'We've seen a number of cases where people at the end of their life have not been cared for properly," says Public Services Ombudsman Peter Tyndall.
"I think there are instances where cultural change will be called for. In many cases there is excellent care being provided, but there are still isolated cases of this kind that need to be tackled."
The distress of the family in losing a loved one is a matter of great concern. I think for them this is something that will always remain with them and it does again stress the importance you have to look after people at the end of their lives well.
"I am confident that the changes can be made and will be made, but I think it requires sustained management attention to make sure that we don't slip away from the standards that need to be sustained."
More top news
The owners of what some people claim to be the 'Welsh Holy Grail' are offering a cash reward for the ancient artefact's safe return.
Staying mostly dry overnight with generally light winds, but cloud and wind will gradually increase from the northwest from the early hours.
In the last programme we've been to meet two Welsh entrepreneurs who chose a different route and we visit the Energy Centre at Coleg Menai.