During the inspection, the team found that eleven children had been
transitioned from the Pleven Home in the period from 23.12.2020 till 15.01.2021.
According to the Director, the children were not ready for the transition. Ten of
them, who have grave disabilities, were accommodated at family-type placement
centres for children and adolescents with disabilities whose teams were not ready
to admit the children and were not familiar with their diagnoses. At the end of
2020, cases were registered of transitioning children in grave situations from the
Sofia Home for Medical and Social Care for Children and placement at the Pleven
Home for Medical and Social Care for Children without taking into account the
impossibility for the parents (from Petrich, Kyustendil and Blagoevgrad) to
maintain contacts with their children. There are cases where the documentation
for the children is not appended with an assessment of the individual needs which
hampers the staff at the new accommodation places to become familiar with the
needs of the children and provide the best care in the interests of the children.
As regards the adults accommodated at residential social care, one of
the main recommendations from the 2019 NPM Report was related to the Home
for Adults with Dementia – Gorsko Kosovo Village, Suhindol Municipality. Due
to the poor material and housing conditions and the insufficient care for the
persons accommodated, the NPM recommended urgent measures to reduce the
capacity of the institution ensuring enough personal space and sanitary units for
the users. In performance of the NPM recommendations, an inspection was
carried out by the Social Assistance Agency Inspectorate and placement at the
home was suspended on 8 January 2020 until reaching the capacity of 30 people.
The home will be closed down through building family-type placement centres
and transitioning all users to them.
A plan is to be set as to how to transition every person placed at the home
and to prepare for reintegration at the home environment or to use social or
integrated health and social services for residential care. The plan for the
transitioning of every person will be drafted by the Social Assistance Directorate
with the participation of the person, representatives of the municipality who are
responsible for the management of the home, social service suppliers, medical
institutions, the person’s family and kin.
The 2018-2021 Action Plan for the implementation of the National
Strategy for Long-Term Care envisages that the Home for Adults with Mental
Disorders – Govezhda Village, Georgi Damyanovo Municipality, will be closed
down. The Ombudsman acting as the NPM send a recommendation to the MLSP
that all persons placed at the home should be prepared for the transition in
advance and informed about possible vacancies at other services located close to
their families.
10