npm annual report 2016 / observations and recommendations In both units, the Ombudsman stressed the hospital management’s responsibility for preventing poor treatment of the patients. The Ombudsman also recommended that the patients and their families be provided with more written information on patient rights and care plans. Hatanpää Hospital In Hatanpää Hospital, attention was paid during the visit to how the wards have provided for the safe mobility of patients with memory disorders. The Ombudsman recommended that hand rails be fixed to the walls and that the flooring on one of the wards be repaired. The use of different techniques for improving the patients’ orientation was also recommended. For example, the patients’ ability to find their own rooms and the common areas of the wards can be promoted by painting the doors in different colours or attaching pictures to them. The patients can be assisted in finding their own beds by means of identifying signs or personal items. The Ombudsman also recommended that the doors of exercise yards and balconies be marked clearly to indicate when they are open. The Ombudsman emphasised that the goal should be allowing the patients access to outdoor exercise on a daily basis if they so wish. A determined effort should be made to achieve this goal, if necessary by hiring more staff. The actual realisation of outdoor access should also be monitored, for example by a list drawn up for each patient. • Shortcomings were found in instructions provided for security personnel. The Ombudsman recommended that a point be included in the instructions stating that when safeguarding the personal integrity of staff members, the security guard must follow instructions provided by the staff. The Ombudsman also recommended removing from the instructions references to legislation that only applies to patients placed under observation or in treatment by an order. The hospital did not treat patients involuntarily, and these provisions were thus not applicable. 59