Source · Prevention of Future Deaths

Michael Dobson

Ref: 2021-0035 Date: 11 Feb 2021 Coroner: Andrew Haigh Area: Staffordshire South Responses identified: 1 / 1 View PDF

Limited staff availability post-prison lockdown means essential maintenance, like electricity supply issues, is delayed until the next day. This creates a potential for prisoners to self-harm.

Date 11 Feb 2021
56-day deadline 8 Apr 2021
Responses identified 1 of 1
Mental Health related deaths State Custody related deaths Suicide (from 2015)

Coroner's concerns

AI summary
Limited staff availability post-prison lockdown means essential maintenance, like electricity supply issues, is delayed until the next day. This creates a potential for prisoners to self-harm.
View full coroner's concerns
_ The MATTER OF CONCERN is as follows. The hanging incident occurred after prison lockdown: Shortly prior to this the electricity supply for the sockets in the cell had tripped: Mike had used his cell bell to call prison officer and he was told it would be sorted out but probably not until the next The inquest also heard that in some cases (not Mike's) that cell lights will trip and this tends to take out four cells. It is also possible that other damage may be caused to cells. am aware that there are very limited staff and security concerns following lockdown. If however prisoners become aware that remedial action may not take place until the following day this does provide a potential (either deliberate or accidental) for prisoners to harm themselves. wonder if it is possible for some form of basic maintenance to be available during lockdown hours. If this concern appears more to be national one rather than a local one then please feel free to pass it on to whoever it is appropriate to deal with it

Responses

1 respondent
Serco Home Affairs HMP Dovegate
8 Apr 2021 PDF
Action Taken

HMP Dovegate has ensured there is an on-call facilities maintenance officer available to remedy electricity faults in cells during out-of-hours periods. Duty Managers have been reminded of their responsibility to contact the on-call officer and that electricity should not be left inactive for any period of time. (AI summary)

View full response
Telephone: | Facsimile +44 (0) 1283 820066 | www.serco.com

Serco Home Affairs, a division of Serco Limited. A company registered in England and Wales No. 02733334 Office: Serco House, 16 Bartley Wood Business Park, Bartley Way, Hook, Hampshire, RG27 9UY, United Kingdom. PU Serco Home Affairs, HMP Dovegate, Uttoxeter, ST14 8XR, United Kingdom 8th April 2021

To Whom it May Concern,

In response to the Regulation 28 letter dated 11th February 2021, (case ID; ), regarding the investigation and inquest in the death of Mr Michael Richie Dobson, HMP Dovegate’s Safer Custody department have ensured that there is a system in place to remedy electricity faults within cells during out of hours facilities times.

There is an on-call facilities maintenance officer who can be contacted at any time of day to come into the Prison when there is a fault that cannot be rectified internally by the Duty Manager. The Duty Manager team have been made aware that electricity should not be left inactive for any period of time and that it is their responsibility to contact the facilities ‘on call officer’ to attend the prison to rectify any issues.

Whilst the death of Mr Michael Richie Dobson is not an example of electricity being left inactive, HMP Dovegate’s management team recognise that inadequate basic supplies in cells could result in a Prisoner harming themselves and could cause unnecessary emotional distress.

The Safer Custody team at HMP Dovegate would like to offer assurances that this issue has been rectified.

Report sections

Investigation and inquest
On 26 November 2019 ! commenced an investigation into the death of Michael Richie DOBSON (Mike") The investigation concluded at the end of the inquest on 9 Fabainagy 2021. The conclusion of the inquest was suicide with the cause of death being hanging:
Circumstances of the death
aikehappledha ligature to himself using a piece of linen/sheet through a hole in the ceiling and hanged himself. This hanging occurred on 24.11.2019 at an approximate time between 19.00 and 19.25. Death was pronounced at Queen's Hospital Bruton on 22.25 on 24.11.2019. Probably causative factors: Mike had standing poor mental health issues. There were also issues around illicit use. Mike had fractured family relationships_ Mike had dificulties in establishing and engaging with relationships and the support offeredao him, Possibly causative factors: A lack of central base of information accessible to all relevant staff with useable information: Staffordshire Place, Stafford, ST16 2LP Telephone: 01785 276126 or 276127 Email: sscor@staffordshire gov.uk long drug
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action: Otherwise you should explain why no action is proposed:

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Report details

Reference
2021-0035
Date of report
11 February 2021
Coroner
Andrew Haigh
Coroner area
Staffordshire South

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 8 Apr 2021.

Sent to

HMP Dovegate

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