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Pharmacy inspections

Inspection reports and learning from inspections

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Theatre Royal Pharmacy (1105926)

Inspection outcome: Standards met

Last inspection: 05/01/2024

Pharmacy context

This community pharmacy is located inside a medical centre in the town of Dereham in Norfolk. It provides a variety of NHS services including dispensing NHS prescriptions, the New Medicine Service (NMS) and supervised consumption of medicines. It also provides medicines in multi-compartment compliance aids to people who have difficulty remembering to take their medicines.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy generally manages the risks associated with its services. And its team members record and regularly review any dispensing mistakes. The pharmacy largely keeps the records its needs to by law. And it has appropriate insurance arrangements in place. The pharmacy team knows how to protect vulnerable people.

Principle 2. Staff

Standards met

The pharmacy has enough team members to manage its workload. And team members do the right training for their roles. Team members do some ongoing training to keep their knowledge and skills up to date. And they have a regular formal review of their progress. Team members feel comfortable about raising any concerns they have.

Principle 3. Premises

Standards met

The pharmacy has just enough space for its team members to carry out their work. But the small space sometimes makes it difficult to navigate around the pharmacy. However, the pharmacy is kept secure from unauthorised access. 

Principle 4. Services, including medicines management

Standards met

The pharmacy generally provides its services safely. The team can cater for people with different needs. And it responds to safety alerts and recalls of medicines and medical devices appropriately. This helps people be sure that they are getting medicines that are fit for purpose.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the appropriate equipment to provide its services safely. And it protects people’s privacy when using its equipment.

Pharmacy details

27 Theatre Street
DEREHAM
NR192EN
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 do the summary findings for each principle mean?

The standards for registered pharmacies are made up of five principles. The pharmacy will also receive one of four possible findings for each of these principles. These are:

Excellent practice The pharmacy delivers an innovative service and benefits the whole community and performs well against the standards
Good practice The pharmacy delivers positive outcomes for patients and performs well against most of the standards
Standards met The pharmacy meets all the standards
Standards not all met The pharmacy has not met one or more standards