Source · IMB Annual Report

Cookham Wood

Year: 2022 Published: 1 Feb 2023 Type: Prison · Cat YOI Population: 82 Recommendations: 7 Key concerns Positive findings

This report highlights a period of significant challenges and some positive developments at HMYOI Cookham Wood. While improvements were noted in aspects of healthcare and staff dedication, major concerns persist regarding the inhumane regime, severe staffing shortages, and prolonged periods of isolation for boys. The IMB raises critical questions to the Minister, Youth Custody Service, and Governor regarding these systemic issues, emphasizing the impact on the safety, welfare, and progression of young people in custody.

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody0
Self-harm incidents35
Prisoner assaults282
Assaults on staff130

Positive findings

The Board commends the reduction in operational capacity, which led to a better staff-to-boy ratio. Staff on Cedar block were praised for creating a safe environment and their innovative regime. The resettlement team was commended for their work in preparing 18+ boys for transfer. The temporary Governor and his management team received applause for their efforts to improve standards and working conditions. Kitchen staff demonstrated exceptional performance despite equipment challenges. Healthcare services were found to be well-led, well-resourced, and the new integrated healthcare service shows promising initiatives and enthusiasm. Primary care nurses provide highly professional and accessible services, and the substance misuse team's preventative work is exemplary. The quality of teaching is generally good, and boys enjoy vocational training with opportunities for employment on release.

Key concerns

13 items
Overcrowding Repeated The unacceptably high percentage of the population who are on remand will continue to be a problem until Crown Courts are able to reduce the backlog caused by the pandemic. When will the government tackle the inhumanely long periods that boys are currently being held in prison on remand?
Staffing Leadership churn with a risk to leadership continuity, with both the Governor and Deputy Governor positions being covered by internal temporary promotions to Governor and deputy governor after the Governor transferred in July 2022.
Resettlement/Release Repeated Delay in the transfer of 18+ boys with long sentences to adult establishments, causing frustration and posing a risk to Cookham Wood by holding adults alongside vulnerable children.
Estate/Conditions The delays in the timely delivery of capital projects and poor state of general repairs and maintenance by Gov Facility Services Limited (GFSL) are a disgrace, with projects regularly over-running, being poorly monitored, shoddily delivered, and some running unfinished for well over a year.
Staffing Inadequate staffing levels mean that boys in Cookham Wood experienced nothing close to full-time provision, with the daily regime regularly suspended due to staff shortages.
Regime/Time Out of Cell Repeated The limited out of cell hours (particularly at weekends) that boys have been allowed throughout the 12-month reporting period is considered by the IMB to be inhumane, especially for those held separated for up to 23 hours per day.
Equality/Diversity Over the past year, Cookham Wood has failed to provide boys of faith with access to regular weekly corporate worship due to officer shortages and difficulties with movements.
Safety Some boys in Cookham Wood have stated that they carry improvised weapons because they do not feel safe, a concern also highlighted by HMIP inspections on high levels of violence.
Safety Repeated Cell occupation ID labels are commonly tampered with, a concern previously raised by the coroner following a death in custody, and a programme of replacement tamper-proof labels is yet to be completed.
Estate/Conditions Repeated HM Inspectorate of Prisons (HMIP) found the worst living conditions at Cookham Wood, with communal areas and cells being grubby, and extensive and offensive graffiti in cells, communal areas and exercise yards.
Mental Health Repeated The refurbished Phoenix unit, designed to provide enhanced support to vulnerable boys, has been significantly under-used due to limited staff, denying accessibility for boys in desperate need of additional support despite long delays and significant expenditure on its completion.
Mental Health It has been challenging to arrange for boys needing in-patient mental health care to be moved to an appropriate setting, with officers and medical practitioners expressing major concern for their welfare.
Education/Purposeful Activity Repeated Boys in Cookham Wood have been denied their right to full-time education, with staffing issues preventing the provision from matching that available out in the community, and significantly fewer hours for separated learners.

