| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy does not keep accurate records of its controlled drugs. |
A comprehensive CD balance has been undertaken and many discrepancies addressed. The outstanding discrepancies have been sent to NHS CD reporting website and email confirmation of receipt has been received. A regular fortnightly CD balance is undertaken aside a running balance. |
23/05/2022 | 06/05/2022 |
| 1.2 | The pharmacy does not keep adequate records of its mistakes. |
The culture discussed with both inspectors on how to make mistakes less blaming has been implemented and pharmacy staffs are learning from any mistakes made. Records are kept via dated near miss log. |
23/05/2022 | 04/05/2022 |
| 1.1 | The pharmacy's standard operating procedures are not reviewed regularly. |
Since the inspection all the SOPs have been reviewed and brought up to date. |
03/08/2022 | 09/05/2022 |
| 4.3 | The pharmacy does not effectively review or monitor the cold chain storage procedures. And it also stores some unpackaged medicines without adequate labelling. |
A daily fridge temperature is undertaken and recorded only onto the fridge record sheet. |
23/05/2022 | 25/04/2022 |
| 4.2 | The pharmacy team members do not always make the appropriate interventions on their prescriptions, and they do not ensure all medicines are labelled accurately. |
This has been addressed by discussing with all staffs to bring to the attention of the pharmacist any required interventions and dispenser to ensure all medications are labelled clearly with PIL included for broken bulk. |
23/05/2022 | 05/05/2022 |
Pharmacy inspections
Inspection reports and learning from inspections