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
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