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Pharmacy inspections

Inspection reports and learning from inspections

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RM Medicines (9012024)

Inspection outcome: Standards met

Last inspection: 16/08/2023

Pharmacy context

This is the outpatient pharmacy at the Royal Marsden Hospital site in Sutton, Surrey. It is in the newly-built Oak Cancer Centre on the hospital site. It dispenses prescriptions written by prescribers in the hospital for people who aren’t staying there. It delivers some of those prescriptions directly to people’s homes so that they don’t have to come to the hospital just to collect their medicines. It also sells a limited range of over-the-counter medicines and other personal care products.

Inspection summary findings

Principle 1. Governance

Good practice

The pharmacy manages the risks associated with its services very well. It makes very good use of modern technology to monitor and manage those risks. And it works closely with others within the hospital to help reduce them further. The pharmacy has detailed written instructions which help its team members to carry out their tasks safely. It regularly reviews those instructions to make sure they stay up to date. It has good processes for learning from mistakes and effectively shares what it has learned. Members of the team communicate well with each other so that those starting a new shift are quickly brought up to date. The pharmacy manages and protects confidential information well and its team members understand their role in helping to protect the welfare of vulnerable people. 

Principle 2. Staff

Standards met

The pharmacy has enough staff, with an appropriate skill mix, to manage its workload safely. It has a good management structure in place to help it run smoothly and effectively. The pharmacy gives its team members plenty of support with their training, making sure they have enough time to complete it. They have a clear understanding of their roles and responsibilities, and work well together as a team.

Principle 3. Premises

Standards met

The pharmacy’s premises are welcoming and present a very professional image to those using its services. They are bright, clean and easily accessible. And they are very well laid out with plenty of space for everyone to work efficiently and safely.

Principle 4. Services, including medicines management

Standards met

The pharmacy delivers its services in an easily accessible, safe and effective manner. It continually improves the way it works so that people don’t have to wait any longer than is necessary. Its team members give people detailed information about their medicines, taking into account the differing needs of people attending the hospital. They identify those supplied with high-risk medicines, so that they can be given extra information to help them take their medicines safely. The pharmacy sources, stores and manages its medicines safely, to help make sure that all the medicines it supplies are fit for purpose. It responds very well to drug alerts or product recalls to make sure that people only get medicines or devices which are safe for them to take.

Principle 5. Equipment and facilities

Standards met

The pharmacy has suitable facilities for the services it provides, and it makes sure that they are correctly used and maintained. It also ensures that people’s private information is kept safe and secure.

Pharmacy details

Royal Marsden Hospital
Oak Cancer Centre
Ground Floor

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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