File photo / APN
The life of a man who killed himself in police custody could have been saved if police had followed correct procedures, the Independent Police Conduct Authority (IPCA) has found.
Anthony McGuire, a 33-year-old Rotorua chef, was arrested on May 26, 2008 and charged with assaulting his former partner and driving with excess breath alcohol.
In a report released today, the IPCA said Mr McGuire was placed into the cells at Rotorua Police Station at 5.28am, without being searched or processed correctly.
"He was placed in a cell in possession of several items with which he could harm himself or others, including jewellery, a lighter, cords from his clothing and shoelaces," the IPCA said.
At 8.56pm Mr McGuire was seen by another prisoner hanging from his cell doors. Despite immediate medical attention by staff, Mr McGuire was not revived.
"Policies, practices and procedures in place at the time were sufficient, had they been followed, to have prevented Mr McGuire's death," the report said.
The IPCA's chairwoman Justice Lowell Goddard said the police had a duty of care toward Mr McGuire which was not fulfilled.
"Had Mr McGuire been searched, assessed for risk, and monitored in accordance with policy, he would not have had the opportunity to commit suicide in the manner that he did."
In its report, the IPCA concluded police:
* Failed to comply with police policy in not searching Mr McGuire when he was taken into custody;
* Did not manage him correctly following his arrest and detention;
* Did not comply with policy in relation to mandatory inspection requirements.
The IPCA said supervision of the custody officers - both of whom had only around six weeks' experience - at the station was inadequate and watchhouse and custody areas were not appropriately staffed and supervised.
The report also found police had made a reasonable effort to contact a lawyer for Mr McGuire (four were called but none reached), and medical assistance provided by staff after he was found was "immediate and appropriate, albeit too late".
Justice Goddard said omissions by several officers to perform their duties in accordance with police policies, practices and procedures were "unjustified and undesirable".
"In addition, the environment in which officers were working at the time of Mr McGuire's death, in particular the lack of adequate supervision of custody officers, contributed to a situation in which Mr McGuire was able to commit suicide."
The IPCA noted a new police custody facility has since opened at Rotorua and the level of supervision had been improved.
"Policies, practices and procedures in place at the time were sufficient, had they been followed, to have prevented Mr McGuire's death.
"The authority recognises that police have taken disciplinary action against the officers, and also sought independent legal advice as to whether there was any criminal liability on the part of the officers involved."
On the basis of the police's response to the incident the IPCA said it had decided to make no further recommendations.
Rotorua area commander Inspector Bruce Horne acknowledged there were "a number of lapses in our procedures in this case".
"This was a tragic death, and extremely upsetting for Mr McGuire's partner, family and friends, as well as for police and custodial staff," Mr Horne said.
He said the new custodial facility had been designed to improve both the safety of prisoners and staff alike, with a greater level of supervision and staffing, with a sole focus on prisoner management.
Prisoners are monitored constantly by line of sight, documentation is now completed electronically and two separate searches of prisoners are undertaken by staff.