Birchall & Haydock (1031704) - Improvement action plan

The pharmacy is not identifying and managing some risks associated with its services as failed under Principle 3. There are risks to members of the pharmacy team, such as health and safety risks, which have not been addressed. The pharmacy's standard operating procedures are not up to date, they have not been regularly reviewed to make sure they are appropriate and reflect current practice

The pharmacy’s SOPs are reviewed in line with the group on an annual basis. Updates, changes and new SOPs are communicated to all branches across the group to ensure SOPs remain in line with current practice. Branch managers are required to review the SOPs at branch in addition on a 2-yearly basis. Staff have read and signed SOPs and do so for any significant changes or new issues SOPs for new work practices. Staff also receive training associated to these processes. An audit will be conducted with the team to cross-check that all staff continue to be clear on current practice and procedures

The pharmacy has areas of structural damage and dampness near electrical fittings and there is insufficient assurance that they do not present a significant risk to the safe operation of the pharmacy. There is no evidence that the risks presented by this to the health and safety of staff have been adequately assessed. In addition, the pharmacy has inadequate hygiene and infection control for the safe provision of its services as there is no hot water in the staff WC for hand-washing purposes

The leak that developed due to the unusually high volume of rainfall has been addressed. The electrical fittings have been checked and there is no further risk.
The reason for no hot water will be assessed and addressed.