1.5 Obiski posebnih socialnovarstvenih zavodov Uporaba pasov Segufix in priporočila DPM Use of Segufix belts and NPM recommendations Ob obisku smo ugotovili, da bi bila potrebna proučitev, ali se v primeru uporabe pasov Segufix postelja namesti v eno od prostih sob (npr. v sobo za umirjanje ali sobo za relaksacijo) ali pa, da se med fizično oviranega stanovalca in druge stanovalce namesti ustrezen paravan. Pri tem je DPM zavodu predlagal, naj ta, dokler ne bodo zagotovljene ustreznejše rešitve, zagotovi, da se ena od sob nameni zgolj izvajanju PVU-vezanja s pasovi in se torej vanjo ne nameščajo drugi stanovalci ali pa se ukrep ne izvaja. Upon the visit, we proposed that a bed should be transferred into one of the free rooms if Segufix belts are used (e.g. the confinement room or the relaxation room), or a suitable screen should be placed between the physically restrained resident and other residents. The NPM proposed that the institution use one room only for the application of special protection measures, i.e. the application of belts, and no other resident should be accommodated in that room, or this measure should not be used until more suitable solutions are ensured. Povzetek priporočil DPM in zaključni odzivi zavoda in MDDSZ Summary of the NPM recommendations and final responses of the institution and the Ministry of Labour, Family, Social Affairs and Equal Opportunities Priporočila DPM: 120 1.5 Visits to special social care institutions Odziv zavoda: Odziv MDDSZ: The NPM recommendations: Težave ob nameščanju stanovalcev na VO s sklepom sodišča VO bodo vzpostavljeni in verificirani v vseh posebnih socialnovarstvenih zavodih. Problems when admitting residents to secure wards with a court order Secure wards will be implemented and verified in all special social care institutions. Posamezniku zagotoviti možno namestitev v poseben socialnovarstveni zavod, kjer mu bo zagotovljena vsa potrebna oskrba glede na njegovo zdravstveno stanje in ob tem tudi ne bo prihajalo do prekoračitve najvišje kapacitete zavoda oziroma posameznega oddelka. Ministrstvo bo kombinirane socialnovarstvene zavode pozvalo k vključitvi njihovih kapacitet v že obstoječo mrežo VO, o čemer bodo obveščena tudi sodišča. Ministrstvo bo spodbudilo učinkovitejše povezovanje socialnovarstvenih zavodov s CSD s ciljem vzpostavljanja skupnostne obravnave, s čimer bomo zmanjšali pritisk na sodišča in na socialnovarstvene zavode. Each individual must be enabled accommodation in a special social care institution where they will receive all necessary care for their medical condition and the maximum capacities of institutions or individual units will not be exceeded. The Ministry will invite combined social care institutions to include their capacities in the existing network of secure wards, of which the courts will also be informed. The Ministry will promote more efficient integration of social care institutions with social work centres in order to enable joint treatment, which will alleviate pressure on the courts and social care institutions. Namestitev klicnih zvoncev bo urejena z verifikacijo VO. Ločeno spremljanje incidentov, ki pomenijo večje ogrožanje zdravja varovanca, in ločeno spremljanje tistih incidentov, ki so povzročili manjše tveganje za varovančevo zdravje in ni bila potrebna napotitev na zdravljenje v drugo ustanovo. Priporočilo smo upoštevali. Spoštovanje maksimalno priporočenih odmerkov posameznega zdravila S priporočilom smo seznanili zdravnike. Pred uvedbo PVU je treba skrbno preveriti, ali ni zdravnik mogoče prisoten in se ukrep uvede s strani strokovnega delavca šele ob njegovi odsotnosti. Priporočilo smo upoštevali. poročilo o izvajanju nalog DPM v letu 2014 DržavnI preventivnI mehanizEm po Opcijskem protokolu h Konvenciji OZN proti mučenju in drugim krutim, nečloveškim ali poniževalnim kaznim ali ravnanju The institution’s responses: Installation or call bells Will be arranged when secure wards are verified. Separate monitoring of incidents which pose a greater risk to residents’ health, and of incidents which pose a minor risk to residents’ health and for which referral to another institution is not necessary. The recommendation was observed. The observance of the recommended maximum doses of individual medications. Physicians were informed about the recommendation. Prior to the application of special protection measures, it must be carefully verified whether the physician is present or not, and the implementation of the measure must be ordered by the expert worker only after the physician’s absence is established. The recommendation was observed. IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2014 The Ministry’s responses: National Preventive Mechanism under the Optional Protocol to the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment 121