2016 REPORT ON NATIONAL PREVENTION OF TORTURE
several residents of the same room have to share
one key. Also privacy is not ensured in the hygiene facilities. The residents have no possibility
to keep their personal belongings in separate
lockable closets, and their residential rooms
lack private spaces. In addition, there is a lack of
the home environment. Folding screens are not
always present during personal hygiene procedures of nursed residents and no folding screens
whatsoever are used for a doctor’s consultation/
examination of a resident in his/her room. Such
consultations/examination are also attended by
the community nurse of an institution.
4. Concerning social work. No individual social
care plans (ISCP) are drawn up or such plans
are not reviewed within the set time period.
Moreover, ISCPs are prepared without a resident
or his/her representative attending, and the
plans are not made available to residents against
signature. Some ISCPs lack signatures of their
developers. The care plans lack periodic entries
about a person’s health condition or achieved
results, evaluation of the need of new services
or measures foreseen with respect to meeting
the changed needs. Residents are not introduced to plans, schedules or programmes of social
activities (prevention of addictions, leisure or
employment). There is also a lack of planning,
systematisation and consistency of social work
with the residents.
5. Concerning the ensuring of security. The emergency call system (ECS) is either missing or not
fully installed, and fire safety is not ensured in full.
6. Concerning other shortcomings identified.
The inspections have also found that the
possibility for the free movement of residents in a care home and its territory is not
d e q u a t e l y e n s u re d. Th e a n o ny m i t y o f
requests is allegedly not ensured. Also the residents are bathed once during more than seven
days and their underwear is not changed on a
daily basis. Ventilation and everyday cleaning of
the premises is ensured insufficiently.
On completing the inspections at 16 adult social
care institutions in Šiauliai and Klaipėda Counties, a total of 26 recommendations were issued,
including 3 for the Social Services and Care
Department under the Ministry Social Security
and Labour (one concerning the improvement
of legal acts), 23 for the heads of the inspected
care institutions, of which 19 for the adult social
care institutions of Klaipėda County, and 23
for 23 Šiauliai County. After the inspection at
Prienai Care Home, 20 recommendations were
made in total, of which one was for the Prienai
Fire Service of the Kaunas County Fire Rescue
Administration and 19 for Prienai Care Home.
When providing information on the implementation of three recommendations, the Social
Services and Care Department indicated that the
recommendations had been taken into account
and that all social care institutions for adults with
disabilities and the elderly had been advised
to take measures to ensure the human right to
privacy in the social care homes.
The social care institutions operating in Klaipėda
County implemented almost all the recommendations issued to them: of the total of 19 recommendations, 12 ones were implemented in full
and seven ones in part. No recommendations
were left unimplemented. The recommendations implemented in part were concerned
with the delivery of medicines and all other
related procedures to the residents by the competent personnel, the provision of information
to the residents about their supply with all the
required medications prescribed by a doctor, the
knocking by the staff before entering the residents’ rooms, the possibility for persons to lock
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