• Community
  • Community healthcare service

Brook Bristol

Overall: Good read more about inspection ratings

3rd Floor, The Station, Silver Street, Bristol, BS1 2AG (0117) 929 0090

Provided and run by:
Brook Young People

Important: The provider of this service changed. See old profile

All Inspections

22 October 2019

During a routine inspection

Brook Bristol is operated by Brook Young People. The service is open six days a week for the provision of sexual health services for children and young people up to the age of 19 years. The service is provided in the main location in the centre of Bristol and also from outreach clinics in a number of schools and colleges across Bristol.

The service was managed by a registered manager who divided their time between Brook Bristol and another Brook service. This was an interim arrangement due to an unsuccessful recruitment process for a full time manager for the Brook Bristol service earlier in the year. A transitional manager (non clinical role) was also in post and provided daily management support in the service.

We carried out an announced inspection of the main clinic using our comprehensive inspection methodology.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

This service had not been previously rated. We rated it asGoodoverall. Following this inspection, we told the provider that it should make improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.

Nigel Acheson

Deputy Chief Inspector of Hospitals

25 – 26 April 2016

During a routine inspection

Brook Bristol is part of the larger organisation Brook Young People and provides confidential sexual health services, support and advice to young people under the age of 25. Brook Bristol is registered to provide care and treatment under the following regulated activities: diagnostic and screening services, family planning and treatment of disease, disorder or injury.

During the inspection, we reviewed documentation such as care and treatment records. We spoke with young people attending the clinics and staff working at the service to seek their views of the service.

We found:

  • The service ensured up to date care and treatment was delivered to young people and based upon national guidelines. The service participated in and used the outcomes from local and national audits to develop and implement care and treatment pathways for young people.

  • Staff worked well together as part of a multidisciplinary team to coordinate and deliver patient’s care and treatment effectively. Staff were committed to working collaboratively with external organisations in order to deliver joined up care for young people.

  • Consent practices and records were actively monitored and reviewed to ensure young people were involved in making decisions about their care and treatment in line with relevant legislation.

  • The privacy, dignity and confidentiality of young people attending the service was protected and staff treated them respectfully at all times.

  • Young people were treated as individuals and there was a strong visible young person centred culture within the service.

  • The feedback from young people who used the service and stakeholders was consistently positive.

    Young people gave clear examples, which demonstrated the value they placed upon the service and how staff supported them.

  • Young people were protected from avoidable harm. Safeguarding of children and young people was managed proactively and effectively by staff trained to recognise early signs of abuse.

  • Openness and transparency about safety was encouraged.

  • Confidential and personal information was stored securely at all times.

  • The service was planned and delivered in a range of locations and at suitable times, to ensure the service was convenient and accessible to the local population.

  • The facilities and premises were suitable for the delivery and effectiveness of the service.

  • There was a proactive approach to understanding the needs of different groups of young people and to deliver services in a way which supported them and demonstrated equality.

  • The local leadership shaped the culture through effective engagement with staff and young people who used the service. Staff felt respected and valued by their colleagues, their managers and the national organisation.

However:

  • The record keeping did not consistently ensure staff would see accurate information about the young person when looking at their records due to two systems of recording being in operation.

  • There were some risks identified to staff when lone working.

  • Not all young people were aware of how to make a complaint.

  • At times young people experienced a delay in waiting times prior to seeing a clinician.

  • Not all staff were up to date with their mandatory training.

  • Not all of the clinical waste had not been disposed of promptly and appropriately.

  • Policies and procedures had been printed from the intranet. This ran the risk of staff following guidance which was out of date. For example, the infection control policy and procedure which had been printed and displayed in the department was not the updated version..