Mark Beresford

“there remains an issue with understanding and assessing risk, which extends up to the leadership team at HMP Ranby”

“failure by the prison authorities to act with due reflection and candour during the inquest”

“Head of Operations gave evidence that was incorrect and liable to mislead the jury and/or the coroner”

“the Head of Operations, instead of reflecting on the significance of that evidence in terms of learning lessons from [the deceased]'s death, suggested to the jury that these witnesses must have been mistaken”

“The Head of Operations gave evidence that it is normal for both HB3 North and HB3 South to have a single officer detailed to deal with cell bells over the lunch period”