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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