[PDF] Regional audit of the GAIN best practice guidance for domiciliary eyecare provision in nursing/residential care homes and day care facilities

Guidelines and Audit Implementation Network - GAIN
Guidelines and Audit Implementation Network (GAIN)
Publication date:
30 September 2014


The GAIN Best Practice Guidance for the Provision of Domiciliary Eyecare in Nursing/Residential Care Homes and Day Care Facilities formed the evidence base for this audit. The guidance cites nine statements of ‘best practice’ and eight of these statements were audited. Analysis of the audit data was undertaken and the findings thematically grouped into the following key areas:

  1. Patient Choice
  2. Care and Treatment – including Patient Experience, Care Home Experience, Ophthalmic Professional Experience
  3. Patient Safety Issues
  4. Effective Use of Resources

Patients do not report having choice in the selection of their preferred ophthalmic professional. This is contrary to the guidance and illustrates poor adherence to the recommendations for best practice. However, findings demonstrate that overall patient and care home staff satisfaction in regard to care and treatment provided by the ophthalmic professionals is very high. Ophthalmic professionals delivering the care and treatment adhere to the best practice advice in relation to professional conduct and service provision. However, areas of poor compliance were identified in relation to the recommendations within the guidance with regard to the provision and sharing of information. The audit demonstrates a significant variation in patient safety aspects of eyecare provision. Ophthalmic professionals contribute to good patient safety in their compliance with governance requirements. However patient safety is potentially compromised by poor adherehce to the recommendation for consistency in the provision of written clinical information prior to an eye examination.