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
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