Alexandra Homes (Bristol) Limited

Private and voluntary organisations · Private limited company

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First report 21 Jul 2025•Latest report 21 Jul 2025

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
100%

Found for named reports

Concerns addressed
2

Across all linked responses

Stated actions
3

Described in responses

Concerns and recipient responses

Statements from Alexandra Homes (Bristol) Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Avon

    AI-generated summary

    Melissa Louise Mathieson · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Melissa Louise Mathieson, an 18-year-old autistic woman with ADHD and a diagnosis of Asperger’s, was attacked by another resident at Alexandra Homes on 12 October 2014 and died a few days later from her injuries. Concerns included misleading descriptions of supervision, the absence of a formal induction and weekly review process, and inadequate review of support plans and risk assessments.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Alexandra Homes (Bristol) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to formally review support plans and risk assessments during induction

    Wider context from the report

    “(3) there was no formal review of the support plan and risk assessment especially during the induction period. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Alexandra Homes (Bristol) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of formal weekly reviews for residents

    Wider context from the report

    “(2) there was no formal induction period set for residents with formal weekly reviews ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Alexandra Homes (Bristol) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Misleading placement and supervision offers lacking clarification of coverage

    Wider context from the report

    “(1) the offer of placement and the level of supervision i.e. 1:1 was misleading, there was no clarification for example, 24hrs cover, 8hrs cover during the day only, or when carrying out activities or when outside the home only. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Alexandra Homes (Bristol) Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a formal induction period for residents

    Wider context from the report

    “(2) there was no formal induction period set for residents with formal weekly reviews ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Introduce a structured six-week observation and review process for new residents, supported by staff guidance and a standard record.

    Verbatim wording from the response

    “• Memo to Staff – Introduction of the New Resident, 6-Week Observation & Review Record, including: Associated Guidance for completion.”

    Source location

    Response from Alexandra Home
    Page 1 · response
    Published 23 July 2025

    Open published response
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026