10.3. The authorities’ responses to the major measures taken by the NPM the provider improve the quality of catering as long as the tasting shows that the flavour and texture of the meals are not appropriate. The regular medical check-ups of the residents, with special regard to those with psycho-social disabilities, should be ensured. The general practitioner should monitor the health condition of each resident, he or she should regularly check their care documentation and the use of medication prescribed for the residents, which should be recorded in the registration form, furthermore, all the residents should be regularly examined. The psychiatrist who visits the institution on a weekly basis should regularly check the condition of the residents with psycho-social disabilities, and those who receive antipsychotics or antidepressants, even in lack of behavioural problems or disorders. I requested the head of the Social Institution to ensure that all the residents are regularly examined by both the general practitioner and the psychiatrist and that their medical documentation and medicines are monitored. Despite the conclusions drawn by the report on the first visit and the recommendation, the visiting delegation got convinced that the general practitioner did not regularly examine all the residents and the psychiatrist did not regularly check on the condition of those residents who regularly took antipsychotics or antidepressants. I repeatedly requested the head of the Social Institution to ensure that all the residents are regularly examined by both the general practitioner and the psychiatrist and that their medical documentation and the medicines administered to them are monitored. I was informed by the head of the institution that he had requested the general practitioner and the psychiatrist of the Social Institution to fulfil the recommendation. It was concluded by the medical expert taking part in the follow-up visit that the medication administered in the Social Institution, especially “the ordering of quantities of medication applied for specific syndromes was unacceptable.” The application of large quantities of tranquillisers, especially those with bromine contents, which are not used in modern psychiatry, caused an impropriety related to the residents’ right to human dignity. I asked the head of the Institution to take care, without delay, of supervising the joint application of medicines of equivalent effect and the elimination of the practice of administering bromine-containing substances that are not used in modern psychiatry. I was informed by the head of the Institution that he had entered into a new professional services agreement for the provision of psychiatric care. The practices of administering medication were reviewed by the new psychiatrist and the necessary modifications of the therapies took place. In my response, I asked the head of the Social Institution to provide clear information on whether the application of bromine substances was eliminated in the case of all the residents. I was informed by the head of the Institution that he had stopped the application of bromine substances 121

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