Management Plans in both mental health and prison settings were often laconic
and brief, setting generic targets such as ‘improve behaviour’ or ‘not engage
in self-harm’. In prisons, the prisoner’s signature was missing on several of the
management plans examined, and prisoners did not always get a copy of their
management plan, which seemed to defeat the point of having one. In contrast,
Individual Behaviour Management Plans for Young People completed daily by
Secure Care Unit staff at the Youth Justice facility visited were of excellent
quality – see section on Good Practice.
The use of restraint by the police was recorded electronically on the Tactical
Options Reporting (TOR). The small sample of individual incident reports
involving the use of restraint chairs examined were completed to a good
standard and included a detailed account of events.
Limited confidential access to written complaint mechanisms
The health and disability facilities visited provided residents with access to
a telephone and free-phone numbers for District Inspectors and the Health
and Disability Commissioners were either displayed on the wall or provided
to residents as part of an information pack. Prisoners were similarly able to
access the Inspector of Corrections and the Ombudsman’s office and their
telephone numbers were prominently displayed by the telephones, often in the
exercise yard or ‘day room’. However, with the exception of children and youth
residences, which were equipped with confidential complaints boxes, seclusion
areas in most of the health and disability units, prisons and police custody suites
visited had no complaint boxes where people could deposit a complaint in a
confidential manner. Instead, anyone wanting to make a complaint had to first
ask staff for the relevant form and then hand it to them for further action. This
was not good practice. Easily accessible confidential complaints boxes are a
necessary adjunct to any phone based complaint avenues, and this access must
be safeguarded. Where these were available for us to review, we found that the
quality and promptness of responses to complaints received were variable as
were processes of quality assurance.
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