11.4. Assisted living centers for the elderly their residents full service,211 including the provision of appropriate quantities of toilet paper and diapers. It caused an impropriety related to the prohibition of degrading treatment that the Pécel Center did not provide its residents with appropriate quantities of toilet paper and diapers. During daytime, residents watched TV, read books, smoked, had coffee, and those who could, walked around the courtyard. They could rarely leave the institution for a short walk. Some residents claimed to have organized programs weekly or every other week; others remembered having them monthly. Some residents spoke highly of the creative programs and the person conducting them, who was making Christmas decorations together with two residents at the time of the visit. Some of the rooms were decorated with small objects and hand-made articles made by the residents; however, there were remarkably few personal items or pictures of the residents’ family lives. The tension between the management and the personnel had an adverse effect also on the relations between the residents and the caretakers. Staff members performed their basic tasks adequately; however, they were unable to create a loving, caring atmosphere. According to one of the female residents, the nurses were extremely busy, she had practically no relations with them; however, she was not aware of any ill-treatment. Some male residents said that although staff members were usually very kind to them, sometimes they became irritated. The fact that some staff members showed signs of burn-out may have contributed to the fact that the residents could not always get the care meeting their physical and psychological needs. Assisted Living Center for the Elderly in Écs, operated by the Segítõ Kéz Public Benefit Foundation The Assisted Living Center for The Elderly, operated by the Segítõ Kéz (Helping Hand) Public Benefit Foundation (hereinafter the “Segítõ Kéz Center ”), providing high-level care to 50 residents, is located in Écs, a village of nearly 1,800 inhabitants, 14 kilometers away from the city of Gyõr, in Western Hungary. According to its professional program, the Center provides care primarily to persons over the retirement age who are only partially capable of taking care of themselves but do not require regular, institutional medical supervision. Furthermore, it takes upon itself providing care to persons who, due to their state of health and/or social circumstances could not take care of themselves even with assistance. There was no local public transportation in 211 211 See Section 67, Subsection (1) of the Social Act and Section 44, Subsection (1) of Minister of Health, Social and Family Affairs Decree No. 1/2000 (I. 7.) SzCsM on Professional Tasks and Conditions for Operation of Institutions Providing Personal Care. 89