Royal Eye Infirmary

The assessment was carried out from 15 to 16 October 2025.

We carried out this assessment in line with our routine assessment priorities. We assessed 33 quality statements for the 5 key questions: safe, effective, caring, responsive and well-led.

This is the first assessment of the service. At this assessment we rated the service as requires improvement.

The urgent care department at the Royal Eye Infirmary offers a rapid access clinic. This is accessible through appointment via referral by minor eye condition services, NHS 111 or GP practitioners.

Some aspects of the service were not always safe. Staff did not always receive up to date training. Staff did not always follow safe systems and processes for medicines. The service did not collect and review data around the demand of the service to audit reviews of their capacity and staffing. However, there was a positive culture of safety, with safe systems, pathways and transitions. Staff knew how to safeguard people.

The service did not effectively complete audit and benchmark in line with best practice, and performance and patient outcome data was limited to help monitor and improve the service. Key governance metrics were not used. However, the multidisciplinary team worked well together, staff assessed people’s needs and knew how to gain consent to provide care and treatment.

The service delivered care with kindness and compassion and was respectful and responsive. People’s individual needs were recognised and support provided.

People were at the centre of their care and had access to the information they needed.

The urgent care leadership team was not cohesive. A new governance framework was embedding but did not focus on outcomes, audit and regular review of practice for urgent and emergency eye care. The service did not have a culture of learning, improvement and innovation.

There were breaches of regulation in safe care and treatment and good governance. Staff were not always aware of or following trust policy in relation to medicines. Staff did not always receive up to date training. The service did not assess, monitor and improve the quality and safety of the service effectively.

An action plan will be requested upon publication of the final report.

The assessment was carried out from 15 to 16 October 2025.

We carried out this assessment in line with our routine assessment priorities. We assessed 33 quality statements for the 5 key questions: safe, effective, caring, responsive and well-led.

This is the first assessment of the services. At this assessment we rated the service as requires improvement.

People were protected from abuse and improper treatment. The service investigated incidents and shared learning. Medicines were managed well. The service assessed people’s needs and staff worked together to care for people. Staff treated people with kindness, compassion and dignity. Staff were knowledgeable and interacted with people well. There were process for people to speak up and raise concerns.

However, at this assessment we found breaches of regulation in relation to safe care and treatment and good governance. Fire safety was not always followed, laser safety was not always followed, there was no risk assessment for the children and young people’s waiting area, staff did not always receive training, and infection prevention controls were not always followed. There was no audit process for the provider to be assured records and consent were being completed to standard. Governance processes were not always effective in identifying issues.

We have requested an action plan, this will be requested upon publication of the final report.

The assessment was carried out from 15 to 16 October 2025.

We carried out this assessment in line with our routine assessment priorities. We assessed 33 quality statements for the 5 key questions: safe, effective, caring, responsive and well-led.

This is the first assessment of the services. At this assessment we rated the service as requires improvement.

People were protected from abuse and improper treatment. The service investigated incidents and shared learning. Medicines were managed well. The service assessed people’s needs and staff worked together to care for people. Staff treated people with kindness, compassion and dignity. Staff were knowledgeable and interacted with people well. There were processes for people to speak up and raise concerns.

However, at this assessment we found breaches of regulation in relation to safe care and treatment and good governance. Fire safety was not always followed, laser safety was not always followed, staff did not always receive training, and infection prevention controls were not always followed. There was no audit process for the provider to be assured records and consent were being completed to standard. Governance processes were not always effective in identifying issues.

We have requested an action plan, this will be requested upon publication of the final report.

The assessment was carried out from 15 to 16 October 2025.

We carried out this assessment in line with our routine assessment priorities. We assessed 34 quality statements for the 5 key questions: safe, effective, caring, responsive and well-led.

This is the first assessment of the services. At this assessment we rated the service as requires improvement.

Fire safety was not always followed, laser safety was not always followed, and staff did not always receive training. There was no audit process for the provider to be assured records were being completed to standard. Governance processes were not always effective in identifying issues.

However, people were protected from abuse and improper treatment. The service investigated incidents and shared learning. Medicines were managed well. The service assessed people’s needs and staff worked together to care for people. Staff treated people with kindness, compassion and dignity. Staff were knowledgeable and interacted with people well. There were processes for people to speak up and raise concerns.

At this assessment we found breaches of regulation in relation to safe care and treatment and good governance.

We have requested an action plan upon publication of the final report.