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  • Doing Time

    Good practice with older people in prison - the views of prison staff

    Francesca Cooney with Julia Braggins

  • The Prison Reform Trust works to create a fair and decent prison system. We do this by looking at

    how prisons are working, giving information to prisoners, staff and people outside and by asking the

    government and officials to make changes.

    © 2010 Prison Reform Trust

    All rights reserved

    First published in 2010 by Prison Reform Trust

    ISBN: 0 946209 94 4

    Photo credit: Edmund Clark from Still Life Killing Time, www.edmundclark.com

    For more information contact the Prison Reform Trust

    15 Northburgh Street London EC1V OJR

    020 7251 5070

    www.prisonreformtrust.org.uk info@prisonreformtrust.org.uk

  • Doing Time

    Good practice with older people in prison – the views of prison staff

    Francesca Cooney with Julia Braggins

  • i

    Doing Time Good practice with older people in prison – the views of prison staff

    Contents

    Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv

    Chapter 1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

    Aims and methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

    Key facts and findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

    Background and context. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

    Chapter 2 Consulting older people in prison. . . . . . . . . . . . . . . . . . . . . . . . . 9 Older prisoner forums, committees and focus groups . . . . . . . . . . . . . . . . . . 9

    Senior citizens/Older people’s forums . . . . . . . . . . . . . . . . . . . . . . . . . 10

    Prisoner surveys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

    Good practice recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

    Chapter 3 Physical environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

    Physical alterations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

    ‘Locate flat’ access for people with mobility difficulties . . . . . . . . . . . . . . . . . 16

    Dedicated provision for older prisoners. . . . . . . . . . . . . . . . . . . . . . . . 18

    Converted residential accommodation. . . . . . . . . . . . . . . . . . . . . . . . . 19

    Plans and work in progress. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

    Good practice recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

    Chapter 4 Needs assessment and support with daily living . . . . . . . . . . . . . . . . . . 23

    Reception and induction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

    Age related assessments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

    Ongoing assessments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

    Social care and social service support . . . . . . . . . . . . . . . . . . . . . . . . . 25

    Who should provide daily living aids? . . . . . . . . . . . . . . . . . . . . . . . . . 27

    Resettlement and contact with social services . . . . . . . . . . . . . . . . . . . . . 29

    Personal care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

    Location on health care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

    Care planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

    Good practice recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . 32

    Chapter 5 Peer support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

    Prisoner support with personal care . . . . . . . . . . . . . . . . . . . . . . . . . 36

    Informal and formal arrangements . . . . . . . . . . . . . . . . . . . . . . . . . . 36

    Training. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

    Good practice recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . 40

    Chapter 6 Outside links. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

    Community and voluntary sector support. . . . . . . . . . . . . . . . . . . . . . . 41

    Age UK. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

    Barriers to working with voluntary groups. . . . . . . . . . . . . . . . . . . . . . . 43

  • ii

    Doing Time Good practice with older people in prison – the views of prison staff

    Organisations providing services for older people in prisons. . . . . . . . . . . . . . . 44

    Further developments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

    Visits from family and friends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

    Resettlement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

    Good practice recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . 48

    Chapter 7 Regimes and social activities. . . . . . . . . . . . . . . . . . . . . . . . . . . 49

    Work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

    Pay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

    In-cell education or work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

    Education. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

    Sentence planning and offending behaviour programmes . . . . . . . . . . . . . . . . 52

    Social activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

    Gym provision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

    Social groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

    Day centre model. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

    Good practice recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . 58

    Chapter 8 Staff and prisoners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

    Roles and responsibilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

    Staff training. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

    Disability training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

    Staff commitment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

    Good practice recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . 63

    Chapter 9 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

    Summary of findings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

    Areas of concern and work needing further development. . . . . . . . . . . . . . . . 66

    Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

    References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

    Appendix 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

    Appendix 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

    Appendix 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

    Appendix 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

    Appendix 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

    Appendix 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

  • iii

    Doing Time Good practice with older people in prison – the views of prison staff

  • iv

    Doing Time Good practice with older people in prison – the views of prison staff

    Acknowledgements

    The Prison Reform Trust would like to thank the Lloyds TSB Foundation for England and Wales for

    supporting this programme of work.

    We would like to thank staff at Race Equality Action Group (now Equality Group), at NOMS including

    Beverley Thompson, Matt Wotton, Carrie Cannings, Claire Cooper, Donald Rock and Dorian Crates

    for their assistance with the survey.

    We would also like to thank Mark Freeman at Offender Health and the other members of the Older

    Prisoners Action Group for their support for this work.

    We would like to thank the staff at 92 prisons who responded to the survey, taking time out of their

    busy schedules to answer the questions.

    We would also like to thank Liz Davies, for organising prison visits, Stuart Ware for his comments on

    the report and Emily Woodman, who volunteered her time at the Prison Reform Trust to assist with

    collating the information. We would also like to thank colleagues at PRTfor their help and support.

  • 1

    Doing Time Good practice with older people in prison – the views of prison staff

    Introduction

    The prison population is ageing. People over 60 are the fastest growing age group in custody. The last

    e

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