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Pharmacy inspections

Inspection reports and learning from inspections

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Peak Pharmacy (9011449)

Inspection outcome: Standards not all met

Last inspection: 11/08/2021

Improvement action plan


Pharmacy context

The pharmacy is in a newly built medical centre in the Nottinghamshire town of Netherfield. It relocated to its new premises in January 2021. The pharmacy’s main services include dispensing NHS prescriptions and selling over-the counter medicines. The pharmacy supplies some medicines in multi-compartment compliance packs, designed to help people to take their medicines. And it delivers some medicines to people’s homes. The pharmacy was inspected during the COVID-19 pandemic.

Inspection summary findings

Principle 1. Governance

Standards not all met

The pharmacy does not adequately identify and manage all the risks with providing its services. Team members do not access the most up-to-date written procedures to support them in providing the pharmacy’s services. And they do not have a robust process to record and monitor the mistakes they make during the dispensing process. There is evidence that some risks associated with information governance and record keeping have gone unrecognised. Pharmacy team members have appropriate knowledge of how to manage feedback from people. And they understand their role in protecting vulnerable people.

Principle 2. Staff

Standards not all met

The pharmacy relies heavily on informal processes rather than using structured formal processes to promote openness, honesty and learning. This means the team misses opportunities to share feedback and review risks associated with its workload management. And this may impact people accessing the pharmacy’s services. The pharmacy employs suitably skilled team members and it has processes in place to support team members who have a concern at work. But more could be done to encourage the team to provide regular feedback.

Principle 3. Premises

Standards met

The pharmacy is well designed. It provides a professional and hygienic environment for delivering healthcare services. People accessing the pharmacy can easily speak with a member of the team in private when required.

Principle 4. Services, including medicines management

Standards met

The pharmacy obtains its medicines from reputable sources. And it generally stores its medicines safely and securely. The pharmacy’s services are accessible to people, and the pharmacy regularly provides appropriate information to people about the medicines they are taking. It has some effective audit trails to help support the management of most of its services. But there is an inconsistent approach to documenting who has been involved in the whole dispensing process. This approach may heighten the risks associated with safely providing medicines in compliance packs.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it requires to provide its services. Pharmacy team members use this equipment appropriately and in a way which protects people’s privacy.

Pharmacy details

Netherfield Medical Centre
Knight Street

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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 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.