| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | Pharmacy team members record some of the mistakes they make but they do not review them regularly. This may mean that opportunities to learn from mistakes and take action to prevent them from happening again are lost. |
Team meeting held by pharmacy manager regarding the importance of recording all near-misses. Pharmacy manager to review error and near-miss log once monthly to identify trends and prevent reoccurrence. Findings to be shared with the pharmacy team during the monthly review. |
22/07/2024 | 19/07/2024 |
| 1.6 | The pharmacy does not keep all the records required by law and does not have good governance procedures for the management of controlled drugs. The recorded balances of CDs do not always match the physical stock held. |
All pharmacy team members to read and sign the controlled drugs SOP. Pharmacy manager to carry out training session with team regarding CD governance, CD balance checks and the CD reporting website. CD balance check to be completed weekly, and any discrepancies to be raised and reported through CD reporting website. A company-wide webinar was carried out on 26/6 to support with reporting on the CD reporting website. A full CD balance check to be completed and discrepancies to be investigated. All unsolved discrepancies to be reported to the CD accountable officer and dealt with as they see fit. |
22/07/2024 | 19/07/2024 |
Pharmacy inspections
Inspection reports and learning from inspections