Inspection outcome: Standards met
Last inspection: 26/09/2019
Pharmacy context
The pharmacy is registered for the purpose of fulfilling a Service Level Agreement with a local NHS Community Trust and dispenses medication for named patients. This accounts for less than 10% of the pharmacy workload and the rest is carried out for the hospital trust. The pharmacy uses a robot for dispensing and occasionally assembles medication into multi-compartment compliance packs for some people who need help managing their medicines.
Inspection summary findings
Principle 1. Governance
The pharmacy identifies and manages the risks associated with its services to help provide them safely. Team members are good at recording and reviewing mistakes and can show how the team learns and improves from these events. The pharmacy keeps the records it needs to by law and its team members have clear roles and responsibilities. It asks the people who use the pharmacy for feedback. Team members know how to protect vulnerable people. And they keep people’s personal information safe.
Principle 2. Staff
The pharmacy has enough team members to manage its workload safely. They are highly trained, and have a good understanding about their roles and responsibilities. They make suggestions to improve safety and workflows where appropriate. They are provided with feedback and have regular appraisals to identify any opportunities for development or learning.
Principle 3. Premises
The pharmacy team keeps the pharmacy secure, clean and tidy. The pharmacists and technicians had designated areas to check prescriptions and these are kept clear to help reduce the risk of mistakes. People can have a conversation with a team member in a private area.
Principle 4. Services, including medicines management
The pharmacy provides its services safely and effectively. It gets its medicines from reputable suppliers and stores them properly. It makes sure that multi-compartment compliance packs for people who need help managing their medicines are dispensed safely. Its team members identify and give advice to people taking high-risk medicines to make sure that they are taken safely. The pharmacy has a close working relationship with other hospital departments and queries are referred as appropriate. Team members take the right action if any medicines or devices need to be returned to the suppliers. This means that people get medicines and devices that are safe to use.
Principle 5. Equipment and facilities
The pharmacy has the equipment it needs for its services and it maintains it well. The pharmacy uses its equipment and systems to help protect people's personal information.
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 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:
| The pharmacy delivers an innovative service and benefits the whole community and performs well against the standards | |
| The pharmacy delivers positive outcomes for patients and performs well against most of the standards | |
| The pharmacy meets all the standards | |
| The pharmacy has not met one or more standards |