Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.1 | The pharmacy does not identify and manage risk well. There are no procedures in place to learn from mistakes. |
A near miss log has been obtained from the NPA to help enable record and audit near misses. Previously, near misses were logged on a RPS template not seen at the time of inspection and actioned upon. The log is to be reviewed on a regular basis to further minimise and manage any incidence of near misses. |
28/05/2019 | 16/07/2019 |
1.6 | The pharmacy does not maintain the necessary records it needs to by law. |
Private prescriptions will now be only recorded electronically and filed with the corresponding serial number and no longer written in the book. |
28/05/2019 | 16/07/2019 |
1.7 | The pharmacy does not manage information to protect the privacy of its patients. |
A cross cut shredder has been installed to replace the current shredder. |
28/05/2019 | 16/07/2019 |
3.1 | Some areas in the pharmacy are very untidy and represent a trip hazard to staff. |
Occupying a grade II listed building brings its own challenges but steps have been taken to clear floor space and de-clutter storage areas. |
28/05/2019 | 16/07/2019 |
4.3 | The pharmacy does not store medicines in accordance with the law. Unlabeled monitored dosage system trays are stored prior to the prescription arriving in the pharmacy. |
As above. A new system has been put in place to ensure no MDS trays are left unlabeled. Extra prescriptions have been requested to help achieve this. |
28/05/2019 | 16/07/2019 |
4.2 | Pharmacy services are not managed and delivered safely and effectively. The pharmacy does not routinely use audit trails to show who has dispensed and checked the medicines that they dispense. Monitored dosage system trays are filled in advance and then labelled at a later stage which may increase the risk of mistakes. |
A hazardous waste bin has been obtained in addition to the already existing DOOP(drug waste) bins. |
28/05/2019 | 16/07/2019 |
5.1 | The pharmacy does not have the appropriate equipment to provide the services offered. |
In addition to the 100ml stamped measure currently in use, two smaller measures have been obtained from the NPA. |
28/05/2019 | 16/07/2019 |