Prison
Cat Women's Closed, YOI
Key Concerns Identified
Positive Findings
Downview
IMB Annual Report 2021 · Published 29 September 2021
HMP/YOI Downview operated under severe Covid-19 restrictions, leading to a significantly reduced regime with prisoners largely confined to cells for 22.5 hours a day. Despite these challenges, the Board found Downview to be a safe prison, with staff highly commended for their efforts in maintaining safety and humane treatment. Concerns persist regarding mental health provision, the impact of prolonged lockdown on prisoners' well-being, and the limited availability of purposeful activity and external support services.
Positive Findings
Staff commitment and hard work during the pandemic are highly commended. Positive improvements include a review of the induction process, significant reduction in self-harm, and generally good staff-prisoner relationships, particularly noted by external staff. The chaplaincy provided valued support during lockdown. Improvements in healthcare partnership working, monitoring opportunities, and the opening of a new health and wellbeing hub are welcomed. Positive changes to menus and a general refurbishment of the prison environment were also noted.
Key Concerns
Regime/Time Out of Cell
We are concerned that the easing of the restricted regime may be delayed across the entire estate. What steps are being taken to end the current severe lockdown regime in prisons, taking into account its significant and long-term impact on the mental health of prisoners?
Safety
It was disappointing that the Ministry did not support prisons receiving special vaccination status (given their recognised status as ‘epidemiological pumps’2), and contrary to SAGE’s recommendations. It was then contradictory to this position when families were not permitted to hug their loved ones in visits after the May 2021 unlock in the community, on the stated grounds that prisons are ‘high risk, closed environments where the virus can spread quickly’ (HMP Downview Notice to Residents, May 2021).
Overcrowding
Repeated
The Board is concerned to hear of the programme to create an extra 500 prison places for women (equivalent to two and a half times the roll of Downview at the end of the reporting period). How does the Minister justify this in the context of the reassurances and support for women’s community sector services and supervision in the community outlined in Lucy Frazer’s response to our previous report (dated November 2020)?
Resettlement/Release
Repeated
We are also concerned that, despite previous public assurances by the Minister and HMPPS to rectify this, there is still no data collated centrally regarding the numbers of dependent children of prisoners. It would seem to be virtually impossible to provide effective family engagement without having accurate data available (section 7.4).
Regime/Time Out of Cell
What steps will be taken to ensure that purposeful activity and opportunities for rehabilitation and progression can be built into the post-lockdown regime? And how will the input of trade unions be managed in a constructive fashion (section 7.1)?
Other
We are concerned about the centralised management of contracting processes (see, for example, the PACT contract, section 7.4). Certain contracts are negotiated centrally between HMPPS and third-party providers, with minimal input from local establishments. At Downview, operational information regarding the PACT contract was not provided (being retained at HMPPS level or otherwise remotely) which limits the ability of the establishment to performance manage operation of the contract effectively. Given the forthcoming procurement exercise regarding family engagement (albeit delayed due to Covid-19), will measures be taken to incorporate robust contract management processes?
Regime/Time Out of Cell
During lockdown, there appeared to be large numbers of third-party providers unable or unwilling to attend the prison (for example, Weston College, PACT, CRC, Jobcentre Plus, CXK, Shaw Trust, DWP, Home Office Immigration Enforcement) – this left prison staff exposed and frustrated, and prisoners denied appropriate support. How can this be managed in a more consistent way in the future if required? (sections 7.2, 7.4, 7.5).
Mental Health
The Board is extremely concerned about the reduced capacity and headcount for psychology interventions and subsequent waiting list (section 6.2) – particularly during a time of increased demand. What support can be provided to enable prompt recruitment to these critical roles?
Education/Purposeful Activity
The pandemic has thrown into sharp relief the significant obstacles placed in prisoners’ way regarding access to IT for education purposes (section 7.1). What progress has been made with plans for the Prison Service to develop an effective digital strategy for education, to ensure that digital devices are available within prisons and to ensure safe and secure access to the internet in the women’s estate?
Estate/Conditions
Likewise, internal IT systems often appear out of date and challenging to work with, wasting significant amounts of staff time – what are the plans for updating these across the estate? (section 7.3)
Regime/Time Out of Cell
The Board is concerned about predictions of fewer opportunities for association in the future and, if this is to be the case, we hope that it can be replaced by purposeful activity. We will closely monitor this area – the fact remains that association managed well is a positive activity.
Resettlement/Release
We look forward to seeing a more family-centred approach. The Board will also welcome further proactive management of the contracted-out resource in the prison (section 7.4).
