§ 34. Creating a positive therapeutic environment involves, first of all, providing sufficient living space per patient as well as adequate lighting, heating and ventilation, maintaining the establishment in a satisfactory state of repair and meeting hospital hygiene requirements. Living conditions at visited establishments were very diversified. In two establishments they were very good (Klinika Psychiatrii Samodzielnego Publicznego Szpitala Klinicznego Nr 1 in Szczecin and Samodzielny Publiczny Szpital Wojewódzki at Gorzów Wielkopolski, especially the ward of forensic psychiatry with higher security level (after repairs in 2010). In another hospital (the Institute of Psychiatry and Neurology in Warsaw) due to heavy rain just before the visit, visitors found water leaking from cealings in some rooms, including rooms for patients. The visitors recommended necessary repairs. Moreover, according to information provided by that hospital there should have been 34 beds in one of its wards, while the National Health Fund contracted 38 beds. Thus, additional beds were placed in the corridor. One of the patients was permanently placed in the corridor because „he smokes”. In the second visited ward of that hospital, visitors noticed two more beds in the corridor. In several wards of that establishment hygiene and cleanliness were assessed as unsatisfactory. NPM visitors had also reservation as to the room equipment: some patients were sleeping on beds with sponge mattresses with no mattress-cover. Some pieces of equipment were very obsolete and old. Patients from one of such rooms asked the visitors to help them improve the situation, so that each patient could have one’s own bedside cabinet and that the lock to the wardrobe is repaired. The The Deputy Director of the Institute of Psychiatry and Neurology in Warsaw informed the visitors that the worse rooms (damaged by the melting snow) will be repaired. A tender was being prepared for general repairs of all psychiatric clinics. Moreover, patients said that the refrigerator at their disposal to store food products was not working. They also had no continuous access to the food they purchases. The staff was giving them that food only at certain hours. Many patients complained about the food, its quality and quantity. They also said (in Wojewódzki Szpital dla Nerwowo i Psychicznie Chorych at Lubiąż and as regards food also Samodzielny Publiczny Szpital Wojewódzki at Gorzów Wielkopolski) that meals were cold. Answering recommendations by NPM, Director of the hospital at Gorzów Wielkopolski informed that the quality of meals served to patients in visited wards fulfilled requirements as to the caloric content and nutritional value. Patients may also purchase food and receive parcels from their families. b) The health care 8th General Report on the CPT's activities [CPT/Inf (98) 12] § 32 [...] Further, adequate treatment and care, both psychiatric and somatic, must be provided to patients; having regard to the principle of the equivalence of care, the medical treatment and nursing care received by persons who are placed involuntarily in a psychiatric establishment should be comparable to that enjoyed by voluntary psychiatric patients. § 37 Psychiatric treatment should be based on an individualised approach, which implies