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 ...

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Mr Lodge then turned and swung his left arm toward Sonny’s face and he saw “Mr Collier” seem to strike Mr Lodge, who was on the floor and whom he heard screaming. The evidence of Mr Davies 10.28 A prisoner, Mr Davies, told the Prison Service investigation that he was walking upstairs to the right of cell G3-24 when he heard a commotion and looked down and saw Mr Lodge standing in the middle of the cell, smiling. Mr Gray was opposite the cell. There were a couple of officers. One walked into the cell and was rubbing his face then threw a blow. He described him as a youngish-looking officer with mousey hair and blue eyes. Then the other officer went into the cell. Mr Davies said he could see Sonny Lodge on the floor. The officer was crouching over him and looking worried. Then the door was kicked shut. 10.29 In his statements for the Prison Service investigation and the Coroner, Mr Davies said that there were two prison officers in the cells, both moving towards the door. The officer who was ahead was standing almost outside the cell. The other officer turned back to face Sonny. He said that that this officer swung his keys then put them in his pocket, raised his hands and rubbed his face, then brought his right hand in a clenched fist and punched Sonny in the forehead causing him to fall backwards. Mr Davies told the Prison Service investigators he did not know the officers’ names. In his statement to the Coroner’s officer he said that Mr Gray had told him later that the officer whose appearance he described was called Collier. Evidence of the Healthcare staff 10.30 Other officers took over from Officer Downs and Officer Bowcock, who left the cell. Healthcare Officer (HCO) Williams went to G wing in response to the alarm. He told the inquest Sonny seemed to have stopped breathing. The restraints were removed and he checked for a pulse. Sonny started to breathe again as if he had been holding his breath. He then began to show signs of a fit for 5 to10 seconds. When this ended he was placed in the recovery position and his pulse checked. He was transferred to the healthcare centre. On the way he was angry and shouting at the officers, which HCO Williams thought unusual in someone recovering from a fit. 10.31 Healthcare Officer Harrison also went to the cell. He told the Prison Service investigators it was about 7.50 pm. When he arrived, Sonny Lodge was on the floor being restrained by discipline staff. He had stopped breathing once or twice and the 77

HCOs advised staff to loosen their hold and leave him on the floor. HCOs checked him. He seemed to have a small fit and came out of it quickly. They decided to check him in the hospital wing rather than move him straight to the segregation unit. Staff helped him to stand and he walked without restraint. During the move he saw an officer from the incident and began shouting and pointing. A nurse checked him. HCO Harrison was due off duty at 2000 and left. 10.32 Nurse Stanley told the Prison Service investigators that he saw Sonny Lodge when he arrived at the Healthcare Centre. He was fully conscious and did not complain of any injuries. His blood pressure was slightly raised and his vital signs were OK. Nurse Stanley was happy for him to walk to segregation. 10.33 In a statement for the inquest, Nurse Paterson said she was asked to check blood pressure, pulse and pupil reactions on Sonny Lodge, who was suspected to have had a fit. She found BP at 150/100 and pulse at 100 per minute, which were both a little high, and symptoms that could be expected in someone who recently had a fit. His pupil reaction was normal not sluggish but she said this reaction returns quickly after fit. Sonny Lodge said he had had a fit but could not say how long it lasted. He said he had not hurt himself. A mark on his forehead seemed to be an old graze and did not appear to need treatment. Records of the incident 10.34 An entry in the inmate medical record states: “Inmate C and R’d from G wing. Involved in altercation with staff. Not actually C and R’d. Staff concerned re physical response. ? Loss of conscious. When observed full recovery, not confused or post ictal. No confusion BP 150/100 P90. Transfer to seg unit. MO informed.” 10.35 This entry appears immediately beneath HCO Stell’s entry about Ms A’s telephone call on 25 August (see paragraph 8.5 above). The date appears to have been amended from 28 to 27 August. It is not clear from the record when the entry was made or by whom. However, it appears that the entry was made before HCO Harrison went off duty. HCO Harrison told the Prison Service Investigation that his colleague, Nurse Stanley, asked HCO Williams to get Mr Lodge’s medical records, that staff referred to it back in the office and Mr Stanley made the entry in the Inmate Medical Record. HCO Harrison remembered that when his colleagues were reading through it back in the office 78

