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Pharmacy inspections

Inspection reports and learning from inspections

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Pharmacy Department (1033067)

Inspection outcome: Standards met

Last inspection: 02/02/2024

Pharmacy context

This busy pharmacy is located in a hospital, close to the main entrance. It mainly provides pharmacy services for patients receiving treatment at the hospital. This activity is regulated by the Care Quality Commission (CQC). The pharmacy is registered with the General Pharmaceutical Council (GPhC) because it dispenses some medicines for patients of other legal entities including the Pennine Care Trust (mental health) and the Manchester Royal Infirmary (renal unit) which are located on the hospital site. And it also supplies patients at Willow Wood Hospice, which is a short distance from the hospital. The pharmacy has a wholesale dealer licence (WDL) for the supply of stock to these separate legal entities. This activity is regulated by the Medicines and Healthcare Products Regulatory Agency (MHRA). 

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy adequately manages risks, and it takes steps to improve patient safety. Members of the pharmacy team work to professional standards. The team follows written procedures on keeping people’s private information safe. And team members understand how they can help to protect the welfare of vulnerable people. Record keeping is generally in order, although some details relating to the responsible pharmacist (RP) are missing.  And the pharmacy’s procedures don’t sufficiently cover the RP regulations. This means team members may not always fully understand their responsibilities.  

Principle 2. Staff

Standards met

Pharmacy team members are well trained. They work well together and communicate effectively. The pharmacy encourages team members to keep their skills up to date and supports their development. They are comfortable providing feedback to their manager and they receive feedback about their own performance. The pharmacy enables the team members to act on their own initiative and use their professional judgement to the benefit of people who use the pharmacy’s services.

Principle 3. Premises

Standards met

The pharmacy provides a professional environment for people to receive healthcare services. It has a private consultation room so people can receive services in private and have confidential conversations with members of the pharmacy team.


Principle 4. Services, including medicines management

Standards met

The pharmacy provides healthcare services which are well managed, and people receive appropriate care. It sources, stores, and supplies medicines safely. And it carries out checks to ensure medicines are in good condition and suitable to supply.

Principle 5. Equipment and facilities

Standards met

Members of the pharmacy team have access to the equipment and facilities they need for the services they provide. They maintain the equipment so that it is safe to use.

Pharmacy details

Tameside General Hospital
Fountain Street
ASHTON-UNDER-LYNE
OL69RW
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