Source · IMB Annual Report

Foston Hall

AI-generated report summary HMP/YOI Foston Hall has shown positive developments in regime provision and some safety initiatives, yet it continues to grapple with persistently high self-harm rates and increased use of force. Staffing shortages have impacted key work and overall experience levels, while healthcare faces challenges with recruitment, missed appointments, and inadequate facilities. The Board highlights significant concerns regarding accommodation decency, delays in parole and mental health transfers, and a lack of analytical focus on protected characteristics, affecting fair treatment and access to services.

Year: 2023 Published: 9 May 2024 Type: Prison · Cat YOI female Population: 284 Recommendations: 22 Key concerns Positive findings

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody1

Positive findings

AI-generated summary
The IMB observes Foston Hall's focus on prisoner safety, evidenced by new initiatives and decreasing self-harm rates. The Board welcomes significant progress in lifting regime restrictions, leading to a more humane environment with resumed exercise and activities. Healthcare shows improvements in hospital appointment attendance and overnight cover, while education has experienced less disruption. Efforts to address prisoner homelessness on release are also noted.

Key concerns

22 items
Resettlement/Release Delays in notifying prisoners of parole decisions, arising from a backlog of cases, causes significant difficulties for prisoners and staff.
Mental Health Repeated The 28-day target for transfer from custody to a secure hospital was not met locally in five out of 29 cases.
Estate/Conditions Repeated There has been continued inadequacy of accommodation in the CSU and D wing.
Safety Repeated Self-harm levels continue to be high.
Safety Repeated Listeners are being trained, but often step down, so there is limited access to Listeners.
Safety Repeated Challenge, support and intervention plans (CSIPs) continue to be underused and there is a high rate of ‘no further action’ following a referral. Furthermore, investigations are often not completed within 72 hours, all of which affects the level of support to prisoners.
Safety There have been increased levels of use of force and a disproportionate use of force towards young adults.
Staffing Repeated Staffing issues have had an impact on the implementation of key working, as intended in the offender management in custody (OMiC) model.
Regime/Time Out of Cell Repeated Delays in prisoners accessing their property.
Complaints/Property Prisoners do not receive responses to applications.
Estate/Conditions Repeated What action can be taken to address the ongoing problems with heating, hot water and delays in repairs?
Equality/Diversity Repeated There is a lack of analysis about the impact of protected characteristics on prisoners’ access to incentives, services and activities.
Complaints/Property The issue with the quality and timeliness of DIRFs has resulted in a lack of confidence in the process by prisoners.
Healthcare Repeated A significant number of healthcare appointments are missed.
Healthcare The medication dispensing hatch remains unfit for purpose, with prisoners queuing outside in all weathers and not being assured of privacy if the queue isn’t well-managed.
Estate/Conditions Clinical and group-work space for physical and mental healthcare and group-work space for mental healthcare is very limited.
Healthcare Repeated Carers for people with support needs can have long waits for escorts or even be turned away at the gate if a serious incident is in progress, leaving prisoners with unmet care needs.
Equality/Diversity The healthcare service does not collect equalities’ data and, therefore, cannot monitor for disproportionate outcomes.
Education/Purposeful Activity The prison has failed to monitor equalities in education, including examining whether there is disproportionate access to classes and qualifications.
Education/Purposeful Activity Repeated Disabled prisoners have not been able to access upper floor classrooms, which prevents their participation in the full range of education provision.
Education/Purposeful Activity Repeated There is not enough staff to run reliable library sessions, resulting in a lack of access by prisoners.
Resettlement/Release Repeated How will you address the problem of prisoners being homelessness on release?

Recommendations

22 items · 14 repeated

Recommendation 1

Addressee: Ministry of Justice

Delays in notifying prisoners of parole decisions, arising from a backlog of cases, causes significant difficulties for prisoners and staff. When will this be addressed?

Source text verified

Recorded status:

Topic: Resettlement

Recommendation 2

Addressee: NHS / Healthcare Provider

The 28-day target for transfer from custody to a secure hospital was not met locally in five out of 29 cases. When will action be taken to address the gaps in hospital provision?

Repeated Source text verified

Response
Access to secure mental health accommodation is a national issue. Demand is high. A statutory limit of 28 days for transfers from prison to hospital is being monitored, and work is ongoing to improve consistency and quality.

Recorded status:

Topic: Mental Health

Recommendation 3

Addressee: HMPPS

There has been continued inadequacy of accommodation in the CSU and D wing. Will there be further funding to improve the quality and decency of these wings?

Repeated Source text verified

Response
Replacements for D wing and CSU remain unfunded due to competing pressures. A new portacabin provides space for healthcare admin, freeing up space for treatment, and a second portacabin provides two bespoke spaces for one-to-one interviews. Additional accommodation for healthcare administration has been created, freeing up treatment rooms.

Recorded status:

Topic: Estate

Recommendation 4

Addressee: Governor / Director

Self-harm levels continue to be high. What more can be done to support prisoners who harm themselves?

Repeated Source text verified

Response
Multidisciplinary approach. Aim to keep women as active as possible. Additional operational support for early days. Analyst appointed to identify trends and themes from data. Re-introduction of key work commenced. ACCT (assessment, care in custody and teamwork document) assurance checks have improved quality.

Recorded status:

Topic: Safety

Recommendation 5

Addressee: Governor / Director

Listeners are being trained, but often step down, so there is limited access to Listeners. How can retention rates be improved?

Repeated Source text verified

Response
In 2021, there were five Listeners. One prisoner responsible for large number of calls. Continue to drive availability of Listeners.

