persons with disabilities Atmosphere • One of the units in the residential institution had an ongoing problem with violent altercations. During the visit, one of the residents exhibited restless behaviour. It was unclear how a single staff member could be expected to look after all five residents in the unit in such a challenging situation. The Ombudsman stated that, on the whole, special care units must be staffed by a sufficient number of social and health-care professionals and other personnel, regarding the nature of the unit’s operations and the special needs of the persons in special care. The Ombudsman emphasised the employer’s responsibility to ensure that restrictive measures are carried out only by personnel who have the necessary professional qualifications. The Ombudsman also stressed the employer’s responsibility to provide suitable staff training so that staff are able to anticipate situations and avoid the use of restrictive measures. • The atmosphere in the unit was calm and relaxed and no imminent threat of violent behaviour was present. • The NPM noted that the operations and organisation of the unit had institutional features, although attempts had been made to make the unit home-like, with toys and wall paintings. However, all staff members, who were referred to as nurses, were dressed in nursing outfits. The Ombudsman noted that the unit requires active development to remove institutional practices and structures. The relaxation lounge at the student hall of residence Luotain at Vaalijala competence and support centre. 71