Annual Report 2013 of the National Preventive Mechanism Aragon reported that, when necessary, the Palliative Care Unit of the Hospital San José de Teruel provide the individual care plan. Form of “early will” or “prior instructions” Respectful and adequate treatment 210. None of the visited centres had the “early will” or “preliminary instruction” forms which the responsible authorities have available, neither have they considered informing the inmates and family relatives of this possibility, so that a protocol on the matter should be established and personnel should be trained in this respect, according to the criterion of this Institution recorded in paragraph 201 of Annual Report 2012. The Department of Health, Social Welfare and Family of the General Deputation of Aragon reported that given the great degree of dependence of inmates at the Healthcare Centre “El Pinar” it is not deemed advisable. 211. During the visits respectful and adequate treatment to inmates was observed, which was confirmed by the patients and family relatives interviewed. Healthcare and body care In addition, we must point out the high level of healthcare assistance and body care of the detainees of the Healthcare Assistance “El Pinar” (Teruel). It was verified that in pathologies usual in persons with a great degree of physical dependence such as pressure ulcers were reduced to the minimum and self-care and autonomy was encouraged in the detainees, occasionally even at the cost of a greater effort made by personnel. Ongoing training of personnel 212. Ongoing training of personnel is of great relevance for quality attention. In this respect, the ongoing training courses of personnel provided by Residential Centre “Santa Teresa de Arévalo”, of special relevance, particularly those directly related to protocols of action with patients, is positively value and it would be desirable for this initiative to be continued in future. At the Healthcare Centre “El Pinar”, since the profile of the professionals responds rather to healthcare than to rehabilitation purposes, the ongoing training of personnel should be scheduled in accordance with the objectives of the Centre. 150 Positive participation of residents 213. Positive participation of inmates is to be encouraged, both from a Complaint books, suggestion boxes or books and/or satisfaction surveys 214. It would be advisable for complaint books to be available at the therapeutic point of view and from that of respect of their fundamental rights, pursuant to paragraph 191 of Annual Report 2012. However, the visited centres hardly had participation systems, although some of the residents with moderate disabilities could do so in groups, through the assignment of minor supervised tasks, etc. The Department of Healthcare, Social Welfare and Family of the General Deputation of Aragon reported that the activities in which inmates could participate would be reinforced at the Healthcare Centre “El Pinar” (Teruel). centres (implying a process of internal control of the service quality), in addition to suggestions boxes or books (implying an attempt to participate in the part of the detainees or their families in improving the centre) and/or satisfaction surveys (seeking to improve the service standards). The Department of Healthcare, Social Welfare and Family of the General Deputation of Aragon reported that a complaints book and a suggestions book have been enabled at the Healthcare Centre