Eye Tests in Care Homes: What Managers and Families Should Expect From a Visiting Optician

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In a care home, poor vision rarely announces itself. A resident stops reading the paper, leaves food on one side of the plate, hesitates on a step, or seems less interested in the people around them. It gets put down to age or to dementia, and nobody thinks to ask when their eyes were last examined.

I visit care homes and sheltered housing on Glasgow’s Southside. This post is for the managers and staff who arrange those visits, and for families who want to know what their relative should be getting.

Who Qualifies for an NHS Examination in a Care Home

NHS eye examinations are free for everyone in Scotland. An examination where you live, including in a care home, is available to anyone who cannot attend a practice unaccompanied because of a physical or mental illness or a disability. Most care home residents meet that, and a member of staff, a relative or a carer can arrange it for them.

Residents aged 60 and over can be examined every year, and sooner if something changes. The wider rules for home visits are in home eye tests in Glasgow: who qualifies, what happens, and how to arrange one.

What a Proper Visit Should Include

A care home visit should be a real eye examination with portable equipment, not a quick look at the letters on a card.

  • A conversation with the resident, and with staff or family, about how they are managing day to day.
  • A check of distance and near vision, adapted for residents who cannot read letters or answer questions.
  • A check of the prescription, and of the glasses they are wearing now.
  • An examination of the front and back of the eyes, looking for cataract, glaucoma, macular degeneration and other changes.
  • Further checks, such as eye pressure, where they are possible and appropriate for that resident.
  • A written summary for the care team, including any referrals made.

If new glasses are needed, they should be fitted and adjusted on the resident, not left in a box at reception.

How Managers Can Help the Visit Go Well

  1. Keep a list of residents and when they were last examined, so nobody aged 60 or over goes more than a year without one.
  2. Have each resident’s current glasses ready and labelled with their name. Lost and swapped glasses are one of the most common problems I see.
  3. Have a list of each resident’s medication and medical conditions, especially diabetes, glaucoma and any eye drops.
  4. Tell me about anyone with dementia, hearing loss or anxiety, so I can plan the time and the approach.
  5. Arrange a quiet, well-lit room, or let me see residents in their own room if that suits them better.
  6. Pass on anything staff have noticed, however small.

Signs Staff Should Report Between Visits

 

  • Bumping into things, or missing food on one side of the plate.
  • Falls, or new hesitation on stairs and kerbs.
  • Giving up reading, television or activities they used to enjoy.
  • Holding things very close, or squinting.
  • A red, sore, sticky or watering eye.
  • A sudden change in vision. That needs an urgent appointment, not the next scheduled visit.

Several of these can look like a change in memory or mood, which I have written about in vision, memory and getting older.

Glasses in a Care Home

 

A few practical habits make a big difference.

  • A name label on every pair, and on the case.
  • A spare pair for residents who often lose or break their glasses.
  • Separate distance and reading glasses for residents who find varifocals confusing, which can also make trips more likely.
  • Clean lenses. A daily wipe with a proper cloth is simple and easily forgotten. My guide on how to clean your glasses is worth sharing with staff.
  • Frames that still fit. Glasses loosen and slide down, and the resident ends up looking over the top of them.

For Families

If your relative has moved into a care home, ask when their eyes were last examined and who arranges the next one. If nobody is sure, contact us and we can arrange a visit. Our home visit eye tests page explains how it works.

The conditions I am most often looking for at this age are explained in cataracts explained, the early signs of macular degeneration and glaucoma and what an OCT scan shows.

Book your comprehensive eye examination or eyewear styling consultation with
Mosspark Opticians today.

Frequently Asked Questions

Yes. NHS eye examinations are free for everyone in Scotland, and residents who cannot attend a practice unaccompanied because of a physical or mental illness or a disability are entitled to an NHS examination where they live, including in a care home.

In Scotland, people aged 60 and over can have a free NHS eye examination once a year. You should book sooner if you notice any change, such as blurred or distorted vision, new floaters or flashes, or a painful red eye.

Yes. An optometrist can use picture charts, matching tests and measurements that need no spoken answers, and can examine the health of the eye without the person having to cooperate fully. Staff or family should share any communication needs before the visit.

A list of residents due an examination, each resident’s current glasses labelled with their name, details of medication and eye conditions, notes on any communication needs, and a quiet, well-lit space to work in.

Ask the care home who arranges eye examinations and when your relative was last seen. A relative, carer or member of staff can also contact a practice that offers home visits directly to arrange one.

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