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Pharmacy inspections

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Tilehurst Pharmacy (1028995) - Improvement action plan

GPhC Reference 1028995

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.8

Most of the pharmacy's team members cannot demonstrate any knowledge of safeguarding. The regular pharmacist and the majority of the team are not trained to a level appropriate to their role. The pharmacy has no procedures in place to safeguard the welfare of vulnerable people. And this puts children and vulnerable adults at risk.

1. There has been a change in personnel, with the pharmacist manager leaving his role due to relocating to a different part of the country.
2. The company has in place a safeguarding policy. Members of the team have read and understood this policy. The Deputy Superintendent pharmacist will ensure sound understanding of the policy by all members of the team.
3. The regular pharmacist will also be completing the CPPE on-line training on safeguarding adults and children.

 19/11/2021 25/11/2021
1.1

The pharmacy is not identifying and managing some risks associated with its services as indicated under the relevant failed standards and Principles below. There is no evidence that all the team has seen and read the pharmacy's standard operating procedures. And, the pharmacy is unable to fully demonstrate that its team members learn from the mistakes they make.

1. Meeting has taken place at the branch by the Deputy Superintendent Pharmacist and Area manager. All new members of the team have been assigned onto a GPHC approved training programme.
2. All new members of the team, including the relief pharmacist (working regularly at the branch whilst a pharmacist manager is recruited) Have read, understood and signed the company SOPs.
3. Regular training arrangements have been put into place by the company for new members of the team.
4. Monthly meetings will take place prior to completing the patient safety report. These meetings will be initiated by the clinical governance lead at the branch. These meetings will allow for members of the team to discuss any mistakes/errors that have taken place and will allow members to learn from these. These meetings will initially be supported by the deputy superintendent pharmacist.
5. Regular Pharmacist will be completing the on-line CPPE training on reducing LASA errors.
6. Regular Pharmacist will be completing the on-line training programme on Risk Management training.

 19/11/2021 25/11/2021
2.2

Not all members of the pharmacy team have the appropriate skills, qualifications and competence for their role and the tasks they carry out. The pharmacy is not meeting the GPhC's 'Requirements for the education and training of pharmacy support staff' as one member of the pharmacy team has been working at the pharmacy for longer than three months and is undertaking tasks without being enrolled on accredited training appropriate for this. In addition, the pharmacy does not have a culture of learning embedded in its practice. There are no resources provided to the staff to help keep their skills and knowledge current.

1. Appropriate members of the team have been enrolled on to an accredited training programme.
2. Clear roles and responsibilities have been identified between the existing members of the team.
3. Clear boundaries have been discussed with all members of the team on which member of the team is able to carry out which task safely and within their competence level.
4. Untrained members of the team have received training and communication to only supply and ‘P’ lines after approval by a pharmacist or an appropriately qualified member of the team such as a dispenser.

 19/11/2021 25/11/2021
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