52 npm annual report 2016 /observations and recommendations • Terminal care was as a rule provided appropriately. Apart from one unit, the staff had received or were about to receive training on terminal care. • One unit provided terminal care in double rooms. The Deputy-Ombudsman found problematic in terms of the older persons’ privacy and respectful treatment. • In two units, all rooms were single rooms with private sanitary facilities. • One unit additionally had small rooms of no more than 19 square metres intended for two residents, while another had rooms for up to four residents with no ensuite toilet. A curtain hanging from the ceiling could be pulled around the beds to provide privacy during care procedures. The Deputy-Ombudsman did not find these facilities compliant with modern requirements. • In one institution, renovation work on the ventilation system was being carried out during the visit. A noisy machine was operated in the common area while three residents were spending time in it. No staff could be seen in this area. The Deputy-Ombudsman requested that the residents be moved to a more peaceful environment for the time of the renovations. • The NPM familiarised themselves with the care plans of two residents in the unit and found them to be of poor quality. • The Deputy-Ombudsman drew the unit’s attention to the importance of care plans in safeguarding methodical care of a high quality and the need to prepare the plans meticulously. In another unit, the Deputy-Ombudsman paid attention to the fact that the care plans did not include providing oral healthcare or keeping records of it. The Deputy-Ombudsman drew attention to using diapers of the correct size. This is important in order to provide high-quality care and to avoid skin sores and other problems. • The unit had a self-monitoring plan posted on the office wall. On request of the NPM, the unit promised to move the plan to the corridor for everyone to see.