| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy’s standard operating procedures are not on the premises and available for the team to use. So, team members may be less clear about the correct procedures to follow. |
Pharmacy SOPs were out with the superintendent for review at the time in the other branch Beehive Pharmacy. SOPs are in the pharmacy and available for the staff to read and sign the new version of them. On the day of the inspection a full set of SOPs was presented to the inspector with the other branch name as the superintendent was updating the SOPs for the branches. The set of SOPs that was presented to the inspector had the other branch name and that was the mistake of the superintendent which was rectified already. |
09/04/2026 | 26/03/2026 |
| 1.8 | Not all team members understand their role in safeguarding vulnerable people. And not all of them have undertaken training about safeguarding. This means that they may be less able to appropriately identify and respond to any safeguarding concerns. |
All the team members did safeguarding courses about a year and half ago. We are part of Numark and all the team members will do a refreshment course with numark training and will sign a log on completion of the course. |
09/04/2026 | 26/03/2026 |
| 4.3 | The pharmacy does not monitor or record the temperature of its pharmaceutical fridges. So, it cannot demonstrate that it is storing its medicines requiring cold storage correctly. |
We had thermometers in the fridges but there wasn't a log of that on the computer system or paper log. |
24/03/2026 | 26/03/2026 |