When can a nursing home be liable for a death?
A nursing home can be liable for a death when it has breached its duty of care to the resident. When this happens, the law states it has been negligent.
The nursing home will be responsible for the actions or inactions of its staff. So, if a staff member incorrectly administers a medication, or fails to prevent a fall from occurring, the nursing home will be responsible, not the staff member. This is called vicarious liability.
The nursing home must cause the death
Just because the nursing home has breached its duty of care does not mean it will be liable for the death. The breach must cause the death. This is called causation.
If the breach of duty causes the death, then a claim for negligence may be brought.
Who can make the claim for negligence?
When a person has died because of negligence, a claim can be made by the executor of their estate. A family member can also make a type of claim called a compensative to relatives claim.
Negligence claims as a way of seeing justice
Negligence claims are a way of holding the negligent person (or nursing home) accountable for what they have done. The law states that the end result of a negligence claim is compensation. Compensation is awarded for the losses and costs received because of the negligence. By having an economic consequence to the negligence, this ‘penalty’ is a way of coercing the nursing home to ensure it doesn’t happen again. The saying ‘hit them where it hurt: the back pocket’ applies here.
However, the law currently discriminates against elderly people when it comes to these claims. You will see why after reading further.
What can an estate claim?
The laws in each State and Territory are different. In the ACT an estate can claim for:
- Treatment expenses as a result of the negligent act and prior to the person’s death;
- Funeral expenses; and
- Any other costs incurred because of the negligence.
The law in the ACT prevents any compensation for the person’s pain and suffering after the negligent act. Also, special damages called exemplary damages, which can be awarded when the negligent act was particularly bad, are also prevented from being awarded.
The ACT laws, which are similar to those in NSW, operate harshly for people effected by negligent nursing home treatment.
What can be claimed in a compensation to relatives claim?
The laws in each State and Territory are different. In the ACT, relatives can claim compensation for:
- Loss of any financial dependence they had on the person who died;
- Loss of the value of any assistance that person provided to them for personal care, help at home with domestic tasks or even caring for children; and
- Any direct costs such as treatment expenses and funeral costs.
A compensation to relatives claim covers losses by the relative, not the person who died.
Current laws discriminate against nursing home residents
Laws in the ACT and NSW make it uncommercial for compensation to relatives and estate claims to be run because the categories of compensation which can be claimed are narrow.
Negligence claims are complex and costly because to prove negligence you must get expert evidence to show:
- The nursing home breached their duty of care.
- Because of the breach the nursing home caused the death.
Because the classes of compensation which can be claimed are so restrictive, the costs of running a claim would likely outweigh the compensation, even though a nursing home would have to pay legal costs.
The current laws, whether inadvertently or not, place little value on the suffering of nursing home residents.
Claims can be made for psychological injuries
Unfortunately, quite often after a traumatic death of a family member, relatives can experience emotional distress to the extent they develop a mental illness. A nursing home will owe family members of residents a duty of care not to cause them a psychological injury. This is because:
- The nursing home owes a resident a duty of care;
- If the nursing home breaches this duty of care, they know that it could cause emotional distress to a family member; so
- The nursing home also owes the family member a duty of care not to cause them a psychological injury.
This type of claim is called a mental harm claim. For more information see our article Psychological injury because of death to a family member.
Further articles by elringtons
Hi Jordan,
Good question. The corporation/nursing home is the one responsible to provide care. They are responsible at civil law for the acts or omissions of their staff. This is called vicarious liability. There are penalty provisions which can apply with the nursing home under the Aged Care Act. We have seen those enforced recently at a facility in Eden. It is hard to see a specific situation where a director or manager will be individually liable under criminal law. Generally, if a staff member has assaulted an aged care resident, that individual staff member is responsible. Where there has been neglect because of systemic issues, Australian criminal law is currently insufficient to cover those who are responsible (such as directors or managers). This problem is not just limited to aged care facilities, and systemic failures in healthcare systems often fall on the individuals at the coal face.
Well done on making a submission to the Royal Commission.
Dear Elringtons, I read your article relating to duty of care in residential aged care facilities with great interest, as I am currently making a submission to the Royal Commission. Can you tell me whether DofC also extends in criminal liability/charges for the corporation, or is it only workers that are charged with abuse etc.
Thanks in advance for your advice on this important matter.
Myfan Jordan