Retirement and nursing homes daylight, the colour concept, pictograms and low beds provide orientation that promotes movement. The residents can use a spacious outdoor area for walks; a chapel, a pond with a waterfall and pavilions address a wide range of senses. “Refreshment stations” enable persons with a strong urge to move and high calorie consumption to eat finger food while on their walk. A home in Lower Austria pursues several good approaches. System visits (the home and care service management of the four locations in the Land visit each other reciprocally), regular care visits and the presence of at least one senior member of staff at the weekend mean that the management also knows all residents and their relatives personally. A residents’ council was established, in which one person per house community is represented and can raise issues, the implementation of which is examined. There is also a feedback café that invites those in need of care and their relatives to a regular sharing of experience and which is also frequented by the home and care service management. Another home in Lower Austria holds standardised case reviews with staff and relatives a few weeks after a new resident has moved in. This enables the home to better estimate the effect the move has had and whether changes in care planning are necessary to improve the quality of the life of the new resident. Quality assurance through residentcenteredness To provide visual stimulation when lying down, a care facility in Lower Austria decorated the ceiling of the rooms for residents who are confined to their beds. The easily accessible evening activities were also considered positive, for example, a round of games, baking together and chat groups with caregivers. In a home in Tyrol, there is also a games session every evening, which is also open to visitors from the local town. An emergency telephone that ensures fast and unbureaucratic psychological advice for staff in a home in Vienna is an example of good practice. A home in Upper Austria opened a staff kindergarten to improve employee loyalty. Support for staff A home in Vienna set up “cooling rooms” on the advice of residents’ councils. Another care facility is completely barrier-free; the apartment doors are fitted with spyholes, even at wheelchair height. 42