V. SOCIAL AND MEDICAL - SOCIAL INSTITUTIONS FOR CHILDREN 1. Homes for children with disabilities In 2013 the NPM team inspected 13 homes for children with disabilities and 2 centres for accommodation of a family type. All homes for children with disabilities are to be closed down in 2014. CAFT and protected homes will be built instead. During the past year the inspections of the NPM team were focused not only on the currently operating homes, but on the monitoring of the last stage in the deinstitutionalisation process for children with disabilities. Living conditions The findings of the NPM are that the living conditions for the children in these homes are very good. The children have sufficient personal space, well-equipped yards – with facilities adapted for children with disabilities. The Home for Children with Disabilities in Kula and the Home for Children with Disabilities in Ilakov Rat Village, Elena Municipality are exceptions. The condition of the buildings of the two homes is not good, the general hygiene is not well maintained. The children are using sleeping premises with up to 5 beds. The rooms are not spacious, there are no wardrobes and cabinets for personal belongings. One sanitary unit with a bathroom is available to each three or four rooms. The conclusion of the inspecting team is that the required personal space is not made available to the users. The team found mould on the walls during the visit to the kitchens and the canteens. There are no platforms and / or elevators for children with disabilities. The findings of the NPM are that this violates the children's rights to free movement, as well as the provisions of art. 9 of the Convention on the Rights of Persons with Disabilities and the NPM recommends putting in place infrastructure suitable for children with disabilities. A positive trend is the offering of the new social services to children with disabilities. The NPM team visited centres for accommodation of family type in Karnobat and Kyustendil. The new social service represents one-storey houses. The following premises are available in the buildings: common premise for games, study and eating, bedrooms, sanitary unit and kitchen. There are recreation and outdoor activity spaces in front of the centres. The premises are built in a way ensuring living conditions close to the family ones. The environment is as accessible to the children with motion disabilities and difficult mobility as possible. The capacity of each CAFT is 12 children with a possibility to accommodate 2 more children in case of emergency. A negative finding is the insufficient number of the medical staff. Two full-time openings for nurses are announced in the Centre for Accommodation of a Family Type in Karnobat. The NPM recommends an increase in the full-time positions for nurses in order to improve the quality of the social service, as two nurses are extremely insufficient to take good quality medical care for children with disabilities – it is impossible to secure 24-hour duty of the medical personnel. 21

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