- Independent doctor
Infinity Eye Clinic Limited
Assessment report published 15 April 2026
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
We looked for evidence that people were protected from abuse and avoidable harm.
This is the first inspection for this service since its registration with CQC. This key question has been rated as Good.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
The service had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.
People felt supported to raise concerns and felt staff treated them with compassion and understanding.
The service encouraged staff to raise concerns when things went wrong. During staff meetings, the whole team discussed and learnt from clinical issues. The provider had processes for staff to report incidents, near misses and safety events. There was a system to record and investigate complaints. Learning from incidents and complaints resulted in changes that improved care for others.
Safe systems, pathways and transitions
The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.
There were systems in place for processing information relating to new patients. Referrals and test results were managed in a timely way.
Information was shared with the patient’s NHS GP where the patient had provided consent. Where consent was not given, the service reviewed the information and contacted the patient directly where necessary to ensure any significant or relevant health information was communicated appropriately.Safeguarding
The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The service shared concerns quickly and appropriately.
Safeguarding policies and procedures were in place and were known to staff. Staff had received appropriate safeguarding training and were able to describe the procedures to follow if they had safeguarding concerns. The service provided treatments to both children and adults. Systems were in place to verify patients’ identities verbally. However, after the assessment the service informed us that they would be asking for photographic identification to confirm age if required. Where children attended the service, processes were in place to ensure that any accompanying adult had appropriate parental responsibility.Involving people to manage risks
The service worked with people to understand and manage risks by thinking holistically. They provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.
Emergency equipment was available and maintained. The practice was equipped to respond to medical emergencies and staff were suitably trained in emergency procedures. There was an Automated External Defibrillator (AED) available, which was checked regularly.
Staff could recognise a deteriorating patient and knew of action to take. Patients were advised on risks related to their condition and actions to take if their condition deteriorated. The provider gave patients after-care information once treatment had been given and ensured the patient knew who to contact if there were any concerns.
Safe environments
The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.
There were contracts were in place to ensure the premises were maintained. Health and safety risk assessments and audits had been undertaken and risks identified had been addressed.
The fire risk assessment was carried out on 24 April 2023 which identified several risks. The service shared a completed action plan which was updated in January 2025. The service carried out a follow up recent risk assessment on 7 August 2025. The fire system was inspected regularly; the fire extinguishers were checked and there was a record of fire alarm checks. The service carried out regular fire drills.
Portable appliance testing was carried out in April 2025.
Calibration of medical equipment was not required, as the service decided to replace basic medical equipment annually.
A Legionella risk assessment had been completed on 5 June 2024 (valid for two years), and records showed that water temperatures were monitored regularly. Water sample analysis was carried out on 5 February 2025.
There was a business continuity plan in place which was monitored and reviewed.
Safe and effective staffing
The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.
There were four consultants employed by the service. We found training was up to date, learning needs and development of staff was managed appropriately, and staff were working within their agreed areas of competence. The service did not employ any non-clinical staff. We reviewed 2 staff files and found recruitment checks were carried out in accordance with regulatory requirements, including Disclosure and Barring Service (DBS) checks. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).Infection prevention and control
Feedback from people who use the service, was positive in relation to the cleanliness of the environment.
The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.
The practice had a designated infection, prevention and control lead and all staff had received relevant training. Cleaning schedules were in place and followed. Risk assessments and audits were completed, and actions taken to mitigate risks. The environment was noted to be clean and tidy during our onsite visit, and all appropriate personal protective equipment was available for staff to use.
The service displayed hand washing poster after the inspection and had implemented a stricter rotation for the disposal of sharps bins.
Medicines optimisation
The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened.
We reviewed 5 clinical records, which were stored electronically on a secure network. Records were complete, accurate and up to date. Consultation notes demonstrated appropriate clinical decision-making. Staff followed established prescribing protocols and ensured medicines were prescribed safely. People knew what to do and who to contact if they experienced any unexpected symptoms.
Staff received regular training, were competency-assessed on medicines optimisation, and felt confident managing the storage, administration and recording of medicines.
Medicines were stored appropriately. Fridge temperature recordings were taken in line with the provider’s cold chain protocol, and no concerns had been identified. The service was in the process of arranging a second fridge thermometer.
Staff regularly checked the stock levels and expiry dates for all medicines including emergency medicines.
The service stored medical gases, such as oxygen, safely and completed the required safety risk assessments. The service had effective systems to manage and respond to safety alerts and medicine recalls.