Recipient

Eastwood Park Prison and Young Offender Institution

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First report 4 Dec 2024•Latest report 4 Dec 2024

Recipient record

Reports, concerns and published responses

Justice · Prison or young offender institution. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
100%

Found for named reports

Concerns addressed
5

Across all linked responses

Stated actions
10

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

100%published responses found
10stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Eastwood Park Prison and Young Offender Institution linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Avon

    AI-generated summary

    Kayleigh Ann MELHUISH · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Kayleigh Ann Melhuish died on 7 July 2022 after being found hanging in her cell at HMP Eastwood Park and later taken to hospital. The report identifies concerns about staff understanding of neurodiversity, completion of ACCT care plans and support actions, use of constant supervision, and a ligature point in Residential Unit 3. The inquest concluded that suspension by a ligature contributed to the death by neglect.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Eastwood Park Prison and Young Offender Institution; that does not assign responsibility.

    PFD Monitor interpretation

    Failure by healthcare staff to check and update ACCT care plan support actions during reviews

    Wider context from the report

    “2. Healthcare (AWP and PPG): training issues arose in relation to, when attending ACCT reviews that they check the care plan with support actions part of the document is reviewed and if necessary updated; it was suggested that consideration could be made to making changes to the system-one database to check this step has been taken. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Eastwood Park Prison and Young Offender Institution; that does not assign responsibility.

    PFD Monitor interpretation

    Ligature point where the Residential Unit 3 privacy screen meets the wall

    Wider context from the report

    “3. To HMP Eastwood: the ligature point in Residential Unit 3 where the privacy screen meets the wall. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Eastwood Park Prison and Young Offender Institution; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to complete or review ACCT care plans and support actions at every review

    Wider context from the report

    “1. To HMP Eastwood Park and The Ministry of Justice - training issues in relation to the following areas for new and existing staff: a. Neurodiversity, I am told 75% of women in prison have mental health or neurodiverse issues, this training is not mandatory; b. ACCT, there was little understanding of the requirement to complete or review the care plan and support actions at every ACCT review not just the planned reviews; c. Little or no understanding of when constant supervision can be used and how is it used; ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Eastwood Park Prison and Young Offender Institution; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of understanding of when and how constant supervision can be used

    Wider context from the report

    “1. To HMP Eastwood Park and The Ministry of Justice - training issues in relation to the following areas for new and existing staff: a. Neurodiversity, I am told 75% of women in prison have mental health or neurodiverse issues, this training is not mandatory; b. ACCT, there was little understanding of the requirement to complete or review the care plan and support actions at every ACCT review not just the planned reviews; c. Little or no understanding of when constant supervision can be used and how is it used; ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Eastwood Park Prison and Young Offender Institution; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of mandatory neurodiversity training for prison staff

    Wider context from the report

    “1. To HMP Eastwood Park and The Ministry of Justice - training issues in relation to the following areas for new and existing staff: a. Neurodiversity, I am told 75% of women in prison have mental health or neurodiverse issues, this training is not mandatory; b. ACCT, there was little understanding of the requirement to complete or review the care plan and support actions at every ACCT review not just the planned reviews; c. Little or no understanding of when constant supervision can be used and how is it used; ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

100%
100%All other recipients 58%
0%100%

How actions were described at the time

This respondent
60%30%10%
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026