The royal commission investigating Australia’s aged care system has suggested the need for an national database of carers in order to prevent ongoing elder abuse.

From evidence on Monday, the inquiry has suggested this database needs to be formed to ensure employees who have abused do not have the opportunity to move between facilities or states to repeat the same behaviour.

Barbara Spriggs, whose husband was mistreated and over-medicated at Oakden nursing home criticised the lack of accountability in the aged care sector, questioning if his abusers were still working at other centres.