Other
The Board continues to be disappointed to find frequent inaccuracies in presented data (whether in daily operational records, or other prison-generated management information) - usually minor, but on occasions significant.
Complaints/Property
Some healthcare complaints appear to be subjectively treated as concerns, and dealt with accordingly, on a more informal basis than a formal complaint would demand (section 6). How can this be more effectively managed in the future?
Board Commentary
Staffing
Staff worked extremely hard during the pandemic, facing high absences requiring redeployment of senior and non-operational staff, and bringing in officers from other prisons. Many new officers joined during lockdown, lacking pre-Covid regime experience. Fatigue and low staff numbers occasionally impacted relationships, but a more permanent staff presence generally had a stabilising effect. The OMiC scheme, with caseloads of three prisoners per officer, launched at the end of the reporting period.
Healthcare
Healthcare services were largely dominated by the Covid-19 pandemic, leading to the cancellation of non-essential services and a shift to brief interventions for mental health. Despite this, primary medical needs were met, and positive developments included improved partnership working, new perinatal services, an extended mental health service, and progress towards a new health and wellbeing hub. Concerns remain regarding delays in medication for new arrivals and a lack of transparency in healthcare complaint reporting, with discrepancies between internal healthcare logs and prison-wide complaint figures.
Regime & Daily Life
The regime was severely restricted due to Covid-19, with many women locked in their cells for 22.5 to 23 hours a day, leading to the suspension of many activities and functions. Despite this, some flexibility was observed due to lower population numbers. Significant refurbishment projects, including in-cell telephony and bathroom upgrades, were underway. Purposeful activity and association opportunities were severely curtailed, and there are concerns about future access to association and the availability of education and resettlement support.
Recommendations (15)
Ministry of Justice: 3
HMPPS: 7
Governor / Director: 5
2 repeated
Recommendation 1
End the current severe lockdown regime in prisons, taking into account its significant and long-term impact on the mental health of prisoners.
Ministry of Justice
Regime
Recommendation 2
Support prisons receiving special vaccination status, consistent with the recognition of prisons as ‘high risk, closed environments’.
Ministry of Justice
Healthcare
Recommendation 3
Repeated
Justify the programme to create an extra 500 prison places for women in the context of assurances for women’s community sector services and supervision in the community.
Ministry of Justice
Overcrowding
Recommendation 4
Repeated
Prev. unaddressed
Collate data centrally regarding the numbers of dependent children of prisoners to enable effective family engagement.
HMPPS
Resettlement
Recommendation 5
Ensure that purposeful activity and opportunities for rehabilitation and progression are built into the post-lockdown regime, and manage the input of trade unions in a constructive fashion.
HMPPS
Regime
Recommendation 6
Incorporate robust contract management processes for centralised contracting (e.g., PACT) to allow local establishments to effectively performance manage, particularly for forthcoming procurement exercises regarding family engagement.
HMPPS
Other
Recommendation 7
Manage the attendance of third-party providers (e.g., Weston College, PACT, DWP) in a more consistent way in the future, to ensure prisoners receive appropriate support and prison staff are not unduly exposed.
HMPPS
Regime
Recommendation 8
Provide support to enable prompt recruitment to critical psychology intervention roles to address reduced capacity, headcount, and waiting lists, particularly during a time of increased demand.
HMPPS
Mental Health
Recommendation 9
Develop an effective digital strategy for education to ensure digital devices are available within prisons and safe and secure access to the internet in the women’s estate.
HMPPS
Education
Recommendation 10
Update internal IT systems across the estate to reduce wasted staff time.
HMPPS
Estate
Recommendation 11
Replace any fewer opportunities for association in the future with purposeful activity.
Governor / Director
Regime
Recommendation 12
Adopt a more family-centred approach and proactively manage contracted-out resources in the prison.
Governor / Director
Resettlement
Recommendation 13
Monitor the operation of the Weston College contract during the next reporting period as more face-to-face teaching takes place.
Governor / Director
Education
Recommendation 14
Address frequent inaccuracies in presented data (operational records and management information).
Governor / Director
Other
Recommendation 15
More effectively manage healthcare complaints, ensuring they are formally processed rather than subjectively treated as concerns.
Governor / Director
Complaints
Other IMB Reports for Downview
PPO Fatal Incidents
Prisons and Probation Ombudsman fatal incident investigations for this establishment.
Prevention of Future Deaths Reports
Coroner PFD reports issued to this establishment.