41 Visits in 2015 directed at staff. The documentation showed that clinical assessments were made continually, including of whether to use strap extenders. After such incidents, however, the patients were not offered consultations with treating staff on a regular basis so that they could talk through the incident. The handwritten use-of-force records lacked some information. The vast majority of patients the NPM talked to felt that they were heard and looked after by both regular staff and those responsible for treatment. They also appreciated the fact that routines and control were adapted to individual needs. None of the patients said that they had experienced any threats or violence from members of staff or other patients. Some patients were concerned about excessive or incorrect medication. It was found that both units offered ECT (electroconvulsive treatment). In order for ECT to be administered, the patient must consent and next of kin must not object to such treatment. The geriatric psychiatry unit stated, however, that it was sometimes difficult to determine whether the patient was competent to consent and whether the consent was genuine. ECT is administered out of necessity once or twice a year at the geriatric psychiatry unit. These are cases in which it is considered that, without treatment, the patient would die in the course of a few days. During the NPM’s visit, none of the patients expressed any concerns regarding the administration of ECT. After the visit Diakonhjemmet Hospital has informed the Parliamentary Ombudsman about its follow-up of the recommendations. The hospital has introduced new procedures for informing patients about use-of-force decisions. The record entry, which contains the grounds for the use-of-force decision, is now enclosed with the letter the patient receives about the decision. The hospital has also focused on strengthening documentation procedures in the use-of-force records and the procedures for ensuring that they contain complete information. A practice has also been introduced whereby patients have access to the use-of-force record concerning the particular incident and is able to add comments to it, which are then scanned into his/her electronic patient record. Telemark Hospital 8–10 April 2015 Partly announced visit The visit focused on inpatient sections of three units at Telemark Hospital’s Clinic for Mental Health Care and Substance Addiction Treatment: the emergency psychiatry, geriatric psychiatry and rehabilitation units. Findings The physical conditions in Building 19, which houses inpatient sections 19A, 19B, 19C and the section for emergency drug and alcohol-related assistance were found to be good. The patient rooms seemed functional, the reception facilities were good and there was free access to an atrium with benches, plants and running water. Diakonhjemmet Hospital Building 4, which houses the geriatric psychiatry unit’s inpatient section, was built in the 1960s and was most