fundamental and human rights �.� national preventive mechanism against torture spending that time. The realisation of the plan should also be evaluated at three-month intervals and when the client’s circumstances change. According to the director of the nursing home, residents are also taken outside the yard when their condition permits. They also go on outings outside the unit. During the inspection visits, some observations were also made on the possibility of round-theclock assisted living units for ensuring the residents’ daily outdoor exercise in a pleasant environment (657, 659 and 2218/2018). The right to sufficient health care services The adequacy of physician’s services varied The Deputy-Ombudsman commended the weekly visits made by physicians (383 and 384/2018). A municipal geriatrist visited the group home once per week and also met with the residents. The geriatrist could be called when necessary (3290/2018). Previously, a physician from the health centre had visited the nursing home once per month. The physician mostly dealt with the nurse, but would also visit the residents if necessary. Now, the physician had last visited the unit three months ago. The intent was to return to the monthly schedule. The physician was easy to reach by telephone. However, the frequency of the physician’s visits should be based on the needs of the residents. Increasing the interval between visits was problematic as the unit did not employ a full-time nurse. The Deputy-Ombudsman deemed the physician’s services available in the unit to be insufficient if a physician or other health care professional is not available when needed. The Deputy-Ombudsman requested the city to report on the measures taken in this nursing home and another home run by the city (659 and 657/2018). The municipality reported that the provision of physician’s services in the nursing homes would continue according to the current plan. 108 Notary Kaisu Lehtikangas displaying a rickshaw bicycle in the serviced housing Näsmänkieppi. Volunteers take the residents in the serviced housing on rickshaw rides once a week, if weather permits. A physician visited the serviced housing unit once per week, focusing on alternate floors on each visit, but also taking care of any acute situations on the other floor. The physician was available by telephone on weekdays, and the geriatric emergency service responded to situations on the weekends. On the rounds during the visit, the physician met with residents according to the needs assessment conducted by the unit’s staff (1212/2018). The representatives of the company providing the nursing services were sorry that the city had put the physician’s services out to tender, as they had been satisfied with the long-term, successful cooperation with the physician. Now, a physician only visited the unit once every two months, which the unit felt to be quite a long interval. The physician was easy to reach by telephone, however. The Deputy-Ombudsman requested the city to give a report on the sufficiency of physician’s services (3367/2018). According to the report provided by the city that purchased the nursing services, it invites tenders for outsourced nursing and physician’s services at regular intervals, which can lead to changes in service providers. The frequency of physician’s visits is