Download Report outlining the findings following the Audits of

Report outlining the findings following the Audits of the Custody Suites across
Greater Manchester assessing compliance with guidance on the Safer Detention
and Handling of Persons in Custody, 2006 (appendix 14)
Authors: Nicola Ellis & Tracy Wilson, Regional Offender Health Team – February 2012.
Background:
Greater Manchester Police are one of ten Constabularies that are working in partnership
with NHS Commissioners on the Early Adopter programme to work towards the transfer
of accountability for Police related healthcare to be transferred from the Home Office to
the Department of Health. As part of this work, the Partnership Board agreed that there
was a need to examine the care and facilities that are currently available within the
eleven Custody Suites across Greater Manchester.
Methodology:
The authors visited each Custody Suite across the Constabulary and assessed each
Clinical room against appendix 14 requirements for equipment and supplies for Clinical
rooms within Custody suites. The template utilised was taken directly from SDHP, 2006
and as such only examines compliance to Police guidance rather than clinical opinion on
requirements.
The authors assessed each clinical room against the template and the findings can be
seen below. The full findings and template used for each suite can be found in appendix
1, for the purposes of the main report, only exceptions have been listed.
Greater Manchester Wide:
Police / Capital:
In all of the custody suites, the authors found that where antiseptic hand wash was
available, it was an alcohol-based product. This contravenes the guidance in the Road
Traffic Act 1988, which suggests only alcohol free products should be used to reduce
the risk of contaminated samples.
The following were missing:
 Examination couch is not height adjustable.
 Electric fan.
Provider:
Across the Constabulary, each clinical room had a variety of different items missing,
none of which were absent in every suite.
In many of the suites, the authors were not able to ascertain if pregnancy tests were
available. These may be stored within the drugs cabinet, which was not accessible.
Location specific:
Airport:
Police / capital:
The following where missing:
 Only two chairs, both of which are fabric.
 Lockable wall units.
 The washbasin does not have elbow operated taps.
 Notice board suitable for self-adhesive putty or magnetic contacts.
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Foot operated clinical waste bin.
Only a sample fridge available, no drugs fridge.
Pharmaceutical waste bin.
Paper towels
Provider:
The following were missing:
 Bag – valve mask with adult and child masks.
 Oropharangyl airways in a range of sizes.
 Suction equipment.
 Pocket facemask with a non-return valve.
 Steristrip 6mm.
 Fabric dressing strip 6cm x 1m or 8cm x 1m.
 Tubular support bandage sizes B; D and F.
 Non-adherent dressings 9.5cm.
 Micropore tape 2.5cm x 5m.
 Elastic adhesive strapping 2.5cm.
 Cotton wool.
 Adhesive dressing.
 Dressing packs.
 Tubigauze bandage size 01.
 Antiseptic wipes.
 Antiseptic sachets.
 Liquid soap.
 Antiseptic hand wash.
 Powder free sterile gloves.
 Powder free non-sterile gloves.
 Aprons.
 Eye protection.
 Clinical waste bags 200mm x 320mm and 700mm x 1000mm.
 Tablet bags or labelled bottles (Henley Bags).
 Paper towel rolls 250mm or 500mm.
 2 Plastic Bowls 150mm.
 Paper cups.
 Stitch Cutters.
 SS Forceps 11cm fine point.
 SS Forceps 125mm.
 KY jelly sachets.
 Tissues.
 10ml Disposable syringes.
 Tampons.
 Finger dressing applicators.
 Low adhesive tape.
 Test strips for urinalysis for blood & glucose.
 Pregnancy tests.
 Disposable vaginal speculums (medium & small)
 Disposable Proctoscopes (medium & small)
 Containers and solution for storage of contact lenses.
 Saline eyewash.
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
Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; RTA 1988 Blood Alcohol / Drugs; RTA 1988 Urine Alcohol / Drugs;
Hepatitis.
Stationary – Letterheads; envelopes; plain paper; carbon paper; body diagrams;
head injury instruction sheets.
It must be noted that almost all of the limited stock available at the Airport Custody suite
was out of date.
Bolton:
Police / Capital:
The following were missing:
 Six chairs in the clinical room, but only 2 are wipe clean.
Provider:
The following were missing:
 Suction equipment (electrical or hand operated)
 Fabric dressing strip 6mm x 1m and 8mm x 1m.
 Tubular support bandage size D.
 Elastic adhesive strapping 25mm.
 Milton 600ml.
 Liquid soap
 Antiseptic hand wash.
 Clinical waste bags 200mm x 320mm.