Mr Lodge <strong>the</strong>n turned and swung his left arm toward Sonny’s face and he saw “Mr<br />

Collier” seem to strike Mr Lodge, who was on <strong>the</strong> floor and whom he heard screaming.<br />

The evidence <strong>of</strong> Mr Davies<br />

10.28 A prisoner, Mr Davies, told <strong>the</strong> Prison Service investigation that he was walking<br />

upstairs to <strong>the</strong> right <strong>of</strong> cell G3-24 when he heard a commotion and looked down and saw<br />

Mr Lodge standing in <strong>the</strong> middle <strong>of</strong> <strong>the</strong> cell, smiling. Mr Gray was opposite <strong>the</strong> cell.<br />

There were a couple <strong>of</strong> <strong>of</strong>ficers. One walked <strong>into</strong> <strong>the</strong> cell and was rubbing his face <strong>the</strong>n<br />

threw a blow. He described him as a youngish-looking <strong>of</strong>ficer with mousey hair and blue<br />

eyes. Then <strong>the</strong> o<strong>the</strong>r <strong>of</strong>ficer went <strong>into</strong> <strong>the</strong> cell. Mr Davies said he could see Sonny Lodge<br />

on <strong>the</strong> floor. The <strong>of</strong>ficer was crouching over him and looking worried. Then <strong>the</strong> door was<br />

kicked shut.<br />

10.29 In his statements for <strong>the</strong> Prison Service investigation and <strong>the</strong> Coroner, Mr Davies<br />

said that <strong>the</strong>re were two prison <strong>of</strong>ficers in <strong>the</strong> cells, both moving towards <strong>the</strong> door. The<br />

<strong>of</strong>ficer who was ahead was standing almost outside <strong>the</strong> cell. The o<strong>the</strong>r <strong>of</strong>ficer turned<br />

back to face Sonny. He said that that this <strong>of</strong>ficer swung his keys <strong>the</strong>n put <strong>the</strong>m in his<br />

pocket, raised his hands and rubbed his face, <strong>the</strong>n brought his right hand in a clenched<br />

fist and punched Sonny in <strong>the</strong> forehead causing him to fall backwards. Mr Davies told<br />

<strong>the</strong> Prison Service investigators he did not know <strong>the</strong> <strong>of</strong>ficers’ names. In his statement to<br />

<strong>the</strong> Coroner’s <strong>of</strong>ficer he said that Mr Gray had told him later that <strong>the</strong> <strong>of</strong>ficer whose<br />

appearance he described was called Collier.<br />

Evidence <strong>of</strong> <strong>the</strong> Healthcare staff<br />

10.30 O<strong>the</strong>r <strong>of</strong>ficers took over from Officer Downs and Officer Bowcock, who left <strong>the</strong><br />

cell. Healthcare Officer (HCO) Williams went to G wing in response to <strong>the</strong> alarm. He told<br />

<strong>the</strong> inquest Sonny seemed to have stopped breathing. The restraints were removed and<br />

he checked for a pulse. Sonny started to brea<strong>the</strong> again as if he had been holding his<br />

breath. He <strong>the</strong>n began to show signs <strong>of</strong> a fit for 5 to10 seconds. When this ended he<br />

was placed in <strong>the</strong> recovery position and his pulse checked. He was transferred to <strong>the</strong><br />

healthcare centre. On <strong>the</strong> way he was angry and shouting at <strong>the</strong> <strong>of</strong>ficers, which HCO<br />

Williams thought unusual in someone recovering from a fit.<br />

10.31 Healthcare Officer Harrison also went to <strong>the</strong> cell. He told <strong>the</strong> Prison Service<br />

investigators it was about 7.50 pm. When he arrived, Sonny Lodge was on <strong>the</strong> floor<br />

being restrained by discipline staff. He had stopped breathing once or twice and <strong>the</strong><br />

77

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