Section two The fifth year the new system to record incidents of restraint. A full thematic review on the use of restraint in children and young people’s establishments will be published in the next reporting year. Ofsted continued to monitor incidents and CCTV footage and evaluate data for trends relating to restraint. Ofsted inspectors attended briefing sessions on new restraint and behaviour management for STCs and will be linked into the HMI Prisons thematic review. The issue of restraint arose as a general theme through the joint work of the Care Inspectorate and the Mental Welfare Commission on the secure estate for young people in Scotland. Overall, they found that additional and consistent guidance and training was needed to ensure restraint is fully understood and appropriately applied by all staff working with this highly vulnerable group. Immigration OCC was an interested party in the case of C and others v Secretary of State for the Home Department, concerning the circumstances when force can be used against children and pregnant women in the context of immigration removals. This case, which was settled, resulted in clarification of Home Office policy that force can only be used against children and pregnant women during immigration removals when this is necessary for the prevention of harm towards themselves or others. HMI Prisons once again reported its concern that there was still no accredited restraint training for escort staff on using force in the confined space of an aircraft. The use of light-touch compulsion by staff during some stages of removal was disproportionate. Written justification in each case for the use of restraints was not always provided, and in fact handcuffing was routinely used during escorts to some centres and for some outside appointments (such as hospitals or foreign embassies). Restraints on the dying Inspections by HMI Prisons during the year uncovered two cases where use of restraint gave cause for concern. An 84-year-old Canadian who suffered from dementia was detained at Harmondsworth. Despite the recommendation of a doctor at the centre that he be released immediately, he was taken to hospital in handcuffs on two occasions. During the second visit in early 2013, his heart stopped. In another case at Harmondsworth in November 2012, a detainee who was dying continued to be handcuffed while he was sedated and undergoing an angioplasty in hospital, although the handcuffs were removed before he died. The Home Office’s professional standards unit has completed a critical investigation into this case. HMI Prisons considered the use of handcuffs in both of these cases to be excessive, and recommended that restraint should only be applied if a risk assessment indicated a specific risk of escape or safety to the public or staff. http://www.justiceinspectorates.gov.uk/ hmiprisons/inspections/report-on-anunannounced-inspection-of-harmondsworthimmigration-removal-centre-5-16-august2013-by-hm-chief-inspector-of-prisons/#. VGoUN1Pp_ld 29