Findings from investigation into the death of Miranda Stevenson’s death in custody

Key findings

• There were shortcomings in Surrey Police’s training on conducting cell checks.
• Welfare checks were not carried out in line with national guidance.
• The use of spyhole checks was incorrectly trained as acceptable.
• A custody sergeant and six DDOs had a case to answer for gross misconduct.
• The woman was found deceased approximately 12 hours after welfare checks were last recorded.
• The evidence suggested mismanagement of her medical condition was a factor in her death.
• No criminal charges were pursued after review by CPS.
• The custody sergeant received management advice after a misconduct meeting.

Outcome

The IOPC investigation led to disciplinary actions against DDOs, with some receiving final written warnings. The custody sergeant was given management advice, which was upheld after an appeal process.