| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy has not conducted any risk assessments for any of the services it offers. And the pharmacist is not following several of the pharmacy's standard operating procedures risking medicines being used which may not be fit for purpose or safe for people to take. |
Conducting risk assessment for each individual service before any such service is conducted. Previously, risk assessments were done for safely delivering services but it was not documented as per the requirements of the regulator. |
25/07/2022 | 22/07/2022 |
| 1.2 | There are no arrangements in place to learn from things that go wrong. And there was no evidence of records being kept when they did go wrong. |
Will put in place a near miss log and will discuss any such events with external pharmacist peers and record their documents. Such peer discussions on the safety and operation topics could also be used towards revalidation requirements. |
25/07/2022 | 22/07/2022 |
| 1.5 | The pharmacy had no professional indemnity insurance cover in place |
This has been rectified and proof provided to the inspector |
25/07/2022 | 15/06/2022 |
| 2.2 | The pharmacy is providing services for which the pharmacist has not been appropriately trained |
The pharmacist has had the clinical experience and has sleeked advice from peers with the relevant expertise in order to provide safe and effective services. The pharmacist has also submitted CPDs and revalidation documents to the regulator in time. Moving forward, the superintendent pharmacist could ensure better documentation of the training to support his professional practice. To be completed by 8th July 2022 |
25/07/2022 | 25/07/2022 |
| 3.1 | The pharmacy's website is laid out in such a way that it gives the impression people can choose a prescription only medicine before having an appropriate consultation. It also has a search facility which allows people to search for, and find, prescription only medicines. |
Going forward, we are changing the website workflow, contents and remove any POMs from the website. Removing any POMs from the website will also remove them from the search results so there should not be any non-compliance with the GPhC guidelines with respect to distance selling. |
25/07/2022 | 13/07/2022 |
| 4.2 | The pharmacy is supplying some medicines unlawfully as it does not have valid patient group directions (PGDs), or other legal mechanism in place. |
PGDs were purchased from the Pharma Doctor before services were offered. This shows our commitment and intentions to fully practice within the words and spirit of the required laws. However, due to bad time, task/workload management and prioritisation by the pharmacist, the documentation of the PGDs were not fully completed/signed. The uncertainties, interruptions and impacts of the pandemic has also been a burden for the pharmacy. We will also recruit staff and provide appropriate training so we can get the most out of the skill mix for the pharmacy services and regulatory compliance. Going forward, the superintendent needs to finalise the PGD certificates and documentation to best protect himself, the business and the interests of the service users. To be completed by 8th July 2022 The superintendent should do further self-reflection and continuous training on time and operational management to best fulfil responsibilities. |
25/07/2022 | 20/07/2022 |
| 4.3 | The pharmacy has out-of-date medicines mixed in with the stock it uses for dispensing prescriptions or otherwise supplying to people. The pharmacy's date checking procedures are not being followed. The pharmacy cannot demonstrate that medicines that need to be stored in the fridge are kept within the specified temperature range. The fridge is also being used to store foodstuff. |
Moving forward, we will follow the SOPs and record actions accordingly in a prospective manner. The out of date items have all been removed. Only a few boxes and records were made so we can write them off from the stock as well as accounts. Fridge temperature has also been recorded since the inspection date. Also been signing out as RP on the PMR despite being the only pharmacist associated with the pharmacy at all times until further notice. To be completed by 8th July 2022 |
25/07/2022 | 20/07/2022 |
Pharmacy inspections
Inspection reports and learning from inspections