A jury has recommended changes following an inquest held last week into the death of inmate at the Prince Alberta Correctional Facility.

Nineteen year-old John Bob Glen Custer hanged himself in his cell while being held on remand and was found on November 24, 2013.

At the inquest, the two corrections officers on duty at the time of Custer’s death revealed that they did not perform the hourly checks on cells in segregation as required. One officer admitted to filling out log sheets detailing the hourly checks in advance. The other described how on the night in question, the two officers watched two movies instead of performing the required checks. Both officers no longer work at the correctional facility.

The director of the PA Correctional Centre testified that since Custer’s death cameras have been installed to monitor the cells and there have been policy changes. There have not been any cameras installed to keep staff accountable.

PA Correctional Centre has not indicated whether it will implement the recommended changes which include increasing staff on the night shift, providing suicide awareness and education training and checking more frequently on at-risk inmates.