Source · IOPC Learning Case

Recommendation - South Wales Police, August 2022

South Wales Police Ref: 2021/157273 Recommended 15 Aug 2022 Response due 10 Oct 2022
Custody and detention

We identified organisational learning from a review following a man's detention in custody.

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Recommendations

1 total
Recommendation 1

The IOPC recommends that South Wales Police takes steps to ensure that custody staff are aware of how to safely manage detainees who have sleep apnoea. Consideration should be given to: This follows an IOPC review of a Death and Serious Injury (DSI) local investigation where a detainee's sleep apnoea machine stopped working during their detention. The machine was retrieved from the detainee’s property after they disclosed they had the condition as part of a risk assessment conducted on their arrival in custody; the detainee was also noted as intoxicated and placed on level two observations during this assessment. The detainee was moved to a cell that was situated close enough to a plug to enable the machine to be switched on using an extension cord. Due to lack of experience and/or knowledge of the condition, and such machines used to treat it, police officers and staff conducting welfare checks on the detainee were unaware of the machine malfunctioning. This resulted in the detainee becoming unresponsive and requiring hospital treatment. South Wales Police does not currently have a policy or training in place regarding sleep apnoea and how it should be managed. The implementation of any policy or training package in relation to the condition should look to incorporate the issues highlighted within this recommendation. This may help to improve detainee (and custody staff) safety and welfare in the future. Do you accept the recommendation? Yes

Addressed to: South Wales Police
Linked bodies: South Wales Police
Accepted
Force response

Accepted action: This recommendation was discussed in the force quarterly Strategic Lessons Learned forum on 16th June 2022. Following the group meeting it was agreed that the recommendation was accepted and that in future;