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Ekonomia

Elderly care, KLSH report: Residential institutions do not have enough staff

Elderly care, KLSH report: Residential institutions do not have enough staff

Nursing homes or residential institutions for the elderly do not have sufficient staff to care for this category.

As the standard is for each guardian to have no more than 5 elderly people this is difficult to achieve in the current conditions. A report of the High State Control that audited these residential institutions came to this conclusion. According to the data, the number of elderly people in these institutions is between 40 and 65 people, and the biggest difficulty has to do with the fact that some of them are chronically ill.

"The number of employees who provide social services in all centers is insufficient, also due to the fact that in these centers there are many chronically ill elderly people who are unable to take care of themselves. One of the difficulties of the work for the staff is the lack of spaces and access to perform the service according to the standards, including the lack of an elevator in the centers of Tirana, Gjirokastra, Kavaja, Fier as well as shared toilets in all the centers which make the work difficult for to serve paraplegic or tetraplegic elderly people, so also in order to increase the quality of social services for elderly people, it is necessary to increase their number," the report states.

Another element noticed by the audit is the lack of psychologists or social workers. According to the report, the State Social Service (SHSSH) has been asked to design a methodology that makes it possible to monitor these residential institutions, which until now has not been continuous and does not provide a clear overview of the situation. In these centers, it is also required that the infrastructure provided is suitable and close to the home, but from the findings, this infrastructure appears to be very weak in some cases.

"It was found that, in some, the building and infrastructure of the IRP was weak and in need of investment, as it did not meet the standards of social care services for the elderly in residential centers.

In most cases, the elderly were accommodated in residential rooms composed of 3 or 4 people. Referring to the manual for the implementation of the standards, the 14 bedrooms must be organized with a usable area of ??12 m2 when they accommodate two people (beds) and 18 m2 for rooms with three beds. In no case are rooms with 4 beds provided, and residential institutions have not always taken into consideration the space needed to accommodate an elderly person," the audit states.

For a number of problems encountered, KLSH has recommended that measures be taken by the institutions. The social care system for the elderly in Albania consists of public and non-public residential institutions. Public nursing homes are in Tirana, Shkodër, Kavajë, Fier, Gjirokastër, Poliçan. There is also the Multipurpose Day Center in Kamez, the Multipurpose Day Center in Saranda and some residential treatment centers for the elderly which are not public. Currently, only two of the IRs for the elderly (Tirana, Shkodra) are under the administration of ShSSH, while four other IRs have passed under the administration and dependence of the respective Local Self-Government Units./Monitor