Inspection outcome: Standards not all met
Last inspection: 10/08/2020Improvement action plan
pharmacy is in a parade of shops, on a busy road close to residential housing
and a doctors’ surgery. It provides NHS and private prescription dispensing
mainly to local residents. It supplies medicines in multi-compartment
compliance packs to a lot of people. It has a home delivery service. The
pharmacy has a dispensing robot. A near-by pharmacy closed recently increasing
the number of items dispensed. The inspection took place during the COVID-19 pandemic.
Inspection summary findings
Principle 1. Governance
The pharmacy keeps some of
its records appropriately. But it doesn’t make all the records it must do about
private prescriptions and emergency supplies. So, important information may not
be readily available when needed. In relation to other activities, members of the
pharmacy team usually work to professional standards and try to identify and
manage risks effectively. They record or discuss mistakes they make
during the dispensing process with the regular pharmacist. And they try to
learn from these to avoid problems being repeated. The team members understand how they can help to
protect the welfare of vulnerable people. They also know how to keep people’s
private information safe.
Principle 2. Staff
The staff are aware of
their roles and responsibilities. The lack of a formalised approach to training
may make it harder for staff to keep their skills and knowledge up to date.
Principle 3. Premises
premises are generally clean and provide a safe and professional environment
for people to receive healthcare. The consultation rooms cannot be used for
consultations in their current condition.
Principle 4. Services, including medicines management
The pharmacy gets its
medicines from reputable sources. Pharmacy team members are helpful and give
advice to people. But the pharmacy doesn’t always make relevant checks when supplying higher-risk medicines. So, some
people may not receive all the advice they need about the medicines they
Principle 5. Equipment and facilities
The pharmacy has the right
equipment for its services but it does not make best use of some of its equipment.
732-736 Hertford Road
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 does 'pharmacy has not met all standards' mean?
When a pharmacy has not met all standards, they are required to complete an improvement action plan, which you can find via a link at the top left of this page. We monitor progress to check the improvements are made and inspect again after six months to make sure the pharmacy is maintaining these improvements. A new report will then be published.