Pharmacy context
The pharmacy is located on a busy main road in a largely residential area near Southend-on-Sea. The pharmacy provides NHS dispensing services and the New Medicine Service. And it provides medicines as part of the Community Pharmacist Consultation Service. The pharmacy supplies medicines in multi-compartment compliance packs to some people who live in their own homes and need this additional support. And it supplies medicines to a small number of care homes. It also provides substance misuse medications to a small number of people. The pharmacy receives most of its prescriptions electronically. The pharmacy had been issuing private prescriptions as part of a walk-in prescribing service.
Inspection summary findings
Principle 1. Governance
The pharmacy does not
identify or manage the risk associated with all its services. It does not
routinely monitor the safety and quality of its prescribing service. And it
does not keep records about consultations with people using this service. The
pharmacy cannot sufficiently demonstrate that it always learns from its
mistakes. It does not routinely record mistakes that happen during the
dispensing process. And this could mean that team members are missing out on
opportunities to improve the pharmacy’s services. The pharmacy cannot
demonstrate that it protects vulnerable people seeking medicines liable for
misuse. The pharmacy does not manage its confidential waste properly, or always
protect people’s personal information. People can provide feedback about the
pharmacy’s services. And the pharmacy largely keeps its records up to date and
accurate.
Principle 2. Staff
The pharmacy cannot
adequately demonstrate that its pharmacist independent prescriber only prescribes
medicines within their scope of competence. And it does not always enrol its
staff on the appropriate training courses in a timely way. This could mean that
they do not have all the skills and knowledge they need to undertake their
tasks safely. However, the pharmacy generally has enough team members to
provide its services safely. And trained team members do some ongoing training
but this is not very structured. This could make it harder for them to keep
their knowledge and skills up to date.
Principle 3. Premises
The premises generally provide a suitable environment for the pharmacy's services. And people can have a conversation with a team member in a private area. But the pharmacy could do more to reduce potential trip hazards in staff-only areas.
Principle 4. Services, including medicines management
The pharmacy cannot provide adequate assurances that its prescribing service is safe. The pharmacy does not monitor or review its prescribing activity, particularly when prescribing pain medicines and antibiotics. It does not keep any records about the consultations its prescriber has with people. It doesn't seek consent from people to share information with other healthcare providers. And its prescriber does not record their reasons for prescribing when they don't have consent to share information with the people's regular prescribers. This increases the risk that the pharmacy supplies prescription medicines to people which are not clinically appropriate, and people's conditions might not be properly monitored. And this is particularly concerning in relation to the prescribing of medicines liable to abuse or misuse. The pharmacy does not ensure that people who get their medicines in multi-compartment compliance packs receive all the information they need to take their medicines safely. The pharmacy does not have robust processes to make sure expired medicines are not supplied to people. And it does not always keep medicines in appropriately labelled containers. This could increase the risk of people getting medicines which are not fit for purpose. However, the pharmacy gets its medicines from reputable suppliers. And people with a range of needs can access the pharmacy's services.
Principle 5. Equipment and facilities
The pharmacy has the equipment it needs to provide its services safely. It uses its equipment to help protect people’s personal information.
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.