| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy team do not investigate and learn from their mistakes thoroughly and effectively. |
Near misses and errors will be recorded. A report will be produced each month to summarise trends and patterns. This report will be discussed at a meeting of staff each month with suggestions and findings documented and acted upon. Dispensing errors will be investigated with root cause analysis performed, the conclusions recorded and used to inform changes to improve safety of daily practice. |
11/10/2019 | 11/10/2019 |
| 2.1 | The pharmacy team do not have enough staff to provide pharmacy services effectively. |
The superintendent and the directors will consider staffing levels, procedures and workflows across the company. Allocation of staff to various activities and locations will be considered including the provision of administrative support for the day to day activities of the pharmacy. The aim will be ensure that the pharmacy has adequate staff and procedures to process all work in a timely manner. |
11/10/2019 | 11/10/2019 |
| 2.5 | The pharmacy team raise concerns about pharmacy services but do not feel that these are listen to and acted on. |
The company will introduce a new policy of annual staff appraisals. The summary reports from these appraisals will be reviewed by the superintendent and a representative of the directors. This will ensure that concerns, comments and suggestions made by staff members will reach the highest levels in the company. |
11/10/2019 | 11/10/2019 |
| 4.4 | The pharmacy team are not clear on the steps to take when a medicine is not fit for purpose. |
The pharmacy team has been fully briefed on the policy for handling MHRA safety alerts. The handling of the alerts has previously only been done by the superintendent pharmacist. Alerts are received by email to the pharmacy’s shared NHS mail account. The alert is viewed by the superintendent and, if for a product generally found in community pharmacy, printed, checked against stock in the pharmacy, signed, dated and filed. If unfit stock is identified it is removed from stock and returned to the supplier, this action would be recorded on the filed safety alert sheet. |
11/10/2019 | 11/10/2019 |
| 4.2 | The pharmacy team do not regularly provide patient information leaflets and warning labels on medicines contained with multi-compartment compliance aids. |
The pharmacy has already started a new policy of adding full BNF warnings to all medicines listed on backing sheets of multi compartment aids. The pharmacy has now started a new policy of adding a full set of Patient Information Leaflets with the first weekly issue of every set of four multicompartment aids. |
11/10/2019 | 11/10/2019 |
Pharmacy inspections
Inspection reports and learning from inspections