Dr Todd Mitchell, Consultant Psychiatrist Also known as Harley Street Counselling W1

Updated 2 November 2022

The service is provided by Dr Todd Damon Mitchell.

Dr Todd Mitchell is registered at:

10 Harley Street

London

There is a website: https://www.harleytherapy.co.uk/todd-mitchell.htm

Dr Todd Mitchell provides a consultant-led outpatient service to assess, diagnose, and if necessary, treat adults for a range of psychiatric conditions such as anxiety, depression and post-traumatic stress disorder. It meets patients’ needs by providing appropriate prescriptions, diagnoses, treatment plans, or referrals to other professionals.

Referrals were mostly received via self-referral on the Harley Therapy website, and by other Harley Therapy therapists or local consultant psychiatrists and psychologists. Patients are responsible for funding their treatment directly or through health insurance.

The service is registered to provide treatment of disease, disorder or injury, and diagnostic and screening procedures.

The service is open Tuesday, Wednesday and Thursday, from 9am to 2pm. Patients were seen remotely via online appointments. The provider also offered face to face appointments at 10 Harley Street, London W1G 9PF.

This was the first CQC inspection of this service.

At the time of the inspection, the service included one consultant psychiatrist, a remote medical administrative assistant and a payroll manager.

How we inspected this service

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

• Checked the safety, maintenance and cleanliness of the premises
• Spoke with six patients who were using the service, our last telephone interview was on 6 September 2022.
• Reviewed 43 feedback forms from patients who were using the service
• Spoke with the consultant psychiatrist, the remote medical administrative assistant and payroll manager
• Reviewed seven patient care and treatment records
• Checked how prescription pads were managed and stored
• Reviewed information and documents relating to the operation and management of the service

You can find further information about how we carry out our inspections on our website: www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?

Is it well-led?

Updated 2 November 2022

This service is rated as Good overall. This service had not been inspected before.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Dr Todd Mitchell’s clinic, 10 Harley Street on 30 August 2022, as part of our inspection programme. This was the first inspection of the service. The service was registered by CQC in February 2019.

Dr Todd Mitchell provides a consultant led outpatient service to assess, diagnose, and if necessary, treat adults for a range of general psychiatric conditions, such as anxiety, depression and post-traumatic stress disorder. The service was provided to adults aged 18 years and over.

The consultant psychiatrist is the registered provider and the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are the ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations and how the service is run.

We reviewed patient feedback and spoke with six patients to understand the quality of care provided by the service. All feedback we received from patients was overwhelmingly positive. Patients told us that the consultant psychiatrist was professional, inclusive and took the time to listen to them. Patients told us the administration staff were very helpful and answered their queries quickly.

Our key findings were:

• The service provided safe care. The consultant psychiatrist had training in key skills, understood how to protect people from abuse, and managed safety well. The consultant psychiatrist assessed risks to patients, acted on them and kept good records.
• The consultant psychiatrist delivered a holistic, recovery-oriented service. Alongside pharmaceutical treatment, suggestions included psychotherapy and consideration of familial relationships.
• The consultant psychiatrist involved patients in decisions about their care and provided good information about medicines and their side effects. The consultant also supported patients to lead healthier lives, for example, with a focus on sleep hygiene and lifestyle changes where appropriate.
• Patients reported that the care provided was excellent and exceeded their expectations. Patients felt listened to and involved in their care and treatment plans. Patients described being on ‘an equal ground’ when discussing care and treatment with the consultant psychiatrist, and all patients felt that the consultant was accessible when they needed to contact them.
• The number of patients on the consultant psychiatrist’s caseload was well managed. The consultant did not keep a waiting list. Patients told us the service was flexible regarding appointments and appointments ran on time.
• The consultant psychiatrist led the service well. There were effective governance processes which ensured that the procedures relating to the work of the service ran smoothly. The consultant was focused on the needs of the patients receiving the care and was committed to the continuous improvement of the service.

Jemima Burnage

Director of Mental Health