A BBC investigation has uncovered appalling conditions and neglect in adult institutions in Romania.
Twenty years ago the communist regime of Nicolai Ceausescu collapsed and the world first saw the dreadful conditions inside the country's orphanages. There was an international outcry and many homes have improved.
But BBC News has discovered that the legacy of Ceausescu's children remains, with thousands of people still living in institutions across the country.
The orphanage in Cighid, northwest Romania, was one of the institutions that achieved notoriety in 1990 - but foreign aid and the efforts of a new director, Dr Pavel Oarcea, now retired, led to many improvements.
Here, Dr Pavel speaks to Chris Rogers about what he found when he arrived at Cighid. The footage shown was gathered during the 1990 investigation into Romanian orphanages. This report contains some footage which viewers may find disturbing.