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Pharmacy inspections

Inspection reports and learning from inspections

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Karsons Pharma (1032675)

Inspection outcome: Standards not all met

Last inspection: 04/11/2020

View enforcement action (PDF 135.2KB)


Pharmacy context

The pharmacy is located on a busy street near to a town centre in a largely residential area. The pharmacy receives around 80% of its prescriptions electronically. The pharmacy provides a range of services, including Medicines Use Reviews and the New Medicine Service. It also provides medicines as part of the Community Pharmacist Consultation Service. And it supplies medications in multi-compartment compliance packs to a small number of people who live in their own homes to help them manage their medicines. It provides substance misuse medications to a small number of people. The pharmacy provides a walk‐in service for acute illness and conditions for adults and children on a private healthcare basis. The regular pharmacist is a prescriber and issues prescriptions as part of this service. This inspection was undertaken during the Covid-19 pandemic.​

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy does not fully identify or manage all the risks associated with its prescribing service. And it does not routinely monitor the safety and quality of this service. It keeps some records of consultations with people using the prescribing service, but these are generally poor. And it does not always make proper records when it dispenses medicines against private prescriptions. However, the pharmacy does adequately manage the risks associated with its other services. It records and regularly reviews any mistakes that happen during the prescription dispensing process. And it uses this information to help make its dispensing activities safer. It largely protects people’s personal information and people are able to provide feedback about the pharmacy’s services. And team members understand their role in protecting vulnerable people.

Principle 2. Staff

Standards not all met

The pharmacy cannot adequately demonstrate that the pharmacist independent prescriber ​always follows best practice guidelines or prescribes medicines within his scope of competence. The pharmacy has enough team members to provide its services safely. The team discusses adverse incidents and uses these to learn and improve. And they can raise any concerns or make suggestions and have regular meetings. The support staff do the right training for their roles. And they are provided with some ongoing training to support their learning needs and maintain their knowledge and skills.

Principle 3. Premises

Standards met

The premises provide a safe, secure, and clean environment for the pharmacy's services. People can have a conversation with a team member in a private area.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy does not have appropriate systems in place to ensure that its prescribing service operates safely. It does not adequately manage the risks of dealing with patients who present themselves to its prescribing service with different illnesses that have similar symptoms or ones that may need urgent or emergency treatment. And it does not monitor or review its prescribing activity, particularly with antibiotics, in order to keep good antimicrobial stewardship. Some people are not referred to other healthcare providers when needed and this may put them at risk of further complications or have health implications. However, overall, the pharmacy provides its other pharmacy services safely. The pharmacy gets its medicines from reputable suppliers and generally stores them properly. It responds appropriately to drug alerts and product recalls. This helps make sure that its medicines and devices are safe for people to use. People with a range of needs can access the pharmacy’s services.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide its services safely. It uses its equipment to help protect people’s personal information.

Pharmacy details

33 Pattens Lane

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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.