Source · IMB Annual Report
Foston Hall
AI-generated report summary HMP/YOI Foston Hall faced significant challenges in the reporting year, primarily due to acute staff shortages which severely impacted the regime, leading to frequent curtailments and long periods of cell confinement. Key concerns included high levels of self-harm and violence, inadequate accommodation, and slow progress in healthcare provision and resettlement outcomes. Despite these difficulties, the Board commended staff dedication and noted some improvements, such as the opening of better quality accommodation and enhanced chaplaincy services.
Year: 2022
Published: 23 Mar 2023
Type: Prison · Cat YOI women's closed
Population: 231
Recommendations: 23
Key concerns
Positive findings
Safety statistics
| Indicator | This year | Previous |
|---|---|---|
| Deaths in custody | 0 | — |
| ACCT cases opened | 260 | 306 |
| Use of force | 203 | 297 |
| Drug finds | 33 | — |
Positive findings
AI-generated summaryThe Board noted significant improvements, including the opening of better quality B wing accommodation and closure of temporary G wing. Positive initiatives include enhanced chaplaincy services and a new resettlement worker, improved library and education courses, and better use of body worn cameras. The Board commended staff for their commitment during staffing pressures, especially officers, chaplaincy, CSU, kitchen, and healthcare teams.
Key concerns
Women with mental health issues and complex needs, including substance misuse, who would be better treated in the health rather than the criminal justice system continue to be sent to Foston Hall. There are delays in transferring prisoners to secure hospital.
The Board remains concerned that the government plan for 500 new prison places for women contradicts the female offender strategy (June 2018), which sets out a vision that custody should be a last resort, reserved for the most serious offences.
A severe staff shortage, which continues to have a major impact on all aspects of the regime provided to prisoners at Foston Hall, and which is detrimental to their wellbeing and the fairness of their treatment.
The inadequate accommodation for the provision of healthcare and rehabilitative work, and the shortcomings of the residential accommodation in D wing and CSU, all of which limit the regime.
The lack of satisfactory accommodation for prisoners who need to be isolated but whose behaviour does not warrant location in the CSU, for example prisoners needing to be segregated for their own protection, or transgender prisoners awaiting a decision on allocation; currently the CSU is the only option.
The continued high level of self-harm.
Delays in investigating challenge, support and intervention plan (CSIP) referrals, and the high number resulting in no further action.
Limited access to Listeners, resulting in a significant increase in phone calls to the Samaritans.
The number of violent incidents, especially prisoner to prisoner.
The high number of regime curtailments due to staffing issues.
Delays in prisoners accessing property.
The frequent and lengthy delays in repairing/replacing washing machines, which has an unacceptable impact on the laundry arrangements for prisoners. Several maintenance and repair tasks are taking far too long to resolve.
Lack of support for foreign national prisoners, and prisoners with protected characteristics.
Slow progress on equalities, hampered by lack of data analysis, preventing systematic monitoring of outcomes for prisoners with protected characteristics.
The suspension of consistent and regular planned contacts by key workers, in line with offender management in custody requirements, thereby reducing rehabilitative and support work with prisoners.
The high number of missed primary care appointments.
The cancellation of hospital appointments due to lack of available escorts, and late arrival of escort vehicles and the wrong type of vehicle.
The lack of available clinical staff at night-time on occasion.
Carers for disabled prisoners who need help to prepare for bed are unable to enter the establishment after 7pm.
Education delivery being seriously impacted by operational staff shortages and regime restrictions.
The limited access to the library.
Lack of access for disabled prisoners to some education classes.
Poor employment and accommodation outcomes for prisoners on release.
Recommendations
Women with mental health issues and complex needs, including substance misuse, who would be better treated in the health rather than the criminal justice system continue to be sent to Foston Hall. There are delays in transferring prisoners to secure hospital. Are there plans to address these concerns? (See paragraphs 6.3.3, 6.3.5)
Government response
New fortnightly clinical case review meeting, target covering the Midlands region, to reduce transfer times, assessing all prisoners that have exceeded 28-day time frame. The transfer to hospital target timescale has been missed on 10 occasions out of 36 this year.
