This inspection was of the community services under the registered location of Lakeside Mental Health Unit and Hounslow Community Services only. The areas we inspected were the Hounslow community based services for children, adolescents and adults with mental health needs. The visits to these services took place over two days, with a third day to visit the Trust headquarters to provide feedback of our findings.

This inspection was carried out as part of a pilot project of community based services. For this pilot we tested different ways of seeking feedback about the service from the provider and people who use the service.

Part of the CQC role is to monitor the rights of people who are detained under the Mental Health Act 1983 (and subsequent amendments to this). This inspection also included a review of Community Treatment Orders by a Mental Health Act Commissioner (commissioner), on behalf of the CQC, the findings of which are referred to in this report.

During our inspection we spoke with 24 people who use the service and three carers of people who had used, or were using the service. We also spoke with 22 staff and two student nurses.

The feedback we received from people who use the service was generally positive about their experiences of receiving support and treatment from the community based services. However, people who we interviewed as part of the CTO review said they did not always understand their CTO or their rights in relation to this.