My Home Life

Our vision is a world where all care homes for older people are great places to live, die, visit and work.

Best practice themes

Supporting Good End of Life

We value the ‘living’ and ‘dying’ in care homes and helping each other prepare for a ‘good death’.

Care homes are places where people live and where many will ultimately die. Many homes have excellent skills in supporting end of life. In society, there is a real taboo about talking about dying and death, but it is important to have opportunities for discussion around this subject at a time conducive to older people.

‘Death is such a taboo subject. It’s a big problem because all of us are so near to death. By 90 you can’t get much nearer without knowing that it is around the corner, and we need to be able to express that sometimes if we want.’

end of life pic

Care homes are complex systems where people are both living and dying. Many are also experiencing multiple losses. There is a need to develop a culture of relationship-centred care, with the emphasis on personal need and dignity, through which older people, their relatives and staff are supported. Encouraging an open approach to the awareness of dying is a key cultural shift – not just in care homes but in society.

Creating end of life care requires thinking about issues such as:

  • It can be difficult to predict when someone will die, so promoting good end-of-life care should be integral to quality care in care homes. Practices and interventions rooted in palliative care, and support from specialist palliative services, are helpful.
  • Existing standards, frameworks and tools can help support good palliative care.
  • It is important that staff, family and other people living in the home receive continuing support following a death.
  • Opportunities for everyone touched by an older person passing to discuss their feelings and to ‘say goodbye’ can occur at the funeral or memorial service or through remembrance events.

Resources on this theme

Our Blog


"Keep stress away this Summer!"

Do you want to stay cool as a cucumber this Summer? MHL have spoken with Milton Keynes Care Home managers who have shared their top tips of how to keep stress away this summer! Why not try and see for yourself?   Leave work on time!         Help your team to ‘keep their plates […]

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"Award winning service shares their learning on how to improve end of life support in care homes"

Blakesley House Nursing home have been working on improving their End of Life (EoL) services for residents. Throughout their strive to be better, they’ve achieved recognition for the second time from the Gold Standard Framework (GSF) Hallmark and have received the GSF Platinum award 2017-2020. Blakesley are among 20 care homes from across England to […]

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