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Pharmacy inspections

Inspection reports and learning from inspections

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Limes Pharmacy (1101423)

Inspection outcome: Standards not all met

Last inspection: 10/03/2020

Improvement action plan


Pharmacy context

This community pharmacy is located in a mainly residential area not far from Walsall town centre. People using the pharmacy are from the local community and a home delivery service is available. The pharmacy dispenses NHS prescriptions, but it does not currently provide any other NHS funded services. The pharmacy team dispenses medicines into weekly multi-compartment compliance packs for people to help make sure they take them at the right time.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy generally identifies and manages the risks associated with its services. The pharmacy team have written instructions to help make sure it works safely. But the folders containing these are disorganised, which could cause confusion. The pharmacy keeps people's information safe. The team records pharmacy incidents and team members discuss their mistakes so that they can learn from them.

Principle 2. Staff

Standards met

The pharmacy has enough staff to provide its services. Pharmacy team members complete the training they need to do their jobs. But they do not have formal training plans or protected time to complete ongoing training, so they may not always keep their skills and knowledge up to date.

Principle 3. Premises

Standards met

The pharmacy is clean, secure 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 generally manages its services and supplies medicines safely. It gets its medicines from licensed suppliers, and the team members make sure that they store them securely and at the correct temperature. However, medicines are not always stored properly in the pharmacy which increases the risk of dispensing out of date or recalled medicines.

Principle 5. Equipment and facilities

Standards met

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

Pharmacy details

The Limes Business Centre
5 Birmingham Road

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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.