1.4 Obiski v domovih za starejše 1.4 Visits to retirement homes Opozorili smo še (tudi Center starejših Zimzelen) na neprimerne zunanje pohodne površine (neravno tlakovane poti ali drseče tlakovce), ki predstavljajo nevarnost za zdrse in padce. We also pointed to unsuitable outdoor walking surfaces (Zimzelen Retirement Home) which present a hazard of slipping and falling (unevenly paved paths or slippery paving stones). V odzivnem poročilu je Center starejših Zimzelen znova zatrdil, da se zaveda nevarnosti padcev zaradi spolzkih tlakovcev, vendar sprememba tlaka v atriju predstavlja zelo velik strošek, zato ni izvedljiva v krajšem časovnem obdobju. V skrbi za varen sprehod pa poskrbi na ta način, da v času, ko so tlakovci mokri, sprehod zagotavlja pred hišo v parku centra. In their response report, Zimzelen Retirement Home again assured us they are aware of the hazard of falling due to slippery paving stones; however, replacing the pavement in the atrium would be costly and so could not be done in a short time. When the pavement was wet, the retirement home enabled safe walking outside the building in the centre’s park. Dom starejših Kranjska Gora pa je v odzivnem poročilu pojasnil, da je v mesecu aprilu, ko je potekal obisk, kraj zaradi nizkih temperatur turoben in pust. Z mesecem majem pa za stanovalce postaja privlačnejši. Navedli so še, da osrednji domski vrt dopolnjujejo z novimi nasaditvami, klopmi, v načrtu je tudi postavitev vrtne ute. Zagotovili so, da se preko celega leta trudijo doseči optimalno privlačnost osrednjega vrta. The retirement home in Kranjska Gora explained in their response report that the outdoor surfaces looked dreary and desolate due to low temperatures in April when the visit took place. In May, the surfaces became more attractive for residents. They also stated that the central garden was being further arranged with new plantations and benches, and they also planned to construct a pavilion. They assured us that they were striving to keep the central garden as attractive as possible throughout the year. Osebje na VO V vseh obiskanih domovih so nam pristojni zatrdili, da je osebje na VO zaposleno skladno z normativi na socialnem in zdravstvenem področju. Enotne kadrovske strukture zaposlenih na VO ni mogoče podati, saj so med domovi razlike tako v profilu kot v številu kadra, stalno prisotnega na oddelku. Je pa osebje, ki je na VO, v vseh obiskanih domovih stalno, kar pomeni, da zaposleni stanovalce in njihove potrebe dobro poznajo. Najpogostejši profili stalno prisotnih zaposlenih so: zdravstveni tehnik, bolničar negovalec, gospodinja, varuška, strežnica. V Centru starejših Notranje Gorice je v dopoldanskem času stalno prisoten (tudi) delovni inštruktor, v času našega obiska v Domu starejših Kranjska Gora pa so preizkušali prakso stalne prisotnosti delovne terapevtke za oba oddelka v dopoldanskem času. V delo na VO se vključujejo še fizioterapevt, animatorka, socialna delavka idr. Nadzor, posebna zaščita in varstvo na obiskanih VO se večinoma zagotavljajo s tehničnim varovanjem (elektronsko ključavnico), zlasti pa z osebjem, zato je toliko bolj pomembna stalna prisotnost zaposlenih. DPM meni, da bi morala biti zagotovljena tudi stalna nočna prisotnost vsaj enega zaposlenega na VO, vendar veljavni kadrovski normativi tega, kot so nam pojasnili domovi, žal ne omogočajo. Praviloma so zato na VO le redni nočni obhodi zaposlenih (Center starejših Pristan, Center starejših Notranje Gorice, Dom starejših Kranjska Gora, Dom starejših Idila), v Centru starejših Zimzelen pa je en zaposlen za oba VO. Domovom smo predlagali, da v primeru, da stalne prisotnosti zaposlenega ne morejo zagotoviti, prostor za nočno službo pa ni v bližini VO, preučijo možnost vzpostavitve videonadzora skupnih prostorov VO v nočnem času. The management in all retirement homes assured us that their staff in secure wards were employed in accordance with the standards in social and health care. A uniform staffing structure in secure wards cannot be provided because of the differences between the profiles of homes and the number of staff permanently present at wards. However, the staff in secure wards are permanent in the homes, which means that the employees know the residents and their needs well. The most common profiles of permanent staff are nurses, nursing assistants, housekeepers, minders and attendants. An occupational therapist is (also) always present in the morning in Notranje Gorice Residential Centre for the Elderly. At the time of our visit, the