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Public & Regulatory
Insight
Mathieson Coroner's Inquest: Lessons for residential care providers
31.07.2025
Melissa Mathieson was murdered at Alexandra House in 2014. She was killed by another resident who had known violent tendencies. Senior Coroner Maria Voisin has found Alexandra House was jointly responsible for Ms Mathieson's death because of systemic failures in its risk procedures, training, and supervision.