- 74 The CPT recommends that the Greek authorities take the necessary measures to ensure: - the progressive replacement of large-capacity dormitories by small accommodation structures; - that all patients, and a fortiori those permanently bedridden, have a living area with adequate ventilation and lighting; - that all living areas are put into a good state of repair; - that material conditions are improved in such a way as to provide a varied therapeutic environment for patients (personal possessions, bedside tables, wardrobes, day rooms, etc.). b. clothing and bedding 230. The delegation noted that in the Attica State Mental Hospital and the Lepida and Lakki establishments, the clothing supplied to patients without resources was unsuitable, being in many cases either too large or too small. Further, the garments had no personal identification tags and as a result were distributed at random, thereby accentuating the impersonality of the care provision. Furthermore, in the institutions visited, bedding and mattresses were not always clean or in good repair. At the Attica State Mental Hospital in pavilion 2B, the delegation observed during an initial visit that patients had no mattresses and apparently slept on the bare bedsteads. It was pleased to note during a second visit that this state of affairs had been remedied. In the Lepida Public Health Establishment, patients' bedding was generally dirty and in poor repair. Several beds were seen to have broken springs (pavilion VII). In pavilion IX, a dozen patients slept without sheets, apparently because of an inadequate supply. The CPT recommends that the Greek authorities take the requisite steps to remedy these deficiencies. c. equipment and hygiene 231. Most of the living areas, particularly for the elderly or bedridden patients, had inadequate heating, particularly at the Attica State Mental Hospital and in the Leros Public Health Establishments. In the Athens hospital, the delegation noted that the temperature in pavilion XIII was 15 C, too low for patients who present physical syndromes or infirmities. In the Leros establishments, the heating devices were inappropriate; in general, these were stoves placed in the centre of the dormitories and creating serious risks for patients: high smoke emission inside the dormitories (especially in Lepida IX); absence of a safety barrier around the stove (although measures to provide this had been taken in one or two pavilions). In Lepida XI the delegation observed patients permanently confined to their beds in rooms with no heating whatsoever. The CPT recommends that measures be taken to ensure that patients are kept in areas provided with adequate heating which meets basic safety standards.