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Pharmacy inspections

Inspection reports and learning from inspections

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Xeal Dispensary (9011996)

Inspection outcome: Standards met

Last inspection: 07/01/2025

Since January 2025 our inspection reports are more concise and accessible - find out more about the changes

Pharmacy context

This is a private pharmacy which is closed to members of the public and it provides its services at a distance. It is situated in an industrial estate and it dispenses specific controlled drugs for private prescriptions received from Care Quality Commission (CQC) registered clinics. The pharmacy does not have an NHS contract to supply medicines against any community-issued NHS prescriptions. The company is registered with the MHRA and holds a Wholesale Dealers Authorisation and Home Office License.

This was a reinspection of the pharmacy following an inspection in August 2024 where the pharmacy was found to be not meeting standards 1.1, 1.5, 2.2 and 4.4, but was meeting the other standards. This reinspection focused mainly on those standards which had previously not been met. Following the last inspection, the pharmacy had reviewed its standard operating procedures. It had updated its complaints procedures so that the team had oversight of the outcomes of the complaints people had made to the clinics. It had also undertaken risk assessments of the unlicenced medicines it was supplying and had implemented procedures to report adverse events about medicines under the Yellow Card Scheme. Previously, the pharmacy had some team members who were working in the dispensary who were not enrolled on accredited training courses. These team members had since been enrolled on the required courses and were in the process of completing them.

Inspection summary findings

Principle 1. Governance

Standards met

Principle 2. Staff

Standards met

Principle 4. Services, including medicines management

Standards met

Principle 5. Equipment and facilities

Standards met

Pharmacy details

Unit 13
Vauxhall Trading Estate
Dollman Street
Birmingham
B74RA
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