Manoel Santos

3 Oct 2023 · Coroner Jenny Goldring · Inner South London

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

1. notification timing of immigration detention
“The timing of the notification to Mr [name redacted] by the SSHD that he was not to be released at the end of his custodial sentence but was to be held on immigration detention pending a decision on deportation”
2. communication breakdown between agencies
“Communication issues between the agencies dealing with immigration and sentence planning may lead to confusion and uncertainty for FNOs”
3. delays in obtaining information
“delays by probation in allocating a community offender manager and providing an up-to-date OASYS report”
4. undisclosed internal report
“The SSHD disclosed an Internal report into Mr [name redacted]' case midway through the Inquest, which was not on his Home Office file”
5. misunderstanding of cell door opening policy
“In evidence there was a continued misunderstanding that the policy did not apply to Operational Support Grade (OSG) officers and it was understood that they should never open cell doors at night”

Raised again laterWilliam Bissett27 Jan 2025 · 1 year 4 months later

Closely relatedConfidence 0.80 · moderate

This report

“In Mr [name redacted]' case there were delays by probation in allocating a community offender manager and providing an up-to-date OASYS report.”

Later report

“Mr [name redacted] a man aged 88 in failing health only saw his Community Offender Manager on 5th October 2023, 8 days before his release.”