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Pharmacy inspections

Inspection reports and learning from inspections

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Thornbury Pharmacy (1028659) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.3

Some team members do not understand their roles and responsibilities, including the sale of medicines and the disposal of confidential information.

All team to be re-read the Sales of Medicines protocol and sign new Record of Competence, CM/Pharmacist to sign off colleagues as competent.Review of general medicines sales knowledge for all colleagues to be conducted by pharmacist and appropriate training put in place

All team members to complete the NHSDSP training for Information Governance

All colleagues to review Safeguarding policy (V2) and resign the policy to show evidence of understanding. All registrants to provide evidence of safeguarding level 2 CPPE.

All staff to re-complete the Valproate training.

02/04/2020 19/03/2020
1.6

The pharmacy does not keep all the records that it must by law.

A Specials folder to be set up, and all relevant records to be maintained as per legislation. CM to train all staff on requirements that need to be completed.

02/04/2020 19/03/2020
1.7

The pharmacy team members do not understand how to dispose of all patient-sensitive information.

All colleagues to be retrained on how to deal with patient return medication.

02/04/2020 19/03/2020
4.4

The pharmacy team cannot provide adequate assurance that people only get medicines or devices that are safe.

All patients / organisations where we deliver medicines to that have any of the High-Risk Medicines need to be contacted as per the SOP.

Copies of the last 6 months Drug Alerts and recalls to be obtained and checked, to ensure none have been missed then filed in a file solely for this process.

Email system to be checked daily for alerts and recalls and then be dealt with daily.

02/04/2020 19/03/2020