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Pharmacy inspections

Inspection reports and learning from inspections

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Bromham Pharmacy (1105565)

Inspection outcome: Standards not all met

Last inspection: 16/10/2023

Improvement action plan

 

Pharmacy context

This pharmacy is located in a small village in Bedfordshire. The pharmacy dispenses both NHS and private prescriptions. And it delivers medicines to people’s homes. It also provides medicines in multi-compartment compliance packs to people who need help managing their medicines. And people can get their flu vaccination and COVID-19 vaccination at the pharmacy. 

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy has written procedures to make sure its team members know how to complete tasks safely. And its team members generally follow these. The pharmacy makes records when mistakes happen during the dispensing process. But sometimes it doesn’t record enough information about these mistakes. This may make it harder to respond to queries regarding mistakes that occur. Pharmacy team members take the necessary steps to protect people’s private information and are aware of how to protect vulnerable people. And the pharmacy keeps the records it needs to by law. 

Principle 2. Staff

Standards met

The pharmacy has enough staff to manage its workload effectively. Team members complete appropriate training so that they can carry out their roles and responsibilities. And support is provided to those on training courses to help them progress. Team members communicate effectively with each other and can raise concerns if they need to.

Principle 3. Premises

Standards not all met

The pharmacy has very little clear work surface space for prescriptions to be assembled and checked in a safe manner. And there are areas which are untidy and disorganised. This increases the risks of mistakes happening. However, it is clean and it has a consultation room which is suitable for the services it offers.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy obtains its medicines and devices from licensed suppliers. But it doesn’t effectively check the expiry dates of these medicines and devices or always separate date-expired items from other stock. This increases the chances that it provides people with medicines that are not safe to use. However, the pharmacy stores its medicines securely and at the required temperatures. And its team provides additional advice to people who are supplied high-risk medicines. It delivers medicines to people’s homes, but it does not retain an audit trail for this service. So, it may be harder for the pharmacy to respond to any queries about its delivery service. 

Principle 5. Equipment and facilities

Standards met

The pharmacy has all the equipment it needs to provide its services effectively. And it uses its equipment in a way which helps protect people's personal information.

Pharmacy details

Avoca House
Molivers Lane
Bromham
BEDFORD
MK438JT
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.