Report of the Inquiry into the circumstances of the Death of Bernard ...

ut the system of assessing fitness without regard to any history or prior
knowledge was not satisfactory. Current Prison Service policy now requires a risk
assessment, including reference to medical records, before a punishment of
cellular confinement is imposed.
After 4.40 in the afternoon on 28 August, when Sonny Lodge was in segregation,
he was not observed at least once an hour as required by the Prison Discipline
Manual.
21.17 Recommendation
that the Prison Service advises adjudicators to consider examining use of force
statements in any adjudication where force has been used following an incident
of alleged assault.
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