Section two Focus on detention issues present to open their doors or escort them) had more limited access to exercise, showers and telephone calls. Case study: limitations on the regime in a segregation unit Half an hour exercise, use of telephone, chance to clean the cell and a short walk to the servery were the only daily entitlements to leave the cell, because showers were in cell. Exercise took place individually, and we saw that basic grade officers exercised discretion to refuse telephone calls if the prisoner was judged to be behaving inappropriately. Access to corporate worship was supposed to be offered on a risk-assessed basis, but in several instances NPM members found no examples where it had been provided. In the CSC, inspectors found that most men had reasonable opportunities for time out of cell, contact with peers and staff, and reasonably constructive regimes. The prisoners who found themselves informally isolated in their cells could access only a limited regime and their contact with others depended on their access to only a limited time out of their cells. In one prison, men on basic regime could only have two showers a week, and in others they had only 30 or 60 minutes a day for exercise or domestic duties. In several establishments, prisoners had no access to education. In one prison, the NPM member noted that prisoners had their televisions and radios removed and had been given a basic prison radio instead. Visits for 20 prisoners on a basic regime in one prison had been restricted to 30 minutes in closed visits booths. In one prison where inspectors found prisoners with significant mental health needs isolated in the inpatient unit of the health care department, they noted that the men were subject to controlled unlock protocols and had very little contact with staff, and less with peers. Good practice from one prison in England Communal areas in the segregation unit were clean and brightly decorated, flooring had been repaired and normalising features such as murals and posters on walls improved the environment. The 16 cells located across two landings were clean and free from graffiti. They were adequately furnished and some were equipped with televisions. The daily regime for prisoners located in the segregation unit was better than we often find and included daily access to exercise, telephones and showers. Prisoners were sometimes allowed to dine out of their cells if they posed no risk to others and some had been allowed short periods of association following risk assessment. Procedures and governance In Scotland, those held in separation and reintegration units for more than three months have individual care plans, and their cases are reviewed by a multidisciplinary committee. Prisons in England and Wales are supposed to develop care plans for individual prisoners held in segregation for over a month and segregation monitoring and review groups (SMARG), but these provided varying levels of oversight. In two prisons, inspectors found SMARG monitoring was sophisticated in identifying the individuals ending up repeatedly in segregation; in another prison SMARG monitoring had lapsed and so the personal knowledge of staff was relied on to identify repeat isolations. 27