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Pharmacy inspections

Inspection reports and learning from inspections

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Plymouth Hospitals NHS Trust (1102686)

Inspection outcome: Standards met

Last inspection: 10/11/2022

Pharmacy context

This is a pharmacy inside Derriford Hospital, in Plymouth, Devon and falls under the University Hospitals Plymouth NHS Trust. The pharmacy dispenses medicines to people who have been admitted to the hospital. This activity is regulated by the Care Quality Commission (CQC). The pharmacy holds a wholesale distribution authority (WDA) whose activity is regulated by the Medicines and Healthcare Products Regulatory Agency (MHRA). The pharmacy is also registered with the General Pharmaceutical Council (GPhC) as it supplies medicines to several other organisations that are separate legal entities; this includes private organisations as well as community mental health trusts in the surrounding area. The inspection and resulting report only deal with activities associated with the pharmacy’s GPhC registered activities.

Inspection summary findings

Principle 1. Governance

Good practice

The pharmacy provides a safe and effective service to external organisations. It identifies and manages risks very well. And it has robust internal processes in place to make things safer. The pharmacy team continually monitors the safety of its services by recording mistakes and learning from them. Team members are trained to protect the welfare of vulnerable people. The pharmacy protects people’s private information appropriately. And it maintains its records as it should.

Principle 2. Staff

Standards met

The pharmacy has enough staff to manage its workload appropriately. Members of the pharmacy team have a range of skills and experience. The pharmacy provides additional resources to help keep their skills and knowledge up to date. And external drivers from the courier service are also appropriately trained.

Principle 3. Premises

Standards met

The pharmacy's premises provide an adequate environment to deliver its services from. The pharmacy is clean and tidy. It has plenty of space for the team to work in safely. And it is secure from unauthorised access.

Principle 4. Services, including medicines management

Standards met

The pharmacy's working practices are safe and effective. This includes ensuring the risks associated with the delivery service are well managed. The pharmacy obtains its medicines from reputable sources, it stores and manages them well. And it keeps appropriate records to verify how its services are being run.

Principle 5. Equipment and facilities

Standards met

The pharmacy has a suitable range of equipment and facilities. This helps to provide its services safely. It has back-up processes in place in case the equipment fails. And its equipment is clean

Pharmacy details

Pharmacy Department
Derriford Hospital
Derriford Road
PLYMOUTH
PL68DH
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