Lee Rushton
19 Jan 2016 · Coroner Andre Rebello · Liverpool and Wirral
A similar concern from this report was raised again 3 times later. See the linked reports.
The coroner's concerns
1. inadequate ACCT review for high-risk prisoners
“When a prisoner is on an ACCT (Assessment, Care in Custody and Teamwork) and a CSRA (Cell Sharing Risk Assessment) indicates an inmate should be in a cell alone for the protection of others. What consideration should be given to the ACCT Care plan with regard to a mandatory ACCT review? Should this already be covered in policy or guidance consideration should be given to reminders being issued and or if necessary mandatory training across the prison estate in the light of the jury's findings.”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“When a prisoner is on an ACCT (Assessment, Care in Custody and Teamwork) and a CSRA (Cell Sharing Risk Assessment) indicates an inmate should be in a cell alone for the protection of others.”
Later report
“I am concerned in relation to the ability of any Prison to close an ACCT, with the attendance of 2 individuals (a prison and health care staff), after a short period of time on a newly transferred inmate (i.e. to a new prison) before anyone has had the time to review and assess him or her.”
Closely relatedConfidence 0.80 · moderate
This report
“When a prisoner is on an ACCT (Assessment, Care in Custody and Teamwork) and a CSRA (Cell Sharing Risk Assessment) indicates an inmate should be in a cell alone for the protection of others.”
Later report
“[the deceased] was subject to cellular confinement on a residential prison wing. 'Normal' or 'standard' cells may not be best for cellular confinement, particularly for a prisoner placed on an ACCT and therefore deemed at risk and vulnerable, due to cell environment and ligature points and less ability to check and observe by prison staff.”
Closely relatedConfidence 0.90 · high
This report
“When a prisoner is on an ACCT (Assessment, Care in Custody and Teamwork) and a CSRA (Cell Sharing Risk Assessment) indicates an inmate should be in a cell alone for the protection of others.”
Later report
“ACCT, there was little understanding of the requirement to complete or review the care plan and support actions at every ACCT review not just the planned reviews;”
Responses
Lee-Rushton-Liverpool-Regulation-28-response.pdf ↗· Ministry of Justice
Stated action
“providing clear information for staff and prisoners about the ACCT process and their role in it”