Overview

• Inquest reconvened at Avon Coroner’s Court over ten years after Mathieson was strangled at Alexandra House by fellow resident Jason Conroy.
• Court heard Melissa’s letter accusing social services of uprooting her life highlighted decisions that ignored her age, family ties and emotional needs.
• Parents testified social workers sidelined their concerns and fueled Melissa’s fantasy of care through comparisons to fictional stories.
• A Serious Case Review found Conroy’s documented history of violence made the attack predictable and preventable, resulting in fines for Alexandra House.
• The Mathieson family urged reforms to improve risk assessments and ensure timely accountability for vulnerable adults in residential care.