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Pharmacy inspections

Inspection reports and learning from inspections

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Shore Pharmacy (1040508)

Inspection outcome: Standards not all met

Last inspection: 09/11/2020

Improvement action plan

 

Pharmacy context

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

Standards not all met

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 COVID-19 pandemic.

Principle 2. Staff

Standards not all met

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

Standards met

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

Standards not all met

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 appropriately. ​​​

Principle 5. Equipment and facilities

Standards met

The pharmacy has the right equipment for its services. It makes sure its equipment is safe to use. 

Pharmacy details

79 Russell Lane
Whetstone
LONDON
N200BA
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 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.