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Pharmacy inspections

Inspection reports and learning from inspections

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Trustmed Pharmacy (9012191)

Inspection outcome: Standards met

Last inspection: 21/06/2024

Pharmacy context

The pharmacy is situated in a small room in the grounds of Leicestershire General Hospital. The pharmacy dispenses out‐patient renal prescriptions for Leicestershire NHS Hospitals Trust.

Inspection summary findings

Principle 1. Governance

Standards met

The pharmacy identifies and manages the risks associated with the provision of its services. Its team members have defined roles and accountabilities. The pharmacy keep people’s private information safe. The pharmacy has procedures to learn from its mistakes but because it may not record all of its near misses it may miss opportunities to learn from its mistakes and improve its ways of working

Principle 2. Staff

Standards met

There are enough team members to manage the pharmacy’s workload. They are suitably trained for the roles they undertake. Team members are supported in their development and can raise concerns if needed.

Principle 3. Premises

Standards met

The pharmacy keeps its premises safe, secure, and appropriately maintained.

Principle 4. Services, including medicines management

Standards met

The pharmacy offers healthcare services which are mainly suitably managed and are accessible to people. The pharmacy gets its medicines and medical devices from reputable sources. It stores them safely. It takes the right actions if medicines or devices are not safe to use to protect people’s health and wellbeing. But the pharmacy does not make a record of the action it has taken which could make it harder for it to show what action it has taken in response to an alert.

Principle 5. Equipment and facilities

Standards met

The pharmacy has the equipment and facilities it needs for the services it provides. It maintains its equipment so that it is safe to use.

Pharmacy details

Unit 2
Leicester General Hospital
Gwendolen Road

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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