Lynton Chemist/Pharmacy (1030778) - Improvement action plan

The pharmacy does not have written procedures for all the work it does. This means that the team members may not know the safest and most effective way to work. Team members do not record their errors and consider why they have happened. So they may miss opportunities to learn from them and improve.

• Most SOPs are available in the pharmacy. New team members have been asked to read and sign the SOPs. The MDS SOP has been re-done and has been sent to the inspector. The SOP covering the responsible pharmacist absence SOP will be placed in the folder in the pharmacy
• Near misses are now being recorded and have asked the RP to review it weekly and report back to me. All being done by the RPS paperwork. All team members are made of aware of this and an open discussion is asked for to make sure no more errors.

The pharmacy does not always respond to feedback it receives and make the changes needed to improve.

• We have responded to feedback and therefore have made sure we have 2 members of staff plus the pharmacist at any one time.
• We will continue to liaise with our stakeholders and use their feedback to improve our service
• We now use a ‘retrieval system’ to find prescriptions so that customers do not have to wait for long.
• We are now using single labels on all boxes

The pharmacy does not always follow its written procedures when supplying medicines. And this could lead to medicines being supplied incorrectly or not as required by law. People do not always receive additional advice or checks when they receive high-risk medicines.

• RP has been spoken to as well as all members of staff to ensure all SOPs are read, signed and adhered to
• Self-checking will only be done as a last resort
• In terms of high-risk medication- RP has been advised to speak to all people receiving high-risk medicines and to put a mark/highlight those scripts. Records of these conversations will be made on the PMR.