permanent presence of an occupational therapist was also being tested at the retirement home in Kranjska Gora at both units in the morning. A physiotherapist, a mediator, a social worker and others are also involved in the work at secure wards. Sprejem v VO Supervision, special safety and care at visited secure wards were mostly provided with technical means (electronic locks), and particularly by staff, which is why the permanent presence of staff at wards is very important. The NPM believe that a permanent presence should also be provided at night, with at least one employee per secure unit; however, it was explained that the applicable staffing standards did not permit this option. As a rule, only regular night rounds of staff (Pristan Retirement Home, Notranje Gorice Residential Centre for the Elderly, Viharnik Retirement Home in Kranjska Gora and Retirement Home Idila) were implemented, while one employee was working on both secure wards in Zimzelen Retirement Home. We proposed that if they were unable to ensure the permanent presence of staff and the area for the night shift was not near secure wards, they should examine the possibility of introducing video surveillance of common areas in secure wards at night. ZDZdr določa, da je lahko oseba sprejeta v varovani oddelek s privolitvijo oziroma, če oseba v sprejem ne privoli, na podlagi sklepa sodišča. Admission to secure wards Ob našem obisku je bilo v Centru starejših Pristan 21 stanovalcev, na VO nameščenih s sodno odločbo, trije so bili sprejeti s privolitvijo. V Centru starejših Notranje Gorice so bili vsi stanovalci VO, razen enega, na oddelku nameščeni s sodno odločbo, V Centru starejših Zimzelen jih je bilo od 23 stanovalcev 11 nameščenih s sodno odločbo, drugi s privolitvijo. Center starejših Idila o vsakem sprejemu stanovalca na VO obvesti sodišče. V letu 2013 so bili izdani sklepi o pridržanju le za tri osebe, v letu 2014 za eno osebo, vsi preostali stanovalci so bili nameščeni s privolitvijo. Vsi stanovalci Doma starejših Kranjska Gora so ob sprejemu podpisali soglasje za namestitev na gospodinjski skupnosti s povečano pozornostjo, zato dom o sprejemu ne obvešča sodišč. Sprejem, ki ga vodi socialna delavka, je izpeljan v skladu s t. i. standardom sprejema stanovalca, ki ob sprejemu poudarja pomen osredotočenosti na stanovalca, in ne na administrativni del. Sprejem obsega pozdrav, predstavitev, namestitev v gospodinjsko enoto, zdravstveni in administrativni sprejem. DPM je ocenil, da je sprejem stanovalca v omenjeni dom v skladu s sprejetim standardom primer dobre prakse, ki ga velja pohvaliti. 98 Staff in secure wards poročilo o izvajanju nalog DPM v letu 2014 DržavnI preventivnI mehanizEm po Opcijskem protokolu h Konvenciji OZN proti mučenju in drugim krutim, nečloveškim ali poniževalnim kaznim ali ravnanju The ZDZdr determines that a person may be admitted to a secure ward by consent or by court order if the person fails to consent. During our visit, 21 residents in Pristan Retirement Home had been admitted to the secure ward on the basis of a court order and three by consent. All residents with one exception had been admitted to Notranje Gorice Residential Centre for the Elderly by court order. In Zimzelen Retirement Home, 11 residents out of a total of 23 had been admitted on the basis of a court order, and the others by consent. Retirement Home Idila informs the court of every admission to the secure ward. In 2013, confinement orders were issued for three persons, and one in 2014, other residents were admitted on the basis of their consent. All residents of Viharnik Retirement Home in Kranjska Gora signed a consent form for their accommodation in a household community with high-level supervision, which is why the home did not inform the court about the admission. The admission procedure conducted by a social worker is implemented in accordance with the so-called standard for admitting a resident, which highlights the importance of focusing on the resident and not administrative aspects. The admission includes a welcome, introduction, accommodation in the household community, and medical and administrative admission. The NPM assessed that the admission of a resident in the aforementioned home in accordance with the adopted standard was a case of good practice which deserved commendation. IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2014 National Preventive Mechanism under the Optional Protocol to the UN Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment 99