Cleveland Police has implemented a review of its control room after it emerged that a distressed man who was taken to a mental health unit by a police officer, later discharged himself, and was found dead the following day.
It happened in August 2017, but the case has been examined by the Independent Office for Police Complaints, which ruled that two control room staff members had failed to ensure the correct safeguarding.
After the man had discharged himself from the hospital the doctors rang the police to say the man had left himself, but no investigation was launched to find him.
- An IOPC report said:
The report also said that 'the police officer had acted appropriately in their dealings with the man' but was mistaken to believe that they were being notified by the control room that the man had left hospital because of their earlier contact with them, and that any further action should have been directed by the control room.
The report also said the performance of two contractors working in the control room could be considered unsatisfactory for the following reasons:
- failing to conduct a risk assessment
- failing to consider the man as a missing person
- and failing to ensure that appropriate safeguarding enquiries were carried out
After reviewing the report, Cleveland Police agreed that the performance of both control room contractors would be dealt with as unsatisfactory performance, to include a meeting with their line managers.
The force will also deal with the matter as organisational learning.
In a statement, Cleveland Police said: