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Pharmacy inspections

Inspection reports and learning from inspections

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Lygon Pharmacy (1038861)

Inspection outcome: Standards not all met

Last inspection: 12/08/2024

Improvement action plan

 

Pharmacy context

​This is a community pharmacy located amongst a few shops in Malvern, Worcestershire. The pharmacy dispenses NHS and private prescriptions, sells a range of over-the-counter medicines, and provides health advice. It also offers the New Medicine Service (NMS), local deliveries and provides medicines inside multi-compartment compliance packs for people who find it difficult to manage their medicines.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy has satisfactory arrangements in place to manage risks. Team members understand their role in protecting the welfare of vulnerable people. The pharmacy protects people’s confidential information appropriately. And members of the pharmacy team deal with their mistakes responsibly. But they are not always documenting and reviewing all the necessary details. This could mean that they may be missing opportunities to spot patterns and prevent similar mistakes happening in future.

Principle 2. Staff

Standards not all met

Most of the pharmacy’s team members are carrying out tasks that they are not trained for or qualified in. The pharmacy does not have a culture of learning. Staff are not provided with any training material to help further their knowledge, nor have they had any performance reviews for many years. This situation is unsafe and can affect how well the pharmacy cares for people.

Principle 3. Premises

Standards not all met

The pharmacy's premises are currently unsuitable for the safe delivery of healthcare services. The pharmacy does not do enough to keep its premises clean and free from clutter. And they do not present a professional image.

Principle 4. Services, including medicines management

Standards met

The pharmacy obtains its medicines from reputable sources and the pharmacy team suitably delivers prescription medicines to people’s homes. But the pharmacy does not always manage its medicines in the most effective way. The pharmacy has some checks in place to ensure that medicines are not supplied beyond their expiry date. But some of its records are missing. And the pharmacy’s team members are not always identifying people who receive higher-risk medicines or making the relevant checks. This makes it difficult for them to show that people are provided with appropriate advice when these medicines are supplied. 

Principle 5. Equipment and facilities

Standards not all met

The pharmacy is unable to show any of the necessary assurances that some of its equipment is suitable for storing medicines which require additional controls. But, otherwise, the pharmacy has an appropriate range of equipment available to provide its services. It keeps its equipment sufficiently clean and uses them to help protect people’s confidential information in a suitable way.

Pharmacy details

84 Worcester Road
MALVERN
WR141NY
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.