The Chief Executive of Aneurin Bevan Health Board says the organisation is "committed" to following the Ombudsman's recommendations on improving care in its care homes.
Dr Andrew Goodall says he has met the Ombudsman to discuss the complaint made by 'Ms A'.
Aneurin Bevan Health Board accepts the findings of the Ombudsman and would wish to offer its sincere apologies to the family for the failings identified within the report.
The Health Board is aware that some of the matters in the report relate to a period up to and including October 2009, prior to the establishment of Aneurin Bevan Health Board.
Soon after its establishment, the Health Board recognised the issues covered in the report and has responded to these through changes to our Policies and Procedures and our general approach as an organisation.
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Blackwood mother Trudy Jones was on holiday when she was gunned down in the Tunisian beach massacre that claimed the lives of 30 Britons.
The pair, including a man in his 50s, were struck around midday on the Pen y Fan mountain range in Powys, mid-Wales.