Inspection outcome: Standards met
Last inspection: 25/04/2019
Pharmacy context
The pharmacy is in a parade of shops on a high street in the village of Saltaire. It is open 100-hours per week, opening early in the morning and closing late at night. And, it is open seven days a week. The pharmacy team mainly provide NHS dispensing and sell a range of over-the-counter medicines. And offer services including medicines use reviews (MUR) and the NHS New Medicines Service (NMS). They provide a substance misuse service, including supervised consumption to seven people, and multi-compartmental compliance packs to approximately 20 people. The pharmacy provides its services to a varied local population. The pharmacy has new owners who took over at the beginning of September 2018.
Inspection summary findings
Principle 1. Governance
The pharmacy has procedures to in place to identify and manage risks. It keeps them up to date. The pharmacy has systems in place to manage complaints. And it maintains the pharmacy records it must by law. Pharmacy team members read and follow the procedures. They know how to keep people’s information secure. But, they are unsure about what to do if there is a concern about a vulnerable child or adult. The team members record and discuss mistakes that happen. They use this information to learn and make changes to help prevent similar mistakes happening again. But they don’t always discuss or record enough detail about why these mistakes happen. So, they may miss opportunities to improve.
Principle 2. Staff
The pharmacy team members have the right qualifications and skills for their roles and the services they provide. They complete training ad-hoc. They reflect on their own performance informally. And discuss any training with the pharmacist. But, they don’t complete regular planned training. And they don’t have a formal process to discuss their performance or individual training needs. So, it may be difficult to tailor learning to the needs of the person and to make sure their knowledge and skills are up to date. The pharmacy team do not always establish and discuss specific causes of mistakes. This means they may miss chances to learn from errors and make changes to make things safer. The pharmacy team members can discuss issues and act on ideas to support the delivery of services. But, there is no whistleblowing policy in place. So, they may not be clear about how to raise concerns anonymously.
Principle 3. Premises
The pharmacy is clean and properly maintained. It provides a suitable space for the health services provided. And the pharmacy has a room where people can speak to pharmacy team members privately.
Principle 4. Services, including medicines management
The pharmacy is accessible to people. And it generally provides its services safely and effectively. It stores, sources and manages medicines safely. But, the pharmacy team don’t always label stock medicines correctly. So, they may miss medicines that have expired or been recalled. The pharmacy team members dispense medicines into devices to help people remember to take them correctly. They provide information with these devices to help people know when to take their medicines and to identify what they look like. But, they do not always provide accurate information about the medicines supplied. The team takes some steps to identify people taking high-risk medicines. And it provides them with some advice. But the team don’t have any written information for people to take away. So, people may not have correct information they need to help them take their medicines safely.
Principle 5. Equipment and facilities
The pharmacy has the necessary equipment available, which it properly maintains. And it manages and uses the equipment in ways that protect confidentiality.
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
| The pharmacy has met all the standards for registered pharmacies | |
| 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:
| The pharmacy delivers an innovative service and benefits the whole community and performs well against the standards | |
| The pharmacy delivers positive outcomes for patients and performs well against most of the standards | |
| The pharmacy meets all the standards | |
| The pharmacy has not met one or more standards |