The federal government has left the door open to holding the fourth royal commission in just three years after a damning report recommended the abuse of people with disabilities warranted a judicial inquiry.
The Senate's community affairs committee has found a royal commission is needed after an inquiry heard examples of "cruel" and "shocking" abuse across Australia.
This included accounts of a woman with a disability barricading herself in the laundry while her husband and carer "raged" outside, threatening to kill her. In reports of people living in residential care, one 20-something man with severe quadriplegia was found suffocated.
On Thursday, Social Services Minister Christian Porter said the government would consider the committee's 30 recommendations, which also include a national watchdog to investigate abuse and better screening for people employed in the sector.
"Violence, abuse and neglect of people with disability is abhorrent regardless of the situation, scale or location in which they occur," a spokesman for Mr Porter said.
"The committee's inquiry and report shines a much needed light on this important problem.
"The Commonwealth will carefully consider the inquiry's findings and recommendations before deciding whether there is a need for further investigative processes."
Greens Senator Rachel Siewert, who chaired the committee, said she was confident that when the government read the detail of the report, it would see the need for a royal commission.
"I think we make a very compelling argument for these changes," she said.
The government's cautious response comes as disability advocates backed the call for a royal commission.
Therese Sands, co-chief executive of People with Disability Australia said the Senate committee's recommendation of a royal commission was warranted.
"Enough is enough. This is our nation's opportunity to show those that have been failed by the system that they deserve justice," she said.
"The significant level of violence perpetrated against people with disability in institutional and residential settings warrants the establishment of a royal commission and we wholeheartedly support the recommendation made in the report."
People with Disability Australia and Australian Cross Disability Alliance held a memorial to remember those with disability who lost their lives to violence, abuse and neglect on Wednesday.
Other disability advocates welcomed the call for tougher standards on staff working with the country's most vulnerable people, but warned the National Disability Insurance Scheme would not solve training requirements.
The inquiry heard evidence from people with disabilities and staff that poor training was leading to deaths, injuries and abuse.
The report pointed to the case of Stephanie Fry, an ACT woman who choked to death in her group home in 2011 after casual staff did not follow warnings about her eating habits.
Liz Kelly, a management consultant and mother of a child with a disability, welcomed the recommendation for a national staff registration scheme and independent oversight of workers but said the sector needed more funding for staff training and support.
"It's great to see these recommendations ahead of the full NDIS roll out but where is the money to support them going to come from?" she said.
"There has to be greater investment in staff training. Providers are saying loudly and clearly that the funding amounts set under the NDIS will not cover staff training and development."
Chief executive of Northcott Disability Services Kerry Stubbs said improved oversight and a mandatory reporting scheme recommended by the committee would help to prevent abuse and neglect.
"While we understand the desire to hold a royal commission to further investigate this issue we hope it doesn't slow up the implementation of the excellent recommendations that have been made by the committee," she said.
The Coalition government has already set up two royal commissions - into Labor's home insulation scheme and into union corruption.
Another royal commission, into child sexual response, was set up by former prime minister Julia Gillard and is still running.
The Coalition has recently resisted calls for a royal commission into reports that Australian officials paid people smugglers to turn boats around.
