Inspection outcome: Standards not all met
Last inspection: 17/10/2022Improvement action plan
This is an internet
pharmacy with physical access to the premises closed to the public. It provides
both NHS and private services. The pharmacy specialises in dispensing private
prescriptions for specific controlled drugs received directly from Care Quality
Commission (CQC) registered clinics. And people can nominate the pharmacy to
receive and dispense their NHS prescriptions. Through its NHS service the
pharmacy dispenses some medicines in multi-compartment compliance packs,
designed to help people to take their medicines. And it supplies medicines to
people living in care homes. It supplies the medicines it dispenses through a
Inspection summary findings
Principle 1. Governance
The pharmacy doesn't identify and manage all the risks associated with its services. It doesn't complete risk assessments for all its services and the higher-risk medicines it supplies. And it doesn't engage in ongoing audit processes to help manage these risks safely. The pharmacy clearly advertises how people can provide feedback and it acts on this feedback to help inform improvement. It keeps the records it needs to by law up to date and it protects people's private information appropriately. Pharmacy team members are aware of how to recognise and raise concerns to help safeguard vulnerable people. They openly and honestly discuss mistakes they make during the dispensing process. And they act to reduce risk following these discussions.
Principle 2. Staff
The pharmacy employs a suitable team of people to manage its workload. And it has appropriate contingency arrangements in place in case of staff absence. The pharmacy actively engages with its team members to help inform improvements to service delivery. And it encourages its team members to speak up and share learning through regular team meetings. Pharmacy team members generally engage in some ongoing learning relevant to their role. But there are sometimes delays in recognising the need to enrol team members on qualification training.
Principle 3. Premises
The pharmacy premises are suitable for the provision of healthcare services. They are clean, secure, and well maintained. The pharmacy’s website provides clear information to people about the pharmacy’s registered status.
Principle 4. Services, including medicines management
The pharmacy ensures its
services are accessible to people, and it informs people and prescribers of
potential delays in the service caused by circumstances outside of its control.
The pharmacy makes some checks to ensure it obtains its medicines from
reputable suppliers. And it generally stores its medicines safely and securely with
regular checks to make sure medicines are in good condition and suitable to
supply. But it doesn’t always obtain supportive information to help its team ensure
the supplies of its higher-risk medicines are appropriate.
Principle 5. Equipment and facilities
The pharmacy has the necessary equipment and facilities it needs to provide its services. It maintains its equipment appropriately. And its team members use the equipment in a way which protects people’s confidentiality.
Sherwood Network Centre
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.