Inspection outcome: Standards not all met
Last inspection: 18/11/2020Improvement action plan View enforcement action (PDF 136.5KB)
A busy community pharmacy set in a residential area of Luton. The pharmacy opens seven days a week. It stays open late every evening. And most people who use it live nearby. The pharmacy sells a range of over-the-counter (OTC) medicines. And it sells some health and beauty products too. The pharmacy dispenses people’s prescriptions and substance misuse treatments. It supplies medicines in multi-compartment compliance packs (compliance packs) to help people take their medicines. And it delivers medicines to a few people who have difficulty in leaving their homes. The pharmacy offers travel and winter influenza (flu) vaccinations. This was a targeted inspection after information was received that the pharmacy had been obtaining large quantities of codeine oral solution (linctus), which is addictive and can be overused, misused and abused. This inspection took place during the coronavirus (COVID-19) pandemic. And not all aspects of the pharmacy were inspected on this occasion.
Inspection summary findings
Principle 1. Governance
The pharmacy doesn’t identify and manage the risks with the sales and purchases of codeine linctus. It doesn’t have adequate processes to make sure OTC medicines, which can be addictive, misused or abused, are sold safely. This means that there are risks that people may obtain medicines that could cause them harm. The pharmacy suitably manages the risks associated with its other services and the COVID‐19 pandemic. People who work in the pharmacy can explain what they do, what they’re responsible for and when they might seek help. They mostly keep people’s private information safe. And they discuss the mistakes they make. So, they can learn from them.
Principle 2. Staff
The pharmacy has enough people in its team. Members of the pharmacy team undergo training for the jobs they do. This means they can deliver safe and effective care. They work well together and make decisions about what is right for the people they care for. They’re comfortable about giving feedback on how to improve the pharmacy and its services. And they know how to raise a concern if they have one.
Principle 3. Premises
The pharmacy provides an adequate and secure environment for people to receive healthcare. It has a room where people can have private conversations with members of the pharmacy team.
Principle 4. Services, including medicines management
The pharmacy doesn’t always provide its services safely. It doesn’t have suitable safeguards in place to manage the purchases and sales of codeine linctus. It cannot account for, or adequately monitor the movement or sales of, this medicine. Otherwise, the pharmacy’s working practices are generally safe and effective. This includes the dispensing of people’s medicines. The pharmacy generally sources and manages its other medicines appropriately. But it cannot show that all medicines, such as those that need to be kept in a refrigerator, are suitably stored.
Principle 5. Equipment and facilities
The pharmacy has the equipment and the facilities it needs to provide its services safely. It uses its equipment to make sure people’s data is kept secure. And its team makes sure the equipment it uses is clean.
157A Biscot Road
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
|The pharmacy has met all the standards for registered pharmacies|
|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.