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Pharmacy inspections

Inspection reports and learning from inspections

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Evercaring Pharmacy (1116378) - Improvement action plan

GPhC Reference 1116378

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

The pharmacy does not have clear written procedures to support online supplies of medicines. It has not completed any risk assessments to provide assurance that its services are safe. And it cannot show that it has fully considered the risks in relation to the supply of high-risk medicines.

- Review existing Sales of Medicine SOP
- SOP for sales of high-risk medicines
-Risk assessments for various services including supply of high-risk medicines
- In the risk assessment for high-risk medicines, justify why high-risk medicines are
being supplied when safer alternatives are available and justifications for supply in
different situations should be assessed.

 18/03/2020 24/04/2020
1.2

The pharmacy has not audited or reviewed its services to make sure they are being provided safely.

- Review and audit services

 18/03/2020 24/04/2020
1.8

The pharmacy does not have a documented safeguarding policy to make sure vulnerable people are protected. And it sells medicines that are known to be abused, when other safer alternatives may be more appropriate.

- Review ‘safeguarding
vulnerable adults and
children’ SOP and policy.
-Implemented the online consultation forms
for the WHAM products.

 18/03/2020 24/04/2020
1.6

The pharmacist does not have full access to records of people's purchasing history when making supplies. And the pharmacy does not keep clear records showing why requests for medicines are approved or refused. So the pharmacy cannot clearly demonstrate that all supplies are appropriate.

Keep a spreadsheet log of
every order, both approved and refused, explaining reasons of supply or refusal.
- Train pharmacist further for proper usage of
website dashboard. The pharmacist will have access to purchase history on the website and Royal Mail. Ensure that the pharmacist
becomes fully trained to use these websites and these are being used by the pharmacist to access full purchase history when decisions about supplies are being made.

 18/03/2020 24/04/2020
3.1

The pharmacy is untidy and disorganised. Its websites contain misleading or inaccurate information and the MHRA EU logo is not displayed on one of the websites. Sales are incentivised through overinflated pricing discounts. And the website allows people to purchase more than one pack of codeine containing medicines, which is not appropriate.

The MHRA logo is now displayed on the www.evercaring.uk website. It was previously blocked due to technical issues.

 18/03/2020 24/04/2020
4.3

Medicines are not always stored in an orderly manner or managed effectively. Medicines sent by post are not always appropriately packaged. This mean people may not get all the information they need to use the medicines safely. And there is a risk the medicines could be damaged.

- Review the ‘receipt and storage of pharmacy stock’ SOP and ensure compliance at all times.
- Print PILs from EMC and send with every medicine that doesn’t have a PIL included.
- Monitor customer feedback. Audit and review packaging if inappropriate.

 18/03/2020 24/04/2020
4.4

Appropriate action is not taken in response to medicine safety alerts, and the pharmacy's website lists medicines that have been recalled.

-Keep a log of medical safety alerts and update the website appropriately with
immediate action.
- All stock affected by recalls to be identified and appropriate action implemented as per the drug alerts SOP and flowchart.
- The ranitidine stock has been taken off shelves and as per MHRA alert, it will be
returned.

 18/03/2020 24/05/2020
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