2014-2015 REPORT ON NATIONAL PREVENTION OF TORTURE was explained by a severe health condition of residents; there were no appropriate conditions for residents to cook themselves (a kitchen was not appropriately installed); residents were not encouraged to use all cutlery when eating, or to independently develop skills by washing their clothes and taking care of their personal hygiene, especially oral hygiene; individuals were not encouraged or taught to use a computer and the Internet. was violated when a person with mental disorders disturbed other residents; at the time of washing and bathing the residents who were not able to do that themselves, or changing their diapers, screens were not used; privacy was not ensured during medical check-ups. 3. Regarding shortcomings related to adaptation of premises to disabled persons and mobility on the territory of the institution – In some institutions, the main entrance and other premises, including hygiene premises, were inaccessible to the disabled; the territory was not adapted to the residents’ needs, there were no appropriate conditions for moving independently, taking into account the age and the condition of health; sometimes, residents did not have a possibility to use a lift when they needed it; it was not ensured that all residents with a mobility disability in their residential room had a possibility to observe the environment through the window, taking into consideration the height of windows and the location of the bed; not all institutions had a possibility to take outside persons with a severe mobility disability (who were always lying in bed). 5. Regarding application of restrictive measures – Sometimes, restrictive measures were applied without a clearly-defined procedure and a medical doctor’s permission, or continual surveillance of a person subject to such a measure was not ensured, it was also identified that cases of application of such measures were not always registered or were registered, but not in a special log. 6. Regarding provided health care services – Not in all care institutions health care services were provided in compliance with the requirements of legal acts regulating provision of such services: there were no residents’ signatures (regarding consent to or refusal of treatment prescribed to them) next to entries in medical histories of residents; not in all institutions the right of residents to refuse treatment was ensured; where physical restraint measures were applied to residents (medical belts, placement into the isolation room), decisions regarding their use were made not by a medical doctor, but by the administration of a care institution; in some institutions, medicinal products were not suitable for use (they were past the expiry date); besides, residents often purchased various medicinal products from their own funds; in certain institutions, 4. Regarding individual care and encouragement of independence – Not in all care institutions individual social care plans were drawn up for residents following an assessment of their needs, or such plans were drawn up without the participation of residents, or the plans were not reviewed according to the timeframe provided for in legal acts, or social work was not always recorded in detail; cases were also identified when the independence of residents was insufficiently encouraged: in one institution, autonomy promotion programmes were not conducted at all, which 13

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