npm annual report 2016 / observations and recommendations In addition, the NPM visited the psychological rehabilitation unit of Tampere University Hospital’s Intellectual Disability Support Services in 2016. This was the only unit visited which, at the time of the visit, had customers in involuntary special care. This visit was follow-up on the first visit in November 2015. This time, the theme of the visit was hearing the customers and their family and friends. For this reason, the visit was pre-announced, and the unit was asked to inform the residents’ family members and friends of it. Comment: On the previous visit, it had been observed that the doors to some residents’ rooms were kept lock at night, and the residents had no bell for calling the staff if necessary. The NPM were now informed that this practice had been dropped, and the doors of all residents are currently kept open, also at night. This was made possible by increasing the number of night staff. • The decisions on restrictive measures that the unit submitted in advance showed that in the case of one customer, so-called hygiene overalls had been used as a restrictive measure. When asked about the grounds for using the overalls, it turned out that the customer had kept stripping off and caused water damage with the discarded clothes. However, the latter reason had not been recorded in the decision. In this context, the staff was instructed to record all grounds for using restrictive measures in the decision. 57