Situation of deprivation of liberty “El Pinar”. In addition, although the Residential Centre “Santa Teresa de Arévalo” had a book of claims, the only claim that had been filed had not been analysed and no answer had been offered to the claimant, which should be remedied. 215. According to the information provided, the Healthcare Centre “El Pinar” (Teruel) does not render account to the responsible authorities of any eventual aggressions or injuries and only informs the court if transfer to a hospital is required. In this respect, it must be remembered that, when the medical services assist a person who has been injured due to an aggression, the relevant injury report must be systematically completed and sent to the responsible court authority, as provided for by article 262 of the Criminal Procedure Law, recording the existence of the injuries, their features and the purported origin. The Department of Healthcare, Social Welfare and Family of the General Deputation of Aragon accepted the criterion of this Institution. 216. As regards physical and pharmacological restraints, at the Healthcare Centre “El Pinar” (Teruel) it was observed that these were scarcely used, patients were not excessively medicated and the atmosphere was one of tidiness, rest and respect. Nevertheless, certain cases of “prolonged therapeutic restraints” were observed the suitability and adequacy of which should be reviewed. The Department of Healthcare, Social Welfare and Family of the General Deputation of Aragon stated that the protocols of restraint at social healthcare centres are being reviewed. In respect of pharmacological restraints, in the review of the clinical records, it was observed that these were applied to approximately one third of the patients, although they were applied measuredly and reasonably, and were almost always accompanied by the indication that they were used as the last resource. Injury report. Completion and remittance to responsible court authority Physical and pharmacological restraints In turn, the Residential Centre “Santa Teresa de Arévalo” has a restraint protocol in accordance with international standards. The various professionals interviewed (nurses, assistants and keepers) declared to have received training courses on the matter. Restraint forms were to be found in all medical surgeries stating the time of commencement and end of the measure, the reason and medical indications and infirmary observation comments. Nevertheless, although the “protocol of therapeutic immobilisation” of the centre records that at least five persons should participate to ensure that the patient is not injured, because it is understaffed, restraints are carried out by only four persons. As to the medication of patients it was observed that the doses were well adjusted with good control of side effects. 217. In respect of rooms for mechanical restraints, at the Healthcare Centre “El Pinar” (Teruel), the two rooms prepared for the purpose did not have video-surveillance systems with recordings to ensure the safety of the inmates during restraint and subsequently, which should be remedied. At the Residential Centre “Santa Teresa de Arévalo” after the visit a Suggestion was made for one isolation room that did not have a security camera, with items having metal borders that could imply physical risk to patients, lacking natural light, with a uniform colour on walls and ceilings and, finally, an inadequate structure and, Rooms for mechanical restraints 151

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