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D.
Health care
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E.
Hygiene: Availability of diapers/disposable pads for incontinent residents and sufficiently frequent
diaper change? Special mattresses? Toilet and washing/shower facilities accessible and adapted for
residents with physical impairments?
Leisure activities? Outdoor exercise every day? For how long? Assistance provided for residents
suffering from physical/walking impairments to access outdoor areas?
Residents’ privacy: Individual wardrobes? Lockable space for personal belongings? Can residents
keep personal belongings in their room? Any restrictions applied? Do residents have access to their
rooms during the day?
Clothes and footwear adequate (also for cold season)? : Possibility to wear own clothes?
Food:1 Quality and quantity, provision for special diets (e.g. for diabetes)? Feeding assistance provided
when necessary?
Equivalence of somatic and psychiatric care compared to the care available in the outside community?
Dental care? Is conservative treatment available free of charge for indigent residents?
Sufficient supply of medicines?
Provision of psychological care (e.g. to address anxiety, grief, depression)?
Management of acute psychiatric and somatic conditions? Transfer to a hospital when necessary?
Are all newly-admitted residents subjected to a medical examination upon admission (including check
of weight)?
Periodic medical examination of residents?
Therapeutic, occupational and rehabilitative activities? Physiotherapy?
Care plan drawn up for each resident? Are residents personally involved in this process? Regular
review?
Does a personal medical file exist for every resident?
Who has access to medical files (medical confidentiality)?
Use of contraceptives? Policy regarding abortions?
How many bedridden residents?
Arrangements for persons who are not able or refuse to take food themselves? Artificial feeding?
Suicide prevention measures in place?
Any biomedical research? If yes, examine procedures and safeguards (including consent)
Clear protocol for dealing with unexpected deaths? Autopsy carried out unless clear diagnosis of fatal
disease? Records kept of the clinical causes of residents’ deaths?
Means of restraint
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What types of restraint are used? Seclusion? Physical restraint? Mechanical restraint (straps,
straitjacket, bed sides, net bed, etc)? Chemical restraint? Other types?
Legal basis for use of restraints?
Is there a clearly-defined restraint policy regarding the procedures and modalities?
Who decides on the use of restraint? Possible to give authorisation in advance (“pro re nata”)?
Are there rules regarding the maximum duration of restraint? Longest duration in practice?
Staff properly trained (including in non-physical de-escalation techniques)?
Are all instances of restraint, including chemical restraint, recorded in a specific register?
Mechanical restraint:
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Always ordered by a doctor or immediately brought to the attention of a doctor in order to seek
his/her approval?
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Application exclusively by health-care staff or other staff? Are other residents on occasion involved in
restraining an agitated resident?
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Always continuously and directly monitored (human contact)? Supervision through CCTV?
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Application always out of sight of other residents?
1
For methods to identify undernutrition, calculating quantity and quality of food and the CPT’s role in assessing if
undernutrition and the risk of it are appropriately monitored and addressed, see “Preliminary remarks on the development
of some tools for assessing the nutritional status of some groups of persons deprived of their liberty” by Veronica Pimenoff
(document CPT (2005) 6).