Policy The sudden death of a Service User will be dealt with in a timely, sensitive and caring manner, respecting the dignity, religious and cultural beliefs of the Service User's relatives and carers.
All staff will adhere to related Compassionate Care Team Ltd policies.
All staff will work co-operatively with the Emergency Services and Coroner's Office.
The Registered Manager will ensure that staff have received basic life support training and understand the procedure in the event of a sudden or unexpected death.
The Registered Manager will ensure that staff understand and follow the Mental Capacity Act and comply with the Code of Practice as well as understanding the implications of the Deprivation of Liberty Safeguards.
The Registered Manager will ensure that any Advance Directives (Living Wills) including any 'Do Not Attempt Cardiopulmonary Resuscitation' (DNACPR) instructions are included with the Care Plan and that this information is shared with the relevant staff.
When a Service User's circumstances change or a review is required, the validity of the Advance Directive and/or DNACPR will be checked to ensure it is still valid. Procedure: Sudden Death • Try not to disturb the scene, don't touch, move or disturb anything • Do not remove, change or stop any medication infusions • Do not remove or touch any life-prolonging medical equipment before the Police arrive on the scene • Call the Emergency Services, ask for the Police and Ambulance. Give directions if necessary. Do not leave the home • Inform the Branch or Compassionate Care Team Ltd Out of Hours as soon as possible • Co-operate with the Emergency Services when they arrive • Death will need to be confirmed and the Police will inform the Coroner before the Service User's body can be removed • Complete Compassionate Care Team Ltd's incident form as soon as possible Registered Manager Responsibilities • As the Care Worker may not be able to complete the care visit record or remove it from the home the Branch will need to ensure a timeline of events is clearly recorded by asking the Care Worker to provide a detailed report. This may be required if there is a Coroner's inquest
• Any Care Records, Medication Records, Visit Logs, Care Worker Rotas, etc. should be safely stored in the event there is a request for information from the Police or Coroner
• The Registered Manager will need to submit a CQC Statutory Notification of Death via the Provider Portal or Email
• The Registered Manager will need to ensure that if the Service User's care was commissioned by the Local Authority, the Social Services Duty Team or Named Social Worker is informed of the death
• Details will need to be given to the commissioner about when the service stopped
• If there are any concerns about Care Workers failing to fulfil their role e.g. the Care Worker failed to attend, or there had been concerns about the Service User prior to their death and this was not reported and escalated, a Safeguarding Vulnerable Adults Investigation will need to be commenced. Local reporting procedures will need to be followed and a Statutory CQC Notification will need to be completed
• If the death is a Notifiable Safety Incident under the ‘Duty of Candour', the Registered manager must notify the ‘relevant person’ about the incident and follow Compassionate Care Team Ltd's Duty of Candour Policy and Procedure
• The incident should be reviewed as part of Compassionate Care Team Ltd's governance procedures to understand if there are any lessons that can be learnt
Unable to Gain Access - No Reply • If the Care Worker arrives at the Service User's residence, cannot gain access but can see the Service User, the Emergency Services must be called • If the Care Worker cannot see the Service User and gets a 'No Reply', Compassionate Care Team Ltd's policy on 'Unable to Gain Access' should be followed • The Care Worker should not leave the home until the Police have advised they can leave • The Care Worker should inform The Agency to ensure that any other Service User visits are covered
Support for Staff The sudden or unexpected death of a Service User can be distressing and upsetting for staff. Arrangements for staff support following a sudden death incident will be made via the line manager
Informing Relatives • The Care Worker should not contact family, friends, etc. of the deceased Service User to inform them of the unexpected or sudden death • The Registered Manager should liaise with the Police and should not inform the family without prior approval from them. If the Local Authority is involved in the Service User's care and support, guidance should be sought from them before any family, relatives, etc. are notified Cultural, Religious or Belief Considerations The Care Worker should be aware of any cultural, religious or belief needs of the Service User. This should be clearly documented in the Care Plan and shared with the Emergency Services.