Rutland Late Night Pharmacy (9011894)

Inspection summary findings

Principle 1. Governance

The pharmacy does not adequately identify and manage some of the risks associated with its prescribing services. It does not have risk assessments and prescribing policies for all its services. There is insufficient evidence that the PIPs' prescribing is subject to clinical audits. Although records of supplies made against patient specific directions are made, discussions that take place between the person and the PIP are not always documented and the PIP does not document their consultation with the person for acute conditions on the person's pharmacy medication record. The pharmacy doesn’t share information with the person's usual doctor when it supplies of higher-risk medicines such as Ozempic for weight loss. And the pharmacy can’t demonstrate that it protects vulnerable people seeking medicines for weight loss adequately through its online service. This means that some people who may misuse or overuse weight loss medicines may not be identified by prescribers working for the pharmacy. The pharmacy has some procedures to learn from its mistakes. But because it does not routinely record all its mistakes it might miss opportunities to improve its ways of working. The pharmacy manages people’s electronic personal information safely.

Principle 2. Staff

The pharmacy’s team members work together to manage the day‐to‐day workload within the pharmacy. And the team have the skills to deliver services safely, and they know how to raise a concern if they have one. Some ongoing structured training could enhance the service provided. 

Principle 3. Premises

The pharmacy's website does not provide all the required relevant information to people using its services. Some of the information displayed is potentially misleading. And the pharmacy is advertising the off-licence use of medicines which is against MHRA guidance. People can receive services at the pharmacy in private when they need to. The pharmacy keeps its premises safe, secure, and appropriately maintained.

Principle 4. Services, including medicines management

The pharmacy cannot clearly show that its prescribing service is managed and delivered safely. When prescribing at a distance, the service doesn't always independently verify a person's medical history or weight for medicines for weight loss. The PIP does not always keep satisfactory records of their consultations. And does not record their reasons for prescribing when they don't have consent to share information with people's regular prescribers. The prescribing service doesn't always tell people when a medicine is being used off-licence. However, the pharmacy gets its medicines and medical devices from reputable sources. It stores them safely and it knows the right actions to take if medicines or devices are not safe to use to protect people’s health and wellbeing.

Principle 5. Equipment and facilities

Members of the pharmacy team have the equipment and facilities they need for the services they provide. The pharmacy maintains its equipment and facilities adequately.