34 The security cells at Åna Prison were physically separate from the other sections. The cells' location in the cellar meant that the inmates had to be moved hundreds of metres and down one or more floors. The long distance and narrow stairwell access meant that the staff had, on occasion, used a goods trolley if the inmate was heavy or had put up a lot of resistance. The goods trolley is considered a degrading and unsuitable means of transporting inmates. Both the design and length of the trolley constitute an increased risk of personal injury. A review of use-of-force records from 1 January 2016 to 20 September 2017 showed that around 35 per cent of all placements in security cells were due to a risk of suicide or self-harm. The staff stated that the threshold for using a security cell in connection with suicide risk was relatively low. This was explained as being due to limited staff resources, and little possibility to increase supervision through a greater staff presence in the communal sections. Both the records and interviews with inmates who had spent time in a security cell showed that many of them had felt abandoned and that they had felt a keen need for more contact with the staff. Åna Prison NORWEGIAN PARLIAMENTARY OMBUDSMAN National Preventive Mechanism ANNUAL REPORT 2017 The health service was routinely informed about admissions to security cells or the use of restraint beds. Hå accident and emergency unit was notified outside office hours. Inmates confined to restraint beds or security cells were not seen by health personnel outside office hours. This situation could continue for several days at weekends and during holidays. The Ombudsman regards the lack of follow-up by health personnel outside office hours as a matter of grave concern. Compared with the other prisons the NPM has visited, Åna Prison excludes a very high number of inmates from company pursuant to Section 37 of the Execution of Sentences Act. Åna appears to have a high number of exclusions based on the wishes of the inmates themselves and due to circumstances relating to prison premises and staffing. The Ombudsman is concerned about the apparently high exclusion figures at Åna Prison, and particularly the high prevalence of self-isolation. Both inmates and staff complained about the lack of activities for those fully excluded from company, which was said to be a result of a shortage of staff. It is a cause for concern that a low staffing level means that inmates are isolated in their cells without the prison providing activity and meaningful human contact.