Implementation of the Duties and Powers of the National Preventive Mechanism in 2012
•
the register of appointments for a general practitioner and a psychiatrist were inspected
by the NPM during the visit, both, in regard to regular and non-regular examinations. It
was observed that the need for a non-regular examination by a general practitioner as
well as by a psychiatrist is recorded in a report and a copy is made by a nurse. At the
end of the month a further check is made to see whether everybody has been examined
in order not to miss somebody by mistake. No irregularities were found when inspecting
the register of appointments for regular examinations. That is why the organization of
registers and additional monthly monitoring was welcomed;
•
Lists of residents’ rights, complaints procedures and advocates of rights of persons
in the field of mental health are displayed in the high level supervision ward. At the
high level supervision ward department, there is also a letterbox for complaints and
comments which was welcomed;
within a report regarding the visit to Rakičan EH:
•
a computer register of psychiatric examinations is kept on an individual ward and
appointments for the next examination of a resident on the instruction by a psychiatrist
are regularly recorded, which was commended;
•
there are lists of residents’ rights, complaints procedures and the name and surname of
an advocate of rights of persons in the field of mental health which are displayed at the
Lastovka department, which was welcomed.
Limitation of movement in nursing homes visited
There were 38 residents diagnosed with dementia at the time of the visit in Polzela NH. There
were four out of this group who were classified as eligible to receive the IVth category of care
which includes persons with the most demanding long-term issues in mental health who
need partial or full assistance and supervision due to old-age dementia or related conditions.
In this nursing home, residents with dementia live together with other residents (it is an
integrated model of a nursing home). Polzela EH confirmed that none of the residents were
subject to movement restrictions. During the visit, interviews were held with three of four
residents being categorised with 4th degree care. They appeared trustful and relaxed and
they all said that they felt happy and cared for in the nursing home. Although considering the
records in their individual plans, doubt had arisen whether it was true that their movement
was not limited only to the nursing home, since none of them had made a complaint on the
basis of which a different conclusion might be made by the NPM. On the basis of the visit
conducted, an interview with persons responsible for care in the nursing home as well as the
residents, it was not possible to establish that resident had been deprived of his/her liberty.
National Preventive Mechanism in the Republic of Slovenia under the Optional Protocol to
the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment
79
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