The Chief Ombudsman says Oranga Tamariki needs to start getting the basics right.
In his latest report, Peter Boshier details distressing themes from an investigation of two thousand complaints over four-years.
He says there were frequent instances of reports of concern not being acted on, nor being reported correctly.
Boshier told Mike Hosking that Oranga Tamariki's legislation is sound, and some sites manage to do the work well.
He can't understand the inconsistencies and why some sites lack discipline and oversight.
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