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Pharmacy inspections

Inspection reports and learning from inspections

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Jhoots Pharmacy (1102644)

Inspection outcome: Standards not all met

Last inspection: 29/09/2020

View enforcement action (PDF 145.4KB)


Pharmacy context

This is a community pharmacy within a busy health and social care centre in Brierley Hill, West Midlands. The pharmacy is open extended hours over seven days. It dispenses NHS prescriptions and people using the pharmacy are from the local area.  The pharmacy also acts as a ‘hub’ and dispenses medicines in multi-compartment compliance packs for collection from other Jhoots pharmacies. And it provides some other NHS funded services such as seasonal ‘flu vaccinations and a minor ailment scheme. The inspection was completed during the COVID-19 pandemic.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy does not effectively identify and manage the risks associated with its services, particularly in relation to the compliance pack service. The pharmacy's written procedures do not cover some parts of the service delivery, and the pharmacy team members do not receive appropriate training on the procedures or follow them in practice. And the team does not effectively learn from its mistakes. This increases the likelihood of things going wrong. The pharmacy does not always make it clear who is accountable for what. This means safeguarding issues might be missed as most people receiving compliance packs are vulnerable. Procedures for obtaining people’s consent for the compliance service are unclear. And the pharmacy team does not always dispose of confidential information properly.​

Principle 2. Staff

Standards not all met

​The pharmacy has enough staff to provide its services. But pharmacy team members do not complete the training they need to do their jobs. They are not always enrolled on an accredited training course within the required timescales and they do not have protected time to complete ongoing training. So, they might find it harder to develop the skills necessary for their role and keep their knowledge up to date.

Principle 3. Premises

Standards met

The pharmacy is clean and suitable for the services provided. It has a consultation room to enable it to provide members of the public with access to an area for private and confidential discussions.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy opens early and stays open later than usual, so its services are readily accessible. The hub and spoke model for dispensing multi-compartment compliance packs is not well managed, and some of the pharmacy’s working practices are unsafe.  The current process for dispensing different parts of the prescription in different pharmacies does not always meet legal requirements. People do not always receive all the information that they need to take their medicines safely. And the pharmacy does not provide people receiving compliance packs with medicine leaflets. This means that people might not have easy access to all the information they need to take their medicines. The pharmacy generally sources and stores most of its medicines appropriately, but it must improve the way it manages and handles controlled drugs. ​

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide its services safely. The pharmacy team uses the equipment in a way that keeps people’s information safe.​

Pharmacy details

Brierley Hill Health & Social Care Ctre
Off Little Cottage Street

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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.