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A coroner has ruled Paul Ridd died as a result of 'natural causes, contributed to by neglect'.
Nursing manager Linda Bevan said there were "omissions in a number of areas in Paul's care".
She is now being questioned about changes since Mr Ridd's death. His special needs meant he couldn't communicate very well and nurses didn't notice how much he had deteriorated.
Nursing manager Linda Bevan says nurses should have consulted Mr Ridd's family to help recognise his signs of distress.
Second day of inquest into 53yr old Paul Ridd's death at Morriston Hospital in 2009. He had 'severe' special needs and died because of breathing problems.
A nursing manager from the hospital says nursing levels on the ward he died on weren't high enough. They say since his death more nurses are now on duty.
Swansea Coroners Court has also heard how nursing notes into his care weren't good enough and "didn't follow guidelines"
Paul Ridd needed regular "suction" to clear airways. Doctors said should have happened every four hours in ward. Notes suggest it only happened three times in the last two and half days of his life.