An intellectually impaired man was mistreated by caregivers at a respite facility, highlighting "multiple failings" in his care.
The 21-year-old, known as Mr A, was pushed and pulled out of a chair and given a 'time out' for coughing, and on other occasions his epilepsy medication was not administered properly.
Health and Disability Commissioner Anthony Hill found the facility had failed the man and breached the Code of Health and Disability Services Consumers' Rights in several respects.
Mr A was described as vulnerable in Mr Hill's report, with the mental understanding of a 5-year-old. He also had difficulty in communicating, and needed help taking medication to help control his severe epilepsy.
While he normally lived at home with his family, Mr A began spending five nights a month at an NZCare Group facility from June 2008. However, his mother was concerned about the care he received from May 2010 to September 2011.