2016 REPORT ON NATIONAL PREVENTION OF TORTURE several residents of the same room have to share one key. Also privacy is not ensured in the hygiene facilities. The residents have no possibility to keep their personal belongings in separate lockable closets, and their residential rooms lack private spaces. In addition, there is a lack of the home environment. Folding screens are not always present during personal hygiene procedures of nursed residents and no folding screens whatsoever are used for a doctor’s consultation/ examination of a resident in his/her room. Such consultations/examination are also attended by the community nurse of an institution. 4. Concerning social work. No individual social care plans (ISCP) are drawn up or such plans are not reviewed within the set time period. Moreover, ISCPs are prepared without a resident or his/her representative attending, and the plans are not made available to residents against signature. Some ISCPs lack signatures of their developers. The care plans lack periodic entries about a person’s health condition or achieved results, evaluation of the need of new services or measures foreseen with respect to meeting the changed needs. Residents are not introduced to plans, schedules or programmes of social activities (prevention of addictions, leisure or employment). There is also a lack of planning, systematisation and consistency of social work with the residents. 5. Concerning the ensuring of security. The emergency call system (ECS) is either missing or not fully installed, and fire safety is not ensured in full. 6. Concerning other shortcomings identified. The inspections have also found that the possibility for the free movement of residents in a care home and its territory is not d e q u a t e l y e n s u re d. Th e a n o ny m i t y o f requests is allegedly not ensured. Also the residents are bathed once during more than seven days and their underwear is not changed on a daily basis. Ventilation and everyday cleaning of the premises is ensured insufficiently. On completing the inspections at 16 adult social care institutions in Šiauliai and Klaipėda Counties, a total of 26 recommendations were issued, including 3 for the Social Services and Care Department under the Ministry Social Security and Labour (one concerning the improvement of legal acts), 23 for the heads of the inspected care institutions, of which 19 for the adult social care institutions of Klaipėda County, and 23 for 23 Šiauliai County. After the inspection at Prienai Care Home, 20 recommendations were made in total, of which one was for the Prienai Fire Service of the Kaunas County Fire Rescue Administration and 19 for Prienai Care Home. When providing information on the implementation of three recommendations, the Social Services and Care Department indicated that the recommendations had been taken into account and that all social care institutions for adults with disabilities and the elderly had been advised to take measures to ensure the human right to privacy in the social care homes. The social care institutions operating in Klaipėda County implemented almost all the recommendations issued to them: of the total of 19 recommendations, 12 ones were implemented in full and seven ones in part. No recommendations were left unimplemented. The recommendations implemented in part were concerned with the delivery of medicines and all other related procedures to the residents by the competent personnel, the provision of information to the residents about their supply with all the required medications prescribed by a doctor, the knocking by the staff before entering the residents’ rooms, the possibility for persons to lock 12

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