Inspection outcome: Standards not all met
Last inspection: 17/06/2021Improvement action plan
This is a community pharmacy on the outskirts of South Shields. This was a follow up inspection following failed standards. The pharmacy opens six days a week. It sells a range of health care products, including over-the-counter medicines. It dispenses people’s prescriptions. The pharmacy provides multi-compartment compliance packs to some people who need help managing their medicines. It delivers medicines to people who can’t attend its premises in person. People can also collect coronavirus (COVID-19) home-testing kits from the pharmacy. The pharmacy provides a Covid 19 vaccination service from the premises. This inspection took place during the COVID-19 pandemic. Conditions on registration are in place on this pharmacy premises that prevent some services being provided. These conditions were imposed after failings were identified on a previous inspection and they remain in force at the time of this inspection
Inspection summary findings
Principle 1. Governance
The pharmacy has written procedures for the services it provides. But the most recent version hasn't been tailored to this pharmacy's
activities. So, the procedures may not accurately reflect its current practise. Also there is little evidence that these have been read and understood or that the team are working in a consistent manner. This could mean that patient safety is compromised. People using the pharmacy can raise concerns and provide feedback. The pharmacy does not sufficiently manage the risks especially in relation to CD management. So, there is a risk that CD discrepancies may go undetected for a prolonged period.
Principle 2. Staff
The pharmacy has enough team members to manage the workload. The lack of proper training on the pharmacy procedures means that the team may not be working effectively as they could. Members of the pharmacy team work well together. And they know how to raise a concern if they have one.
Principle 3. Premises
The pharmacy provides a suitable and secure environment for people to receive healthcare. And its premises are clean. The pharmacy team members take appropriate steps to reduce the risk of Covid 19 infection.
Principle 4. Services, including medicines management
There is insufficient assurance that stock is stored and managed appropriately. There are mixed batches of medicines and loose blister strips on the shelves. There is a lack of verifiable processes to routinely identify and remove date-expired medicines. There was no audit trail to identify who had dispensed and checked prescriptions so this may mean that people receive medication that has not been properly checked. The pharmacy receives its medicines from reputable sources and pharmacy services are accessible to people.
Principle 5. Equipment and facilities
The pharmacy has the equipment and the facilities it needs to provide its services safely. It uses its equipment to make sure people’s data is kept secure. And its team makes sure the equipment it uses is clean.
95 Wenlock Road
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.