77 restrictive measures had been applied before it was decided to restrain a user; information on visits to restrained users by the psychiatrist in charge and by other medical staff; whether the user’s legal representative was informed of the restraining measure and, if so, when; any injuries inflicted on the patients or on hospital staff; and any comments made by the user. In its future operation, the Residential Care Facility shall examine on a case-by-case basis whether the use of physical restraints is proportionate and adequate given the user’s health status. Before resorting to physical restraints, the Residential Care Facility shall attempt other, less restrictive measures. The Residential Care Facility shall limit the duration of the use of physical restraints to the shortest possible period in order to preserve users’ physical integrity and dignity. The Residential Care Facility shall ensure that a user put in restraints is placed in a separate room, where no other users are present. For the purpose of examining possible amendments to the existing provisions and ensuring a sufficient number of resident care-givers, the Residential Care Facility shall assess the needs for care-givers and submit it to the Ministry of Labour, Employment, Veteran and Social Affairs, with a copy to the Protector of Citizens. The Residential Care Facility shall undertake measures and prepare a training programme for the staff involved in user rehabilitation work, with the aim of improving the quality of health care and psychosocial rehabilitation of users. The Residential Care Facility shall undertake measures to provide continual training to all employees of the Residential Care Facility who work directly with users. I/II – 12 - Gerontology Centre “Srem” in Ruma152: The Centre shall not place more than four users in each room. The Centre shall provide beds with handles to all users who have mobility difficulties. The system for alerting medical staff in case of emergencies should be repaired. Dampness should be removed from the rooms and bathrooms in the “B” building and they should be whitewashed for sanitation purposes. The Centre shall undertake measures to ensure all users wear their daily clothes during the day. The Centre shall provide a sufficient number of screens in rooms to protect users’ privacy. The Centre shall provide appropriate equipment for serving meals in bed to users with mobility difficulties. The Centre shall establish and regularly maintain records of filed applications, complaints and appeals. The Centre shall reorganise its psychosocial service by assigning the employees to spend more of their time working directly with users. The psychosocial service shall provide a sufficient number of accessible and tailored rehabilitation activities for users and involve them in as many of these activities as possible. Expert staff shall continually motivate users to ensure as many of them as possible participate in the Users’ Council. 152 Report of Visit to the Gerontology Centre “Srem” in Ruma, 71-70/14.