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Pharmacy inspections

Inspection reports and learning from inspections

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London North West University Healthcare NHS Trust (1102145)

Inspection outcome: Standards met

Last inspection: 09/11/2022

Pharmacy context

The London North West University Healthcare NHS Trust pharmacy department is a hospital pharmacy department which is also registered with the General Pharmaceutical Council to supply medicines to named patients on the renal unit on behalf of Imperial College Healthcare NHS Trust. The hospital is off the North Circular Road in London. Only this limited activity was inspected.

Inspection summary findings

Principle 1. Governance

Standards met



The pharmacy’s working practices are safe and effective. Pharmacy team members record mistakes they make to learn from them and avoid the same mistakes happening again. The pharmacy proactively and regularly reviews the risks involved in providing its services and keeps appropriate records. It has suitable standard operating procedures (SOPs) in place to make sure its team members know how to work safely. The pharmacy can easily show who completed each step of its processes. Members of the team keep the records they need to up to date. They make sure they protect people’s private information and they are trained in how to safeguard the welfare of vulnerable people.

Principle 2. Staff

Standards met


The pharmacy’s team members are actively supported to undertake ongoing training and learning appropriate to their roles. They work effectively together to manage the workload and deliver services safely. Team members provide feedback about the pharmacy which improves its services.

Principle 3. Premises

Standards met


The pharmacy’s premises are clean, bright and suitable for the provision of healthcare services. The pharmacy prevents people accessing its premises when it is closed so its medicines stock is safe and people's private information is protected.

Principle 4. Services, including medicines management

Standards met


The pharmacy tries to make its services accessible to everyone. Its working practices are safe and effective. It keeps detailed audit trails to show that its professional services are well managed. And these identify who took the actions at each stage. The pharmacy obtains its medicines from reputable sources to make sure they are fit for purpose and safe to supply. Team members know what to do in response to alerts and product recalls and they keep records of any medicines or devices returned to the suppliers.

Principle 5. Equipment and facilities

Standards met


The pharmacy has the equipment and facilities it needs for the services it offers. It makes sure it is working correctly. The pharmacy uses its equipment appropriately to keep people's private information safe.

Pharmacy details

Pharmacy Department
Central Middlesex Hospital
Acton Lane
LONDON
NW107NS
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