Inspection outcome: Standards not all met
Last inspection: 09/11/2020Improvement action plan
The pharmacy is situated in
a residential area, in a small parade of shops. It provides NHS and private
prescription dispensing mainly to local residents. It provides
multi-compartment compliance packs for a large number of people who collect
their packs either from this pharmacy or another one close by, owned by the
same company. The pharmacy has a home delivery service. And there is a post
office in the pharmacy. The pharmacy was
inspected during the COVID-19 pandemic and following information received about
it purchasing large volumes of codeine linctus. Not all the standards for
pharmacy premises were inspected on this occasion.
Inspection summary findings
Principle 1. Governance
The pharmacy doesn’t
identify or manage all the risks with the services it provides. It doesn’t
adequately manage the sales of codeine linctus and Phenergan Elixir, which are medicines
that can be misused. And it
doesn’t have appropriate governance arrangements to protect potentially vulnerable
people from buying them. So, people may take this medicine and cause
themselves harm. The pharmacy adequately manages the risks associated with the
Principle 2. Staff
The pharmacy sells large
quantities of codeine linctus and Phenergan Elixir, which are both medicines
that can be misused. But team members are not aware of the quantities of these
medicines which are supplied. And there is an overall lack of supervisory control. Staff are not provided with formal on-going
training and are not consistently following the training they have received. And
they don’t have performance reviews, which could mean that gaps in their
knowledge or skills may not always be identified and supported. But otherwise,
the pharmacy has enough qualified staff to provide its other services safely.
Principle 3. Premises
The premises are clean and
provide a safe, secure and suitable environment for people to receive
healthcare. But the pharmacy could do more to keep some areas tidier.
Principle 4. Services, including medicines management
The pharmacy doesn’t always
provide its services safely. It doesn’t have adequate safeguards in place to
manage sales of codeine linctus or Phenergan Elixir. So, it is harder for it to
monitor any repeat sales to people. And it doesn’t adequately monitor the
movements of codeine linctus and Phenergan Elixir within the pharmacy group.
So, it is harder for the pharmacy to account for its stock and monitor sales of
these medicines. Otherwise, the pharmacy mostly manages and delivers its services
safely and effectively. The pharmacy safely manages the dispensing of people’s
medicines. The pharmacy sources, stores and manages its other medicines
Principle 5. Equipment and facilities
The pharmacy has the right
equipment for its services. It makes sure its equipment is safe to use.
79 Russell Lane
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.