In the UK there is a legal requirement to have a sign in a visible space saying that video recording was occurring.
To all those people who say "It's OK it's for security, no one is going to see it"..... this depends on the type of camera used. Old style surveillance cameras were self-contained so one had to get physical access to the recording system.
New ones are likely to be internet/IP connected, often using wifi or the power supply cable to connect. They are notorious for their dire security, which allows anyone with a little technical knowledge to access the data stream, which could include people in surrounding buildings/offices.
These cameras are "always on" unless disconnected from their power source, it's the recording that can be switched on or off. Because this is controlled from outside the office, when the therapist is in the therapy room, recording is probably outwith the therapists control.
In the UK it is normal to get explicit signed consent from the client before making any recording. In addition the client can revoke consent at any time and ask for recordings to be destroyed.
There is an issue with therapist security. I have noticed some therapists have rape/attack alarms discreetly attached to their chair for security.
If the therapist/organisation is concerned about claims of misconduct then there are other ways to handle this such as training, supervision, personal therapy and support policies that mitigate this risk rather than putting in place a system that observes clients in their uttermost vulnerability and broadcasts to the world.
Unfortunately many therapists and organisations are not technically aware and can install systems like this without any understanding of how they work and the risks involved. Installing a surveillance system in a therapy room without informing clients is unethical on so many levels, if a therapist in the UK did this I would terminate immediately and possibly report them to their accrediting body.