St Luke's Hospice Plymouth believes that no one should die alone, in pain or distress. How someone is cared for at the end of their life can remain with relatives and loved ones for a long time so it is important to get the care right. All staff who care for people at end of life should be trained with the knowledge and skills to ensure that the end of life care people receive, maintains their dignity, choice and comfort. People should be able to die in a place of their choosing and their end of life wishes should be known by those caring for them. St Luke's Hospice Plymouth have been training local care homes and domiciliary care agencies in how to provide good end of life care. The programme is called the Six Steps Programme, as there are six key steps that an organisation has to complete to pass the course and receive the St Luke's Six Step award. Their award is reviewed every year to ensure that the standards are maintained. Congratulations to Chollacott House in Tavistock who have have maintained their Six Steps standard from St Luke's.