| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | The pharmacy does not always manage confidential information properly or securely dispose of confidential waste. This could result in people’s personal information being disclosed. |
to get extra shredder and to keep it in pharmacy area. To review with staff our whole approach to confidential information. We will put a shorter time screen saver on computer in consultation room |
18/09/2019 | 18/11/2019 |
| 1.6 | The pharmacy does not keep all its records fully in line with legal requirements. |
to keep up to date with all paperwork. All records to be kept in line with legal requirements |
18/09/2019 | 13/11/2019 |
| 1.1 | The pharmacy does not routinely assess key risks to patient safety from its activities and services. Standard operating procedures for dispensing, checking and handing out prescriptions are not being followed. And this creates a significant risk. |
to hold meeting with all staff so that they know the importance of following sops and that they must be followed. The SOP’s have been located, I want to initiate a Sop read week so that all staff read 1 SOP at a time and we all discuss it |
18/09/2019 | 13/11/2019 |
| 2.1 | The pharmacy does not have enough suitably qualified staff to ensure that its services and workload are managed safely. |
extra member of staff has been taken on, and |
02/10/2019 | 13/11/2019 |
| 2.2 | All team members do not have the appropriate qualifications for the tasks that they carry out. |
to look at jobs being done by staff and to train them up |
18/09/2019 | 13/11/2019 |
| 3.1 | Areas of the pharmacy including the dispensary are cluttered and disorganised. And this could increase the risk of dispensing errors. The fire exit is also blocked which presents a risk in the event that the pharmacy needs to be evacuated. |
to assess these hazards twice during the working day. Clutter will be removed so that |
18/09/2019 | 13/11/2019 |
| 3.2 | The consultation room does not fully protect the privacy of people who use the pharmacy. |
to make sure that every staff member knows that no personal information to be left in the |
18/09/2019 | 18/11/2019 |
| 4.3 | The pharmacy does not always keep its medicines securely and in accordance with legislation. And cannot show that it always stores medicines which require refrigeration appropriately. |
better documentation and to keep medicines behind pharmacy counter. To keep closer eye on fridge temperature range. To ensure medicines are stored in line with legal requirements. |
18/09/2019 | 13/11/2019 |
| 4.2 | The pharmacy does not fully manage the risks associated with dispensing and with the multi-compartment compliance pack services. |
prescriptions to be left with dispensed medicines until the point that they are handed over.. to speak to surgery so that some protocol can be set up about pharmacy being informed of any changes earlier. Any communications about changes to medicines to be documented in PMR. To speak to the dispenser to shorten the time frame between dispensing and handing out. |
18/09/2019 | 13/11/2019 |
Pharmacy inspections
Inspection reports and learning from inspections