Inspection outcome: Standards not all met
Last inspection: 16/10/2019Improvement action plan
The pharmacy does not have an NHS contract and the only activity is dispensing private prescriptions issued by an online prescribing service. Requests for medicines are made via the website MyUKDoctor.co.uk. The website offers prescription medicines for a range of conditions but mainly supplies medicines for the treatment of pain, and sleeping tablets. The online prescribing service is not registered with the Care Quality Commission (CQC) as it is based in Romania. Medicines are delivered to people using postal and courier services and all supplies are made to people based in the UK. The owner of the pharmacy also has an MHRA Wholesale Dealers Licence which is registered to the same address as the pharmacy.
Inspection summary findings
Principle 1. Governance
People can purchase some higher-risk medicines on a regular basis without the knowledge of their GP. This means the pharmacy cannot be sure the medicines are clinically appropriate for the people, or that appropriate monitoring is in place. The pharmacy works with a prescribing service that is based in Romania. And it does not know whether the prescriber is following UK guidelines. This means the pharmacy cannot show that the prescribing service is safe. The pharmacy does not manage all of the risks involved with its services. And it does not always make a reliable check of a person's identity before medicines are supplied. This means that there are risks to patient safety. And vulnerable people can obtain medicines that could cause them harm.
Principle 2. Staff
The pharmacy has enough staff to cope with their workload and the dispensing assistants are enrolled on suitable training courses. But the limited services and lack of planned training time means they do not always complete these within the expected time frame. Which may mean their knowledge and skills may not be up to date and this could affect how well they care for people. Some clinical checks are carried out by a person that does not have the appropriate knowledge or training to do them.
Principle 3. Premises
The pharmacy is clean, hygienic, properly maintained and provides a suitable environment for the services carried out. It 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 are more likely to 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
The pharmacy does not make enough checks to ensure that medicines are safe and appropriate for the people they supply. It supplies high-risk medicines without making sure that the patient's own doctor knows about the supply and agrees to it. This means people's conditions might not be properly monitored, and their use of medication may not be appropriately controlled. The pharmacist doesn’t often contact people to give them advice about their medicines. This means they may not always have all the information they need to take their medicines safely.
Principle 5. Equipment and facilities
The pharmacy has adequate equipment and facilities for the services it provides.
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.