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Pharmacy inspections

Inspection reports and learning from inspections

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Lewis Grove Pharmacy (1040849)

Inspection outcome: Standards not all met

Last inspection: 22/11/2023

Improvement action plan

 

Pharmacy context

This is a large community pharmacy on a busy road intersection in Lewisham. It mainly provides NHS services such as dispensing and offers the NHS blood pressure service. It provides NHS Covid vaccinations from the consultation room and from a series of booths which have been set up in the shop area. It provides a supervised administration service. And offers a private travel clinic (including vaccinations) using patient group directions (PGDs).

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy adequately manages the risks associated with its services. It largely keeps the records it needs to by law. And people can provide feedback or raise concerns about the pharmacy. The pharmacy generally protects people’s personal information well. And staff know how to protect the wellbeing of a vulnerable person. Team members record any dispensing mistakes to help them learn and make the pharmacy’s services safer.

Principle 2. Staff

Standards met

Overall, the pharmacy has enough trained staff to help provide its services safely and effectively. Staff do some ongoing training to help keep their knowledge and skills up to date. And they feel comfortable about raising any concerns. Registrants are able to take professional decisions to help keep people using the pharmacy safe.

Principle 3. Premises

Standards met

On the whole, the premises are suitable for the pharmacy’s services. People can have a conversation with a team member in a private area. The premises are mostly clean and tidy, but the pharmacy could do more to ensure that all areas are kept clear from clutter and unnecessary items.

Principle 4. Services, including medicines management

Standards not all met

The pharmacy generally provides its services in a safe way. But it makes supplies under patient group directions which are no longer valid. The pharmacy gets its medicines from reputable sources and generally stores them properly. It takes the right action in response to safety alerts, but it could do more to ensure that it reacts to these in a timely way.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide its services. And it uses its equipment to help protect people’s personal information. It largely keeps its equipment clean and fit to use.

Pharmacy details

1 Lewis Grove
Lewisham
LONDON
SE136BG
England

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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.