This report gives the findings of our inspection of the community mental health services provided by South West London and St George's Mental Health NHS Trust. These services were registered with CQC under 'Trust Headquarters' and this was the first inspection of this location since it was registered.

We visited a number of teams across the five boroughs of Sutton, Merton, Richmond, Kingston and Wandsworth served by the trust. These teams provided care and support for people of all ages living in the community with mental health needs and included:

• Child and adolescent mental health services (CAMHS)
• Community mental health (CMHT) teams for adults
• Crisis and home treatment teams for adults
• Community mental health teams for older people (CMHTOP)
• Eating disorders out-patient and day services.

Our pharmacist inspectors also visited a Clozaril medication administration clinic and a home treatment team to assess the management of medicines.

We found areas of good practice and many positive interventions across the wide spread of teams we inspected. Some services for older people were seen to be delivering some outstanding specialist intervention work. Positive ongoing work was noted in the teams supporting people with learning disabilities and the services for eating disorders.

Overall, people told us they felt well supported and said that staff were hard working and committed to their work.

Areas for improvement included:

• Ensuring that comprehensive risk management plans were consistently put in place within the mental health services for adults and older people.
• Improving the quality of care planning for adults with mental health needs living in the community.
• Ensuring that, after referral, people using the service were able to contact a named member of staff about their care and support.