and 40 minutes to an 8-hour working day. The first meeting of the group took place in 24 November
2016. The main guideline of the working group and the heads responsible for organising work in the
retirement home is the satisfaction of residents and staff.
Dr Janko Benedik Home in Radovljica
Although we are aware that more employees mean better care for residents and that more activities
can be implemented, we determined when visiting this home that only two employees were able
to ensure an interesting and active Sunday for residents. Group reading, baking and helping in the
kitchen are activities which were familiar to residents in their active period of life. These are certainly
activities in which residents like to participate, as we were able to notice during our visit. If they are
encouraged and directed by the staff in such activities, success is certainly guaranteed.
We proposed that the management and staff of the secure ward pay sufficient attention to residents
spending time outdoors also at weekends. We know that relatives take many residents out of the
ward and in the vicinity of the home at the weekend. However, the staff must take residents who do not
receive visitors, but who wish to go outside, out in the fresh air.
At a meeting with the staff, the management of the home discussed the preliminary report on the visit
immediately after receiving it. The management stressed in their reply that the NPM recommendation
would be observed. The list of activities for the entire week is available on the notice board. The working
group agreed to maintain the planned and adopted list of activities and to remain consistent when
implementing activities at weekends. The staff would take residents whose relatives do not visit at the
weekend for a walk in the fresh air. A staff member can take three residents at a time. They would make
sure that all residents in the secure ward go for a walk. A record would be kept thereof. The two carers
would be responsible for implementation. The management of the home also stated that the activities
that were agreed on were implemented somewhat insufficiently at weekends, which was not compliant
with the agreed terms.
Begunje Psychiatric Hospital
Although we received a clarification that fewer activities were available in the hospital during weekends
than during the week, similarly to other visited institutions, we assess as very positive the practice that
the occupational therapist agrees with individual patients about their activities during the weekend,
i.e. by giving them ‘homework’. We pointed out already during our visit that it would be useful if the
staff responsible for patients at weekends were also acquainted with the agreement. In which case, they
could encourage patients to do their ‘homework’, help them if necessary, give them materials and tools
if these were not provided by the occupational therapist or if these were too dangerous for the patients
to keep.
We proposed to the management of the hospital that they provide patients with as many books as
possible; these could be obtained from libraries when they discard books. (By observing patients’
comments), we also proposed that new board games be provided when necessary, particularly if the
existing ones are worn out or if individual pieces are lost. On that note, we add that it is important
that the staff try to encourage patients to become involved in the activities, particularly when patients
cannot make decisions to actively participate in activities in the ward or leave the ward due to their
medical condition or the treatment they are receiving.
In their reply to the preliminary report on the thematic visit, the management of the hospital explained
that they had studied the report and agreed with the findings. Regarding the staffing issues mentioned
in the report, the management added that they had tried to obtain the maximum number of employees
as prescribed by the founder regarding the limits on recruiting. A group service takeover takes place
regularly with regard to the transfer of information on the activities of occupational therapy during
weekends, so that the staff are informed of activities that are to take place at weekends. The management
assured us they would also try to provide their patients with the best care possible that is also safe and
patient-friendly, and that they were happy to receive such constructive comments from the NPM.
64
IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2016
NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT
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