In 2014, there was a health room at the boarding school. However, the healthcare professional had been let go and the health room was not operational in the 2015/2016 academic year. All students had been registered with a GP practice in the city of Sliven. They were also on the patient list of a Sliven-based dentist (some 20+ kilometres away). School supervisors would take students who needed to see their healthcare providers in their private vehicles and outside working hours. Medical emergencies occurring at school are responded to by the 24-hour Accident & Emergency Centre in the city of Sliven. The average ambulance response time is about twenty minutes. At the time of the inspection there were two students diagnosed with chronic conditions requiring continued medication therapy. I.N. had been diagnosed with moderate mental retardation accompanied by grand mal seizures. M.P. had been diagnosed with epilepsy with grand mal seizures, bronchial asthma, and enuresis nocturna. He required assistance by a resource teacher in the learning process. M.P.’s seizures were frequent and severe and his stay at the boarding school involved risks. The NPM considers that the provision of Article 17, para 3, item 2 of the Rules and Regulations on the Setup and Operations of Correctional Boarding Schools and Social and Pedagogical Boarding Schools should apply in this student’s case. The student N.S. had had her pregnancy detected and her release from the boarding school was impending by the end of the same month. The chronically ill students had their medicines stored and dispensed by their supervisors. A register entry would be made accordingly and the students would sign upon taking their medicine. The student’s medical documents were stored in a separate section of their administrative files. Most students had had their 2015 annual health screening assessments performed as was evident from the outpatient examination reports. The students’ preventive health care cards were available but had no entries made. None of the children interviewed expressed dissatisfaction with the medical care provided at the boarding school. Some students complained about problems with the food. Most students admitted to using tobacco products, as well as psychoactive substances during school holidays. 6.4. Administration and Management According to its staff establishment plan, the boarding school had a staff of twenty-four members: one principal, six supervisors, four teachers, one psychologist, one accountant, and support staff. Staff members were assigned to duty on a rotating schedule to ensure around-theclock availability of teaching staff and safe continuity of child care and responsibility between shift changes. The establishment plan had no social worker posts. The absence of such professionals impedes the process of children’s adaptation and re-integration into their normal environment. It hinders also the maintenance of family contacts and minimizes the personal approach to child-andfamily-centred casework. To put it briefly, it does not potentiate positive results. 6.5. Protection Measures During the inspection at the SPBS in Dragodanovo the NPM identified evidence of favourable psychosocial safety climate. The children trusted the staff and the faculty. Peer interactions proceeded smoothly. There were no signs of tension between the staff and/or the children. The NPM team reviewed also the register of bullying and harassment incidents and escapes. A total of five escapes from the boarding school were registered in 2015. The alarming fact remains that most court decisions ordering children confined to boarding school institutions relate to antisocial and delinquent behaviour such as begging, collecting scrap metal, escapes from institutions for children deprived of parental care. The NPM would 67