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Pharmacy inspections

Inspection reports and learning from inspections

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Sefgrove Ltd. (1040916)

Inspection outcome: Standards met

Last inspection: 21/11/2022

Pharmacy context

The pharmacy is located on a parade of shops in a largely residential area. It provides a range of services, including the New Medicine Service, flu vaccination service and COVID vaccination service. It also provides medicines as part of the Community Pharmacist Consultation Service. The pharmacy supplies medications in multi-compartment compliance packs to a large number of people who live in their own homes to help them manage their medicines.

Inspection summary findings

Principle 1. Governance

Standards met

Overall, the pharmacy adequately identifies and manages the risks associated with its services to help provide them safely. It records and reviews its mistakes so that it can learn and make its services safer. The pharmacy records and regularly reviews any mistakes that happen during the dispensing process. And it uses this information to help make its services safer and reduce any future risk. It protects people’s personal information well. And people can provide feedback about the pharmacy’s services. Team members understand their role in protecting vulnerable people. And the pharmacy largely keeps its records up to date and accurate.

Principle 2. Staff

Standards met

The pharmacy has enough team members to provide its services safely. They do the right training for their roles. And they are provided with some ongoing training to support their learning needs and maintain their knowledge and skills. They can raise any concerns or make suggestions. This means that they can help improve the systems in the pharmacy. The team members can take professional decisions to ensure people taking medicines are safe.

Principle 3. Premises

Standards met

The premises provide a safe, secure, and clean environment for the pharmacy's services. People can have a conversation with a team member in a private area.

Principle 4. Services, including medicines management

Standards met

Overall, the pharmacy provides its services safely and manages them well. People with a range of needs can access the pharmacy’s services. The pharmacy gets its medicines from reputable suppliers and stores them properly. It responds appropriately to drug alerts and product recalls. ​But the pharmacy doesn't always highlight prescriptions for higher-risk medicines. And this may mean that it misses opportunities to speak with people when they collect these medicines.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment it needs to provide its services safely. It uses its equipment to help protect people’s personal information.

Pharmacy details

3-5 Westow Hill
Upper Norwood
LONDON
SE191TQ
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