Inspection outcome: Standards not all met
Last inspection: 01/10/2019Improvement action plan
This is an online pharmacy and prescribing service that operates via the website www.instantecare.co.uk. It is based in a business centre unit in a suburban area of Cardiff. The pharmacy only dispenses private prescriptions written by its own pharmacist independent prescribers. It offers prescription medicines for a range of conditions but mainly supplies painkillers, sleeping tablets, antibiotics and inhalers. People do not visit the pharmacy in person and medicines are sent by post.
Inspection summary findings
Principle 1. Governance
The pharmacy’s working practices are not always safe and effective. And it does not identify and manage all of the risks involved with its services. It does not know whether its prescribers are following UK prescribing guidelines. So it cannot show that its prescribing service is safe and appropriate. And it does not always assess how safe and effective its services are. This means that there are significant risks to patient safety. And vulnerable people might be able to obtain medicines that could cause them harm.
Principle 2. Staff
The pharmacy has enough staff to manage its workload. Support staff are properly trained for the jobs they do. And they feel comfortable speaking up about any concerns they have. But the pharmacy cannot demonstrate that the pharmacist prescribers it uses are working within their level of competence. And this may mean they are not providing medicines safely or appropriately.
Principle 3. Premises
The pharmacy is clean, tidy and secure, with enough space to allow safe working. But the website layout lets people choose the medicines they want before there has been an appropriate consultation with a prescriber. And people can change their answers to get around the system without the prescriber being able to see this. So people may receive medicines that are not suitable for them.
Principle 4. Services, including medicines management
The pharmacy does not make enough checks to ensure medicines are appropriate for the people they supply. And it supplies some medicines without informing the person’s regular doctor or making sure they agree to the supply. This means that people’s medical conditions might not be monitored appropriately. And people may receive medicines that are not safe or suitable for them.
Principle 5. Equipment and facilities
The pharmacy has the equipment and facilities it needs to provide services.
307 Forgeside House
Cardiff Bay Business 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.