 Powder free sterile gloves.
 Tablet bags (Henley Bags)
 2 Plastic bowls (150ml)
 Paper cups.
 Stitch cutters.
 SS Forceps 125mm and 11cm fine point.
 Dressing scissors.
 KY jelly sachets.
 Tissues.
 Sanitary Towels & Tampons.
 Low adhesive tape.
 Pregnancy tests.
 Disposable vaginal speculums (medium & small)
 Disposable Proctoscopes (medium & small)
 Containers and solution for storage of contact lenses.
 Saline eyewash.
 Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; RTA 1988 Blood Alcohol / Drugs; Hepatitis.
 Stationary – Letterheads; envelopes; plain paper; carbon paper; body diagrams;
head injury instruction sheets; detainee medical care sheets; Section 4 RTA
1988, Fitness to detain & Interview.
Bury:
There are two rooms in Bury Custody suite, however, only one is used. Hence, only one
room was assessed. Also, the Oxygen Cylinder was less than a quarter full at the time
of the inspection.
Police / Capital:
The following were missing:
 Wall units that can be locked.
 Pharmaceutical waste bin.
Provider:
The following were missing:
 Suction equipment that is electrical or hand operated.
 Fabric dressing strip 6mm x 1m.
 Cotton wool.
 Milton 600ml.
 Liquid Soap.
 Clinical waste bags 200mm x 320mm and 700mm x 1000mm.
 Powder free sterile gloves.
 Tablet bags (Henley Bags)
 Paper towel roll 250mm and 500mm.
 2 Plastic Bowls 150mm.
 Paper cups.
 Stitch cutters.
 SS Forceps fine point 11cm and Forceps 125mm.
 Dressing scissors.
 KY Jelly sachets.
 Tissues.
 Tampons.
 Low adhesive tape.
 Blood test strips for glucose.
 Pregnancy tests.
 Disposable vaginal speculums (small & medium)
 Disposable Proctoscopes (small & medium)
 Containers and solution for the storage of contact lenses.
 Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; RTA 1988 Blood alcohol / drugs; RTA 1988 Urine alcohol / drugs;
Hepatitis.
 Stationary – Letterheads; envelopes; plain paper; carbon paper; body diagrams;
head injury instruction sheets; detainee medical care sheets; section 4 RTA 1988
Fitness to Detain & Interview.
Chadderton:
Police / Capital:
The following were missing:
 Five chairs, of which only two were wipe clean.
 Notice Board that is suitable for self-adhesive putty or magnetic contacts.
 Waste bin.
 Drugs Fridge.
 Pharmaceutical waste bin.
Provider:
The following were missing:
 Bag – Valve mask (child)
 Suction equipment either electrical or hand operated.
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Fabric dressing strip 6mm x 1m and 8mm x 1m.
Tubular support bandage sizes B and D.
Elastic adhesive dressing 2.5mm.
Adhesive dressings.
Liquid soap.
Clinical waste bags 200mm x 320mm.
Powder free non-sterile gloves.
Tablet bags (Henley Bags)
Paper towel roll 250mm and 500mm.
Paper cups.
Stitch cutters.
SS Forceps 125mm.
Dressing scissors.
KY Jelly sachets.
Tissues.
Sanitary Towels.
Finger dressing applicators.
Low adhesive tape.
Blood test strips for glucose.
Pregnancy Tests.
Containers and solution for the storage of contact lenses.
Saline eyewash.
Forensic Kits – Medical examination kits; DNA II Module;RTA 1988 Urine alcohol
/ drugs; Hepatitis.
Stationary – Letterheads; envelopes; plain paper; carbon paper; head injury
instruction sheets; detainee medical care sheets; section 4 RTA 1988 Fitness to
Detain & Interview.
Cheadle Heath:
Police / capital:
The following where missing:
 Three chairs available, but two are fabric.
 Notice board suitable for self-adhesive putty or magnetic contacts.
 Only a sample fridge available, no drugs fridge.
 Telephone
Provider:
The following were missing:
 Suction equipment either electrical or hand operated.
 Fabric dressing strip 6cm x 1m or 8cm x 1m.
 Tubular support bandage sizes B; D and F.
 Non-adherent dressings 9.5cm.
 Cotton wool.
 Liquid soap.
 Clinical waste bags 200mm x 320mm and 700mm x 1000mm.
 Powder free non-sterile gloves.
 Tablet bags (Henley Bags).
 Paper towel rolls 250mm or 500mm.
 2 Plastic Bowls 150mm.
 Paper cups.
