法庭聽到，M Care Ltd承認它有責任確保外部協調人知道 "在任何情況下都不能給Edward McCullough吃煎餅，除非它是純的"。
代表養老院的辯護律師Frank O'Donoghue KC說，這是該公司第一次違反健康和安全法規。
Geoffrey Miller KC法官說，違反護理規定的行為是 "重大的，因為給一個脆弱的病人餵食食物計劃中規定以外的食物，嚴重傷害的風險顯然是可以預見的"。
The care plan outlined that Mr McCullough was to receive mashed or pureed food and liquid only, and "no bread was to be permitted".
Prosecution barrister, Laura Ivers, told Downpatrick Crown Court, sitting in Belfast, that on 21 November 2016 the 87-year-old was noted by staff to be restless and it was decided to move him to the activities room where an external contractor was holding a bakery class.
The court heard that M Care Ltd accepted it had a duty to ensure the external co-ordinator was made aware that "under no circumstances was Edward McCullough to be given a pancake unless it was pureed".
Defence counsel Frank O'Donoghue KC, on behalf of the residential home, said this was the first breach of health and safety regulations by the company.
He said the company took such breaches very seriously, had an excellent care record and had since implemented and improved measures at the home to prevent any repetition.
"The company acknowledges the emotions and the hurt that have been expressed most eloquently in the course of victim impact statements from Mr McCullough's children," he said.
"This is a very tragic case in which a much loved gentleman who had a very valued life providing great service to his family and the local community, who lost his life in circumstances which should have not occurred."
Judge Geoffrey Miller KC said the breach of care was "significant as the risk of serious injury was clearly foreseeable as a vulnerable patient was fed food stuffs other than those specified in his food plan".