Retirement and nursing homes quality assurance field. These are now mandatory in all of the institutions and facilities recognised by the Vienna Social Fund (Fond Soziales Wien). Another set of guidelines for aggression, violence and de-escalation management will be completed soon. Package of measures in Tyrol The expert commission deployed by the Land Tyrol after publication of the NPM Report 2016 has presented their “Recommendations for action” including a “Package of measures for the further development of care” which has been resolved by the regional government. The measures include amongst others an amendment of the Tyrolean Nursing Homes Act (Tiroler Heimgesetz), the requested replacement of the minute (time) ratio by binding standards for a staffing ratio, night duty and social care, the binding qualification for management in all homes, and the re-organisation of supervision. The wages for all caregivers working in care facilities, hospitals and the health service should also be standardised. Improved staffing in Styria and Carinthia In Styria, a four-step plan is in place to increase staffing in homes, in which case an additional total of 700 positions for full-time employees are to be created. Mandatory minimum night duty staffing was agreed in this context and is due to be implemented in 2018. The regional government of Carinthia has – as promised to the NPM – since then unanimously agreed a new regulation for the Carinthian Nursing Homes Act (Kärntner Heimgesetz). The ratio of nursing staff to those in care will thus be improved from 1:2.5 to 1:2.4 in 2018. From 1 January 2018, every nursing home in Carinthia must have a dedicated member of staff for animation/entertainment. Dementia project of the Land Upper Austria with Public Regional Health Insurance Office The Upper Austrian regional government made reference to the concept of “Integrated Care Dementia” (Integrierte Versorgung Demenz) developed with the Upper Austrian Public Regional Health Insurance Office. The concept started in 2013 and was also tested in selected nursing homes in the second pilot phase in 2017. Far more facilities had expressed interest in participating in this project. The declared objective is the strengthening of existing resources and specifically fostering the skills and abilities of residents with dementia, a diagnostic clarification by medical specialists (neurology, psychology) as well as (neuro) psychological testing by psychologists. The efficacy of different measures is currently being tested. An extensive, consistently structured network of dementia counselling centres and relevant offers which will also benefit nursing relatives are planned for Upper Austria in the future. Expansion of gerontopsychiatric competence in Vorarlberg In Vorarlberg, a project on the further development of gerontopsychiatric competence in Vorarlberg nursing homes („Weiterentwicklung der gerontopsychiatrischen Kompetenz in den Vorarlberger Pflegeheimen“) was established for protection against violence and duty of care. By the beginning of 2017, 32 out of 51 nursing homes had taken part. The goal of the project is to ensure the professional care of those suffering from gerontopsychiatric illnesses and mostly very elderly residents and to increase the professional 24