18. The delegation received no allegations of recent physical ill-treatment by staff. Indeed, both patients and prisoners spoke positively of the support offered by staff. Nevertheless, the delegation did receive a few allegations of verbal abuse and other disrespectful behaviour by staff. In light of the woeful lack of staff, notably nurses and prison officers, and the lack of training provided to prison officers working with patients, it is a credit to the staff that there are so few allegations of disrespect. The CPT recommends that the hospital management issue a clear message to all staff that disrespectful behaviour is unacceptable. In parallel, staffing numbers must be increased and prison officers provided with training on working with persons who are mentally ill. 19. It is also positive that the delegation received very few allegations of inter-patient violence and that, when tensions flared between patients, staff were quick to intervene. b. patients’ living conditions 20. Most patients were accommodated on the first and second floors in dormitories and cells, while the workers and less unwell patients were accommodated in cells on the third floor.7 The smaller dormitories (16m2) were equipped with three or four sets of bunk beds and were accommodating five or six patients while the larger dormitories (26m2) contained six beds and were accommodating six patients. The dormitories were furnished with a small plastic table, a few plastic chairs and perhaps one or two side tables, and most of them had been repainted a couple of months prior to the visit. Access to natural light was good and the artificial lighting and ventilation sufficient. However, there was no storage space, with patients having to keep their belongings in plastic bags; nor was there any personalisation of the rooms. Each dormitory had an adjoining sanitary annexe with a washbasin and a toilet, but privacy was compromised by the absence of a door to either the annexe or the toilet within the annexe. The cells (8.5m2) were equipped with a bunk bed and a single bed and contained a table and chair, but no storage space for belongings. A one-meter-high partition separated the toilet and basin from the rest of the cell. Most of the cells were accommodating two patients. 21. Patients were generally provided with the hygiene and cleaning products they required to maintain personal hygiene, although the delegation met some patients who did not possess any such products. Bedding was mostly clean and appeared to be washed regularly and patients had access to their own clothes which they could wear. Clothing was apparently provided to those patients in need. However, many of the mattresses were worn and in poor condition and some patients had dirty or missing bedding. A few patients were wearing inappropriate summer clothing and had broken plastic sandals, indicating that the individual needs of patients were not always addressed. The delegation also noted the presence of cockroaches throughout the hospital and staff admitted that they found it impossible to eliminate them. Additional efforts should be taken to tackle the infestation of cockroaches in the hospital. 7. At the time of the visit, half of the first floor was being refurbished, meaning that only four dormitories and nine cells were in use, while on the second floor there were eight dormitories and 18 cells accommodating patients. On the third floor, some 64 persons were held in 40 cells. 8

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