something which management should review and addressed.

Recommendation QI 6.10: Management should review the process by which prisoners are brought to visits as inspectors witnessed family members waiting for long periods prior to the visit commencing.

Recommendation QI 6.14: Due to the significant work load of CMs, vacancies should be addressed and/or consideration should be given to developing a Personal Officer Scheme.

Recommendation QI 7.2: HMP Addiewell should review the Case Management Team being responsible for chairing their own ICMs, and introduce a system where the ICM chair can provide an independent perspective on the case.

Recommendation QI 8.4: With such a young and relatively inexperienced staff group management should ensure that new recruits are supported by experienced staff as they join the operational complement.

Recommendation QI 8.4: Management need to develop a more robust approach to staff recruitment and retention quickly in order to address the issues that result from high staff turnover and inexperience.

Recommendation QI 8.5: HMP Addiewell management must work quickly towards finding a solution whereby all prisoners required to attend internal and external healthcare appointments are escorted timeously. Such failures to attend are a significant waste of valuable and expensive resources.

Recommendation QI 9.2: Sodexo must ensure that patients are escorted to the health centre at the appropriate time. On occasions where this was not possible, Sodexo staff must liaise with healthcare staff to reduce the time they spend waiting for patients to arrive.

Recommendation QI 9.12: Sodexo and Royal Edinburgh Associated Service must ensure that prisoners returning from court with a change in circumstance are assessed in line with the TTM strategy (repeated below as also for Royal Edinburgh Associated Service).

Recommendation QI 9.16: Sodexo and Royal Edinburgh Associated Services must work together to ensure healthcare staff have the time they need to provide care and/or document information in the patient record without pressuring them to leave the prison (repeated below as also for Royal Edinburgh Associated Service).

Recommendation QI 9.17: Sodexo and Royal Edinburgh Associated Services must work together to ensure that healthcare staff are supported during medication rounds and that Sodexo staff intervene when healthcare staff are being subjected to verbally aggressive behaviour by prisoners (repeated below as also for Royal Edinburgh Associated Service).

For the Scottish Prison Service (SPS)

Recommendation from SHRC Overview: The SPS should equip all prisoner transport vehicles with temperature control mechanisms, adequate for the conditions under which the vehicles will be used in Scotland.

Recommendation QI 3.1: The definition of a safer cell has still to be defined following the launch of TTM in December 2016, and we would urge the Scottish Prison Service (SPS) to introduce a safer cell definition to assist establishments to provide the best care for those in crisis.

Recommendation QI 5.4: The SPS’ contract monitoring team and HMP Addiewell management must engage to ensure that the focus of the contract is on engagement with the regime on offer, rather than merely the provision of spaces (repeated above as also for the Director).

Recommendation QI 6.13: The SPS to review the accessibility of identified need for treatment programmes.

Recommendation QI 6.14: The SPS must review the provision of disabled facilities within the National Top Ends and the Open Estate to ensure that disabled prisoners are not being discriminated against.

Recommendation QI 7.5: The SPS should review the provision of TSOs within the two private prisons in Scotland.

For Royal Edinburgh Associated Services

Recommendation QI 9.2: Royal Edinburgh Associated Services must ensure that patients with complex physical healthcare needs are identified, assessed and supported in meeting their activities of daily living.

Recommendation QI 9.2: Sodexo must ensure that patients are escorted to the health centre at the appropriate time. On occasions where this is not possible, Sodexo staff must liaise with healthcare staff to reduce the time they spend waiting for patients to arrive.

Recommendation QI 9.2: Royal Edinburgh Associated Services and Sodexo must work together to ensure that Sodexo staff receive appropriate training to identify when an emergency response was required, and when a request for a nurse to attend ‘when available’ was the required response. This will ensure that those patients requiring urgent attention receive this without undue strain on the provision of healthcare services elsewhere.

Recommendation QI 9.6: Royal Edinburgh Associated Service must ensure that all patients with complex care needs have care plans in place which clearly describe the care required and have review dates in place.

Recommendation QI 9.12: Sodexo and Royal Edinburgh Associated Service must ensure that prisoners returning from court with a change in circumstance are assessed in line with the TTM strategy (repeated above as also for the Director).

Recommendation QI 9.16: Royal Edinburgh Associated Service must ensure that senior healthcare staff are given the time to undertake management and leadership duties. This will assist in the provision of support for more junior staff and promote stability in the nursing team.

Recommendation QI 9.16: Royal Edinburgh Associated Services must ensure that all senior staff are aware of who they line manage, and facilitate the provision of clinical supervision and line management supervision to all staff.

Recommendation QI 9.16: Royal Edinburgh Associated Services and Sodexo must work together to ensure that the following are directly discussed and addressed. All findings and solutions must be shared with healthcare staff:

  • Accurate data on the number of missed appointments and the impact of this on delivery of healthcare
  • Accurate data on the number of staff reporting verbal abuse, including whether there was an immediate challenge to this by Sodexo staff
  • All staff who report any type of abuse are supported and informed of any remedial actions being taken by Sodexo.

Recommendation QI 9.16: Sodexo and Royal Edinburgh Associated Services must work together to ensure healthcare staff have the time they need to provide care and/or document information in the patient record without pressuring them to leave the prison.

Recommendation QI 9.17: Sodexo and Royal Edinburgh Associated Services must work together to ensure that healthcare staff are supported during medication rounds and that Sodexo staff intervene when healthcare staff are being subjected to verbally aggressive behaviour by prisoners.

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