Caregivers were not to blame for the death of a intellectually disabled man who stopped breathing while being restrained, a coroner has found.
Hone Dennis Terry, 38, died at the Te Roopu O Manukau care facility in Hamilton on April 17 last year.
He was kneeling on the side of a bed with two caregivers holding his arms at the time of his death.
Findings released by coroner Peter Ryan today noted Mr Terry had a history of violent outbursts, an intellectual disability and a series of underlying medical conditions, including morbid obesity.
He had to be restrained on the night of his death after he physically assaulted a caregiver who refused to let him take another patient's meal, the findings said.