Visits to places of deprivation of liberty favourite things, hobbies or items linked with the profession they did or similar photos in addition to the room’s number, residents’ names and surnames or their photos to facilitate their orientation in space. The Home accepted all recommendations given, but had not yet fully implemented them. Among other things, we also commended the fact that residents on the secure ward were discussed by a team consisting of a registered nurse, psychiatrist and a social worker. On 3 April 2018, we made a control visit to Gornja Radgona Retirement Home. During the visit, we particularly checked the observance of 17 recommendations given by the NPM at its visit in 2017. Based on the response, we established that recommendations relating to the installation of bedside reading lights, publishing of the current schedule of activities, suitable marking of residents’ names on medication drawers, adjustment of the form for implementing special protection measures and the access to wheelchairs had been realised. The Home also observed recommendations that include the installation of a collection box for complaints, commendations and proposals, the complaints form, visibility and readability of information about complaints channels on the notice board, publication of a list of representatives of persons with mental disorders and the attention to possible agitation of incontinent residents at night. The management was unable to realise a few recommendations. These particularly refer to the nature of the secure ward and the legal basis for detaining residents on this ward, and the prescription of occasional medications. They also failed to implement the recommendation about time frames for emptying the collection box for complaints, commendations and proposals, and prompt resolving of residents’ or their relatives’ complaints. On the occasion of the visit, we also submitted a systemic recommendation to the relevant ministry to examine why suitable material about the representatives of persons with mental disorders had not been sent to this Home, and to ensure that the representatives are introduced in all retirement homes where persons with mental health disorders are or could be accommodated. The Ministry replied that it had explained to retirement homes where to obtain the list of representatives and from whom they could obtain promotional material. Regarding the frequency of the NPM recommendations about the representatives, the Ministry decided to again send a letter to retirement homes about the list of the representatives and their presentation on a leaflet accessible on the Ministry’s website. On 14 May 2018, we conducted a control visit to Ribnica Retirement Home. We examined the observance of recommendations submitted during our visit in 2016. We determined that ten from a total of 18 recommendations had already been realised, while eight were accepted but not yet implemented. The institution had already realised recommendations involving the provision of comparable conditions for temporarily accommodated residents, making of coffee for all residents and not only those whose relatives are able to or willing to pay, provision of sufficient quantities of liquid available to residents, and suitable training of the staff about working and communicating with dementia patients. They also realised recommendations referring to the locking of residents’ doors, activities on the secure ward, the staff wearing name tags, completing of satisfaction surveys by residents, their relatives and the staff, and informing about complaints channels. Recommendations about exceeding the ward’s capacity, inclusion of relatives in the preparation of a resident’s individual plan, and decorating residents’ rooms with items they like and which may serve as a link to the environment where they came from, remained unrealised. Likewise, recommendations about labelling medications which must not be crushed, timely sending of proposals to the court about detaining a resident or extending their detention, and the observance of the ZDZdr relating to any physical restriction which includes special protection measures, were also not realised. During its visit, the NPM also gave some new recommendations or repeated those already submitted, but not yet implemented (caution that residents do not come into contact with cleaning products, installation of emergency buttons). We can hereby determine with satisfaction that all of the above recommendations have already been realised. On 12 and 13 June 2018, the NPM conducted thematic visits to six retirement homes accompanied by an expert. During the visits, the NPM tried to determine the level of fire safety on wards for dementia patients, possible deficiencies and examples of good practice, the transfer of which could also improve fire safety in other retirement homes. The purpose of supervision was thus to establish the condition of fire safety with the emphasis on three fields: - action and treatment of dementia patients in the case of a fire; - provision of ongoing training of the staff in the field of fire safety, and - systems of active fire protection and provision of safe evacuation. IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2018 NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT 33