| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The risks involved with supplies of high-risk medicines and the non-UK regulated prescribing service are not consistently managed. And the pharmacy cannot provide assurance that prescribing is always undertaken in line with good practice guidance and UK national guidelines (including GMC guidance) |
See Improvement notice |
03/12/2019 | |
| 1.5 | The pharmacy cannot demonstrate that both it and the prescriber it uses have adequate professional indemnity arrangements. |
See Improvement notice |
03/12/2019 | 22/10/2019 |
| 1.8 | The pharmacy does not consistently use the safeguards it has in place to make sure supplies of opioids, cyclizine and modafinil are appropriate or that these medicines are not being abused or misused. |
See Improvement notice |
03/12/2019 | |
| 3.1 | The pharmacy’s systems do not ensure that people always receive the most appropriate medicine for effective treatment. Its website is arranged so that a person can choose a medicine and its quantity before there has been an appropriate consultation with a prescriber. |
See Improvement notice |
03/12/2019 | |
| 4.2 | The pharmacy supplies a range of medicines through the online prescribing service , including large quantities of opioids and other medicines liable to abuse. It is not able to demonstrate that the safeguards that have been put in place are consistently utilised to make sure they are clinically appropriate, including: that the prescriber will proactively share all relevant information about the prescription with other health professionals involved in the care of the person (for example, their GP); that the prescriber has contacted the person's GP in advance of issuing a prescription and that the GP has confirmed to the prescriber that the prescription is appropriate for the patient and that appropriate monitoring is in place; that the prescriber has made a clear record setting out their justification for prescribing in circumstances where they have decided to issue a prescription when the person does not have a GP or does not consent to share information. |
See Improvement notice |
03/12/2019 | |
| 4.3 | The pharmacy can not provide assurance that the temperature of the medical fridges are appropriately monitored. It does not properly restrict unauthorised access to some medicines and it stores multi-compartment compliance packs which have not been sealed for extended periods. There is no robust date checking procedure and medicines which have passed their expiry date are not always separated from current stock. Some medicines are not stored in their original packaging and have not been appropriately labelled. |
The small fridge in the consultation room has now been unplugged and decommissioned to avoid confusion. The only medical fridge to be used is the large one which a daily fridge temperature log is kept. The min and max temperatures will be accurately recorded each day. All medicines were be stored securely to restrict unauthorised access. Multi-compartment packs to be made by dispensing staff just prior to a Pharmacist Check and appropriately labelled. Pharmacists will be made aware of the importance of checking packs as soon as possible to prevent any extended periods that they are left unsealed. Current procedure is that most unsealed trays are checked within a day from getting fully dispensed to avoid this. Date checking is regularly done on a monthly basis. Pharmacist will monitor closely all staff to complete and sign the date checking matrix. |
19/11/2019 | 14/11/2019 |
Pharmacy inspections
Inspection reports and learning from inspections