9.4. Social care institutions Based on the accounts of the staff, they could not ensure the presence of a qualified nurse or a specialized nurse in each of the shifts. I requested that after reaching the professional headcount norm prescribed by law,175 the head of the Institution do his/her best to increase the number of nurses and carers, and while filling vacancies, strive to employ as many specialized nurses as possible. As there were 128 advanced-aged residents in need of permanent care in the nursing unit, it would be reasonable to ensure the permanent presence of a qualified nurse or a specialized nurse. According to the Institution’s protocol regarding the administration of injections, carers without a qualification as healthcare specialized nurses were also allowed to administer intramuscular injections, which – based on the staff interviews – was effectively a normal routine. I asked the head of the Institution to amend the protocol regarding the administration of injections so that intramuscular injections could be administered only by qualified nurses, and to make sure that the employees of the Institution comply with this regulation in practice. Based on the accounts of the staff, efforts were made to ensure that female residents are bathed only by female nurses and male residents are bathed only by male nurses, but this was not feasible in all cases. It caused an additional problem that the window of the bathroom located on the first floor opened onto the hallway. One of the members of the visiting delegation gained firsthand experience of the fact that the naked residents getting ready to have a shower could be seen through the open window not only by their carers and peers of the other sex but also by visitors roaming freely in the building. I pointed out that residents who are in a vulnerable situation and need help with their personal hygiene are embarrassed by the fact that they are occasionally assisted by a nurse of the other sex, and that anyone can peek into the bathroom from the hallway through the open window. The catering unit operated with 15 workers (1 catering manager, 1 storeroom manager, 10 cooks, including a dietetic cook, and 3 kitchen assistants). At the time of the visit, the dietitian did not have an operating licence according to the register kept by the Registry and Further Education Department of the National Healthcare Service Centre. I asked the head of the Institution to make sure that the dietitian obtain the operating licence prescribed for the independent execution of his/her activities. The Institution provided catering for the residents from its own kitchen. The residents had 5 meals a day (breakfast, morning snack, lunch, afternoon snack, dinner). Based on the doctor ’s prescription, the residents could receive a special diet. 40, 35 and 45 residents were on a diabetic, low-fat and pureed diet, respectively. Although the dishes tasted by the members of the 175 Annex 2 of the MoSFA Decree. 85