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Pharmacy inspections

Inspection reports and learning from inspections

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Ash Grove Pharmacy (1100147)

Inspection outcome: Standards met

Last inspection: 09/09/2020

Pharmacy context

This community pharmacy is in a large medical centre in the small town of Knottingley. The pharmacy’s main activities are dispensing NHS and delivering medication to some people’s homes. The pharmacy supplies some medicines in multi-compartment compliance packs to help people take their medicines. The pharmacy was inspected during the COVID-19 pandemic.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy team generally identifies and manages the risks associated with its services and people using the pharmacy services can raise concerns and provide feedback. The team has training and guidance to respond to safeguarding concerns to protect the welfare of children and vulnerable adults. The team members respond adequately when errors occur, they discuss what happened and they take action to prevent future mistakes. But they don’t regularly ​​record​ all errors which means they may miss opportunities to help identify patterns and reduce errors. The pharmacy keeps most of the records it needs to by law. The pharmacy has written procedures that the pharmacy team follows but there is no evidence that the procedures have been recently reviewed. This means there is a risk that team members may not be following up-to-date procedures. ​​

Principle 2. Staff

Standards met

The pharmacy has a team with the qualifications and skills to support its services. The pharmacy provides opportunities for team members to develop their careers and it supports team members during their training. Team members support each other in their day-to-day work. They regularly discuss what they can improve on and agree new processes to help deliver efficient pharmacy services.

Principle 3. Premises

Standards met

The pharmacy is clean, secure and suitable for the services provided. It has facilities to meet the needs of people requiring privacy when using the pharmacy services.

Principle 4. Services, including medicines management

Standards met

The pharmacy provides services which support people's health needs and it manages these services well. The pharmacy identifies the risks to the delivery of pharmacy services during a pandemic and it makes changes to ensure people receive their medicines safely and efficiently. The pharmacy gets its medicines from reputable sources and it stores and manages medicines correctly. The team carries out appropriate checks to make sure 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 to protect people’s private information.

Pharmacy details

Ash Grove Medical Centre
England Lane

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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 do the summary findings for each principle mean?

The standards for registered pharmacies are made up of five principles. The pharmacy will also receive one of four possible findings for each of these principles. These are:

Excellent practice The pharmacy delivers an innovative service and benefits the whole community and performs well against the standards
Good practice The pharmacy delivers positive outcomes for patients and performs well against most of the standards
Standards met The pharmacy meets all the standards
Standards not all met The pharmacy has not met one or more standards