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Pharmacy inspections

Inspection reports and learning from inspections

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Hendras@Penryn Limited (1092433)

Inspection outcome: Standards not all met

Last inspection: 14/12/2023

Improvement action plan

 

Pharmacy context

The pharmacy is co-located within a medical practice in Penryn, Cornwall. It sells over-the-counter medicines and dispenses NHS and private prescriptions. The pharmacy team offers advice to people about minor illnesses and long-term conditions. The pharmacy offers services including flu vaccinations, the NHS New Medicine Service (NMS) and the Community Pharmacy Consultation Service (CPCS). This includes the locally commissioned Walk-in Consultation Service. The pharmacy supplies medicines in multi-compartment compliance packs to people who need help to remember when to take them. And it delivers medicines to people’s homes.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy does not have adequate processes in place to identify and manage the risks associated with its services. Team members do not routinely record mistakes they make when dispensing. And they do not undertake regular reviews of errors and incidents. However, the pharmacy team do try to make changes to stop mistakes from happening again. The pharmacy has written procedures in place to help ensure that its team members work safely. But these procedures have not been reviewed recently and there is evidence that not all team members have read and understood them. This means that they may not be working in the safest and most efficient way. It can be difficult for people to leave feedback about the services provided by the pharmacy as the pharmacy does not have a clear online presence. The pharmacy does not keep all the records required and does not have good governance procedures for the management of controlled drugs. The pharmacy has the required insurance in place to cover its services. The pharmacy does not always keep people’s private information safe as prescriptions can be seen by people waiting in the pharmacy. Pharmacy team members know how to protect the safety of vulnerable people.

Principle 2. Staff

Standards met

The pharmacy employs enough people to manage its workload. Team members are trained to deliver their roles and keep their skills up to date by completing regular learning activities. They are confident to suggest and make changes to the way they work to improve their services. Team members communicate effectively. And they work well together to deliver the pharmacy’s services.

Principle 3. Premises

Standards met

The pharmacy’s premises are an adequate size and present a professional image to people. And the pharmacy has appropriate facilities to provide services to people and maintain their privacy and confidentiality.

Principle 4. Services, including medicines management

Standards met

The pharmacy team make sure that people with different needs can access its various services. The pharmacy supplies medicines safely to people with appropriate advice to ensure they are used correctly. Team members take steps to identify people prescribed high-risk medicines to ensure that they are given additional information. The pharmacy obtains its medicines from reputable suppliers. It generally stores them securely and makes regular checks to ensure that they are still suitable for supply. But records of these checks are not always kept. The pharmacy accepts unwanted medicines and disposes of them appropriately.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the appropriate equipment and facilities to provide its services. It keeps these clean, tidy and well-maintained. The pharmacy uses its equipment in a way that protects people’s confidential information.

Pharmacy details

The Penryn Surgery
Saracen Way
PENRYN
TR108HX
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.