WELL (1029149) - Improvement action plan

The pharmacy is not identifying and managing risks associated with the services it provides.

Arrange conference call with key stakeholders to discuss inspection report and actions required.
Arrange an evening meeting with the pharmacy team to review the content of the inspection report and the plan to improve and maintain standards.
Meeting agenda to include:
•What a “standards not met” inspection means; plan to improve standards and the responsibility to maintain.
•Near miss recording, review and learning, utilising Datix.
•PSI review, learning and improvement actions following incidents.
•Staffing skill mix and rota, field support process.
•Raising concerns process.
•The importance of tidy workspace and model day. How this reduces the risk.

There is insufficient evidence that appropriate action has been taken to address the concerns raised by members of the pharmacy team.

Review Regional workload planning and how the team escalate concerns and determine any improvements.
RDM to maintain contact with the pharmacy on a weekly basis ‘How you doing – check in’
Team to be briefed on raising concerns and whistleblowing process.
Discuss any outstanding concerns raised by the pharmacy team during team meeting.

Pharmacy medicines are not stored tidily or in an organised fashion and this may increase the risk of dispensing errors.

Complete full date check of stock, tidy and reorganise the pharmacy during out of hours working.
Implement stock management process to ensure stock levels maintained to required level and reduce current stock holding.