Retirement and nursing homes possible to counter a lack of personnel if both young people and those reentering the workforce can be convinced of the attractiveness of training and work in the care sector. Those interested in the nursing profession and willing to get qualification on the so-called second education route have to be attracted to the nursing profession too. Qualified personnel leaving the profession prematurely could also be avoided in the opinion of the NPM if the overall framework were to change radically. This includes working times that are commensurate with care, more appreciation on the part of superiors, better organisation and the transparent exchange of information, but above all, better pay and recognition of the nursing profession. Caregivers repeatedly emphasise one reason for their dissatisfaction: they find that their work is not adequately appreciated by care management, members of other medical professions and the relatives of the persons they take care of. Frequently, a good impression The commissions had a good general impression in many facilities, particularly with respect to the commitment of the care personnel. The criticism by the NPM is not direct at individuals who work there. Critical feedback should, however, reflect the aspects that are indicative of structural problems on the day of the visit. The facilities are told how the communication between staff and residents was perceived. Commission 5 for example accompanied two employees on the night shift in a home in Lower Austria. Despite the fact that many of the residents require considerable psychiatric care, the two employees worked professionally, with calm, treating all of those in need of care with great respect. The delegation observed that the residents were pleased to be addressed personally. In two homes in Tyrol, the residents decide themselves when they go to bed. There is simply the request to be quiet in the leisure areas from 10.00 p.m. These examples show that respectful treatment and taking the time to communicate are prerequisites for a quality of care that honours the dignity of each and every resident. Hygienic deficits Sometimes the lack of customer orientation becomes evident as soon as the visit starts, mostly in the form of hygienic deficits. In a nursing home in Lower Austria for instance, the corridors were blocked with wire mesh boxes full of nightshirts and dirty laundry, wheelchairs, walking frames and commodes for hours, a bad smell spread and people at risk of falling were impaired when leaving their rooms. In a home in Upper Austria, the door to the sanitary facilities was open, allowing a smell of urine to spread around the entire entrance area. A home in Salzburg stored incontinence material and dirty laundry in non-airtight boxes in the corridor. As in the previous years, a large number of recommendations for improvement by the NPM were implemented in 2019. An increasing number of institutions said that they experienced the monitoring visits as well founded and constructive. It is gratifying when those responsible in the institutions take up criticism and implement corresponding measures quickly, some of them right after the visit by the commissions. 23