HOME CARE SERVICE
End-of-life care
End-of-life care at home should protect comfort, dignity, relationships and the person’s wishes. Civic’s role is coordinated social care, working alongside the relevant clinical team.

WHO IT IS FOR
When this support may help
- Adults approaching the end of life who wish to remain at home
- Families needing practical and personal care support
- People receiving palliative input from community professionals
- People whose support needs are changing quickly
WHAT IS INCLUDED
Support agreed in your care plan
- Personal care and comfort-focused routines
- Support with food and fluids according to the plan
- Positioning and mobility support within competency
- Family communication and practical support
- Observation and prompt escalation of changes
- Coordination with district nursing, GP or palliative teams
PLANNING
How this care is planned
We agree responsibilities with the person, family and professionals; record advance decisions available to the care team; and make escalation, out-of-hours and verification arrangements clear.
QUALITY CONTROLS
What good support should show
- Care respects recorded wishes and lawful decisions
- Staff do not perform clinical tasks outside competence
- Changes are escalated without delay
- Language remains calm, direct and respectful
COMMON QUESTIONS
Questions about end-of-life care
Does Civic replace district nurses or hospice teams?
No. Civic provides agreed social care and works alongside clinical professionals responsible for medical and nursing care.
Can support change quickly?
We will review changes and explain what staffing can be provided. Urgent clinical needs must go to the responsible NHS team.
Can family stay involved?
Yes, where the person wishes and information-sharing arrangements allow it. The care plan should make roles clear.
NEXT STEP
Discuss end-of-life care
A care conversation helps us understand what support is needed, where it is needed and what should happen next.

