An inquest into the death of a six-year-old boy in respite care has recorded a narrative, neutral verdict, which included sudden unexplained death in epilepsy.

Tristan Neiland died in respite care in Dublin in January 2013.

He was from Cabinteely and the son of Angela and Andrew Neiland.

He was staying at the Carmona Respite Service run by St John of God Community Services.

He had several medical conditions including autism, asthma and epilepsy.

Tristan was due to spend two nights in respite care.

He died on 6 January 2013 at Our Lady’s Children’s Hospital in Crumlin.

Earlier, the inquest heard that the pathologist's report favoured a diagnosis of sudden, unexplained death in epilepsy.

At the opening of the inquest, lawyers for St John of God Community Services said they wanted to re-express an apology issued last July for the shortcomings in the care of Tristan.

They acknowledged it had caused great distress for the family.

Lawyers said there had been a systems analysis review of the events and the findings and recommendations have been implemented by way of an action plan.

Tristan Neiland's family attended the inquest

Angela Neiland told the inquest that Tristan was a very active, strong boy and physically very well.

Most of his seizures were late at night and early in the morning.

She said he could not breath if he had a seizure.

Mrs Neiland said she had given clear instructions to the Carmona centre on the equipment to be used to monitor his oxygen levels.

She had been reassured he would be checked regularly.

In January 2013, she got a call from Carmona that Tristan had been found unconscious and that an ambulance had been called to take him to Crumlin Hospital.

This afternoon, the inquest heard that the Carmona Service no longer takes any children with high medical needs.