referring to the dissatisfaction of patients on this issue. They explained that the NPM’s recommendations would be examined during ward group meetings: the aspect of providing safety, including the financial aspect when reviewing the number of annually replaced wardrobe locks when patients lose their keys, or these are stolen from them etc. The management emphasised that they would continue to agree on the storage of valuable possessions individually with every patient upon their admission and provide clarification on the methods of protecting personal items. According to the management, individual treatment as practised by Idrija Psychiatric Hospital enables patients to access their personal belongings at any time also at night (if this is necessary). We recommended that Idrija Psychiatric Hospital ensure patients’ privacy in toilets and enable suitable locking. This would prevent other patients from entering toilets which are occupied in spite of a clearly visible sign on the door. For safety reasons, the staff could have keys which would enable the unlocking of toilets from the outside at any time. In their response to the preliminary report, the management of Idrija Psychiatric Hospital explained that they would examine the technical aspects of installing suitable locks on the toilet doors to enable the suitable privacy of patients in toilets, and also provide suitable safety with the option of being open from the outside. We recommended that the staff of Ljubljana University Psychiatric Hospital keep only wardrobe keys for those patients in admission wards who are unable to take care of the keys themselves or for whom keeping the key would pose a safety threat for the relevant patient or others. We recommended that discreet supervision of individual patients be implemented in the male admission ward of Ljubljana University Psychiatric Hospital who could take advantage of the (permanently open) bathroom, instead of generally locking all bathrooms for all patients. We highlight that the NPM had stated already in 2012 that limiting access to bathrooms was not appropriate. The same recommendation is also made for the female admission ward. In its response to the preliminary report, the management of Ljubljana University Psychiatric Hospital explained that rooms and bathrooms in intensive and secure wards were no longer locked. Installation of call systems or devices We recommended that Idrija Psychiatric Hospital install a call bell system and thus prevent possible risks to patients. In their response to the preliminary report, the management of Idrija Psychiatric Hospital claimed that they were considering an adjusted system (that included the safety aspect) of call bells upon their next renovation. The possibility of installing the call bell system was seen particularly in bathrooms and toilets, not in rooms. It is expected that patients suffering from various forms of dementia would not know how to use the device, or risks would not be reduced with a call bell system in admission wards. The management explained that they were already reducing risks with the permanent presence and close proximity of staff in all secure wards, and regular control and monitoring of the psychophysical condition of patients. Certain medical conditions of patients in admission wards prevent the effective use of call bells, which is why only a prompt response by the staff is efficient for preventing possible risk. Regarding the reduction of risk to patients, the management was considering improving the call bell system (pagers) used by staff. We recommended that Ljubljana University Psychiatric Hospital always keep the buttons of call bells activated. Although we are aware that Ljubljana University Psychiatric Hospital is not a somatic hospital, a call to the staff may be urgent in certain cases (e.g. if a patient is restless), which is why the buttons should be active and the staff’s response prompt. 78 IMPLEMENTATION OF THE DUTIES AND POWERS OF THE NPM IN 2016 NATIONAL PREVENTIVE MECHANISM UNDER THE OPTIONAL PROTOCOL TO THE UN CONVENTION AGAINST TORTURE AND OTHER CRUEL, INHUMAN OR DEGRADING TREATMENT OR PUNISHMENT