| 27/05/2020 |
The dispensary size is inadequate for the services provided |
Efficiency of processes, Outcomes for patients |
Principle 3. Premises |
3.1 |
The layout of the pharmacy does not allow for the safe delivery of pharmacy services. And there is an increased risk of errors happening. The dispensary work benches are cluttered. And the team use the floor to store stock and baskets of assembled medicines waiting to be checked. |
Details
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| 22/05/2020 |
Effective use of a dispensing hub to overcome a lack of space to dispense multi-compartment compliance packs. |
Efficiency of processes, Innovation, Proactive approach |
Principle 4. Services, including medicines management |
4.2 |
Multi-compartment compliance packs are dispensed off-site as the pharmacy has limited space within the dispensary. |
Details
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| 22/05/2020 |
Reviewing the suitability of multi-compartment compliance pack for people that receive packs. |
Added value, Customer and patient focus, Efficiency of processes, Outcomes for patients, Proactive approach, Responsiveness |
Principle 4. Services, including medicines management |
4.2 |
The pharmacy is reviewing whether people continue to need their medicines dispensed into multi-compartment compliance packs. It is doing this to manage the increased workload and space issues. And is discussing any required changes with people. |
Details
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| 30/03/2020 |
Engagement with other healthcare professionals to meet the needs of the local community |
Added value, Customer and patient focus, Efficiency of processes, Proactive approach, Responsiveness |
Principle 4. Services, including medicines management |
4.1 |
The pharmacy actively engages with other local healthcare professionals to provide services to meet the needs of the local community. This means people can access advice and treatment for minor ailments more easily. |
Details
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| 20/12/2019 |
Application of safety and quality monitoring processes to support shared learning |
Efficiency of processes, Governance, Leadership |
Principle 1. Governance |
1.2 |
Pharmacy team members act openly and honestly by sharing information when mistakes happen. And they engage fully in shared learning processes to help reduce identified risks. |
Details
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| 20/12/2019 |
Multi-compartment compliance aids and concordance |
Customer and patient focus, Efficiency of processes, Outcomes for patients |
Principle 4. Services, including medicines management |
4.2 |
The pharmacy works together with the local concordance team at the city council to ensure that this service continually meets the needs of local people who have a variety of difficulties with managing their medicines. The pharmacy has centralised the assembly of its compliance aids which has made the process more efficient for them and freed up the pharmacist's time for other services |
Details
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| 20/12/2019 |
Effective shared learning arrangements to improve patient safety. And continual development of the pharmacy team |
Efficiency of processes, Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 2. Staff |
1.2, 1.3, 2.2, 2.3 |
The pharmacy has robust safety processes. And its team members are committed to sharing learning to help continuously drive improvement. Pharmacy team members have clearly defined roles and responsibilities. And the pharmacy manages the risks associated with delegating its tasks well, through regular audit. The pharmacy has robust learning and development strategies which encourage pharmacy team members to expand their knowledge and skills. Pharmacy team members demonstrate how they apply their professional judgement and learning by working in specialised roles focussed on improving outcomes for the people using the pharmacy's services. |
Details
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| 15/08/2019 |
Efficiency and safety of processes assured through sound risk assessment and use of staff skills. |
Customer and patient focus, Efficiency of processes, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.1, 1.2, 1.3, 1.6 |
There is an innovative approach taken to using the Accuracy Checking Technician’s skills, enhanced use of the pharmacy team and thorough and robust record keeping to free up pharmacists’ time to deliver additional services safely, while ensuring that the dispensing and supply of medicines remains safe, and compliance and medicines optimisation is addressed. |
Details
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| 15/08/2019 |
Safeguarding vulnerable patients |
Customer and patient focus, Efficiency of processes, Governance, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.8 |
Safeguarding vulnerable patients is a clear focus for the pharmacy team. |
Details
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| 09/08/2019 |
Effective use of monitoring and review mechanisms and a culture of learning from incidents. |
Customer and patient focus, Efficiency of processes, Governance, Leadership, Proactive approach |
Principle 1. Governance |
1.1, 1.2 |
The pharmacy demonstrates a robust and systematic approach to clinical governance. Risks to pharmacy services are proactively identified and managed. Systematic review procedures are applied with risk reduction actions implemented routinely. |
Details
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| 09/08/2019 |
Use of new technology to improve efficiency and effectiveness |
