Inspection outcome: Standards not all met
Last inspection: 18/11/2021Improvement action plan
The pharmacy is in a business centre in Meltham. It has a distance selling NHS contract. Pharmacy team members dispense NHS prescriptions and deliver them to people’s homes. They provide medicines to people in multi‐compartment compliance packs. The pharmacy sells a range of over‐the‐counter medicines via a website that is run and administrated by a third-party company. The inspection was completed during the COVID-19 pandemic.
Inspection summary findings
Principle 1. Governance
The pharmacy doesn’t adequately identify and manage all the risks associated with its services. The pharmacy’s processes are not always robust and written procedures are out of date and incomplete for the services provided. Pharmacy team members do not always follow the written procedures the pharmacy does have. Team members discuss errors they make in the dispensing process, but do not record or fully analyse their mistakes. So, they may miss opportunities to learn and make services safer. The pharmacy does not have a suitable procedure for safeguarding concerns. And pharmacy team members do not demonstrate the required knowledge to be able to always suitably identify and help a vulnerable person. The pharmacy does not always keep the necessary records required by law or the records for assuring the safety of its services. It keeps people's private information secure.
Principle 2. Staff
Pharmacy team members have the necessary skills for their roles and the services they provide. They complete ad hoc training to help keep their knowledge up to date. Pharmacy team members feel comfortable discussing issues with each other. But they are unsure about who to raise concerns with about the pharmacy outside their immediate team. And they do not have easy access to their superintendent pharmacist.
Principle 3. Premises
The pharmacy is generally clean and properly maintained. It provides a suitable space for the services provided.
Principle 4. Services, including medicines management
The pharmacy does not always manage its medicines appropriately. Pharmacy team members do not follow the pharmacy’s documented process for checking the expiry date on medicines. And they do not always keep medicines in the original packs or store all medicines appropriately. The pharmacy sources its medicines from reputable suppliers. It has some processes to manage the risks and provide advice for people taking high‐risk medicines.
Principle 5. Equipment and facilities
The pharmacy has the necessary equipment available, which it properly maintains. And it manages and uses the equipment in ways that protect people’s confidentiality.
Suite 3 Railway House
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
|The pharmacy has met all the standards for registered pharmacies|
|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.