Reinspections
immobilization cards it followed that while the coercive measures are applied, the resident
is calm and he sleeps at night. The representatives of NPM met with the resident during
the reinspection held in 2015 and revised his living conditions. His situation has improved
beyond any doubt. The resident looked well, he was wearing clean and tidy clothes, he was
lying on a bed unrestrained, he was well taken care of. He is living in a clean, renovated
room equipped with new furniture. Therefore, his living conditions are very good. The approach to the resident also changed. In January 2014 he was immobilized for several hours a
day. However, in line with the coercive measures register, the last time he was restrained by
belts was on 25 January 2014. The director of the centre stated that the resident responded
very well to a change in the environment (moving to a new building and a new room), and
he started to behave better. Moreover, the director of the centre ordered the staff members
to apply more diverse influential measures than coercive measures only, which brought on
positive results.
During the first inspection, the representatives of NPM also recommended that the
living conditions of the “bed-ridden” patients, with mental disabilities to a major and significant degrees be improved. These recommendations were implemented. Each ward now
has general classes and physical therapy rooms. They are equipped with new equipment (e.g.
bikes, multigym, massage armchairs, and equipment for manual exercises, music equipment, etc.). The director of the centre noted that he disposes of good conditions and tools to
work, yet there are problems in finding a good specialist (oligofrenopedagogue or psychologist) that would be able to skilfully use them while working with the residents. According to
the representatives of NPM, further actions must be undertaken to stimulate the activity of
the residents. It would be of great help if an additional workshop therapist could be hired,
who would ensure that the available cultural and educational classes, rehabilitation, and
therapy would be more diverse and better adapted to the capacities of the residents. The
material gathered during the inspection allowed us to state that the “bedridden” residents
are offered trips to the outside. The frequency of these trips depends on the weather and
their health condition. It also helps that at the end of 2013 the residents were moved to a new
building that is deprived of architectural barriers (e.g. it has elevators that make it easier to
go out with residents on wheelchairs and in beds). The number of staff members during the
day shift was increased, even though that it is still required to increase the number of staff
members in the bedridden persons wards.
The recommendation to stop imposing punishments on the residents of the Centre
has been fulfilled. The interviews with the residents showed that the staff members do not
impose punishments on them. Moreover, the by-laws of the SCC in Węgorzew does not
contain a catalogue of punishments. It must be emphasized that all the recommendations of
the representatives of NPM were fulfilled in the area concerning the living conditions. The
facility now has separate (guest) visiting rooms, the rooms of the residents were quipped
with modern equipment (e.g. rehabilitation beds), medical records were secured in locked
cabinets without access to unauthorized persons.
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