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
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