2
Findings and recommendations
2.1
Retirement and nursing homes
2.1.1 Introduction
During the year under review, the AOB visited 89 retirement and
nursing facilities. It intentionally monitored and controlled both large
homes and very small facilities. The willingness to cooperate with the
NPM was generally high. In one case, the competent commission
decided to immediately discontinue the visit. An employee at the
facility had committed suicide the previous day. The shock resulting
from this event was clearly perceptible. The visit was postponed out of
deference for this event.
In Austria, there are around 850 larger retirement and nursing homes
with more than 75,000 beds. More than 400 of these are public
institutions and facilities. Slightly more than 450 retirement and
nursing homes are owned or run by private entities, of which 79 are
owned or run by religious organisations. Around 25% of these
retirement and nursing homes have introduced a quality management
system. As at the end of 2014, 32 homes had been awarded the
National Quality Certificate for Residential and Nursing Homes in
Austria. A statutory basis was created for the National Quality
Certificate for Residential and Nursing Homes in Austria in an
amendment to the Federal Senior Citizens Act (BundesSeniorengesetz) that became effective on 1 January 2013. The
certificate has a third-party evaluation system that is uniform
throughout Austria; it has the goal of making the quality of life in
retirement and nursing homes transparent and to develop it further
systematically.
Quality management
certificate
The individual Laender have the regulatory authority for the operation
of retirement and nursing homes, together with the institutional
structures under which care and other services are provided (care
standards, equipment, staffing ratio, trained staff quotas, medical
care, duties of care, and rights of the residents). The Viennese Nursing
Home Act (Wiener Pflegeheimgesetz) contains the most
comprehensive catalogue of rights for home residents. Upper Austria
is at the bottom of the scale, where the standardisation of such rights
is very sparse. There are laws on nursing and care that are completely
silent on the right to care and its implementation; others concede such
rights only within the scope of services being offered or state that
residents must be cared for in accordance with their needs and in
compliance with their contractual rights. The right to respectful and
professional care that is in accordance with current care standards is
set out solely in Vienna.
Regulations differ
according to Laender
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