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Stitch Cutters.
SS Forceps 11cm fine point.
SS Forceps 125mm.
Dressing scissors.
KY jelly sachets.
Tissues.
Low adhesive tape.
Pregnancy tests.
Disposable Proctoscopes (medium & small)
Containers and solution for storage of contact lenses.
Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; Hepatitis.
Stationary – Letterheads; envelopes; plain paper; carbon paper; head injury
instruction sheets; detainee medical care sheets; section 4 RTA 1988 Fitness to
Detain & Interview.
Longsight:
Police / capital:
The following were missing:
 Only two plastic chairs, not three.
 Lockable wall units.
 Drugs fridge.
 Pharmaceutical waste bin.
 Paper towels.
Provider:
 Steristrip 6mm
 Fabric dressing strip 6cm x 1m or 8cm x 1m
 Antiseptic sachets 25ml.
 Liquid soap.
 Clinical waste bags 700mm x 1000mm.
 Powder free sterile gloves.
 Tablet bags (Henley Bags)
 Paper towels.
 2 Plastic bowls (150ml)
 Stitch cutters.
 SS Forceps 125mm and 11cm fine point.
 KY jelly sachets.
 Tissues.
 10ml disposable syringes.
 Tampons.
 Low adhesive tape.
 Urinalysis strips for blood & glucose.
 Blood testing strips for blood & glucose.
 Pregnancy tests.
 Disposable vaginal speculums (small & medium)
 Disposable Proctoscopes (small & medium)
 Containers and solution for the storage of contact lenses.
 Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; Hepatitis.

Stationary – Letterheads; envelopes; plain paper; carbon paper; body diagrams;
head injury instruction sheets; detainee medical care sheets; section 4 RTA 1988
Fitness to Detain & Interview.
North Manchester:
There are two rooms in North Manchester Custody suite, however, only one is used.
Hence, only one room was assessed.
Police / Capital:
The following were missing:
 Chairs are not all wipe clean.
 Floor units not lockable or labelled
 Wall units cannot be used, as keys have been lost.
 Clock.
 Notice board suitable for self-adhesive putty / magnetic contacts.
 Telephone.
 Pharmaceutical waste bin.
Provider:
The following were missing:
 Oropharangyl airways in a variety of sizes.
 Steristrips 6mm
 Fabric dressing strip 6cm x 1m and 8cm x 1m.
 Triangular bandage.
 Elastic adhesive strapping 2.5cm
 Cotton wool
 Dressing packs.
 Liquid soap
 Clinical waste bags 700mm x 1000mm.
 Powder free sterile gloves.
 Tablet bags (Henley Bags)
 Paper towels.
 2 Plastic bowls (150ml)
 Paper cups.
 Stitch cutters.
 SS Forceps 125mm and 11cm fine point.
 Dressing scissors.
 KY jelly sachets.
 Tissues.
 10ml disposable syringes.
 Finger dressing applicators
 Low adhesive tape.
 Disposable vaginal speculums (small & medium)
 Disposable Proctoscopes (small & medium)
 Containers and solution for the storage of contact lenses.
 Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; RTA 1988 Blood alcohol / drugs; RTA 1988 Urine alcohol / drugs;
Hepatitis.

Stationary – Letterheads; envelopes; plain paper; carbon paper; body diagrams;
head injury instruction sheets; detainee medical care sheets; section 4 RTA 1988
Fitness to Detain & Interview.
Pendleton:
Police / Capital:
The following were missing:
 Only one chair is wipe clean.
 Clock.
 Notice board suitable for self-adhesive putty / magnetic contacts.
 Clinical waste bin.
 Pharmaceutical waste bin.
 Paper towels.
Provider:
The following were missing:
 Child Bag – Valve mask.
 Fabric dressing strip 6cm x 1m and 8cm x 1m.
 Tubular support bandage sizes B; D and F.
 Antiseptic sachets.
 Milton 600ml.
 Liquid soap.
 Clinical waste bags 200mm x 320mm and 700mm x 1000mm.
 Powder free non-sterile gloves
 Powder free sterile gloves.
 Tablet bags (Henley Bags)
 Paper towels.
 2 Plastic bowls (150ml)
 Paper cups.
 Stitch cutters.
 SS Forceps 125mm and 11cm fine point.
 Dressing scissors.
 KY jelly sachets.
 Tissues.
 Low adhesive tape.
 Urinalysis strips for blood & glucose.
 Blood testing strips for blood & glucose.
 Pregnancy tests.
