On 15 July 2025 I commenced an investigation into the death of Lisa Marie Elizabeth Beatrice TAYLOR-PENNY aged 63. The investigation concluded at the end of the inquest on 26 March 2026. The conclusion of the inquest was that: Narrative Conclusion - Had probably formed the intention to end her own life, but whether she probably undertook a fatal act cannot be ascertained as the likely mechanism of death is unascertained.

Ms Taylor-Penny was found deceased at her home address on 11 July 2025. She had last been seen alive the day before. Concerns had been raised earlier on 11 July-from 13:30-and carers and social workers from the local authority had attended outside her house for hours throughout which they were repeatedly and persistently calling other emergency services to try and obtain access and help. After nearly seven hours of carers and social workers trying to obtain assistance to enter the premises, at around 20:00 a police officer took an appropriate operational decision to enter Ms Taylor-Penny's house and she was found deceased, with rigor mortis present. Ms Taylor-Penny had a long standing history of mental health problems. Her daughter had died by suicide in September 2024 and this was associated with a further deterioration in Ms Taylor-Penny's mood. In 2025 she had spoken about feeling suicidal but had denied plans or intent to professionals. When she was found, there were a large number of empty blister packs next to her from a variety of medications. An undated note consistent with intent to take her life was left prominently on the kitchen side and she had very recently updated her will. However, post mortem toxicology has not indicated any fatal level of drugs or other substances. No probable mechanism of death has been established.