Residential aged care

Optometry for residential aged care

Scheduled clinic days for residential aged care homes, supported accommodation and group homes across South East Queensland.

Residents pay only for glasses, and only if they choose to buy them. A complete pair is $149.

Clinical scope

What is done at a facility visit?

Every resident seen receives a comprehensive eye examination. A screening identifies who might need referring. An examination produces a diagnosis, a prescription, a management plan, and a record that can be filed against the resident's clinical notes.

Vision and refraction

Distance and near acuity, refraction, and a spectacle prescription where one is needed. Existing glasses are checked against the current prescription.

Glaucoma assessment

Intraocular pressure, optic nerve assessment and visual fields where the resident can perform the test. Glaucoma has no symptoms in its early stages, so it is found on examination rather than reported.

Cataract assessment

Assessment of lens clarity and how far it has progressed, with a referral to ophthalmology where surgery is likely to help.

Retinal assessment

Examination of the retina and macula, including retinal imaging, for macular degeneration, diabetic retinopathy and other retinal change.

Diabetic eye review

Retinal review for residents with diabetes, with imaging kept on file so change can be compared visit to visit.

Ocular surface and comfort

Dry eye, lid disease and irritation, which are common in residents on multiple medications and are frequently reported as watery eyes rather than dry ones.

How we work

The clinic vehicle

The examination happens in a purpose built clinic vehicle parked at the facility. The instruments are installed and calibrated, so residents who can walk out to the vehicle get the same assessment they would get in a shopfront practice.

Where the facility would prefer us to work indoors, or where residents cannot leave the building, we work from a room you provide and attend the rooms of anyone who is bed bound. Let us know which suits your building and we will plan the visit accordingly.

If a provider already visits

Overflow and urgent reviews

Many homes already have an optometry provider. The gaps we are most often asked to cover are residents missed on the last round, an urgent review that cannot wait for the next scheduled visit, and glasses that were prescribed but never fitted.

We can take individual residents rather than the whole home. Contact us with the detail and we will arrange a visit.

The visit

How does a facility day run?

01

Consent and the list

Before the visit you confirm which residents are to be seen and who the person responsible is for each one. Consent is recorded per resident. Nobody is examined on a general facility approval.

02

Arrival

We arrive inside the agreed window and set up without needing staff time. Mobile residents are seen first, then we work through the rooms.

03

Examination and dispensing

A full hour is allowed per resident, which covers the examination and, where glasses are needed, choosing and measuring them. Nothing is dispensed without the resident or their representative agreeing.

04

Reports and fitting

Written reports follow the visit. Glasses are delivered and fitted on a return visit, adjusted on the spot, and the fitting is recorded.

Records

Reporting and clinical governance

Every resident seen generates a written report covering what was assessed, what was found, the prescription if one was issued, what could not be assessed and why, and what happens next. The report is written to be filed against the resident's clinical record.

Reports go to the care team, to the resident's GP, and to the person responsible or an enduring power of attorney where consent covers it. Referrals to ophthalmology are written on the day rather than posted later.

Before a first visit we send your compliance team our AHPRA registration, a certificate of currency for professional indemnity insurance, and current clearance documentation.

Download the capability statement, a two page summary of clinical scope, reporting, billing and clearances for your compliance file.

Eyewear

Eyewear available to residents

The full eyewear range travels with the clinic vehicle. Around 100 frame styles, and a complete pair is $149 including single vision lenses, $199 for two pairs and $229 for three. Prices are published on the site.

Residents who need a stronger prescription, a multifocal or a coating are told the upgrade price before they decide. A 12 month frame warranty and a 30 day prescription warranty apply the same way they would for any other patient.

Nothing is dispensed without the resident or their representative agreeing to it, and no resident has to buy glasses to have their eyes examined.

From the facility

What do we need from you?

A parking spot, or a room

Somewhere to park the clinic vehicle, or a room with a power point and a door that closes.

The resident list, with consent confirmed

Who is being seen, and who the person responsible is for each resident.

Current glasses on the day

Whatever the resident is wearing now, so we can check it against the new prescription.

A point of contact

One staff member we can find if a question comes up. We do not need a staff escort for each resident.

A date that suits the home

We work around meal times, medication rounds and activities. Tell us the windows to avoid.

Anything we should know

Behaviour support plans, infection control requirements, sign in procedures, lift or access limits.

For families

The annual eye care program

Families and people responsible can enrol a resident directly. Enrolment is free, there is no obligation to buy anything, and we record the due date so the examination happens every year without anyone having to remember it.

Point families at it and you will not have to field the question yourself. It also means consent is established before we arrive.

Reference

Guide for providers

What to ask a visiting optometry provider before the first visit: scope of examination, clearances, consent, reporting and eyewear pricing. Ten questions to take to any provider, including the one you already use.

Questions

Questions from care managers

Does the facility pay anything?
No. There is no facility fee, no room hire, no minimum number of residents and no contract. The eye examination is bulk billed to Medicare for residents with a valid Medicare card. Residents pay only for glasses if they choose to buy them.
How often can a resident be examined?
A comprehensive examination is bulk billed once every 12 months for residents aged 65 and over, and once every 3 years for residents under 65. Residents with diabetes or a diagnosed eye condition can be seen more often where it is clinically indicated.
What happens if a resident cannot get out of bed?
They are examined at the bedside. Vision testing, refraction, pressures and a view of the retina can all be done at the bed. Residents who can come to a room or out to the clinic vehicle usually get a fuller assessment, so we work through the mobile residents first and come to the rooms after.
Can residents living with dementia be examined?
Yes. Where a resident cannot give reliable verbal responses we use objective testing that does not depend on them answering, and we work in shorter blocks. Any limits on what could be assessed are written into the report.
Who gets the report?
The care team receives a written report for every resident seen. Reports also go to the resident's GP, and to the person responsible or an enduring power of attorney where consent covers it. Referrals to ophthalmology are written on the day.
How do you handle consent for residents who cannot consent themselves?
We ask the facility to identify the person responsible before the visit and we obtain consent from them. Consent is recorded for each resident. Nobody is examined on the basis of a general facility approval.
Can residents choose their own glasses?
Yes. The full range travels with the clinic vehicle, around 100 frame styles, and a complete pair is $149 including single vision lenses. Residents are not limited to a separate institutional range, and nothing is dispensed without the resident or their representative agreeing to it.
We already have an optometrist visiting. Can you still assist?
Yes. The gaps we are most often asked to cover are residents missed on the last visit, a long wait for an urgent review, and glasses that were prescribed but never fitted. We can attend individual residents rather than the whole home, or act as the second call when a review is needed sooner than the next scheduled round.
How much notice do you need?
We reply within one business day with a confirmed date and an arrival window. A first visit to a new facility is usually scheduled within the month.
What do you need from us on the day?
A parking spot for the clinic vehicle or a room with a power point, a list of residents with consent confirmed, and someone we can find if we have a question. Residents should have their current glasses with them.
Aged care providers

Book a visit for your residents

We reply within one business day with a confirmed date and an arrival window. A first visit to a new home is usually scheduled within the month.

Request a facility visit Call 0402 725 735