Pharmacy type
Community
Pharmacy context
The pharmacy is located on a main road close to other retail shops and the town centre. It dispenses approximately 3,000 NHS prescription items and 1 private item per month. The services provided include prescription collection and delivery, substance misuse for 10 supervised and 5 unsupervised patients, medicines use reviews (MUR), new medicine service (NMS), medicine dosage system (MDS) for approximately 30-35 community patients, needle exchange, blood pressure monitoring and minor ailments.
Relevant standards
- 1.4 - Feedback and concerns about the pharmacy, services and staff can be raised by individuals and organizations, and these are taken into account and action taken where appropriate
Why this is poor practice
The pharmacy is not receptive to customer feedback about the services it provides and there is no information advising customers how to give feedback or make a complaint.
What the shortcomings are
The customer complaint system was described in the SOPs, but there was no complaints procedure on display or in a practice leaflet to advise customers how to raise a concern or make a complaint. Staff were aware that there was a complaints procedure but could not describe it. They said they would refer any complaint to the pharmacy manager. The pharmacy manager showed an electronic system to record complaints but none had been recorded. A patient receiving supervised methadone complained because he was not offered the use of the consultation room and NHS England became involved and stressed the importance of using the consultation room for supervised methadone. Despite this the pharmacy did not routinely use the consultation room for supervised consumption and clients were supervised at the end of the counter. This was not in line with the SOP. There was an assumption that the clients would not like to use the room and it was not used as some of the pharmacists felt uncomfortable in the consultation room with clients.
What improvements are required
All patients should be treated with dignity and respect and offered the use of a consultation room, with appropriate risk assessments made to address any concerns that staff may have about their personal safety.
Highlighted standards
We have identified the standards most likely and least likely to be met in inspections, and highlighted examples of notable practice for each of these standards; to help everyone learn from others and to support continuous improvement: