Prison nightly roll checks

PFD report

93match

Jason O’Rourke

Feb 2021 · Inner South London

HMP Belmarsh's immediate needs form inadequately assesses self-harm risk for new prisoners without existing care plans. The nightly roll check system lacks robust auditing, risking missed checks and compromising prisoner safety.

Matched on terms: check, nightly, prison, roll

PFD report

81match

Giuseppe Tabone and Andrew Evans

Mar 2024 · East Sussex

Prison staff failed to perform mandatory roll checks, with falsified records and confusion over requirements, creating a risk of undetected prisoner medical emergencies.

Matched on terms: check, prison, roll

PFD report

77match

Brandon Johnson

Oct 2024 · Inner West London

Inadequate and unreliable procedures for checking prisoners' signs of life, with staff lacking sufficient time and clear training to perform robust, positive-response checks in cells.

Matched on terms: check, prison

PPO recommendation

72match

The Governor

The Governor should ensure that staff completing roll checks satisfy themselves that prisoners are alive and well.

Matched on terms: check, prison, roll

IMB recommendation

69match

Ranby (2025)

Could the Governor explain how the prison management is intending to rectify the situation (reconciliation of the roll) which is still not robust enough?

Matched on terms: prison, roll

PPO recommendation

65match

The Director at Parc

The Director at Parc should ensure that Parc’s instructions to staff about roll checks are consistent.

Matched on terms: check, roll

IMB recommendation

65match

Send (2020)

Regular incorrect roll checks have continued to disrupt the regime (7.1).

Matched on terms: check, roll

IMB recommendation

65match

Buckley Hall (2020)

Reduce the number of inaccurate roll checks and their disruption to the regime (see paragraph 5.1.14)

Matched on terms: check, roll

IMB recommendation

65match

Buckley Hall (2022)

Improve the accuracy of the daily roll checks.

Matched on terms: check, roll

IMB recommendation

65match

Bronzefield (2024)

Roll count has frequently been late, which has had a negative impact on the regime and security. How will the prison ensure that roll count returns to being accurate and timely? (4.6)

Matched on terms: prison, roll

IMB recommendation

65match

Bure (2025)

Will the Governor address the numerous late roll calls sometimes having to have three recounts? This affects activities and healthcare appointments due to prisoners having to return to their cells. In addition, will the Governor explain why clashes between education and other purposeful activity have not improved since the matter was raised last year?

Matched on terms: prison, roll

PFD report

61match

Edwin O’Donnell

Jul 2017 · Liverpool & Wirral

Prison health reception screening failed due to lack of access to critical mental wellbeing documents and significant delays in follow-up screening. Additionally, probation staff lacked adequate ACCT training.

Matched on terms: prison

IMB recommendation

60match

Bronzefield (2025)

How will the prison ensure that roll counts return to being accurate and timely, given RRC roll counts continue to be frequently late, which has had a negative impact on the regime and security (6.4, 7)?

Matched on terms: prison, roll

PPO recommendation

60match

The Governor of HMP Birmingham

The Governor should introduce a robust quality assurance process to ensure that staff conduct routine roll checks and welfare checks in line with local and national guidelines.

Matched on terms: check, roll

IMB recommendation

56match

Rochester (2020)

Roll Count Difficulties: The change in procedure has been difficult to implement at Rochester with its open estate. Obviously the whereabouts of prisoners must be known, but prior to lockdown this was causing unnecessary stress and disruption to many parts of the prison. As lockdown restrictions relax, can this situation be addressed so that the disruption experienced in...

Matched on terms: prison, roll

PPO recommendation

52match

The Director of HMP Lowdham Grange

The Director should outline to the Ombudsman their plan going forward to randomly sample the accuracy of recorded checks until they are satisfied there is not a systemic issue with false entries.

Matched on terms: check

PPO recommendation

44match

The Director at HMP Lowdham Grange

The Director at HMP Lowdham Grange should ensure that staff understand they should complete a welfare check at unlock and consider randomised checks of CCTV footage to ensure they are being done.

Matched on terms: check

IMB recommendation

44match

Pentonville (2023)

Will you undertake a comprehensive overhaul of property systems at Pentonville to ensure that they work effectively to enable prisoners to receive their property in a timely manner (and to avoid the unnecessary waste of staff time)?

Matched on terms: prison

IMB recommendation

44match

Parc (2023)

There is a need to monitor and ensure that the Prisoners’ Property Policy Framework is followed and monitored to ensure that prisoners’ property is always transferred with them.

Matched on terms: prison

Scottish FAI

44match

Brendan Reilly

Apr 2025

It is recommended that HMP Kilmarnock review the arrangements for ensuring and monitoring compliance with the roll count policies and procedures. It is recommended that HMP Kilmarnock should comply with the recommendation made by the Significant Adverse Event Review, namely to implement an effective policy concerning communication for requesting an ambulance in emergency situations.

Matched on terms: roll

IMB recommendation

39match

Onley (2023)

What action can be taken to ensure there is improvement in the management and processing of property and that it is issued to prisoners in a timely manner?

Matched on terms: prison

IMB recommendation

39match

Moorland (2025)

How and when will the Prison Service reduce the amount of property lost during transfers?

Matched on terms: prison

IMB recommendation

39match

Lindholme (2025)

The Board asks that further measures be taken to reduce the loss of property during cell movements within the prison.

Matched on terms: prison

IMB recommendation

38match

Morton Hall (2022)

tightening up and/or amending the processes for roll reconciliation so that prisoners can take part in planned activities on time (see paragraph 6.5.4).

Matched on terms: prison, roll

IMB recommendation

35match

Styal (2025)

What additional supervision is being provided at weekends and at night times to ensure safety and security, including Bollinwood House, which is outside the prison perimeter?

Matched on terms: prison