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Pharmacy inspections

Inspection reports and learning from inspections

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Al-Shafa Pharmacy (1104967)

Inspection outcome: Standards not all met

Last inspection: 16/11/2021

Improvement action plan

 

Pharmacy context

This community pharmacy is in a large suburb close to Leeds City Centre. The pharmacy’s main activities are dispensing NHS prescriptions and selling over-the-counter medicines. The pharmacy provides several people with multi-compartment compliance packs to help them take their medicines. The pharmacy was inspected during the COVID-19 pandemic.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy adequately identifies and manages some of the risks associated with its services. But team members do not fully follow all of the pharmacy's written procedures. This includes managing errors in the dispensing process. They don’t keep records when things go wrong. So, they don’t have all the information to learn from their mistakes, and prevent similar errors from happening again. The pharmacy keeps the records it needs to by law and it protects people’s confidential information. The team members have a clear understanding of their role in safeguarding the safety and wellbeing of children and vulnerable adults.

Principle 2. Staff

Standards met

The pharmacy has a team with an appropriate range of skills and experience to support its services. Team members work well together and support each other in their day-to-day work. They frequently discuss ideas to enhance the delivery of the pharmacy’s services. Pharmacy team members receive feedback on their performance and they are supported to complete ongoing training. This helps them to keep their knowledge and skills up to date.

Principle 3. Premises

Standards met

The pharmacy premises are secure and suitable for the services provided. The pharmacy has appropriate facilities to meet the needs of people requiring privacy when using its services.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy does not always manage its services with sufficient care. Some processes the team members follow to dispense medicines in multi-compartment compliance packs increase the risk of error. And the method they use to store some of the medicines in these packs runs the risk that they may not be suitable for people to take. The pharmacy provides services which are easily accessible for people. It gets its medicines from reputable sources. And the pharmacy team carries out checks to make sure most medicines are in good condition and suitable to supply. 

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide safe services and it uses its facilities to suitably protect people’s private information.

Pharmacy details

267 Dewsbury Road
Beeston
LEEDS
LS115HZ
England

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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.