beneficiaries were their relatives. Medical supervision was available for 24 hours. A head medical nurse and 7 medical nurses were available on site. People in wheelchairs could go to the yard. The institution performed rehabilitation activities - mostly at a group and individual level. The procedures were prescribed by the physician in the home depending on the beneficiaries’ status and rehabilitation potential. Occupational therapy was focused on daily activities. The food was varied and met the requirements of article 41 of the Procedure Rules - Implementation of the Law on social assistance. A signalling system with panic buttons was installed and functional. NPM considered that social services for elderly people had to be decentralized, with the following priorities in the field of social services for elderly people: ● the accommodation conditions, that had to meet the requirements of article 40 f) of the Rules for the enforcement of social assistance, also regarding the creation of an accessible environment; ● the relevant institutions should exercise efficient regular control on the residential care service for elderly people, with a view to meeting medical standards, the Law on social assistance and the guidelines for its enforcement; ● actions have to be taken to update the Methodology approved by the Ministry of Health, Labour and Social Policy to establish positions in specialized institutions and social community services;● detailed information must be provided to NPM regarding the Updated Action Plan, the National Long-term care strategy. ♦Based on the reports of the NPM in the Czech Republic, the visit team always included a medical specialist and a medical nurse. The objectives of the visit included: ensuring safety, privacy and dignity, meeting the specific needs of persons with dementia, using sedatives and means of retention, preventing and managing pain, malnutrition and wounds. The NPM in the Czech Republic drew up a 44-page Special Report dedicated to Residential Centres providing care without a permit. Based on the Report, the centres frequently introduced themselves on their webpages, in the media and in their 38