- 79 c. patients' files 248. The keeping of medical files in all the institutions visited is a further source of concern. The content of the files was sketchy in the extreme and did not include the necessary notes concerning patients' clinical development and conditions of hospitalisation. The files plainly did not allow proper monitoring of patients, particularly with a view to their possible dehospitalisation (they did not contain the information required for the effective implementation of the provisions of the 1992 Act concerning the discharge of patients, cf. paragraph 220). 249. The CPT recommends that measures be taken to ensure that a report on a patient's state of health is entered in his file at regular intervals (at least every three months and preferably more frequently) and that every clinically important event is recorded. It also recommends that the patient's file contain a clear indication of his status (i.e. hospitalisation with or without his consent and, in the latter case, indication of the legal basis for committal). Further, all subsequent developments of a legal nature should be recorded in the file. 6. Isolation and instruments of physical restraint 250. At the Attica State Mental Hospital for children, the delegation noted the presence of isolation rooms for patients: one in pavilion C, two in D, one in K (which, according to the staff, was no longer in use) and three in Z. 251. While the size of these rooms was suitable, the same could not be said of their other physical characteristics. The room in pavilion C had only a fixed plank as a bed; those in pavilions D and K, a fixed bed with a mattress; in pavilion Z, one of the rooms was completely bare of furnishings and the two others had mattresses and blankets. Special attention should be drawn to the rooms in pavilion Z. Their windows were fitted with bars and one room (facing the mountain) admitted very little daylight. The doors were of metal, the lower part being solid and the upper part fitted with bars. Furthermore, each of these rooms had an unprotected radiator. The risk of injury to patients confined there was very high.