Living Mind

Date of assessment: 6 August 2026 to 20 August 2026. Living Mind Limited provides a specialist independent mental health service for adults aged 18 and over. Dr Arghya Sarkhel is the registered provider and a consultant psychiatrist, medical director and co-founder. The service assesses, diagnoses and treats a range of mental health conditions. In addition to psychiatric assessment and medication management, the service offered repetitive Transcranial Magnetic Stimulation (rTMS), a non-invasive treatment that uses magnetic stimulation of targeted areas of the brain for some people whose symptoms have not improved with other treatments. It is registered to provide treatment of disease, disorder or injury, and diagnostic and screening procedures.

The service provided face-to-face and remote consultations. Face-to-face appointments were available at 10 Harley Street, London, and at the service's Essex branch in Brentwood. Remote consultations were delivered using a secure electronic consultation and patient record system. Clinics ran throughout the week, including some evenings and weekends, with additional Saturday clinics arranged in response to demand. Care was delivered by 2 consultant psychiatrists, supported by a practice director and a practice manager.

We inspected the London service registered at 10 Harley Street, London. We rated the service good overall and good for safe, effective, caring, responsive and well-led. Staff assessed referrals and risks, delivered personalised care and worked with other professionals when needed. Patients and carers described compassionate, responsive care and said they were listened to and involved. Governance arrangements included clinical governance meetings, audit, supervision, appraisal, incident review and oversight of risks and service improvements.

During the inspection visit to the clinic, the inspection team:

• Carried out an environmental tour of the site, including the shared reception area and the consultant psychiatrist’s office.
• Spoke with 1 patient.
• Spoke with 2 carers.
• Reviewed 3 online feedback forms completed by patients using the service.
• Reviewed 3 online feedback forms completed by carers using the service.
• Spoke with the consultant psychiatrist.
• Spoke with the Practice Manager.
• Reviewed 3 patient care and treatment records.
• Checked how prescription stationery was stored and managed.
• Reviewed information and documents relating to the operation and management of the service.
• Reviewed policies and procedures relating to the running of the service.

This was the service's first inspection. We rated safe as good. The provider and staff understood how to report incidents and used learning to improve practice. Safeguarding, risk management, staffing, environmental safety, infection prevention and medicines systems supported safe care. The service strengthened systems following incidents and audits, including identity checks, prescription logs and clinical documentation.

This was the service's first inspection. We rated effective as good. Staff completed holistic assessments, involved people in decisions and delivered care in line with relevant guidance. Clinicians worked with GPs and other professionals to coordinate care. The service used clinical audits and recognised outcome measures to monitor treatment and improve practice.

This was the service's first inspection. We rated caring as good. Patients and carers said staff were kind, compassionate and professional. People felt listened to, respected and involved in decisions. Staff adapted communication and treatment to people's individual needs and preferences.

This was the service's first inspection. We rated responsive as good. People could access face-to-face and remote appointments, including evening and weekend clinics. Staff considered communication and accessibility needs, provided information about treatment and supported referrals when the service could not meet a person's needs. People knew how to give feedback or raise concerns.

This was the service's first inspection. We rated well-led as good. The consultant psychiatrist and practice leadership promoted a person-centred and open culture. Staff understood their roles and felt able to raise concerns. Proportionate governance meetings, audits, incident reviews, supervision and risk oversight were used to monitor quality and make improvements.