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Pharmacy inspections

Inspection reports and learning from inspections

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Shah Pharmacy (1034875)

Inspection outcome: Standards not all met

Last inspection: 10/08/2020

Improvement action plan


Pharmacy context

The 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

Standards not all met

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

Standards met

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

Standards met

The 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

Standards met

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 receive.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the right equipment for its services but it does not make best use of some of its equipment.

Pharmacy details

732-736 Hertford Road

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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 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.