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

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