provided with safe working conditions; as a result of non-compliance with the notice period,
the employment contracts were terminated for disciplinary violations. Given the resignation of
the 3 doctors, other ICU doctors who previously resigned were called, but they did not comply
with the requests. There were also a large number of applications for retirement, and the
following measures were taken as a result: redistribution of staff to the Department of
Recovery, Physical Medicine and Balneology and epidemiological triage of staff upon entry
into service; providing financial resources for salary bonuses (maximum bonuses and increased
payment for staff on call, on Saturdays, Sundays and public holidays).
Also, during the monitoring, it was found the lack of access ways and the necessary
facilities for people with disabilities in the accommodation rooms and bathrooms, in many of
the monitored units. For example, the “Marius Nasta” Institute of Pneumoftiziology lacked an
elevator necessary for overweight people (therefore a 130 kg patient, immobilized in bed, had
to be redirected to the Clinical Hospital for Infectious and Tropical Diseases “Victor Babeș”).
This year's monitoring also revealed the failure to complete / inadequate completion
of the procedures / registers provided by the relevant law, especially in the case of homes for
the elderly and residential centers for adults with disabilities, for example: the Neuropsychiatric
Recovery and Rehabilitation Center Sinersig was missing the procedure for suspension /
termination of the provision of social service; at the Home for the Elderly “Cuviosul Iov”
Vânjuleț, in the Register of evidence of special incidents were not recorded all the incidents
that affected the physical and mental integrity of the beneficiaries; in the Home for the Elderly
„Sf. Maria” Șișești was not developed a new manual of operational procedures according to
the legislation in force (Order no. 29/2019).
It was found, at the level of some penitentiaries and detention and remand centers, that
foreign detainees signed forms written in Romanian, without ensuring translation into their
mother tongue. One such case was in the Bistrita Penitentiary. Following the visit and the
recommendations of the NPM, the penitentiary administration communicated the fact that a
proposal was submitted to ANP for the transfer of the foreign person deprived of liberty, to
another penitentiary where communication can be provided in a language known by him.
We mention below some of the deficiencies encountered by the NPM, depending on
the place of detention visited:
- homes for the elderly: ● failure to draw up all the procedures and all the registers of
evidence provided by the Minimum Standards, approved by Order no. 29/2019, and in some
centers not even their own admission procedure was drawn up (Center for the Elderly Răcari);
● the informative materials were missing, these not existing either on paper, nor displayed in a
visible place, on the notice board, nor on electronic support; also, the information provided on
the website of the social service provider was not updated (Răcari City Hall); ● the box of
notifications and complaints was missing; ● during the state of emergency and afterwards, the
psycho-social assistance services were restricted in order to respect the physical distance; also
counseling and support services were provided through permanent telephone communication,
videoconferencing system via Skype or Facetime, the solution being limitative due to the
difficulties inherent in the case of patients with senile dementia, who are unable to use, even
with help, modern communication devices; ● The individualized assistance and care plans were
not customized and did not include sections showing the activities proposed by each specialist,
activities adapted to the identified needs of the beneficiary, nor assuming the responsibility of
each specialist in the multidisciplinary team on the proposed objectives and activities; ●
personalized care plans for some beneficiaries were not reviewed periodically; ● the annual
clinical evaluation was not performed by specialized doctors (psychiatry, neurology, internal
medicine, recovery medicine) for some beneficiaries (Center for the Elderly Răcari and Center
for the Elderly „Sfântu Gheorghe” Oltenița); ● the medical staff was insufficient and poorly
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