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recurance

Rubel Ahmed

5 Aug 2015 · Coroner Stuart Fisher · Lincolnshire (Central)

The coroner's concerns

  1. 1. detainees locked overnight

    “In 2013, H.M Inspectorate of Prisons inspected IRC Morton Hall and recommended that detainees should not be locked into cells (rooms) and should not be restricted to units in 1 the early evening. Despite this recommendation, those in the Windsor Unit, in which Mr [name redacted] resided, were locked into their rooms daily from 8:30pm to 8:00am on the following morning. This situation prevailed at the time of Mr [name redacted] death. Whilst it was clear that significant efforts had been made to comply with the above”
  2. 2. lack of awareness of removal directions

    “It was disclosed at the Inquest that staff members, who dealt with Mr [name redacted] on the evening of 5" September, 2014 were not aware that he had been served with removal directions. Had staff been aware of this information it may have resulted in Mr [name redacted] being monitored more comprehensively than was the case”
  3. 3. insufficient personal officer time

    “Despite the fact that Mr [name redacted] had been allocated a Personal Officer it was abundantly clear that the officer had spent very little time with him, owing to other work pressures. It was also evident that there was no adequate system at Morton Hall for ensuring that staff have protected time to carry out this important work to enable detainees to discuss sensitive or distressing issues with an officer who was familiar to them.”
  4. 4. exposed electrical cords as ligature risk

    “Evidence at the Inquest established that Mr [name redacted] utilised the electrical lead on his kettle to form a ligature with which he hanged himself. The electrical lead was noted to be two feet six inches in length. The lead could have been very much shorter and thus have avoided the risk of it being utilised as a ligature.”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Rubel Ahmed · Recurance