Montgomery House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We found this practice was providing effective care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

The provider had systems to ensure that people who used the service received person-centred care and treatment, that was appropriate, met their needs and was reflective of their personal preferences. Preventive oral health care was encouraged.

Staff kept up-to-date with current evidence-based practice, and had the skills, knowledge and experience to carry out their roles. The provider supported overseas-qualified dentists working in the UK to demonstrate their clinical skills and adapt to NHS regulations, enabling them to progress on the NHS Dental Performers List and practice independently.

We looked at 17 patient care records. The information recorded in these patient care records was in line with recognised guidance. We saw evidence the dentists justified, graded and reported on the radiographs they took. We saw there was no documented justification or report of one CBCT scan taken. This was located and placed in the patient record after the inspection.

Staff obtained patients’ consent for treatment in line with legislation and guidance and understood their responsibilities under the Mental Capacity Act 2005. Staff described how they involved patients’ relatives or carers when appropriate and made sure they had enough time to explain treatment options clearly.

The practice had systems for prescribing medicines in line with current guidance. We highlighted voided prescriptions should be documented in prescription tracking logs, and to ensure dentists were aware that NHS prescriptions cannot be issued to private patients. They carried out antimicrobial prescribing audits.

Patients were referred to primary and secondary care specialists for treatment the practice did not provide. This included referring patients with suspected cancer under the national faster diagnosis pathways. We saw some non-urgent referral rejections had not been acted on in a timely way, and some referrals had been rejected because the required information was incomplete. We discussed this with the provider who confirmed they would review the system.

Staff felt the practice supported them to develop and enabled them to take on responsibilities.

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.