Report of the Inquiry into the circumstances of the Death of Bernard ...
Report of the Inquiry into the circumstances of the Death of Bernard ... Report of the Inquiry into the circumstances of the Death of Bernard ...
PART TWO THE EVENTS IN DETAIL Part Two of the report examines the events in detail and sets out the principal evidence that forms the basis of the inquiry’s findings. 19
Chapter 3: RISLEY: 15 TO 26 JUNE 1998 Summary 3.1 Sonny Lodge was admitted to Risley prison on 15 June 1998 to begin a sentence of five months. Half the sentence would be spent in prison and half in the community on licence. An F2052SH self harm at risk form was opened. He was placed on medication for withdrawal from drugs. The F2052SH was closed on 25 June. On 26 June Sonny Lodge deliberately injured his arms and was taken to hospital. Medication for withdrawal from drugs: 16 – 23 June 3.2 When Sonny Lodge was admitted to Risley a reception healthcare officer recorded that he reported a daily heroin habit of 14 years’ standing and that he had injected about one gram 72 hours earlier. He also reported smoking about 30 cigarettes a day. On 16 June he was placed on a ‘detox’ regime comprising dihydrocodeine for seven days and zopiclone for five days. F2052SH 15 – 25 June 3.3 The healthcare officer in reception opened a Form 2052SH. This was the document in use at the time for recording information about prisoners who were identified as being at risk of suicide or self-harm. (Chapter 14 contains details of the Prison Service’s policies and procedures to safeguard prisoners against suicide and selfharm.) 3.4 In the section of the form for the report by the initiating member of staff, the healthcare officer said: he was concerned because Sonny had lacerated his wrists when admitted to Risley the year before and had intimated that he was considering harming himself; and that Sonny said he would be all right if placed in a shared cell. The help the healthcare officer suggested was: (1) close observation/supervision; (2) monitoring by medical staff; (3) support from other relevant professionals/Listeners 1 . 3.5 In the section of the form for healthcare assessment, the healthcare officer instructed that Sonny should attend for further assessment by the medical officer the next day, 1 This is a peer support scheme in which selected prisoners are trained and supported by the Samaritans to listen in complete confidence to fellow prisoners who may be experiencing feelings of distress or despair. 20
- Page 1 and 2: Report of the Inquiry into the circ
- Page 3 and 4: Crown Copyright 2009 The text in th
- Page 5 and 6: Reports from HM Prisons Inspectorat
- Page 7 and 8: The report makes 48 findings but on
- Page 9 and 10: CONTENTS PART ONE: WHAT LED TO THE
- Page 11 and 12: viii
- Page 13 and 14: Chapter 1 SONNY LODGE AND AN OUTLIN
- Page 15 and 16: denied the charge. He admitted push
- Page 17 and 18: and to Sonny’s wing. A health car
- Page 19 and 20: was not aware of Sonny’s history
- Page 21 and 22: The Court said that any failure to
- Page 23 and 24: structure the inquiry’s considera
- Page 25 and 26: 2.25 At the hearings, the solicitor
- Page 27 and 28: or recognition. Their actions may b
- Page 29: 18 In inquiries of this kind it ma
- Page 33 and 34: 0820 Appeared to be OK when unlocke
- Page 35 and 36: Chapter 4: THE INCIDENT AT WHISTON
- Page 37 and 38: admitted pushing the officer and ga
- Page 39 and 40: Officer Brownley’s injury 4.20 Dr
- Page 41 and 42: was required to resume wing duties
- Page 43 and 44: would not be a problem. He said he
- Page 45 and 46: Chapter 5: 27 JUNE TO 9 JULY 1998:
- Page 47 and 48: continued assessment and recording
- Page 49 and 50: 4 July 0630 1650 1930 5 July 0630 1
- Page 51 and 52: Table 3 40 9 July 1335 1400 1609 17
- Page 53 and 54: point on the history sheets kept on
- Page 55 and 56: working prison occupied mainly by c
- Page 57 and 58: privileges over and above the facil
- Page 59 and 60: the actual memory of many of its st
- Page 61 and 62: with officers in the kitchen for go
- Page 63 and 64: H wing: 25 July to 1 August 7.37 In
- Page 65 and 66: 7.48 On Sunday 16 August, an entry
- Page 67 and 68: Chapter 8: SUNDAY 23 AUGUST TO THE
- Page 69 and 70: Wing officer 8.8 Officer Sanderson
- Page 71 and 72: chaplains to see him. Ms Lorimer to
- Page 73 and 74: Thursday morning 8.21 Captain Palme
- Page 75 and 76: 9.5 Officer Downs told the inquiry
- Page 77 and 78: visit before time and that there wa
- Page 79 and 80: ecollection of the incident and mus
PART TWO<br />
THE EVENTS IN DETAIL<br />
Part Two <strong>of</strong> <strong>the</strong> report examines <strong>the</strong> events in detail and sets out <strong>the</strong> principal evidence<br />
that forms <strong>the</strong> basis <strong>of</strong> <strong>the</strong> inquiry’s findings.<br />
19
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