Retirement and nursing homes the Rights of Persons with Disabilities (CRPD) which must be fully observed in this area. The CRPD sets forth the right to support of autonomy and self-determination, rehabilitation, participation and sharing. Not enough attention is given to individual resources, the habits and the mental needs of persons with cognitive and dementia-related impairments. Findings made by Commission 5 can be mentioned as an example of structural violence. In the summer of 2017, they made several unannounced visits to institutions and facilities. There were no residents to be seen in the gardens, on the terraces or in the recreation rooms already at around 6 p.m. Staffing is kept to a minimum in many facilities, particularly during the night. What is more, the operators do not consider permanently installed occupational support, regular teambuilding or availing of supervision as being essential and indispensable for efficient organisational development. The NPM sees a need for action in the alignment of remuneration systems and the further development of age-appropriate jobs in the areas of retirement, nursing and residential homes in particular. The NPM took on the discussion on the future of nursing and violence in institutionalised care at many meetings with different stakeholders in 2017. It also published a brochure entitled “Preventive recommendations for the protection and promotion of human rights in retirement and nursing homes” (“Präventive Empfehlungen zum Schutz und zur Förderung der Menschenrechte in Alten- und Pflegeheimen und in Einrichtungen für Menschen mit Behinderung”). This brochure will be further developed in the coming years. It is designed to provide orientation to supervisory authorities, but also to nursing and care organisations on the assessment standards laid down and required by the NPM. At the sa me time, the publication should be a source of information for residents, their relatives and volunteers. 2.1.2 NPM brochure on preventive standards (Human) Righst of residents in retirement and nursing homes The violation of human and residents’ rights is often observed in retirement and nursing homes. It is probably attributable to the fact that these rights are not enshrined at all or to different degrees in the laws of the respective Laender. This gap explains to a certain extent why there is still little awareness of the issue. This conclusion is the result of observations by the commissions which repeatedly confirm that little is known about the human rights guarantees of residents and how they should be protected. Human rights are the rights of every individual to be granted respect, protection and freedom from the respective state. It is the responsibility of the Federal Government and the Laender to respect the human rights of those in need of 27

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