Recommendations

7 items · 2 repeated
#RecommendationAddresseeStatus
1 The unacceptably high percentage of the population who are on remand will continue to be a problem until Crown Courts are able to reduce the backlog caused by the pandemic. When will the government tackle the inhumanely long periods that boys are currently being held in prison on remand? Repeated
Response
In the Minister’s response to the previous IMB annual report, it was stated NHS England and NHS Improvement had commissioned a clinical review of those children identified as extremely ‘high harm, high risk, high vulnerability’ who often create or contribute to systems failures. The IMB is yet to see any impact of this work. Have any recommendations of this report been actioned? The Minister’s response also referenced a review of custodial remand for children which was published in January 2022. Have any of the issues and steps identified to improve and enhance scrutiny and oversight of the remand process been implemented?
Ministry of Justice
2 Transition of 18+ boys: Is there end-to-end sentence planning and support for these boys? Do they carry their sentence plan with them when they transition to a young adult institution? Or do they have to start afresh? What steps will be taken to arrange transfers to the adult estate for young adults who are aged 18+ and have long sentences and/or complex needs? Is the YCS going to ensure a smooth transition for all boys going into the adult estate? HMPPS
3 Appointment of a permanent Governor: Is the YCS confident that appointment of a substantive postholder to the role of Governor at Cookham Wood can be made? Will there be adequate plans in place to support a smooth leadership transition when this eventually takes place? HMPPS
4 Performance of Gov Facility Services Limited (GFSL): The delays in the timely delivery of capital projects and poor state of general repairs and maintenance are a disgrace. Projects have regularly over-run, been poorly monitored, and shoddily delivered. The service is effectively inefficient and costly. Boys in Cookham Wood are missing out on the facilities they deserve, and staff are having to accommodate and work around unfinished facilities (see case study 4, page 15). The IMB judges that the YCS is getting very poor value for money from its capital projects in Cookham Wood, some of which have run on unfinished for well over a year. When will this situation be improved? When will project management be implemented that is both fit-for-purpose and impactful? HMPPS
5 Appropriate staffing levels: If the boys in Cookham Wood were out in the community, they would be expected to be in full-time education, training or employment. Throughout the whole of the last year, the boys in Cookham Wood experienced nothing close to full-time provision. This has been largely due to poor staffing. When will the service provide adequate staffing levels (even providing detached duty staff) to enable the Governor to deliver the regime that is required? HMPPS
6 Time out of cells: The limited out of cell hours (particularly at weekends) that boys have been allowed throughout the 12-month reporting period is considered by the IMB to be inhumane (see section 6 for statistical analysis). The true picture for most boys (housed in the main residential block) is masked by averages which are calculated across the whole establishment, as the hours out of cell on the Cedar block (which houses 10% or fewer of the total population), are much higher. Repeated Governor / Director
7 Faith: Over the past year, Cookham Wood has failed to provide boys of faith with access to regular weekly corporate worship. What steps will be taken to ensure an appropriate regime for all boys at Cookham Wood? Governor / Director

Related inspections & investigations

17 Jun 2025 PPO fatal incident Trevor Brazier · Natural causes
PPO fatal incident Aaron House
PPO fatal incident Aaron House
PPO fatal incident Martin Ryan
27 Jun 2019 PPO fatal incident Individual at Cookham Wood · Natural causes
4 Oct 2021 PFD Caden Stewart · State Custody related deaths | Child Death (from 2015)
28 Dec 2014 PFD Alex Kelly · State Custody related deaths

Other reports for Cookham Wood

2024 Published 23 Apr 2025 Population 20 · Concerns
2023 Published 15 Feb 2024 Population 80 · Concerns
2021 Published 15 Feb 2022 Population 91 · Self-harm 29 · Concerns
2020 Published 19 Jan 2021 Population 120 · Self-harm 108 · Concerns

Report details

Establishment
Cookham Wood
Type
Prison · Cat YOI
Report year
2022
Published
1 February 2023
Responsible body
HMP Cookham Wood
Recommendations
7

Population

Population82
Operational capacity120
Time out of cell5.4h/day

Service providers

Education
Novus
Facility Services/Maintenance
Gov Facility Services Limited (GFSL)
Healthcare
Central and North West London Foundation Trust
Induction Support
Barnardo's
Reintegration Pathway and Youth Work
Kinetic
Sporting and Other Activities
Sports Connect
Transfer Transport (Court)
Serco

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