Recorded status:

Topic: Safety

Recommendation 6

Addressee: Governor / Director

Challenge, support and intervention plans (CSIPs) continue to be underused and there is a high rate of ‘no further action’ following a referral. Furthermore, investigations are often not completed within 72 hours, all of which affects the level of support to prisoners. How can this be addressed?

Repeated Source text verified

Response
CSIP still bedding in. Improvement delivery plan in place. Recently appointed safety hub manager is now decision-maker, with three band 3 officers to investigate referrals and upskill staff.

Recorded status:

Topic: Safety

Recommendation 7

Addressee: Governor / Director

There have been increased levels of use of force and a disproportionate use of force towards young adults. How can this be reduced?

Source text verified

Recorded status:

Topic: Safety

Recommendation 8

Addressee: Governor / Director

Staffing issues have had an impact on the implementation of key working, as intended in the offender management in custody (OMiC) model. What action will you be taking to improve staff availability?

Repeated Source text verified

Response
Activity and safety were prioritised, and key work suspended in the light of staffing gaps.

Recorded status:

Topic: Staffing

Recommendation 9

Addressee: Governor / Director

How will you cut down on the delays in prisoners accessing their property?

Repeated Source text verified

Response
Recent increase in staffing in reception has reduced delays.

Recorded status:

Topic: Regime

Recommendation 10

Addressee: Governor / Director

Prisoners do not receive responses to applications. What action can be taken to make this system reliable and timely?

Source text verified

Recorded status:

Topic: Complaints

Recommendation 11

Addressee: Governor / Director

What action can be taken to address the ongoing problems with heating, hot water and delays in repairs?

Repeated Source text verified

Response
Amey impacted by reduced team due to staff shortages. Additional funding sought to replace old machines.

Recorded status:

Topic: Estate

Recommendation 12

Addressee: Governor / Director

There is a lack of analysis about the impact of protected characteristics on prisoners’ access to incentives, services and activities. How can this be addressed to ensure there is no discrimination?

Repeated Source text verified

Response
Work on equalities hampered due to resourcing issues within team. I am looking at affordability in budget.

Recorded status:

Topic: Equality

Recommendation 13

Addressee: Governor / Director

The issue with the quality and timeliness of DIRFs has resulted in a lack of confidence in the process by prisoners. How – and when – will you address this issue to regain trust and confidence in the overall process?

Source text verified

Recorded status:

Topic: Complaints

Recommendation 14

Addressee: Governor / Director

A significant number of healthcare appointments are missed. What can be done to improve communication to prisoners about appointments and enable their attendance?

Repeated Source text verified

Response
Currently looking at making instructors aware of healthcare focus on missed appointments, so women can go to work and attend appointments from there.

Recorded status:

Topic: Healthcare

Recommendation 15

Addressee: Governor / Director

The medication dispensing hatch remains unfit for purpose, with prisoners queuing outside in all weathers and not being assured of privacy if the queue isn’t well-managed. When will this be addressed?

Source text verified

Recorded status:

Topic: Healthcare

Recommendation 16

Addressee: Governor / Director

Clinical and group-work space for physical and mental healthcare and group-work space for mental healthcare is very limited. How can their accommodation be improved?

Source text verified

Recorded status:

Topic: Healthcare

Recommendation 17

Addressee: Governor / Director

Carers for people with support needs can have long waits for escorts or even be turned away at the gate if a serious incident is in progress, leaving prisoners with unmet care needs. How can this be addressed?

Repeated Source text verified

Response
We minimise movement through the gate due to security risks at 7pm. Need to risk-assess whether we can provide later access with social care partners.

Recorded status:

Topic: Healthcare

Recommendation 18

Addressee: Governor / Director

The healthcare service does not collect equalities’ data and, therefore, cannot monitor for disproportionate outcomes. When will this be addressed?

Source text verified

Recorded status:

Topic: Equality

Recommendation 19

Addressee: Governor / Director

The prison has failed to monitor equalities in education, including examining whether there is disproportionate access to classes and qualifications. When will this be addressed?

Source text verified

Recorded status:

Topic: Equality

Recommendation 20

Addressee: Governor / Director

Disabled prisoners have not been able to access upper floor classrooms, which prevents their participation in the full range of education provision. When will there be a solution?

Repeated Source text verified

Response
There is a limit to rooms available on ground floor. Prison disability lead is working with People Plus to explore options.

Recorded status:

Topic: Equality

Recommendation 21

Addressee: Governor / Director

There is not enough staff to run reliable library sessions, resulting in a lack of access by prisoners. When will this be addressed?

Repeated Source text verified

Response
Team-related issues within library and vacancy in learning and skills manager post. Work taking place with wing staff to raise the profile of library slots.

Recorded status:

Topic: Education

Recommendation 22

Addressee: Governor / Director

How will you address the problem of prisoners being homelessness on release?

Repeated Source text verified

Response
Weekly pre-release meeting supporting action for prisoners approaching release to find accommodation. New prison employment lead in post and advisory Board chaired by Greggs to improve employment outcomes. Work-based release on temporary licence (ROTL) opportunities being explored.

Recorded status:

Topic: Resettlement

Related inspections & investigations

PPO fatal incident Emma Kent · Other non-natural
PPO fatal incident Phoebe Adlard
PPO fatal incident Amie Keeling
PPO fatal incident Angela Shand
PPO fatal incident Baby C

Other reports for Foston Hall

2025 Published 16 Apr 2026 · Self-harm 2,014 · Concerns
2024 Published 4 Apr 2025 Population 292 · Self-harm 1,423 · Concerns
2022 Published 23 Mar 2023 Population 231 · Concerns
2021 Published 18 Mar 2022 Population 264 · Concerns
2020 Published 23 Mar 2021 Population 245 · Concerns