St Giles Hospice CQC Report 2017 St_Giles_Hospice_CQC_Report_2017 | Page 2

Summary of findings
Overall summary
This inspection took place on the 28 September, 5 and 7 October 2016.
St Giles Hospice has a registered manager in post. A registered manager is a person who has registered with
the Care Quality Commission to manage the service. Like registered provider, they are 'registered persons.'
Registered persons have a legal responsibility for meeting the requirements of the Health and Social Care
Act 2008 and associated Regulations about how the service is run.
St Giles Hospice is an independent registered charity that provides specialist medical, nursing care and
treatment, health diagnosis and screening; associated with specialist palliative and end of life care for
people with life limiting, progressive and advanced disease or illness. The service includes a 27 bedded
inpatient unit with an on-site advice and referral centre, a day hospice with on-site lymphoedema clinic and
outreach service; a hospice at home service, which also supports people who may choose, to die at home. A
range of other care and support services are offered for people and their families, which include
bereavement and counselling, spiritual care, occupational, physio and alternative therapies, community
engagement support and a transport service.
At the time of our inspection there were approximately 1380 people using the service, including 21 people
accommodated on the inpatient unit at St Giles Hospice.
People felt safe and in control of their care and treatment. People's care, treatment and medicines were
consistently accounted for and safely managed. Risks to people's safety associated with their health
condition, environment or care equipment were fully accounted for. Staff understood and followed people's
care plans, which showed the care actions required to mitigate any identified risks to people's safety from
this.
People were protected from harm or abuse. People felt safe and both they and staff were confident and
knew how to raise any concerns about people's care and safety. Staffing and emergency planning measures
helped to ensure that people received safe care. Equipment, environmental maintenance and cleanliness,
was consistently maintained. This helped ensure people's safety in care.
People and their families were highly satisfied and complimentary of the individualised care, treatment and
support provided; and felt this made a positive difference to their health and emotional wellbeing. People's
care and treatment was consistently delivered in a way that met with their needs and wishes and often
exceeded their expectations. Staff and volunteers worked as a cohesive team in consultation with external
health professionals when required; to optimise people's care and treatment options and their health and
comfort. Plans to establish revised outcome measures for people's clinical care and treatment from recent
national guidance, aimed to further this.
The provider's arrangements for staff training, development and support were comprehensive, well-
2 St Giles Hospice - Whittington Inspection report 24 February 2017