Report on HMP Addiewell 6-17 August 2018

Annex B

Summary of Good Practice

Good practice QI 1.2: The good relationship between staff and prisoners appeared natural and gave every indication that it was common practice. This was evident in all interactions observed with prisoners during the course of the inspection.

Good Practice QI 1.8: Induction sessions observed were well attended and participation from the prisoner group was excellent. In particular, the co‑facilitation of peer mentors and staff provided a good model as prisoners were able to relate to the experience of their peers whilst the regime of the establishment was reinforced.

Good practice QI 1.9: All prisoners were provided with a small black rucksack in which to place returned property, in order to provide privacy and reduce any possible stigmatism upon release.

Good practice QI 1.9: Prisoners were liberated from the visits area. Any throughcare or support services coordinated by Librite to assist an individual were also welcomed into the waiting area, which provided a comfortable and friendly spacious area to meet.

Good practice QI 2.3: A number of prisoners spoke positively about being able to have their own bedding sent into the establishment.

Good practice QI 2.6: Upon commencing working in the kitchen, prisoners undergo a comprehensive training programme. This was recorded in the Training Pack for Kitchen Workers. It was noted that this pack was extremely comprehensive and covered a variety of job roles within the kitchen.

Good practice QI 3.2: HMP Addiewell utilised a strategy to reduce those that carried out self‑harm called an Insight plan. This was used to monitor and support those that were likely to self‑harm and wished support and it appeared to work well when prisoners participated in their plan. This was also supported by the mental health team, when deemed appropriate.

Good practice QI 6.3: The prison offered a very engaging business course, focused primarily on developing self‑employment for prisoners as an option on liberation. The prison had effective partnership arrangements in place with organisations, to provide long‑term support for prisoners after their release. Typically, one prisoner per month moved on to work with a business adviser with a view to starting up their own business. There were several examples of prisoners who had successfully started their own business and others who were prepared well to do so.

Good practice QI 6.3: We commend the establishment for publishing details on the kiosk of prisoners who were successful in achieving employment.

Good practice 6.10: The running of the tea bar was the responsibility of two prisoners including cashing up and dealing with stock control.

Good practice QI 6.11: The family visits induction recently involved prisoner ambassadors leading the presentation. This allowed visitors to get a perspective from serving prisoners and ask them questions on prison life.

Good practice 7.4: The prison was working towards achieving the expectations of the Sustainable Housing On Release for Everyone (SHORE) standards. Encouragingly, the prison and their local authority partners across North, South Lanarkshire and West Lothian had jointly funded a full‑time housing officer post. Although access to housing remained an issue in a number of areas, the housing officer was aiding communication, removing barriers and assisting prisoners secure and sustain tenancies.

Good practice QI 8.7: HMP Addiewell is to be particularly commended for their working relationship with Police Scotland on the NPS initiative.

Good practice QI 9.2: An SOP for the management of patients who had used novel psychoactive substances had been developed in partnership with public health, the Scottish Ambulance Service, and accident and emergency specialists. This collaboration included the development of a new national early warning score which was assessed from direct observations of the patient, including temperature, pulse, blood pressure and blood sugars.

Good practice QI 9.5: Within the prison, the consultant addictions psychiatrist ran an attention deficit hyperactivity disorder (ADHD) clinic. Inspectors found that patients who attended this clinic were actively involved in their care and treatment plans. The staff observed during these clinics had excellent knowledge of ADHD and worked collaboratively with their patients.

Good practice QI 9.7: Staff demonstrated a clear knowledge and understanding of treatment options, their benefits and risks to patients.

Good practice QI 9.8: Drug Kardex’s were regularly audited to ensure prescribing was compliant with the NHS board drug formulary. Queries noted with Kardex’s, for example medication changes or how the prescription had been written, were fed back to staff through the staff huddle. We saw evidence of these checks and found that in these instances the prescribing had been appropriate. This is an area of good practice and is evidence of a multi‑disciplinary approach to medicines and pharmacy services.