Serious failures by senior managers fascinated a teenager by Necrophilia Sarcasm A 18 -year -old woman Bristle care HomeA coroner has concluded in a scary judgment.
Jason Connaroy strangled Melissa Maithison at Alexandra House Care Home in Bristol in October 2014 due to “a senior managerial careful conduct”.
Avon’s senior coroner Maria Woisin said that there was a “catalog of failures” at the site, providing residential care with adults autism And asperger syndrome.
Connoy, now at the age of 28, was imprisoned for life for sexually induced murder.
Avon Koroner’s court heard how she once tried to strangle a teacher to misuse her and also tried to kill her mother.
Connaroy, originally GuornseTo one to Bristol Boarding – School After the incident with the teacher in the Midlands.
The school introduced a report from a forensic psychologist that concluded that it had presented a physical risk to others due to his sexual behavior.
He warned the managers of Alexandra House about the risk, but it was not reflected in his care plans, which only listed the basic information.
The directors of the company later drove the house, later convicted for a health and safety crime and a fine of £ 125,000 was imposed.
Ms. Voisin said that the conduct of senior managers in Alexandra House is “gross violation of duty” in failing to understand the threat given to others.
“This is the careless conduct at the senior management level,” he said.
“The support plan and risk evaluation prepared by the senior management of Alexandra House was not enough for the safety of Melissa.
“The risk was, and should have been clear, for Alexandra House by school care plans and risk evaluation, many meetings began before Jason’s placement, grant reports, raised concerns. Employee And the concerns raised by Melissa themselves, which were frightened by him.
“Based on the evidence, it was a gross violation of the duty of Alexandra House for Melissa’s care, which led to his death, as it allowed a known dangerous young man who had no care on the occasion of killing her at that time.”
In a narrative conclusion, Koroner said that Miss Mathison died due to “illegal murder due to strangulation and the acts and lapse assigned by the house due to their acts and urms.”
“The house failed Melissa in many ways,” he said.
“The resident who went to strangle her should not have been placed in the same facility as Melissa on the basis of their known risks.
“The decision was incorrectly made to keep in the same feature with an ineffective care plan and risk evaluation, with employees who were not trained at their risk levels, and the managers who failed to work on exposing concerns by employees and Melissa.”
The support workers at home told interrogation that they did not know about their history of hunter sexual behavior.
Many employees told the hearing that they would never be alone with Connoys if they knew about the risk that they were ready for others, and the supervisors described the reporting their concerns.
Miss Mathison, who was from Windsar, Berkshire, was sent by social services to Alexandra House, when she turned 18, spent the last two years in a series of different placements.
In a letter written before her death, Miss Maithison blamed social services for “destroying” her life.
Title Social Services has destroyed my life, she wrote: “It was a terrible time for me, and I felt as if I was pulled away from my house and whatever I knew and was completely interrupted.
“He never paid attention to my age or my family. I was still a child, just very confused.”
The letter was read in court as part of the written evidence of Miss Maithison, who died of cancer a year after his daughter’s death.
Mrs. Mathison said that the “system” had thwarted her daughter and also thwarted Connoy.
He said, “Not only Jason Connoy has ended Melissa’s life, but he has also ended himself. He should have addressed his problems long ago.”
“The system has failed her, and it has failed to Melissa.
“We question professionals who had responsibility for their care, as much as we had for those who had the responsibility to take care of Melissa.”
James, the father of Miss Mathison, said that she felt “helpless” because she and his wife were not heard by social services.
“Karen and I blame Jason Connoy for the death of our daughter,” he said.
“But at the same time, how can we blame him when he said what he was going to do for professionals and was allowed to be taken out.”
“We blame those who kept her there with Melissa.”
Speaking after questioning, Mr. Mathison said: “My daughter should still be here and I miss her a lot.
“He was a wonderful, warm person who was of an infectious personality, who entered any room.
“Alexandra Holmes allowed both Melissa, and Jason Connaroy to go down. They should never be given an opportunity to kill Melissa.
“It was well known that he was at a very high risk of killing someone, especially beautiful women, and she should never be allowed to wander in a care house, which is unsafe.
“Care home providers, social services and governing bodies have the duty to take care of each of their inhabitants.”
Family Solicitor Joseph Morgan from Law firm Bindmons said: “The conclusions of the coroner are completely harmful.
“They reflect gravity of the failures of Alexandra home management, which were eventually responsible for the welfare of their inhabitants.
“In short, he welcomed a known sexual hunter at his care home with no risk management plan, at the same time a young woman accepted a young woman who matched her known victim profile.
“Even with these failures, the conclusion of the coroner correctly accepts the role played in Melissa’s death, which has occurred through his handle of Jason Carnoy’s infection in Alexandra Homes.
“It is strict sad that a young woman was deprived of her life as a result of these frightening, multi-agency failures.”