 Disposable Proctoscope (medium)
 Containers and solution for the storage of contact lenses.
 Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; Hepatitis.
 Stationary – Letterheads; envelopes; plain paper; carbon paper; body diagrams;
head injury instruction sheets; detainee medical care sheets; section 4 RTA 1988
Fitness to Detain & Interview.
Swinton:
Police / Capital:
The following were missing:
 Four chairs, all of which are fabric.



Wall units and floor units are not lockable.
Clock.
Notice Board suitable for self-adhesive putty / magnetic contacts.
Provider:
The following were missing:
 Fabric dressing strip 6cm x 1m and 8cm x 1m
 Tubular support bandage size D.
 Cotton wool.
 Adhesive dressings.
 Antiseptic sachets 25ml.
 Liquid soap.
 Antiseptic hand wash.
 Tablet bags (Henley bags)
 Paper towel 250mm.
 2 Plastic bowls 150mm.
 Stitch cutters.
 Forceps 125mm.
 Dressing scissors.
 KY Jelly sachets.
 Tissues.
 10ml disposable syringes.
 Low adhesive tape.
 Blood test strips for glucose.
 Pregnancy tests.
 Disposable vaginal speculums (small & medium)
 Disposable Proctoscopes (small & medium)
 Saline eyewash.
 Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; RTA 1988 Blood alcohol / drugs (2 but both out of date); RTA 1988 Urine
alcohol / drugs (2 but both out of date); Hepatitis.
 Stationary – envelopes; plain paper; carbon paper; head injury instruction sheets;
detainee medical care sheets; section 4 RTA 1988 Fitness to Detain & Interview.
Tameside:
Police / Capital:
The following were missing:
 Clinical waste bin.
 Drugs fridge.
Provider:
The following were missing:
 Bag valve mask in adult & child sizes.
 Pocket facemasks with non-return valve.
 Fabric dressing strip 6cm x 1m.
 Tubular support bandage size F.
 Non-adherent dressings.
 Cotton wool.
 Tubigauze bandage size 01.
 Antisceptioc sachets 25ml.
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
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












Clinical waste bags 200mm x 320mm and 700mm x 1000mm.
Powder free sterile gloves.
Tablet bags (Henley Bags)
Paper towels.
2 Plastic bowls (150ml)
Paper cups.
Stitch cutters.
SS Forceps 125mm and 11cm fine point.
Dressing scissors.
KY jelly sachets.
Tissues.
Finger dressing applicators.
Low adhesive tape.
Blood test strips for glucose.
Pregnancy tests.
Containers & solution for contact lenses.
Forensic Kits – Medical examination kits; DNA II Module; Blood for alcohol /
drugs; Hepatitis.
Stationary – envelopes; plain paper; carbon paper; head injury instruction sheets;
detainee medical care sheets; section 4 RTA 1988 Fitness to Detain & Interview.
Wigan:
Police / Capital:
The following were missing:
 Three chairs, but two are fabric.
Provider:
 Steristrips 6mm.
 Fabric dressing strip 6mm x 1m and 8mm x 1m.
 Non-adherent dressings.
 Triangular bandages.
 Micropore tape.
 Elastic adhesive strapping 2.5cm.
 Adhesive dressings.
 Dressing packs.
 Antiseptic sachets 25ml.
 Liquid soap.
 Powder free non-sterile gloves.
 Tablet bags (Henley bags)
 Paper roll.
 2 Plastic bowls (150mm)
 Stitch cutters.
 Forceps 125mm.
 KY jelly sachets.
 Tissues.
 Finger dressing applicators.
 Blood test strips for glucose.
 Pregnancy tests.
 Disposable vaginal speculums (small & medium)
 Disposable Proctoscopes (small & medium)




Containers and solution for contact lenses.
Saline eyewash.
Forensic Kits –DNA II Module; Blood for alcohol / drugs; Hepatitis.
Stationary – Letterheads; envelopes; plain paper; carbon paper; head injury
instruction sheets; detainee medical care sheets.
Additional clinical equipment was available in each clinical room, including a variety of
different adhesive dressings, jelonet and steri-strips, all of which are clinically
appropriate.
Overall, the authors suggest that the ordering system is revised in order to ensure the
correct clinical equipment is available at all times within each clinical room.
Acknowledgment is given to the fact that the SDHP list is not exhaustive in order to
complete clinical tasks, indeed, in each custody suite additional items where found
which are clinically appropriate.
Appendix 1 – Full findings and template used
Microsoft Excel
97-2003 Worksheet