Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.1 | The pharmacy team do not manage and identify risks well. |
-LASA to be reviewed and updated |
30/09/2019 | 14/10/2019 |
1.2 | The pharmacy team do not review and monitor the safety and quality of pharmacy services. |
-Near miss, and dispensing incident reviewed monthly and findings shared in team huddle. |
30/09/2019 | 14/10/2019 |
2.4 | There is insufficient reflection and learning from incidents to prevent them from happening again. |
-Colleagues involved in clinically significant near misses and dispensing incidents to complete reflective statement and document and share learnings at huddles. |
30/09/2019 | 14/10/2019 |
3.1 | Not all areas of the pharmacy look professional. |
-Ceiling tiles and damaged girder to be replaced |
30/09/2019 | 14/10/2019 |
3.2 | The facilities for private consultations are not sufficient to protect dignity and confidentiality. |
-Ramp to be installed |
09/12/2019 | 14/10/2019 |
4.2 | Not all the services are effectively managed to make sure that they are delivered safely. |
-Additional colleague to learn MDS process. |
30/09/2019 | 14/10/2019 |