| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not have complete or up-to-date SOPs in place which means that team members may not complete procedures in a consistent manner, and they cannot refer to the SOPs if they were unsure of a procedure. |
New SOP’s to be drafted, perhaps electronically, under Numark guidance. Staff will be required to re-sign SOPs with regard to confidential information and appropriate disposal. |
18/10/2019 | 02/12/2019 |
| 4.3 | The pharmacy does not monitor the temperatures of two of their fridges and not all CD medicines which require safe storage are kept in the CD cupboard. |
Purchase new thermometers for all refrigerators. As soon as excess stock or an incorrect order is received, it will be immediately actioned to prevent any CD overflow. |
18/10/2019 | 02/12/2019 |
Pharmacy inspections
Inspection reports and learning from inspections