fundamental and human rights
�.� national preventive mechanism against torture
target has been promoted by making consultation
visits to other units and proactively increasing
resources for potential crises (7007/2017).
Outdoor time
Taking care of the basic needs of an individual
with intellectual disabilities includes ensuring a
sufficient amount of exercise and outdoor time.
The interviews of clients and their next of kin indicated that the time spent outside by the clients
was not always recorded in the daily logs. The
NPM also discovered that outdoor time could be
systematically restricted at the beginning of the
examination or rehabilitation period. The Ombudsman stressed the significance of spending
time outdoors on a daily basis for the high-quality care referred to in the Act on the Status and
Rights of Social Welfare Clients. Providing sufficient time outside is a part of caring for the residents’ basic needs and, thus, respecting their human dignity. The Ombudsman recommended including the time spent outdoors in the resident’s
care and service plan and recording its daily
realisation in the customer’s documentation
(7007/2017).
The joint authority reported that, in the future,
the time spent outdoors by the clients would be recorded in their personal rehabilitation plans. The
clients’ outdoor time and possible refusal to go outside will be clearly recorded in the daily logs. Opportunities to spend time outdoors will be offered on a
daily basis.
Interviewing clients and their families
The interviews of the clients’ families indicated
that the families were not always satisfied with
how the residential unit staff had consulted them
on matters related to the client’s care. Furthermore, the discussions revealed a general uncertainty regarding the practices in the residential
unit and the practical contents of the child’s rehabilitation. In the Ombudsman’s assessment, the
cooperation between the residential unit and the
families of its residents had not been realised in
the best manner possible. The Ombudsman
recommended that the residential unit should
pay more attention to this aspect in the future
(6421/2017).
After the visit, a family member of a client
sent a letter to the Ombudsman, expressing shortcomings experienced by the family member. The
rehabilitation unit was notified of the contents of
the letter for the purposes of the evaluation and
development of its operations. Development of
the client feedback system was an item in the development plan included in the unit’s self-monitoring plan. The Ombudsman encouraged the
unit to develop its client feedback system further
(7007/2017).
After the visit, the unit submitted a report stating that the organisation had developed a uniform
feedback system. The unit gathers continuous feedback from clients and their families into a feedback
log, which is reviewed at the workplace meeting on
a weekly basis and taken into account in operations.
Feedback is also collected with a dedicated form.
Stakeholders and the people close to the residents
are encouraged to give feedback.
Use of security guards
The residential service unit of a private service
provider employed a round-the-clock security
guard service. According to the staff, the guard
could be called if a client behaved in an inappropriate or threatening manner, e.g. due to intoxication, and would not leave the common area when
requested. The staff stated that the guard could
use physical force to take the client to his or her
own flat, for example. If illegal intoxicants, such
as drugs, are found on the resident, the police is
called. The report provided after the visit specified
that the guard service had been acquired for the
safety of the staff. The guards could assist in calming clients down by their presence. However, they
were not entitled to use physical force to guide
clients to their flats. The unit’s service manager
indicated that the purpose and authorities of the
guard service would be reviewed with the staff.
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