Added value, Customer and patient focus, Efficiency of processes, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 5. Equipment and facilities |
5.1, 5.2 |
Dispensing is highly automated using 2 robots which are maintained and serviced regularly and providing an efficient dispensing process. There is a range of high specification equipment for extended services which is calibrated and PAT tested annually. These are used in consultation rooms protecting the privacy and dignity of patients. |
Details
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| 09/08/2019 |
Inadequate risk assessment of monitored dosage system dispensing in a closed pharmacy |
Efficiency of processes, Governance, Lack of key knowledge and a failure to learn, Outcomes for patients |
Principle 4. Services, including medicines management |
4.2 |
The pharmacy has not assessed the risks associated with the supply of multi-compartmental compliance devices to people. The devices are not labelled appropriately, and some are labelled and assembled before the prescription arrives at the pharmacy. There is a risk that people will not receive the correct information they require to take their medicine safely. There is also a risk that changes to medicine regimens may not be checked or addressed. |
Details
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| 09/08/2019 |
Poor management of Controlled Drugs |
Efficiency of processes, Governance, Lack of key knowledge and a failure to learn |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.6, 4.3 |
Poor management of CDs with a lack of maintenance of CD registers and inadequate arrangements for destruction of returned CDs |
Details
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| 26/07/2019 |
Identification and management of risks to dispensing processes |
Efficiency of processes, Governance, Innovation |
Principle 1. Governance |
1.1, 1.2 |
The pharmacy applies systematic processes when delivering all its services. These processes are continually monitored and used to drive up standards. The pharmacy uses innovative technology to substantially reduce risks to patient safety. It has a strong culture of sharing learning with its team, and with other healthcare organisations. This helps to ensure its services are always provided safely. |
Details
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| 25/07/2019 |
Collaborative working with other health services |
Added value, Customer and patient focus, Efficiency of processes, Governance, Innovation, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance, Principle 4. Services, including medicines management |
1.1, 1.2, 4.2 |
Integrated governance procedures are in place which improve patient outcomes and patient safety. Collaborative procedures are in place with other healthcare providers and wider community groups. The pharmacy had a strong focus on medicines optimisation and proactively identified and managed potential risks to patients. |
Details
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| 25/07/2019 |
Safeguarding vulnerable patients |
Added value, Customer and patient focus, Efficiency of processes, Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.1, 1.8 |
Vulnerable patients are proactively identified and concerns about them are appropriately escalated and acted on. |
Details
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| 25/07/2019 |
Comprehensive monitoring and review mechanisms to minimise risks |
Customer and patient focus, Efficiency of processes, Governance, Leadership, Proactive approach |
Principle 1. Governance |
1.1, 1.2 |
There is a consistent and high quality proactive approach to minimise risk across all aspects of pharmacy service delivery. Dispensing accuracy is continually monitored and reviewed with attention given to avoiding repetition and this is shared across the organisation. All services are reviewed on an ongoing basis and changes made to ensure continuing effectiveness and safety. |
Details
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| 24/07/2019 |
Safeguarding vulnerable patients |
Customer and patient focus, Efficiency of processes, Governance, Leadership, Outcomes for patients, Proactive approach, Responsiveness |
Principle 1. Governance |
1.8 |
Arrangements for safeguarding vulnerable patients ensure that their health safety and well-being is protected through appropriate treatment or referral to more appropriate services. |
Details
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| 21/07/2019 |
Routine testing of pharmacy team’s knowledge and understanding of SOPs. |
Efficiency of processes, Governance, Leadership, Proactive approach |
Principle 1. Governance |
1.1, 1.3 |
Staff members are tested on their knowledge of Standard Operating Procedures to ensure they are aware of their roles and the tasks they need to complete to provide services safely. Locums are also required to complete induction packs before they commence working so that they too are familiar with what the pharmacy requires of them. |
Details
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| 19/07/2019 |
Easily accessible pharmacy services and effective signposting to other providers |
Customer and patient focus, Efficiency of processes, Governance, Outcomes for patients, Proactive approach |
Principle 4. Services, including medicines management |
4.1 |
Pharmacy services are readily accessible to patients and members of the public. The pharmacy team work well to promote services which has resulted in good uptake of the services provided. Beneficial outcomes from patients receiving services are recognised by the team. |
Details
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