We carried out an announced comprehensive inspection on 22 October 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The service provides private psychiatry and psychological treatments for mental health problems and specialist treatments for adult Attention Deficit Hyperactivity Disorder (ADHD) patients commissioned by the NHS.

Dr Mirza Wasi Mohamad is 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 ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. For example, fitness instruction does not fall within the regulated activities for which the location is registered with CQC.

Eleven people provided feedback about the service. Two patients attended the inspection and nine shared their opinions through comment cards completed before our inspection. One patient shared their experience through the CQC's website.  All feedback was positive

Our key findings were:

• Clinical staff carried out risk assessments on all patients on referral and prioritised patient safety throughout the course of treatment.
• Care was highly person centred. Care records evidenced a collaborative approach to setting treatment goals. Staff listened to patients and adjusted treatment to suit a patient's  personal experiences and needs.
• Patients were able to give feedback to the service. The service manager valued this information and included it in planning future service development.
• The service was responsive to patient need and offered appointments out of hours and at weekends to improve access.
• Clear governance structures supported the operation of the service and gave assurance that the quality of care was closely monitored
• The service had received no complaints. One patient had raised a concern and staff had listened  and changed practice as a result.
• All staff received supervision and support in developing their knowledge and skills. The clinical team worked closely together and supported one another to deliver a holistic package of treatment to patients.
• The manager encouraged staff feedback and participation in making decisions about the service. All staff felt their voice was listened to.

Dr Paul Lelliott

Deputy Chief Inspector of Hospitals (Hospitals- Mental Health)