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Pharmacy inspections

Inspection reports and learning from inspections

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Catford Pharmacy (1040791) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

Staff dealing with the online supplies of over-the-counter medicines have not seen the written procedure for this service. A risk assessment has been done, but it is not comprehensive and relies on the checks made by the third-party website. The pharmacy cannot demonstrate that it has considered the risks about each medicine it supplies online.

- Risk assessment will be comprehensively updated to manage risks associated with each medicine supplied online which will include medicine specific considerations, potential misuse and suitability for online supply without face to face contact.
- All staff involved in supply of online medicines including RP will be provided the updated Risk Assessment and sign it.
- The existing SOP for Sales of Medicines Online will be updated as per the February 2025 guidance from GPhC and will be read and signed by any member of staff dealing with online supplies of medications.

28/05/2025
3.1

The packing area where the online supplies are dispatched is very untidy and has boxes on the floor which present tripping hazards. The third-party website gives the details of another pharmacy, but the online supplies are made from Catford Pharmacy. This is misleading to people using the pharmacy's website.

- The packing area was cleaned immediately on the day of the inspection. Medicines received in boxes were put on the shelf and empty boxes were discarded.
- Staff will re-read OSOP 02 - Receipt and Storage of Pharmacy Items and make sure stock received is stored away and the dispensing/packaging area is kept tidy and organised.
- The information on the third-party website has been updated to show that the medicines are supplied from Catford Pharmacy
- Extra staff will be employed if needed and the layout of the pharmacy will be modified to accommodate extra space needed for the additional stock. Also, the SOP and Risk Assessment will include the importance of keeping the working area clean and organised.

13/05/2025
4.2

The pharmacy sells a small range of over-the-counter medicines online via a third-party website. But there is little to no clinical oversight of the service. The pharmacist has no awareness of what is being supplied, and so there is no opportunity to intervene if needed. The pharmacy does not undertake any identification checks, and instead relies on the third-party website to do these. Taken together, this increases the risks of people being supplied medicines that are not suitable for them.

- Immediate steps are being taken to ensure the responsible pharmacist has full visibility and oversight of all products supplied online, with processes put in place to allow timely clinical intervention when necessary.
- We are also reviewing our reliance on third-party websites identification checks and will implement additional safeguards to ensure medicines are only supplied to individuals for whom they are appropriate. We are exploring the possibility of using an outside credit reference database to confirm customers identity.
- If these systems cannot be put into place by the required timeline, the sale of all P medicines will be discontinued till such a time that they can be.

13/05/2025
4.3

The pharmacy does not obtain all its stock from licensed wholesalers. It gets some of its stock from another branch which has a different owner. So, the pharmacy cannot demonstrate that it gets all its medicines from appropriately licensed sources.

- Catford Pharmacy will source all its medicines only from licensed wholesalers as demonstrated during the inspection. No more stock will be received from another pharmacy branch. This has been implemented straight away.

13/05/2025