| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 2.2 | Team members do not always receive appropriate accredited training for the roles in which they are working. This means they may have gaps in their skills and knowledge. |
Untrained team members working in dispensary to be enrolled on appropriate accredited courses |
16/10/2025 | 02/10/2025 |
| 4.3 | The pharmacy fails to consistently store high-risk medicines in line with safe custody requirements. This is a safety concern and it increases the risk of loss or diversion. |
New CD cabinet fitted |
16/10/2025 | 27/09/2025 |
| 4.3 | The pharmacy does not consistently check and record fridge temperatures for medicines that need cold storage, and fridges are not always clean and well organised. As a result, it cannot show that these medicines are kept in the right conditions or are safe to use. |
Fridge thermometer obtained for second fridge and fridge monitoring and recording reinstated |
16/10/2025 | 25/09/2025 |
Pharmacy inspections
Inspection reports and learning from inspections