Mr. Nigel Monkman Also known as Nigel Monkmans Dental Practice

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We found this practice was not providing responsive care in accordance with the relevant regulations.

During our inspection of this key question, we found the practice had not considered reasonable adjustments to ensure the practice was accessible.

These concerns were in breach of Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can find more details of our concerns in the detailed findings below.

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

The judgement for Person-centred Care is based on the latest evidence we assessed for the Responsive key question.

The judgement for Care provision, Integration and continuity is based on the latest evidence we assessed for the Responsive key question.

The judgement for Providing Information is based on the latest evidence we assessed for the Responsive key question.

The judgement for Listening to and involving people is based on the latest evidence we assessed for the Responsive key question.

Staff had not carried out a disability access audit or developed an action plan to continually improve access for patients. The provider told us that one had not been completed as the service was not available to wheelchair users. This demonstrated a lack of understanding of the legal requirements regarding accessibility and the duty to make reasonable adjustments under the Equality Act 2010. While the practice had a hearing loop in place, there was limited evidence of other reasonable adjustments to support patients with physical disabilities, hearing impairments, or other accessibility needs.

Staff were clear about the importance of providing emotional support to patients when delivering care.

Staff told us that they supported more vulnerable members of society, for example, patients living with dementia or adults and children with a learning disability.

The practice provided telephone numbers for patients needing emergency dental treatment during the working day and when the practice was not open. Staff took part in an emergency on-call arrangement with another local practices and patients were directed to the appropriate out-of-hours service.

At the time of our inspection, patients who needed an urgent appointment were offered one in a timely manner. When the practice was unable to offer an urgent appointment, they worked with partner organisations to support urgent access for patients.

The judgement for Equity in experiences and outcomes is based on the latest evidence we assessed for the Responsive key question.

The judgement for Planning for the future is based on the latest evidence we assessed for the Responsive key question.