The demise of a resident in a care home is a deeply emotional and sensitive event, affecting staff, fellow residents, and the deceased’s family. Handling deaths in care homes with professionalism, compassion, and adherence to legal requirements is crucial.

According to the Office for National Statistics (ONS), deaths in care homes accounted for 27.2% of all registered deaths in England and Wales in 2022. With an ageing population and increasing demand for end-of-life care, care home staff play a vital role in ensuring dignity in death.

This guide will walk you through the essential steps to take when a resident passes away, from immediate actions to supporting grieving families and staff.

Immediate Steps When a Resident Passes Away

1. Confirming the Death

Care home staff must remain calm and follow protocol when a resident is found unresponsive.

• If the resident was expected to pass away (e.g., receiving palliative care), follow the home’s end of life care plan.
• If the death is unexpected, staff should check for signs of life and follow emergency procedures.
• A registered nurse or qualified healthcare professional should verify the death before taking further action.

Important: Care home staff cannot formally certify a death. Only a GP, paramedic, or appropriately trained nurse can do so.

2. Informing the Right People

Once the death has been confirmed:

• Notify the resident’s GP – They will issue the Medical Certificate of Cause of Death (MCCD) if the death was expected.
• Contact the next of kin – Offer condolences and support. They will need to register the death within five days in England, Wales, and Northern Ireland or eight days in Scotland.
• Inform relevant authorities – If the death was unexpected or suspicious, it must be reported to the coroner (England, Wales & Northern Ireland) or procurator fiscal (Scotland).
• Notify senior management and care home staff – Ensure all relevant documentation is completed.

Check out our guide on creating an effective end of life care plan for more details on how to address death and dying at care homes. 

Providing Emotional Support to Family and Residents

A resident’s death can deeply affect their family, fellow residents, and staff. Offering support is essential.

Supporting the Family

• Provide a quiet, private space where they can grieve.
• Offer practical guidance on registering the death and funeral arrangements.
• Reassure them about the care their loved one received.

Supporting Other Residents

• Hold a remembrance activity to help residents say their goodbyes.
• Encourage open conversations about grief and loss.
• Watch for signs of distress – some residents may experience anxiety after a fellow resident’s passing.

Supporting Care Home Staff

• Recognise emotional impact – Staff often form close bonds with residents.
• Provide access to bereavement support or counselling services.
• Encourage team discussions – Reflecting on the event can help staff process their emotions.

Handling Practical and Legal Matters

1. Documentation and Reporting

All deaths in care homes must be accurately recorded. This includes:
📌 The date and time of passing.
📌 Who was present.
📌 Actions taken (e.g., notifying GP and family).

2. Preparing the Resident’s Room

• Allow the family time to collect personal belongings.
• Clean and prepare the room for its next occupant, maintaining dignity and respect throughout the process.

Training and Preparing Staff for End of Life Care

Care homes must ensure staff receive adequate training in end of life care.

• Death and Dying Training – Understanding emotional and practical aspects of care.
• Bereavement Support – Helping families and staff cope with loss.
• End of Life Care Plans – Providing structured care for residents nearing death.

Explore our Death, Dying, and Bereavement course for specialist training on handling deaths in care homes.

Conclusion

Handling deaths in care homes requires professionalism, empathy, and clear processes. By following these steps—confirming the death, notifying relevant parties, supporting families and staff, and ensuring proper documentation—care homes can provide a dignified end of life experience for residents.

A dignified death is the final act of care we can give our residents. Let’s ensure we do it with compassion and respect. For more insights on end of life care plans, staff training at care homes, and legal compliance, visit our resources and explore our CPD-certified courses.