56 npm annual report 2016 /observations and recommendations • In a unit providing institutional care for persons with intellectual disabilities (Kuusanmäki, Kajaani), metal rings were found on the wall of the common area. A hammock had been attached to them that was no longer used. Comment: The Ombudsman recommended that the metal rings be removed to eliminate a potential safety risk. After the visit, the service manager reported that the rings for the hammock had been removed. • An external expert that participated in a visit to a unit providing institutional care for persons with intellectual disabilities (Kuusanmäki, Kajaani) drew attention to the many drugs administered to one of the residents. The dose of one psychosis drug also exceeded the recommended maximum dosage. The Ombudsman recommended that the customer’s medication be reviewed. • In a unit providing institutional care for persons with intellectual disabilities (Kuusanmäki, Kajaani), the residents were allowed to call their family and friends on two days a week using the ward’s mobile phone. Only one customer had a personal mobile phone. The ward’s phone could only be used in the presence of an instructor. Its use was restricted as any emergency and other calls were directed to the phone in question. Discussions with residents’ family and friends and complaints received by the Ombudsman indicated that the residents found keeping in touch difficult. The Ombudsman recommended that the ward review its practices in order to appropriately safeguard the customers’ right to keep in touch with family and friends. He asked the unit to consider if the ward could have several phones, making it easier for the customers to contact their families. • In a unit providing institutional care for persons with intellectual disabilities (Antinkartanon kuntoutuskeskus, Ulvila) problems were observed in the arrangements for the school attendance of customers in the age of compulsory education during institutional rehabilitation periods. After a visit in May, the rehabilitation centre managed to reach an agreement with the relevant municipalities on making appropriate arrangements for the children’s school attendance, starting from the following autumn. Comment: The Ombudsman requested that the social welfare services of the hospital district report on the situation at the end of 2016. According to information provided by the social welfare services of Satakunta Hospital District, some progress has been made with organising school attendance, but mainly due to the challenges presented by certain pupils, the issue has not yet been resolved in all respects.