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For the list of information required within a custody record see 2.7 The Custody Record.

Audit and inspection regimes should be implemented for custody records and should include checking:

• The legibility, accuracy and appropriateness of entries; • Compliance with PACE and its Codes of Practice;

• That all entries are signed, timed and dated;

• That the condition of the detainee on arrival, at each check and on release or transfer is accurately recorded;

• That the waiting time for examination of detainee by a

healthcare professional had been within acceptable timeframes; • That medical needs had been identified and met;

• The administration of medication and that it had been in accordance with instructions;

• The quality of risk assessment;

• That control strategies were commensurate with identified risks, for example, constant observation, CCTV monitoring; • Compliance with risk management measures;

• That the detainee’s intelligence records reflected any vulnerability identified in the risk assessment;

• That dietary or religious and cultural needs were identified and met;

• The timing of cell visits;

• The quality and frequency of rousing visits to detainees,

particularly for detainees who have consumed alcohol or drugs; • The needs of vulnerable or ‘at-risk’ detainees are considered

and appropriate support is made available, eg, appropriate adults, interpreters, healthcare professionals;

• That details of the detainee’s actions, mood and emotional state are recorded on the custody record;

• The level of detailed information provided on the PER Form, where applicable.

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6.1.2 MONITORING, OBSERVATION AND ENGAGEMENT

Four levels of observation should be used:

• Level 1 – General observation; • Level 2 – Intermittent observation; • Level 3 – Constant observation; • Level 4 – Close proximity.

The level of observation will depend on the circumstances of the individual.

It is the responsibility of the custody officer to effectively manage the supervision of each detainee, taking into consideration a detailed and up to date assessment of the risk that the detainee poses to themselves and others, and any recommendations made by a healthcare professional following medical assessment. The custody officer may mitigate identified risks by using appropriate and considered control measures, eg, CCTV monitoring, replacement clothing, supervised meals.

Custody staff are directly responsible for carrying out the observation and supervision of detainees should be aware of the risks that have been identified, and the purpose of the allocated level of supervision that is deemed necessary. All custody staff must receive ACPO Police First Aid Learning Programme training on at least Module 2 First Aid Skills – Police (FASP) and Module 3 First Aid Skills – Custody (FASC) prior to taking up a post in custody. Refresher training must be completed at least every twelve months. Custody staff should be familiar with the signs or behaviours of a detainee that may indicate that there is an increased level of risk and/or requirement for a higher level of monitoring. An increased level of risk, illness or change in behaviour should always be brought to the attention of the custody officer.

Where a detainee has persistently used the cell call system to gain attention with no genuine need, the custody officer responsible for that detainee may take the decision to switch off the cell call system for that cell for a short and limited time period. Where this course of action has been taken the custody officer must mitigate this increased risk by implementing control measures, eg, moving the detainee to a cell with CCTV where they can be continuously monitored, or by increasing the level at which they are being monitored. All such actions and justifications for those actions should

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80 be detailed within the custody record.

A written record must be made within the custody record following each and every check carried out on detainees, and in all cases where a detainee has been roused.

Healthcare professionals may work across different forces and be familiar with different categories or levels of observation (eg,

Metropolitan Police Standard Operating Procedures differ from those in this document). Custody managers should ensure that healthcare professionals working within their force are aware of local

procedures.

Figure 3 provides a guide to determine the appropriate level of observation.

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Figure 3 Levels of Observation

Level 1 General Observation

Following full risk assessment this is the minimum acceptable level of observation required for any detainee. It requires the following:

• Detainees are checked at least every hour (risk assessment is updated where necessary);

• Checks are carried out sensitively in order to cause as little intrusion as possible;

• If no reasonable foreseeable risk is identified, staff need not wake a sleeping detainee (checks of the sleeping detainee must continue and, where change in the condition of a detainee

presents a new risk, the detainee should be roused);

• If the detainee is awake, the officer should communicate with the detainee;

• Visits and observations, including the detainee’s

behaviour/condition, are recorded in the custody record; • Any changes in behaviour/condition must be reported to the

custody officer immediately and added to the custody record and risk assessment as appropriate.

Level 2 Intermittent Observation

This is, subject to medical direction, the minimum acceptable level for those who are under the influence of alcohol or drugs, or whose level of consciousness causes concern. It requires the following:

• The detainee is visited and roused at least every thirty minutes;

• Physical visits and checks must be carried out – CCTV and other technologies can be used in addition;

• The detainee is positively communicated with at frequent and irregular intervals;

• Visits to the detainee are conducted in accordance with PACE Code C, Annex H;

• Visits and observations, including the detainee’s

behaviour/condition are recorded in the custody record and the risk assessment is reviewed and updated as appropriate;

Any changes in behaviour/condition must be reported to the custody officer. The use of technology does not remove the need for physical checks and visits.

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82 Level 3 Constant Observation

If the detainee’s risk assessment indicates a heightened level of risk to the detainee (eg, self-harm, suicide risk or other significant mental or physical vulnerability) they should be observed at this level. It requires the following:

• The detainee is under constant observation and accessible at all times;

• Physical checks and visits must be carried out at least every thirty minutes;

• Constantly monitored CCTV and other technologies can be used (see 11.4.4 Use and Monitoring of CCTV);

• Any possible ligatures are removed;

• The detainee is positively communicated with at frequent and irregular intervals;

• Visits and observations, including the detainee’s

behaviour/condition, are recorded in the custody record; • Any changes in behaviour/condition must be reported to the

custody officer immediately (risk assessment will be reviewed and updated as appropriate);

• Review by the healthcare professional.

The purpose of CCTV cell monitoring should be recorded in the custody record together with the name of the designated member of custody staff who will be responsible for the monitoring.

(Issues of privacy, dignity and gender must be considered.)

Level 4 Close Proximity

Detainees at the highest risk of self-harm should be observed at this level. It requires the following:

• The detainee is physically supervised in close proximity (to enable immediate physical intervention to take place if necessary);

• CCTV and other technologies do not meet the criteria of close proximity but may complement this level of observation; • Issues of privacy, dignity and gender are taken into

consideration;

• Any possible ligatures are removed;

• The detainee is positively communicated with at frequent and irregular intervals;

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83 • Observations, including the detainee’s behaviour/condition, are

recorded in the custody record;

• Any changes in behaviour/condition must be reported to the custody officer immediately (risk assessment will be reviewed and updated as appropriate);

• Review by the healthcare professional.

The custody officer should record the following in the custody record: • The level of observation required for a detainee;

• The reasons for the decision;

• Clear directions that specify the name and title of the persons carrying out the observations;

• The name of the person responsible for carrying out the review of the required observation level.

Healthcare professionals should ensure that their directions for custody staff on the frequency of checks and/or any recommendations on the rousing of a detainee are written in the custody record, in addition to being verbally passed on.

Where there is evidence that risk to the detainee has reduced, the level of monitoring should be reduced appropriately. This change should be carefully considered and applied: detainees should not go straight from Level 4 observations to Level 1.

In document Libro Morata (página 97-104)