2016 REPORT ON NATIONAL PREVENTION OF TORTURE to be informed of the internal rules of procedure only formally, while the rights and duties are not explained to them in a language understandable to them (in five care homes); the approval of the number of positions larger than that provided for in the standards , with account of the needs of the recipients of the service of a specific care institution, for example, the availability of the social worker’s services illness or vacation (in three care institutions); the absence of the emergency call system (in three care institutions); the ensuring of the residents’ personal hygiene, i.e. the frequency of the residents’ bathing, change of their underwear and bedding (in three care institutions); the knocking by employees before entering the residents’ rooms (in two care institutions); the participation of employees in training programmes related to the rights of the disabled and the elderly (in two care institutions); the inadequate promotion of the residents’ independence (in two care institutions); and the provision of opportunities to enable persons with reduced mobility to observe the environment through the window (in two care institutions). The other unimplemented recommendations were more of an individual nature and intended for separate care homes. It is noteworthy that, on establishing in a few cases that a care institution had failed to comply with certain recommendations, the appropriate founder of the care institutions was approached to ensure that they also took steps to achieve the quickest possible implementation of the recommendations issued by the Seimas Ombudsmen. institutions which received a total of 147 recommendations: Vilijampolė Social Care Home (13 recommendations), public establishment Old People’s Home Užusaliai (12), Kaunas Panemunė Old People’s Home (11), Kėdainiai Social Care Home (18), Jonava Care Home (18), public establishment Globasta (21), public establishment Ežerėlis Care Home (seven), Čekiškė Social Care Home (14), Rumšiškės Old People’s Home Auksinis amžius (15) and public establishment Amžiaus žiedas (18) (hereinafter jointly referred to as “care institutions” or “institutions”). The recommendations were provided to the Social Services and Care Department under the Ministry Social Security and Labour for this Department to take measures within its competence to ensure that the shortcomings found at the care institutions were eliminated. Providing the information on compliance with the recommendations to solve the problems identified at the care institutions, the Social Services and Care Department has noted that all ten specified institutions will be included in the list of higher-risk institutions and the plan of care institutions that will be subject to evaluation based on the relevance of the information in the Report (No. 2015/1-74) and, if necessary, appropriate enforcement measures will be taken. The follow-up visits at the care institutions have found that, of the total of 147 recommendations, the care institutions have fully implemented 92 of them, 23 have been implemented in part, while 32 recommendations have remained unimplemented. According to the information supplied by the institutions after the follow-up inspection, almost all recommendations provided repeatedly were implemented immediately after the follow-up inspections or the institutions were obligated to comply with them on obtaining the required funds. In assessing the information obtained during the follow-up inspection on the unimplemented recommendations, it should be stated that these recommendations were mostly concerned with: making the residents aware of their rights and duties in a proper way, but the residents continue 30