Assisted living facilities are not required to have any licensed healthcare personnel, but they should have enough staff on duty to attend to a resident who calls for help.
Wives of the diplomatic corps and other dignitaries took it amiss when she decided to pay no calls--an arduous social duty in a city of widely scattered dwellings and unpaved streets.
The finance secretary also made fresh calls for responsibility for air passenger duty to be devolved to Scotland and for the Conservative-Liberal Democrat coalition at Westminster to do more to improve access to finance for small and medium-sized businesses.
Among other things, the report notes that one third of all the stamp duty raised on UK homes is paid in London and calls for the city to be able to keep all property tax revenues.
The South Western Ambulance Service said it had planned for an increase in calls coming through to them and had planned for it with extra crews on duty.
Vessels in the area failed to respond to distress calls, and a "vacuum of responsibility" meant no one assumed a duty to help the stricken boat as it drifted in the Mediterranean Sea, the report said.
It calls on the European Parliament to help "ensure that the Commission will respect the duty of sincere co-operation with the Ombudsman in the future".