| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy team were unable to access the pharmacy standard operating procedures and could not show that they had read and understood them. |
1. All pharmacy SOPs have been reviewed and new, up-to-date SOPs have been created to reflect current practice. 2. SOPs will be made easily accessible to all members of the pharmacy team at all times (both electronically and/or in a clearly labelled SOP folder in the dispensary). 3. All staff will be required to read each SOP and sign a declaration confirming they have read, understood, and will adhere to them. 4. A two-week deadline from today has been set for completion of SOP reading and sign-off. 5. The Responsible Pharmacist/Manager will check and record completion and will follow up with any staff who have not complied by the deadline. |
03/02/2026 | 16/01/2026 |
| 2.2 | The pharmacy team had one member of staff who had been working as a medicines counter assistant but had not been put on an appropriate training course. |
1. Two members of staff will be enrolled on the appropriate Buttercups Medicines Counter Assistant training course. 2. Until training is completed, these staff members will work under the direct supervision of a trained ACT or responsible pharmacist, in line with legal and professional requirements. 3. A trained ACT is already in place to provide appropriate support and supervision. 4. Training progress will be monitored regularly, and completion dates will be recorded in the staff training file. |
03/02/2026 | 16/01/2026 |
Pharmacy inspections
Inspection reports and learning from inspections