the centre take into account, in particular, freedom, intimacy, dignity and feeling of security
of the residents of the centre, as well as their physical and mental fitness.
Ordinance of the Minister of Labour and Social Policy of 19 October 2005 on social
care centres (Dz.U. No 217, item 1837)
5(1) A social care centre, regardless of type, shall provide services:
1) as regards living needs, guaranteeing:
a) accomodation,
b) alimentation,
c) clothes and footwear,
d) cleanness.
(…) and Article 6 (1)
Living conditions in all visited social care centres were, for the most part,
compliant with the provisions of the abovementioned Ordinance. Cleanness and order
were maintained in rooms equipped with basic furniture. Equipment of rooms, their
aesthetics and diversity, planned by Centre’s personnel, created a nearly-homely
atmosphere. However, due to the fact that residents ate and spent most of the day in
their rooms, the area of rooms raised objections in two visited establishments (“Leśny”
SCC in Warsaw and SCC in Góra Kalwaria). Security locks installed in room
windows, largely limiting their opening capacity, were also an onerous issue,
especially in the case of a heat (“Leśny” SCC in Warsaw). In response, the Director of
“Leśny" SCC in Warsaw agreed that window security locks make it impossible to
open the windows wide, however, no alternative solution was found. Installation of
window bars was forbidden by psychiatrists as illness-intensifying.
In one of the visited establishments, the representatives of the National
Preventive Mechanism viewed the conditions in a room where a coercive measure in
the form of isolation was applied as inhuman and degrading treatment. A person
staying in this room did not have access to the toilet, but instead, only to a bucket
(“Leśny” SCC in Warsaw). In another establishment, due to the refurbishment of one
of the wards, residents were temporarily (for ca. 8 months) placed in dormitory rooms
(SCC in Góra Kalwaria).Conditions in this building were appaling, rooms were
cramped and dirty. Therapeutic activities were limited. Visitors recommended
immediate actions for the placement of residents in better residential conditions,
respecting their right to dignity, intimacy and provision of basic living needs (SCC in
Góra Kalwaria). In response, the Mazovian Voivode informed NPM representatives
that SCC in Góra Kalwaria was undergoing remedial actions aimed at meeting
standards resulting from the Act of 12 March 2004 on social assistance.
In all visited centres, the administration satisfied the needs of residents who
could not afford new clothes, footwear or medications.
b) Right to medical care
Social care centres are social assistance organisational units providing twentyfour-hour living, care and assistance services. Persons staying in social care centres
and covered by general health insurance are entitled to health services financed from
public funds on the same grounds as all beneficiaries who are in need of medical
assistance within a family home. Health services are not provided within the centres,
they only make it possible for their residents to make use of these services, since they
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