ANNUAL REPORT OF NPM 2019 _______________________________________________________________________________________ beds and according to the respective protocol, includes the following elements: keeping the person with force, forceful use of medicines, immobilization, insulation. According to the personnel statements, residents and their files, no physical restraints mechanisms are used in these houses, rather only pharmaco-therapeutic interventions, and also isolation measures are not used. Regarding visits and findings in these institutions, the NPM will publish a special report with recommendations, which will outline the specific findings and recommendations on certain issues and will be forwarded to the bodies managing these institutions. Community-Based Homes (hereinafter CBH) The CBHs continue to be regulated by two Administrative Instructions: (MLSW) no. 11/2014 on the work and placement of residents, persons with mental disabilities-delay in mental development at the Special Institute in Shtime (hereinafter, SISH) and in community based homes, and AI no. 13/2010 for the provision of services in community-home for persons with mental disabilities-delay in mental development. As of January 2016, the CBHs are managed by the Municipal Directorates of Health and Social Welfare. During, 2019, the NPM has visited 7 CBHs: the CBH in Shtime, Ferizaj, Vushtrri, Deçan, Kamenica, Gracanica and Lipjan. Material conditions in the homes visited During the reporting period, the NPM was informed by the Ministry of Labour and Social Welfare (MLSW) that two more community-based homes were built in Prizren and Novo Brdo, which will be operational by 2020. Also, during the NPM visit, the community-based home in Shtime was being renovated. The official capacity of the CBH is 10 residents. However, the NPM, during a visit to the CBH in Vushtrri, noted that there were 13 residents accommodated, while 12 residents were accommodated in the CBH in Kamenica. During the visits carried out, the NPM observed that, in terms of accommodation conditions, CBHs are generally at a satisfactory level, with the exception of CBH in Ferizaj and Vushtrri. Rooms and spaces where they are accommodated and carry out their activities have adequate lighting, heating and ventilation. Also, rooms and sanitary facilities provide residents with proper privacy. However, the NPM noticed that the CBH in Ferizaj lacked good accommodation conditions, some appliances in the kitchen, such as the dishwasher, were not functioning, showers were damaged, and there was no large washing machine as this category of residents depends entirely on staff. In addition, staff does not have a room for staying and do not have adequate space for providing therapy or injections. Often they are faced with problems related to the supply of medicines, clothing and blankets. In certain cases clothing has been supplied by various Non-Governmental Organizations. CBH in Vushtrri had average conditions, lacked adequate space in the backyard and space where residents could stay. NPM noted that in the CBH in Lipjan, attention was also given to the decoration of daily stay spaces with works done by the residents themselves, in order to give them visual stimulation. 43