homes.
In October 2019, the Chancellor organised a conference on the well-being and rights of
elderly people. The debates at the conference dealt with problems of organisation of care,
issues of care of patients with a dementia diagnosis, and information was offered on modern
technological solutions that could be used in care homes.
During the reporting year the Chancellor’s advisers inspected the activities of three care
homes providing the general care service: OÜ Häcke Kohtla-Järve Care Home, Tammiste Home
and Taheva Sanatorium. In connection with the spread of the SARS-CoV-2 virus, the previous
plan for inspection visits had to be changed. Inspection visits also focused on compliance with
precautionary measures for combating the spread of the infectious disease.
The year 2020 brought several changes to general care. Since 1 January 2020, all general care
homes must have an operating licence, and the requirement of education for care workers
also became applicable. As of 2020, the nursing care service in general care homes is
financed by the Health Insurance Fund. Two years ago the Chancellor expressed concern that
healthcare services were not sufficiently accessible to residents of care homes. The nursing
care service financed by the Health Insurance Fund brings healthcare services closer to care
home residents and helps to ensure consistent monitoring of the health of these people. A
medical nurse was employed by all the care homes inspected during the reporting year.
Heads of the care homes inspected considered staff training and compliance with
preparation requirements for carers to be important issues. Following the example of
management, acquiring new knowledge and skills is also valued by staff. This helps to
develop values that respect the residents of care homes and to improve service quality. Good
cooperation exists between care homes and educational institutions, and training in the
workplace is also offered.
The main problems in care homes relate to ensuring decent living conditions and privacy, the
number of staff, proper preparation of care plans, unlawful restriction of people’s freedom of
movement, and scarcity of opportunities for spending free time. Many of these problems
have already been known in previous years.
Residents in general care homes are sometimes locked in their living room or another room
not suitable for seclusion. The law does not allow this and, moreover, this poses a risk to the
health of those secluded. A general care home service is voluntary, it is provided at a person’s