Background to this inspection
Updated
26 July 2022
Accuvision Eye Care Clinic London is operated by Accuvision Limited. The service opened in 2001 and is an independent private service in Fulham, London. The service provides refractive (laser) eye surgery for patients over the age of 18. The service receives patients from mostly London and the surrounding area.
The service primarily provides customised corneal laser vision correction treatment. The service also provides monovision and presbyopia treatment, and diagnosis and management of keratoconus (a condition in which the eye's cornea is unable to hold its round shape). In addition, the service provides corneal collagen cross-linking (CXL) (the use of ultraviolet light and eye drops in order to strengthen the collagen fibres in the cornea for the treatment of keratoconus). The service also provides visual rehabilitation following CXL, specialist contact lens fitting, treatment for lazy eye (amblyopia) and other minor outpatient ophthalmic procedures under local anaesthesia.
97% of procedures performed in the last year were laser eye surgery and 3% were cornea collagen cross-linking procedures. The service also provides consultations and treatment of young patients aged 12 years and older for corneal collagen cross-linking as part of their keratoconus visual rehabilitation programme. The service does not carry out cataract surgery.
The service provides the following regulated activities:
• Diagnostic and screening procedures
• Surgical procedures
• Treatment of disease, disorder or injury
All patients are self-referring and pay for their refractive (laser) eye surgery themselves. Surgery days are variable and are booked according to demand. Clinic hours are 9am to 5pm Monday to Saturday, by appointment. Additional emergency late evening and weekend appointments are available on request.
The clinic has a reception area with a main waiting room, administrative office, nurse’s office, laser room, topography room, a consultation room next to the laser room and two other consultation rooms.
Our previous inspection of the service took place in December 2017. In 2017, we did not have a legal duty to rate refractive eye surgery services when they were provided as a single speciality service.
We inspected this service using our comprehensive inspection methodology. We carried out our unannounced inspection on 24 May 2022.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate. Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
Updated
26 July 2022
We rated this service as good because:
- The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risks well. Staff assessed risks to patients, acted on them and kept good care records.
- Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, supported them to make decisions about their care, and had access to good information.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
- The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
- Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.
However:
- We found a box of out of date medicines and medicines that had been cut into strips so expiry dates and batch numbers were no longer visible. We also found some medicines were not stored in their original box and were kept in a box with other medicines.
Updated
26 July 2022
Accuvision Eye Care Clinic London is operated by Accuvision Limited. The service opened in 2001 and is an independent private service in Fulham, London. The service provides refractive (laser) eye surgery for patients over the age of 18. The service receives patients from mostly London and the surrounding area.
The service primarily provides customised corneal laser vision correction treatment. The service also provides monovision and presbyopia treatment, and diagnosis and management of keratoconus (a condition in which the eye's cornea is unable to hold its round shape). In addition, the service provides corneal collagen cross-linking (CXL) (the use of ultraviolet light and eye drops in order to strengthen the collagen fibres in the cornea for the treatment of keratoconus). The service also provides visual rehabilitation following CXL, specialist contact lens fitting, treatment for lazy eye (amblyopia) and other minor outpatient ophthalmic procedures under local anaesthesia.
97% of procedures performed in the last year were laser eye surgery and 3% were cornea collagen cross-linking procedures. The service also provides consultations and treatment of young patients aged 12 years and older for corneal collagen cross-linking as part of their keratoconus visual rehabilitation programme. The service does not carry out cataract surgery.