| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | Members of the team do not record things that go wrong so they can learn from them. So they may miss some opportunities to improve. |
We have an incident reporting system put in place already and will continue to train staff and explain that this needs to be adhered. Our reporting tools have also been updated to allow us at head office to monitor this progress. |
10/12/2024 | 22/01/2025 |
| 3.1 | Some areas of the premises present a significant health and safety risk to the team. Mould is present in the basement due to a past flooding incident. |
We called cleaning company and get their appointment to get mould clean. |
10/12/2024 | |
| 4.3 | The pharmacy does not always store medicines that require refrigeration in appropriate conditions. |
We have addressed the concern by installing a new refrigerator to ensure medicines are stored under appropriate conditions moving forward. |
10/12/2024 | 22/01/2025 |
| 4.2 | The pharmacy does not have robust processes for ordering stock to fulfil prescriptions and it does not effectively manage people’s prescriptions when the full quantity of the medicine is not available. |
We have reviewed our SOPS and have shared this with the staff to ensure they are followed. |
10/12/2024 | |
| 5.1 | The pharmacy does not have all the equipment it needs to provide the services it is commissioned to do so. |
We have reviewed our equipment needs and are in the process of acquiring any necessary items to ensure we can fully meet the requirements of our commissioned services. |
10/12/2024 | 12/02/2025 |
| 5.2 | The pharmacy's measuring equipment and fridge are not safe to use or fit for purpose. |
We have also ordered new measuring devices for the pharmacy |
10/12/2024 | 22/01/2025 |
Pharmacy inspections
Inspection reports and learning from inspections