Inspection outcome: Standards not all met
Last inspection: 25/04/2024
Pharmacy context
This is a re-inspection of an NHS community pharmacy. The pharmacy is on a small parade of local shops and businesses in Redhill. And it opens six days a week. The pharmacy dispenses prescriptions. And it sells medicines over the counter. The pharmacy supplies multi-compartment compliance packs to a few people who need help managing their medicines. And it provides support for people who use drugs.
Inspection summary findings
Principle 1. Governance
The pharmacy doesn’t manage its risks appropriately. And the way its team works and stores its medicines increases the risk of mistakes happening. The pharmacy has some written instructions to help its team members work safely. But these aren’t reviewed regularly and aren’t always followed. The pharmacy doesn’t do enough to make sure it keeps records in the way the law requires it to do so. And it doesn’t take the action it needs to in response to feedback from the General Pharmaceutical Council (GPhC). People who work at the pharmacy generally know what they can and can’t do. They try to keep people’s private information safe. And they know how to protect the safety of vulnerable people.
Principle 2. Staff
The pharmacy doesn’t have enough team members to deliver its services safely and effectively. And its team struggles to do all the things it needs to do and is behind with its work. Members of the pharmacy team can make decisions about what is right for the people they care for. And they know how to raise a concern if they have one.
Principle 3. Premises
The pharmacy is very cluttered and disorganised particularly in areas people using its services can’t see. And this could present an unacceptable risk to the health and safety of the people who visit or work at the pharmacy. The pharmacy is large enough for the services it provides. And is adequately presented in the areas people using its services can see.
Principle 4. Services, including medicines management
People who work at the pharmacy don’t follow the pharmacy procedures all the time. The pharmacy doesn’t keep adequate records to show its working practices are safe and effective. And it can’t show it has supplied the right medicine to the right person or show who was responsible for each service it provides. The pharmacy doesn’t suitably store all its medicines that must be locked away or those that it needs to keep in a refrigerator. The pharmacy generally sources and manages its other medicines appropriately. It usually carries out checks to make sure these medicines are safe and fit for purpose. It can get rid of the medicines that people no longer want or need. And people can access its services.
Principle 5. Equipment and facilities
The pharmacy generally has the equipment and the facilities it needs to provide its services safely. But the refrigerator it uses to keep medicines in that require refrigeration is too small and isn’t fit for purpose or appropriately maintained.
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.