Police detention centres an unclothed detainee who showed signs of dehydration. The man was completely immobilised, being shackled with restraining straps around his waist as well as hand and foot shackles. In addition, his lower body remained unclothed during questioning by the Federal Office for Immigration and Asylum. The NPM ascertained that the detainee had refused the food and beverages offered to him. He had also refused to put on the disposable clothing offered to him instead of his own clothing when he was placed in the cell. He had previously been deprived of his clothing for security reasons. However, the NPM found deficiencies in the documentation of these occurrences and the fact that the detainee was shackled, which is why the working group addressed this case. Based on the existing requirements, the working group was able to agree on the formulation of more precise standards with respect to special security measures. Accordingly, in the future, the reason for placement in a specially secured cell, the commencement, course and conclusion of this measure and the involvement of a doctor must be documented. Any decision to deviate from a medical recommendation regarding the continuance of special security measures must be documented and supported by facts. If affected persons must be deprived of their clothing, they should be offered disposable clothing when disrobed. The time and place the offer was made, and any rejection of the disposable clothing must be documented. If prisoners spend time outside of the cell, their private parts should be covered with disposable clothing or a blanket. Offer of disposable clothing During the execution of any special security measures, detainees should be offered adequate nourishment – including warm food at least once per day – and offered liquids at least three times within a twelve-hour period during the daytime. The times of these offers, the administration of food and any refusals by the detained person should be documented. The shackling of inmates in padded, specially secured cells should be undertaken with restraint and ended, as necessary, to avoid impairments of health to the extent possible. The effects of such measures must be checked regularly. This is to ensure that shackles are used in exceptional cases and with special consideration of the vulnerable situation of persons held in detention under Section 5b (2) (4) of the Detention Regulation (Anhalteordnung). It should be mentioned that the Federal Ministry of the Interior always stressed that the case of the unclothed inmate at Hernalser Gürtel police detention centre was an isolated incident. However, observations made by the NPM during a visit to the Innsbruck police detention centre indicated that this was more than just an isolated incident. 145