Retirement and nursing homes A nursing home in Tyrol for example, removed the printed foils from the doors in the dementia section as they made it difficult for the cognitively impaired to leave the department, thus resulting in a freedom-restricting effect. The use of measures that restrict freedom was evaluated and the documentation improved. A weekly programme from 6.30 p.m. to 7.30 p.m. was organised (music, dancing, games, reading out loud etc.). There is also a home café and a fortnightly programme in the departments. The nursing staff was once again instructed about the careful storage of medication. The prescription of medication in individual cases was corrected and fixed by the attending doctors. The three-bed rooms in the care units were converted; screens were placed in the remaining two-bed rooms to protect privacy. The lift controller was modified for barrier-free access thus making it possible to exit without obstruction. Further training in violence in care and de-escalation management is planned for 2020. In another Tyrolean home, ramps were purchased after the visit by Commission 1 to enable residents to overcome balcony thresholds without help. All lift and slide doors to generally accessible balconies were refitted to prevent unintentional closing and ensure that escape from the balcony to the inside of the building is possible at all times. In a Vienna care facility, deficits in the care documentation observed during a visit were rectified in staff meetings. Implemented NPM recommendations The repeated highlighting of problem areas by the NPM also effects improvements on the structural level. 400 new low-floor beds were purchased for the Lower Austrian nursing and care centres. The almost 80% level of equipment achieved there not only improves safety but contributes to better preserving and promoting the mobility of the residents. After a visit by Commission 6 to a home in Burgenland, ten low-floor beds were purchased, the garden refurbished, windows replaced, rooms painted and air conditioning installed in the dining room. A relaxation room for the staff was created; other structural measures included safety features on stairways and fitting outside blinds and sun blinds. In many cases, it was possible to convince the home operators to introduce more flexible mealtimes. In a home in Lower Austria, the evening meal time was moved to 5.30 p.m.; the same was introduced in a home in Tyrol despite some initial protests on the part of the residents, but they adjusted quickly. For some residents, the improvement in sleeping habits that was brought about by going to bed later was remarkable. A nursing home in Upper Austria followed a recommendation of Commission 2 and now serves breakfast between 7.00 a.m. and 10.00 a.m. The option of eating a snack late in the evening was offered here, as is now the case in many homes. A home in Styria extended late shift to 10.00 p.m. so that residents can stay up longer. A small home in Vorarlberg followed the recommendation of Commission 1 to install emergency alarms in the toilets and showers because the residents often forget their mobile alarm pagers in the residential areas. A home in 24