Recommendation 2
The Board remains concerned that the government plan for 500 new prison places for women contradicts the female offender strategy (June 2018), which sets out a vision that custody should be a last resort, reserved for the most serious offences.
Recommendation 3
A severe staff shortage, which continues to have a major impact on all aspects of the regime provided to prisoners at Foston Hall, and which is detrimental to their wellbeing and the fairness of their treatment? (A theme throughout this annual report, notably paragraph 6.5.2)
Government response
April 2022 regime expanded. Level transfer campaigns to fill vacancies. Prison officer entry-level training mentors appointed to help with retention, and standards coaching team offering staff support.
Recommendation 4
The inadequate accommodation for the provision of healthcare and rehabilitative work, and the shortcomings of the residential accommodation in D wing and CSU, all of which limit the regime? (See paragraphs 5.1.1 and 6.1.6)
Government response
Redecoration has improved the appearance of some cells. The limitations of the accommodation remain the same. A bid to replace the showers has been successful. A bid has been submitted for additional space for healthcare. Mental health accommodation has improved since the team moved back into their offices. But overall, there is insufficient space for the clinical work on a one-to-one or groupwork basis, and health promotion activities have been held back, partly due to lack of space. Renovation has been completed. New physical education (PE) slot on Mondays and plans to improve exercise yard. Education outreach provided to CSU prisoners. Despite improvements from refurbishment, the area is still cramped and a poor environment. A new build remains the longer-term solution.
Recommendation 5
The lack of satisfactory accommodation for prisoners who need to be isolated but whose behaviour does not warrant location in the CSU, for example prisoners needing to be segregated for their own protection, or transgender prisoners awaiting a decision on allocation; currently the CSU is the only option? (See paragraph 5.2.2)
Recommendation 6
The continued high level of self-harm (see paragraph 4.2.1)
Government response
Reduction in self-harm strategy published. Case coordinator support sessions. New CSIP improvement processes. Incentives policy reviewed. Weekly PE for assessment for care in custody teamwork (ACCT) prisoners. Focus on training staff to use body worn cameras. Self-harm levels remain high (the highest in the women’s estate). Use of force has seen a decrease, and some improvement in use of body worn cameras has been seen. Assaults on staff have come down during the period, but prisoner-on-prisoner assaults have gone up.
Recommendation 7
Delays in investigating challenge, support and intervention plan (CSIP) referrals, and the high number resulting in no further action (see paragraph 4.3.6)
Recommendation 8
Limited access to Listeners, resulting in a significant increase in phone calls to the Samaritans (see paragraph 4.2.4)
Recommendation 9
The number of violent incidents, especially prisoner to prisoner (see paragraph 4.3.3)
Government response
Reduction in self-harm strategy published. Case coordinator support sessions. New CSIP improvement processes. Incentives policy reviewed. Weekly PE for assessment for care in custody teamwork (ACCT) prisoners. Focus on training staff to use body worn cameras. Self-harm levels remain high (the highest in the women’s estate). Use of force has seen a decrease, and some improvement in use of body worn cameras has been seen. Assaults on staff have come down during the period, but prisoner-on-prisoner assaults have gone up.
Recommendation 10
The high number of regime curtailments due to staffing issues (see paragraph 6.5.2)
Government response
April 2022 regime expanded. Level transfer campaigns to fill vacancies. Prison officer entry-level training mentors appointed to help with retention, and standards coaching team offering staff support. Despite considerable efforts to improve the staffing situation, it has deteriorated during the year, with increasing number of regime restrictions.
Recommendation 11
Delays in prisoners accessing property (see paragraph 5.8.1)
Government response
Process is being reviewed. Access to stored property is completed on a Saturday, and parcels completed daily. New national property framework, and new women’s facility list. Prisoners continue to report problems in relation to property. In a recent survey conducted by IMB, 62% of prisoners who responded said they had problems accessing their property.
