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Pharmacy inspections

Inspection reports and learning from inspections

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HMP Belmarsh (1119009)

Inspection outcome: Standards met

Last inspection: 04/08/2021

Pharmacy context

The pharmacy is located within HMP Belmarsh and provides dispensed medicines to people in the prison. Medicines are dispensed as named patient medication and supplied to the wings as either in-possession or seen-to-take medication. Stock controlled drugs (CDs) are supplied to the wings and dispensed by a separate organisation. The pharmacy holds an MHRA and a Home Office licence. The inspection took place during the Covid-19 pandemic. The pharmacists operate a minor ailments clinic to enable patients to receive medication without having to see a doctor as well as a medicines review clinic, and both pharmacists are independent prescribers.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy identifies and manages the risks associated with its services to help provide them safely. It records and regularly reviews its mistakes and can show how the team learns and improves from these events. It keeps the records it needs to by law and its team members have clear roles and responsibilities. It asks the people who use the pharmacy for feedback. Team members know how to protect vulnerable people. And, they keep people’s personal information safe.

Principle 2. Staff

Standards met

The pharmacy has enough team members to manage its workload safely. They are appropriately trained and have a good understanding about their roles and responsibilities. They make suggestions to improve safety and workflows where appropriate. They are provided with feedback and have regular appraisals to identify any opportunities for development or learning.

Principle 3. Premises

Standards met

The pharmacy team keeps the pharmacy secure, clean and tidy. The pharmacy keeps its workspaces clear to help reduce the risk of dispensing mistakes.

Principle 4. Services, including medicines management

Standards met

The pharmacy gets its medicines from reputable suppliers and it stores them properly. It takes the right action if any medicines or devices need to be returned to the suppliers. This means that people get medicines and devices that are safe to use. The team members follow safe practice when assembling daily packs which help people to take their medication. The pharmacy identifies and gives advice to people taking high-risk medicines to make sure that they are taken safely.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the right equipment for its services and makes sure that it is looked after properly. It uses its equipment to keep people’s private information safe.

Pharmacy details

1 Belmarsh Road

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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 do the summary findings for each principle mean?

The standards for registered pharmacies are made up of five principles. The pharmacy will also receive one of four possible findings for each of these principles. These are:

Excellent practice The pharmacy delivers an innovative service and benefits the whole community and performs well against the standards
Good practice The pharmacy delivers positive outcomes for patients and performs well against most of the standards
Standards met The pharmacy meets all the standards
Standards not all met The pharmacy has not met one or more standards