fundamental and human rights �.� national preventive mechanism against torture plan. Taking the residents outdoors should not be left to the next of kin and volunteers. During the visits, it was noted that daily outdoors time is not provided in several units or is impossible to verify due to deficient records. The staff of the assisted living unit with intensified support told the NPM that they did not have time to take the residents outside. The visit conducted in March did not reveal how the residents’ access to the outdoors had been arranged or whether the residents had the opportunity to go outside. According to the report received after the visit, the residents’ next of kin saw to taking them outdoors. The report indicated that volunteers visited the nursing unit to take the residents for outings such as rickshaw rides once per week if the weather was good (1212/2018). The Deputy-Ombudsman considered it important that people suffering from memory loss disease, who are often still quite capable physically, should have the opportunity for regular outings. According to the resident records obtained, this had either not been realised particularly well or the records were incomplete. For example, one outing had been recorded for one resident for a two-week period, while another had no recorded outings. The unit’s self-monitoring plan nevertheless required targets related to daily exercise, time spent outdoors and rehabilitation to be recorded in the resident’s care and service plan. The realisation of these targets should be followed on a daily basis. On the basis of the care plan records of two residents, this was not the case. The Deputy-Ombudsman pointed out that resident records should correspond to the guidelines provided in the self-monitoring plan (2217/2018). According to the city’s report, efforts are made to provide the residents with as much time outdoors as possible. Volunteers take the residents on outings every week if the weather is good. In the summer, the city hires young people to help with taking the residents outside. In addition, the unit has several individuals in rehabilitative work activities, whose duties also include taking the residents for outings. The city indicated that it would pay attention to recording the time spent outdoors. Advanced memory loss disease can prevent residents from going out- side safely, so the situation needs to be considered individually for each resident. The group home has a spacious balcony where the residents can spend time safely. During a visit to a group home for people with memory disorders, the NPM were told that the residents had the right to sufficient outdoors time. On the basis of the records inspected after the visit, however, it was impossible to verify that the resident had actually spent time outside. The Deputy-Ombudsman noted that the records must indicate the actual events in the resident’s day, not just the basics of nursing and care. If a resident takes assisted outdoor exercise or participates in activities, it must be recorded in the documents. Otherwise, it will be impossible to determine whether the service plan is also being realised with regard to outings and recreation. The Deputy-Ombudsman reminded the unit’s staff of keeping sufficient records, which indicate the actual quality and diversity of service in addition to basic care (3290/2018). The municipality reported that, in the future, the group home staff would record outings, participation in stimulating activities, etc. in the patient information system. Particular attention will be paid to recording activities performed with the assistance of other professions and individuals (summer workers, students, assistants, next of kin, etc.). Instructions concerning this were issued in autumn 2018. Furthermore, to secure sufficient access to the outdoors, at least one employee will take residents outside every day. The time spent outdoors by residents was monitored with lists. In the opinion of the NPM, the realisation of sufficient access to the outdoors should also be monitored in the care and service plans. The Deputy-Ombudsman considered it important that residents should also be provided with the opportunity to leave the balcony and yard if permitted by their condition (3367/2018). The report of the city that purchased the care service notes that the city requires the client’s wishes and willingness to spend time outside to be recorded in the client’s care plan, along with targets for the amount of time spent outdoors and the ways of 107

Select target paragraph3

Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents