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Pharmacy inspections

Inspection reports and learning from inspections

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121 Pharmacy (9011211)

Inspection outcome: Standards not all met

Last inspection: 07/12/2020

Improvement action plan


Pharmacy context

The pharmacy has a distance selling contract with the NHS and dispenses prescriptions, mostly delivering them to people in the local area. It has a website which supports this part of the business ( The pharmacy also sells over-the-counter (OTC) medicines  through third party sellers such as eBay and Amazon. It was inspected during the COVID-19 pandemic.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy doesn’t manage all the risks associated with its services, including sales of medicines online. Its written procedures do not cover all aspects of its services. And it doesn’t keep good records about medicine sales, making it harder for the pharmacy to monitor and review how this service is working. So, some people may be able to purchase medicines which are not suitable for them. However, the pharmacy’s dispensing process is managed well.


Principle 2. Staff

Standards met

The pharmacy has enough team members to provide its services, and they work effectively together and are supportive of one another. They have the appropriate skills, qualifications and training to deliver services safely and effectively. A more formal approach to ongoing training and review may help to identify and support any learning needs.

Principle 3. Premises

Standards met

The premises are clean and provide a safe, secure and professional environment for people to receive healthcare. The pharmacy has adequate security. The pharmacy’s own website displays all the necessary information for people. But it is harder for the pharmacy to maintain all the same information on sites operated by  third parties.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy’s systems for monitoring some over-the-counter medicines sales are not robust, meaning that some people may be able to obtain medicines which are not suitable for them. The changes put in place immediately after the inspection should help to reduce the risks of this happening. But opportunities to counsel people may still be missed.   The pharmacy gets its medicines from reputable sources. And the pharmacy team manages and delivers the dispensing process safely.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the right equipment for its services. It makes sure its equipment is safe to use. 

Pharmacy details

Unit 1 Caxton Park
Caxton Road
Elms Farm Industrial Estate

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What do the inspection outcomes mean?

After an inspection each pharmacy receives one overall outcome. This will be either Standards met or Standards not all met

Met The pharmacy has met all the standards for registered pharmacies
Not all met The pharmacy has not met one or more of the standards for registered pharmacies

What does 'pharmacy has not met all standards' mean?

When a pharmacy has not met all standards, they are required to complete an improvement action plan, which you can find via a link at the top left of this page. We monitor progress to check the improvements are made and inspect again after six months to make sure the pharmacy is maintaining these improvements. A new report will then be published.