their replacement, since the quality of work and life on the ward may worsen. Although we are aware that staff try to implement occupational therapy, this is undoubtedly difficult without an appropriately trained therapist. In their response to the preliminary report, the management of Ljubljana University Psychiatric Hospital explained that long-term sick leaves of employees (over 30 days) were replaced in accordance with the law. We recommended that Ljubljana University Psychiatric Hospital itself, or with the help of the relevant social work centre and NGOs (Red Cross, Caritas), provide basic necessities to patients in social distress who cannot afford such necessities. In their response to the preliminary report, the management of Ljubljana University Psychiatric Hospital stated that all patients received personal hygiene necessities upon admission if they did not have their own. In the case of patients in social distress, the hospital cooperates with relevant social work centres and NGOs, which has been the practice for many years. Since our last visit, the conditions in ward A1 had not changed significantly, so we recommended that the management of Ljubljana University Psychiatric Hospital strive to improve conditions in the ward. Rooms with multiple beds are less suitable for accommodation and provide less privacy and rest for individual female patients. Two toilets and only one bathroom raise doubts about whether all female patients can suitably attend to their hygiene (especially since this room is also used as a smoking room). In their response to the preliminary report, the management of Ljubljana University Psychiatric Hospital explained that they had had the toilets renovated in ward A1 two years ago. They were currently preparing to renovate the entire ground floor of building A, including ward A1 with smoking rooms. We recommended that Ljubljana University Psychiatric Hospital provide new covers for the sofa in ward A1 and try to improve living conditions for female patients. In their response to the preliminary report, the management of Ljubljana University Psychiatric Hospital stated that all dilapidated and torn sofas in Ljubljana University Psychiatric Hospital were being renovated. We recommended that Ljubljana University Psychiatric Hospital try to equip the rooms in ward I3 in a way that provides space for socialising in a pair or small groups, and to encourage patients to get involved in various social activities, i.e. to spend the day actively. In their response to the preliminary report, the management of Ljubljana University Psychiatric Hospital stated that they did not quite understand the proposal of the NPM representative to provide space for socialising in pairs in I3 secure ward, but they would certainly try to provide a more people-friendly environment. We recommended that Idrija Psychiatric Hospital display a weekly menu on notice boards in wards. In their response to the preliminary report, the management of Idrija Psychiatric Hospital stated that they were trying to make the menu accessible to patients in secure wards. Additional measures implemented by the hospital in future were planned to focus on improving staff awareness about the importance of accessing information on the menu for patients accommodated in secure wards. The hospital was intending to appoint persons to monitor the visibility and accessibility of menus on notice boards, and to post them again if patients intentionally and/or unintentionally remove them from notice boards. We informed Idrija Psychiatric Hospital about the inadmissible practice of an internal agreement on wearing hospital clothes during the first few days of accommodation in order to prevent exits, at their own consent. Consent may be withdraw at any time, which is stated already in the patient’s consent form, and the patient may then leave the ward (if the court does not Issue an order on forced confinement). We 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 75

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