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Pharmacy inspections

Inspection reports and learning from inspections

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Halliwell Midnight Pharmacy (1099351)

Inspection outcome: Standards not all met

Last inspection: 10/10/2019

Improvement action plan

 

Pharmacy context

This is a busy pharmacy located on a main road close to the centre of town. It stays open for 100 hours per week, opening early in the morning and closing at midnight every day except Sundays. The pharmacy dispenses NHS prescriptions and sells a range of over-the-counter medicines. It supplies a large number of medicines in multi-compartment compliance aid packs to help people take their medicines at the right time. The pharmacy also provides an online prescribing service (www.prescriptiondoctor.com) and the prescriber is an Italian doctor based in Romania. People can request a prescription by filling in an online questionnaire which is then assessed by the prescriber and pharmacist before the pharmacy supplies the medicine. The website offers prescription medicines for a range of conditions but mainly supplies codeine containing medicines for the treatment of pain.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy does not consistently manage all of the risks involved with its online prescribing service. This means that there are some risks to patient safety. The pharmacy works with an Italian doctor and the prescribing service is based in Romania and not registered with UK regulators. And the pharmacy cannot demonstrate that the prescriber always follows UK guidelines and has appropriate insurance arrangements for these activities. This means the pharmacy cannot show that the prescribing service is safe and vulnerable patients might be able to obtain medicines that could cause them harm. The pharmacy team generally keep the records required by law, but some details are missing, which could make it harder to understand what has happened if queries arise. Team members do not make full records or review their mistakes, so they may be missing out on some learning opportunities.


Principle 2. Staff

Standards met

The pharmacy has enough staff to manage its workload and the pharmacy team members are qualified for the jobs they do. They get some ongoing training to help them keep up to date. But they do not record this, so they might not always identify gaps in their knowledge. The team members work well together, and they are comfortable providing feedback to their manager.

Principle 3. Premises

Standards not all met

The premises generally provide a professional environment for people to receive healthcare. But the pharmacy uses a website that allows people to select the prescription only medicines they want before they have a consultation with a prescriber. This means people may receive medicines that are not the most suitable for them. Some parts of the pharmacy website are unclear, and it does not provide the name and address of the prescriber or full information about the pharmacy. This means people may not have enough information to make an informed decision about their care.

 

Principle 4. Services, including medicines management

Standards not all met

The pharmacy does not make enough checks to ensure medicines supplied through the prescribing service are appropriate for the people they supply. And it supplies some medicines which may not be appropriate for supply via a remote consultation because they require physical examination, blood tests or monitoring. The pharmacy routinely supplies medicines without informing the patient's regular doctor or making sure they agree to the supply. This means people's conditions might not be properly monitored, and their use of medication may not be appropriately controlled. The pharmacy offers a range of healthcare services which are easy for people to access. The pharmacy gets its medicines from reputable sources but does not always store them appropriately. And the fridge temperature is not properly monitored so the pharmacy cannot show that it stores medicines requiring refrigeration at the correct temperature.

Principle 5. Equipment and facilities

Standards met

Members of the pharmacy team have the equipment and facilities they need for the services they provide. 

 

Pharmacy details

34 Halliwell Road
BOLTON
BL13QS
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.