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Pharmacy inspections

Inspection reports and learning from inspections

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Mulgrave Road Pharmacy (9011375)

Inspection outcome: Standards met

Last inspection: 10/05/2021

Pharmacy context

This is a Healthy Living Pharmacy (HLP) located in a parade of shops near Cheam station in Surrey. The pharmacy is now in new premises which are further down the same road as before, closer to the station. It dispenses NHS and private prescriptions, sells a range of over-the-counter medicines and provides health advice. The pharmacy also dispenses some medicines in multicompartment compliance aids (blister packs) for those who may have difficulty managing their medicines, or who live in care homes.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy has up-to-date written instructions which tell its team how to complete tasks safely. It has also made suitable adjustments to those instructions so that it helps to prevent the spread of COVID-19. Members of its team are clear about their roles and responsibilities. They work to professional standards, identifying and managing risks effectively. The pharmacy satisfactorily records the mistakes it makes during the dispensing process. Its team members review those records together on a regular basis, so that they can learn from them and avoid problems being repeated. The pharmacy has adequate insurance in place to help protect people if things do go wrong. The pharmacy manages and protects confidential information well, and it tells people how their private information will be used. Team members also understand how they can help to protect the welfare of vulnerable people.

Principle 2. Staff

Standards met

The pharmacy has enough staff to manage its workload safely. Pharmacy team members are appropriately trained, and work well together. They have a good understanding of their role and how they can help people with their medicines. They can make suggestions to improve safety and workflows where appropriate. And they respond well when things go wrong to make their services safer.

Principle 3. Premises

Standards met

The pharmacy provides a safe, secure and very professional environment for people to receive its services. It has made suitable adjustments to its premises to help minimise the spread of COVID-19.

Principle 4. Services, including medicines management

Standards met

The pharmacy delivers its services in a safe and effective manner, and people with a range of needs can easily access them. The pharmacy sources, stores and manages its medicines safely, and so makes sure that all the medicines it supplies are fit for purpose. The pharmacy responds satisfactorily to drug alerts or product recalls to make sure people only get medicines or devices which are safe. It keeps a clear record of the checks it makes to keep people safe. It identifies people supplied with high-risk medicines so that they can be given extra information they need to take their medicines safely. But it doesn’t always record all of the advice it has given which may make it difficult to show what it has done if asked.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the right equipment for the range of services it provides, and it makes sure that it is kept clean and properly maintained. The pharmacy keeps people’s private information safe.

Pharmacy details

60 Upper Mulgrave Road
Cheam
Sutton
SM27AJ
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 do the summary findings for each principle mean?

The standards for registered pharmacies are made up of five principles. The pharmacy will also receive one of four possible findings for each of these principles. These are:

Excellent practice The pharmacy delivers an innovative service and benefits the whole community and performs well against the standards
Good practice The pharmacy delivers positive outcomes for patients and performs well against most of the standards
Standards met The pharmacy meets all the standards
Standards not all met The pharmacy has not met one or more standards