Jonathan Morgan AM: Full inquiry

The home in the Fairwater area of Cardiff had been run by Cardiff County Council and leased to a housing association.

The report by the council's own inspection unit catalogues a number of concerns at the home, including how unused medicine was not being returned to a pharmacy, but instead destroyed which is illegal.

"It is extremely worrying when a residential care home charged with adminstering drugs to its elderly residents then breaks the law in doing so," said Mr Morgan.

"There is clearly a need for a further inquiry to establish who did what, when and how," he said.

"The families of the people who were at the home are going to be astounded and ashamed when they hear what was happening."

The social services inspection found shortcomings in record keeping meant 5,500 tablets were unaccounted for.

The inspector said that no one individual was taking responsibility for day-to-day operations at the 37 bed home.

There were factions amongst staff with three groups who did not communicate with each other.

Resolve difficulties

Three senior managers were off sick, with their roles being covered by other staff which the report identified as an unacceptable situation.

Cardiff council said it called for the report to investigate previous concerns.

A number of actions have now been taken to resolve difficulties.

Mr Morgan said a full inquiry into what went on at the home must now take place.

"I don't think the authorities wanted to know the full extent of what went on at the home. I don't think the authorities listened," he said.

The home is now closed, and discussions about its future are continuing between the council and the housing association, Hafod.