12 June 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Oxford Online Pharmacy on 24 January 2017. We found the service was not providing Safe, Effective and Well-led services in accordance with the relevant regulations. However, we found they were providing Caring and Responsive services in accordance with the relevant regulations.
Following the 24 January 2017 inspection, we served two warning notices to the provider on the 20 February 2017 under Section 29 of the Health and Social Care Act 2008 which required the provider to become compliant by 3 April 2017.The full comprehensive report on the 24 January 2017 inspection can be found by selecting the ‘all reports’ link for Frosts Pharmacy Ltd on our website at www.cqc.org.uk.
When we inspected the service in January 2017, we found that the provider had not updated their registration with regards to the address of the location where they were providing the regulated activities. The provider has since taken action to update the details of their registration and this has now been completed.
This inspection was an announced focused inspection carried out on 12 June 2017 to confirm that the provider had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Our key findings were:
- The provider had introduced a system to record, assess and manage significant events and incidents.
- Prescribing decisions were documented and made appropriately, based on medical history and made in line with risk assessed national guidance and best practice.
- The provider had introduced a new system to check patients’ identity and ensured that the system was consistently applied.
- Systems to manage and treat medical conditions had been reviewed and improved.
- Systems had been introduced to assist patients in the event of a medical emergency during consultation.
- Consent to care and treatment was sought in line with legislation and guidance and recorded.
- All staff had received training relating to the Mental Capacity Act 2005, health and safety and fire training.
- The provider had reviewed its systems and processes in relation to recruitment checks to ensure this was in line with legislation.
- Systems and processes had been introduced to ensure the effective governance of the service.
- The provider had ensured regular team meetings and clinical meetings were held and minutes from those meetings were documented and made available to all staff.
- Learning from complaints and feedback were shared with all staff.
We found the provider had taken actions to make improvements and were now providing safe, effective and well-led services in accordance with the relevant regulations.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice