84 9. Persons deprived of their liberty at the places of detention visited by the NPM MRSA bacteria. There were no indications of bedsores or insufficient fluid consumption noted by the medical expert. According to the interviews made with the residents, the majority of the residents were taking several medications on a regular basis. Some reported about taking more than 10 pills a day, but some even talked about taking 32, 20 or “half of a handful” of pills per day. The medical expert did not observe any circumstance that would have indicated exaggerated quantities of medication consumption. Most likely due to the heavy workload and other duties of the physician, the regular medical control of the residents and the regular review of the medications taken by them were not ensured at the Institution. Patients can see a psychiatrist – working with an agency contract – in the Institution every two weeks. The psychiatrist examines each resident moving in to the Institution, and he/she also examines those patients whose examination is initiated by the head nurse due to their symptoms. Having “set” the appropriate combination and dose of medication, the psychiatrist no longer examined those residents who were taking these medications regularly. I drew attention to the fact that in consideration of the advanced age of the residents, their regular medical check-up would be more than advisable. The physician and – in the case of psychiatric conditions – the psychiatrist must regularly examine residents regularly taking medicine even if they do not have specific complaints. At the time of the visit, the Institution employed 1 head of unit, 1 head nurse of institution, 59 nurses-carers, 6 social and mental health workers, 1 social worker, 12 auxiliary nurses – of whom 9 were required by the Institution to get an appropriate qualification –, and 1 care assistant. From the headcount of nurses and carers, 7 persons were absent due to sick leave or maternity leave. Of the nurses and carers, 13 had a general nursing degree, and 44 were qualified social workers and nurses. The auxiliary nurses had secondary and secondary technical qualifications, primary school certificates or secondary vocational certificates. The social workers and the mental health personnel were qualified as cultural managers, social workers, librarians, advanced-level social pedagogues, kindergarten teachers or mental health development specialists. The social assistant had a qualification in social care and nursing. The number of persons working as nurses and carers, including those auxiliary nurses who had agreed to obtain a certificate as specialized nurses, did not reach the norm concerning the number of professional staff stipulated by law.173 There were more than three times as many carers as nurses in the Institution.174 173 174 Pursuant to Section 6(5) and (12) of the MoSFA Decree. Annex 2 of the MoSFA Decree does not contain a specific provision on the proportion of nurses and carers.