Recommendation 12
The frequent and lengthy delays in repairing/replacing washing machines, which has an unacceptable impact on the laundry arrangements for prisoners. Several maintenance and repair tasks are taking far too long to resolve (see paragraphs 5.1.3, 5.1.4)
Government response
Ministry of Justice estates team in regular contact with contractors to identify delays and how they can be resolved. Locally, issues are escalated to regional estates manager, and performance improvement process is available. Improvement in tackling backlog of repairs by on-site team (504 jobs reduced to 168). However, Amey team in the establishment has less than 50% staffing, and many repairs outstanding. Unacceptable delays in repairs involving Amey based outside the establishment.
Recommendation 13
Lack of support for foreign national prisoners, and prisoners with protected characteristics (see paragraph 5.4.2, 5.4.3)
Government response
Work underway on equalities strategy. Programme of forums is established. Views of Black, Asian or minority ethnic prisoners expressed in two support groups remain critical. Support groups for prisoners suspended for some months and lack of follow-through on issues raised.
Recommendation 14
Slow progress on equalities, hampered by lack of data analysis, preventing systematic monitoring of outcomes for prisoners with protected characteristics (see paragraphs 4.3.5, 5.4.1, 6.1.9, 7.1.4)
Government response
Work underway on equalities strategy. Programme of forums is established. Views of Black, Asian or minority ethnic prisoners expressed in two support groups remain critical. Support groups for prisoners suspended for some months and lack of follow-through on issues raised.
Recommendation 15
The suspension of consistent and regular planned contacts by key workers, in line with offender management in custody requirements, thereby reducing rehabilitative and support work with prisoners (see paragraph 5.3.4)
Recommendation 16
The high number of missed primary care appointments (see paragraphs 6.1.2, 6.2.5)
Recommendation 17
The cancellation of hospital appointments due to lack of available escorts, and late arrival of escort vehicles and the wrong type of vehicle (see paragraph 6.2.4)
Recommendation 18
The lack of available clinical staff at night-time on occasion (see paragraph 6.2.3)
Government response
Healthcare team has worked persistently to fill vacant posts. Difficulties in recruiting agency staff have been recently resolved. Cover for nights by a trained nurse has been a concern, and a pharmacy technician was trained in life support to cover night duty. Over the year to date, 11 nights have been covered by a healthcare assistant, and, of these, six occurred due to last-minute cancellations by agency staff.
Recommendation 19
Carers for disabled prisoners who need help to prepare for bed are unable to enter the establishment after 7pm (see paragraph 6.4.3)
Recommendation 20
Education delivery being seriously impacted by operational staff shortages and regime restrictions (see paragraph 7.1.1)
Recommendation 21
The limited access to the library (see paragraph 7.1.10)
Recommendation 22
Lack of access for disabled prisoners to some education classes (see paragraph 7.1.5)
Recommendation 23
Poor employment and accommodation outcomes for prisoners on release (see paragraphs 7.2.2, 7.5.2)
Government response
There is a shortage of bail accommodation support scheme (BASS) housing for women in Derby and women not wanting to be released elsewhere away from families and significant others. In September 2022, two new BASS premises opened in Derby. The latest data shows approximately one fifth of prisoners are released without a settled address, although the lack of reliable data from probation areas means it has proved difficult to establish the extent. Data cleansing in partnership with probation has led to more reliable data from August onwards.
Applications to the IMB
| Category | Current | Previous |
|---|---|---|
| Accommodation (including transfers) | 45 | 38 |
| Complaints about staff | 18 | 26 |
| Drugs and alcohol | 5 | 6 |
| Equality and diversity | 8 | 3 |
| Finance | 7 | 13 |
| Food | 11 | 14 |
| Health (including mental health & dental) | 25 | 23 |
| Other | 16 | 18 |
| Property | 21 | 30 |
| Respect and dignity | 16 | 15 |
| Safety and self-harm | 17 | 20 |
| Total | 206 | 220 |
| Visits (including legal, family & official) | 8 | 7 |
| Work, education and training | 9 | 7 |
Related inspections & investigations
Other reports for Foston Hall
· Self-harm 2,014
· Concerns
Population 292
· Self-harm 1,423
· Concerns
Population 284
· Concerns
Population 264
· Concerns
Population 245
· Concerns