Birkenshaw Pharmacy (1089323)

Inspection summary findings

Principle 1. Governance

The pharmacy adequately identifies and manages risks. It has the written procedures it needs relevant to most of its services to help team members provide services safely. Pharmacy team members understand their role to help protect vulnerable people. And they suitably protect people’s confidential information. Team members record and discuss the mistakes they make so that they can learn from them. But they don’t always follow documented procedures to help capture key information or analyse these records, so they may miss some opportunities to learn and improve.

Principle 2. Staff

Pharmacy team members have the right qualifications and skills for their roles and the services they provide. And they discuss how to best use team members’ skill to provide their services most effectively. Team members complete some ongoing ad hoc learning to help keep their knowledge and skills up to date. And they feel comfortable raising concerns and discussing ways to improve services.

Principle 3. Premises

The pharmacy is clean and properly maintained. It provides a suitable space for the services it provides. The pharmacy has a consultation room where people can speak to pharmacy team members privately.

Principle 4. Services, including medicines management

Pharmacy team members manage and provide the pharmacy’s services safely and effectively. The pharmacy suitably sources its medicines. Its services are easy for people to access. And it has some processes to help people understand and manage the risks of taking higher-risk medicines. The pharmacy generally stores and manages its medicines appropriately. But pharmacy team members don’t always follow the pharmacy’s SOP for managing the expiry dates of medicines. So, there is a risk that people might receive medicines that have expired.

Principle 5. Equipment and facilities

The pharmacy has the necessary equipment available for the services it provides. It manages and uses its equipment in ways that protect people’s confidentiality.