required. People and their family members could access a range of support services across the hospice and community setting to suit their needs and preferences. For example, art and complementary therapies, individual and family bereavement counselling and support. People and their families had access to a chaplain for spiritual and bereavement care and support. Assessment and agreement of people ' s emotional and spiritual needs and those of their carers; were shown in people ' s care records. This showed that people were appropriately informed and supported in their care.
People and relatives we spoke with particularly valued the emotional support they received from hospice staff and the timely pain relief and symptom control people received. One person said, " Caring is above and beyond, they almost anticipate when you need support; they are wonderful." We spoke with another person about their pain relief management. They told us they were fully informed and involved in any decisions about their treatment and said, '' I am asked how much pain I am in and it is certainly better managed here; The staff are so kind to everyone; They are angels." One person ' s relative told us, " They looked after us both; they make me feel it ' s okay to ask for help; it ' s such a relief."
Comments received from people and relatives showed they felt staff paid attention to the detail of their lives, how their illness affected them and matters that were important to them. One person said, " The really care about you ' re not just a condition here." The relative of one person who received hospice at home care said, " You only have to mention a worry – they go out of their way to help; I ' ve never come across such care."
People ' s families were supported to visit the hospice at times to suit them and also the person receiving care. Dedicated facilities were provided for people ' s visitors, which included a lounge rest area, access to meals and drinks and a private area for people ' s families. When people received life end stage care, they received this in private. Their families were supported to stay overnight either in an overnight stay room or by use of ' put up ' beds. One person told us, "' My wife can visit and stay overnight now; there ' s a pull out comfy bed plus a family area with bedroom lounge and kitchen."
People using the service, those that mattered to them and the wider community received the emotional, spiritual and bereavement support they needed. St Giles hospice provided a comprehensive counselling and bereavement support service. This was provided to adults and their families, children, younger adults and also staff where required. A number of methods were used to deliver this from a range of professional and qualified staff. For example, counselling and support for people ' s children who had been bereaved due to a sudden or traumatic death of a close family member. Nurses and care staff employed at the service received varying levels of bereavement training up to advanced level where relevant to their role; to support people ' s care in this way. During our inspection we saw that relatives were supported to attend the hospice for bereavement support after the person ' s death. This helped to ensure that people using the service and those that mattered to them received the emotional, spiritual and bereavement support the needed.
The hospice service was subject to a range of awards and good practice initiatives, which demonstrated a caring organisation. For example, collaboration with a partner hospice, charitable trust to set up a community support centre to promote people ' s wellbeing in later and end of life. This enabled people to access care and advice closer to home with support from local volunteers and care professionals. St Giles Hospice, Whittington also won Bereavement Project of the Year in 2015 through the National Council for Palliative Care National awards for their Bereavement Help Points. These are drop in sessions, that continue to run across the wider community in places such as supermarkets; offering people advice and support on coping with bereavement and loss.
16 St Giles Hospice- Whittington Inspection report 24 February 2017