Leicestershire Consultant Eye Surgeons LLP @ The Stoneygate Eye Hospital Also known as CESP

Updated 14 February 2024

Stoneygate Eye Hospital is operated by Leicestershire Consultant Eye Surgeons LLP. The hospital opened in 2013. It is a privately-run eye hospital in Leicester. The hospital primarily serves the communities of the Leicester, Leicestershire and Rutland areas. It also accepts patient referrals from outside this area.

The service offers NHS and private patients access to services. The service is registered to provide the following regulated activities:

• Diagnostic and screening procedures
• Surgical procedures
• Treatment of disease, disorder or injury

All surgery undertaken by the service is for adults aged 18 years and over, providing day case, ophthalmology surgery under local anaesthesia and light sedation. There are no overnight patient stays. The ophthalmic team consists of:

• Ophthalmology and Anaesthetist consultants

• Optometrists
• Registered nurses
• Ophthalmic technicians
• Administration staff

Support services provided includes contract management, finance support, human resources and marketing.

The location had a registered manager who had been in post and registered with CQC in December 2022.

From January 2023 to December 2023, the service undertook 5,204 surgical procedures. The majority of these patients were seen as part of the cataract surgery pathway.

The main service provided at this location was surgery, with the majority of outpatient appointments being provided as part of the surgical pathway. We did not inspect the outpatient services separately as part of this inspection as the main service was surgery.

The service was previously inspected in September 2017 and rated as requires improvement overall, with safe, responsive and well led rated as requires improvement and effective and caring rated as good. The service had 3 requirement notices relating to regulation 13, safeguarding service users from abuse and improper treatment, regulation 5, fit and proper persons and regulation 17, good governance.

Updated 14 February 2024

Our rating of this location improved. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Most staff had training in key skills, understood how to protect patients from abuse, and managed safety well, although we saw gaps in safeguarding training for 5 staff who’s training had expired. Staff were aware of how to report safeguarding concerns and the provider was arranging training. The service generally controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink and gave them pain relief when they needed it. 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. Services were available 7 days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them to understand their conditions. They provided emotional support to patients, families and carers.
• 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. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

• We found medicines in open cupboards in the laser room. Although the laser room had a keypad lock on the door, all staff had access to this room, therefore medicines were not stored securely and safely. There were medicines in plastic boxes for consultant clinics left on a worktop in the laser room, these were also not stored safely. Medicines were stored in the main storeroom in a locked cupboard, we found boxes of medicines on top of the locked cupboard as there was no room to store them, they were not stored safely, and all staff had access.
• The store person was responsible for ordering and receiving drug deliveries and storage. The provider was not able to demonstrate the member of staff had been given appropriate training for this role.
• Although the private prescription pads were stored in a locked cupboard and audits carried out on usage they were accessible for all staff and therefore not as secure as required.
• There was carpet in the room that was used as a waiting area, recovery area and, discharge area for patients. This prevents effective cleaning and infection prevention and control and does not meet buildings guidance.
• Policies were updated by individuals, but it was unclear if these were reviewed and approved by managers or at a governance meeting.
• Some staff training was out of date and did not meet the providers target of 95% for safeguarding adults level 3.

Updated 21 November 2017

Children and young people’s services were a very small proportion of hospital activity, and the service operated on only one child in 2016 – 2017, and 17 children had outpatient appointments at the hospital during this time. The hospital ceased its children’s services in September 2017. We have not rated this service due to the small numbers of children involved and insufficient evidence.

Updated 21 November 2017

Few patients visited the hospital for outpatients services only. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section. There were 4,002 outpatient attendances in the reporting period Apr 2016 to March 2017. Of these, 81% were NHS funded and 19% were private or self-funded patients.

We rated outpatient services as requires improvement because medicines and records were not always stored securely. Medicines management was not robust. Patient records were not in line with general medical council (GMC) standards. The hospital did not have a full range of written materials in large print for patients with visual impairments or for patients whose first language was not English. There was no strategy for the hospital and quality and performance only recorded for NHS contracted services.

However, we saw positive and compassionate patent interactions. Staff involved patients in their care and treatment and patients were positive about their care and treatment at the hospital. The hospital provided a flexible range of appointments and enabled patients to access appointments quickly.

Updated 14 February 2024

We rated it as good see the summary above for details.