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Pharmacy inspections

Inspection reports and learning from inspections

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A.F.Norman Chemists Ltd. (1030221) - Improvement action plan

GPhC Reference 1030221

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy doesn’t adequately identify and manage all the risks associated with the services it provides, including the management and storage of its medicines. It doesn't have suitably robust processes. And it doesn't have accurate records to show to help ensure the safety of its processes.

The intention is to have a pharmacy log book/folder which will feature
paper RP logs, visitor logs, near miss logs, a cleaning rota and staff handover notes as currently all are disparate and of limited functionality. This log book will be implemented now in the old pharmacy to allow
aspects like the near miss log to satisfy the requirement. To satisfy the requirement all SOPs will be read and
signed by all staff immediately, and then revisited in a few months
time once the staff move to the new pharmacy.

 15/07/2021 16/07/2021
4.3

The pharmacy doesn’t always store or manage its medicines correctly. And its processes are not adequately robust. This has not improved sufficiently after the previous inspection.

Date checking is being integrated into the storage of the medicines
within the building using Medidrawers which will contain their own
date check log. Discussions have
been had regarding the unmarked boxes and cut off strips, as this is
something that creeps back in periodically. All staff are being put through new training programmes.
The storage of medicines at ambient temperatures is changing to be
in a drawer based system. Each
drawer is intended to have its own date checking matrix for products
contained within the shelf face for accessibility and visibility.
The fridge which was in
storage has now been delivered and installed. This is a LabCold unit
with integrated temperature monitoring, battery backup, a battery
backup for the temperature logger, an integrated USB transfer port,
alarm test function, and is lockable. The outside edge of the fridge has a pocket for manual temperature logs also, and the same localised
date check records.

 15/07/2021 16/07/2021
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