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Pharmacy inspections

Inspection reports and learning from inspections

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Pharmacy Department (9012005)

Inspection outcome: Standards met

Last inspection: 23/04/2024

Pharmacy context

The pharmacy is situated at the Royal Liverpool Hospital, in Liverpool city centre. The pharmacy’s only registrable activity is the occasional supply of aseptically manufactured prescription only medicines (POM), on a named patient basis, to other legal entities. The pharmacy has an MHRA license, and its dispensing activity for the NHS trust are regulated by the Care Quality Commission (CQC). The pharmacy is closed to the public and provides a very limited volume of activity which requires it to be registered with the General Pharmaceutical Council (GPhC), therefore a full inspection was not carried out.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy has written procedures which are followed by its team members to help make sure they complete tasks safely and effectively. Members of the team make a record of when things go wrong, and they discuss them so that they can learn from the mistakes. The pharmacy provides training and written processes to help its team members protect people’s private information and keep vulnerable people safe.

Principle 2. Staff

Standards met

The pharmacy has enough trained team members to safely manage the workload. And it provides them with a good level support to complete any new and ongoing training. Team members meet regularly to discuss any concerns and provide feedback which helps the pharmacy to improve the services it provides

Principle 3. Premises

Standards met

The environment is suitable for the provision of pharmacy services and the premises are clean and tidy.

Principle 4. Services, including medicines management

Standards met

The pharmacy provides its services safely and manages them well. It has processes to make sure the team provides people receiving higher‐risk medicines with the correct advice. And it stores and manages its medicines in a way to help make sure they are safe to supply to people.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide its services. And its facilities help the team to
provide services in a safe and effective manner.

Pharmacy details

Clinical Support Services Building (CSSB)
Royal Liverpool University Hospital
Mount Vernon Street
Liverpool
L78YE
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