| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not identify and manage risk well as they cannot demonstrate learning from their mistakes. |
Safer Care and Near Miss company processes to be implemented as per company guidance Training session to be provided to all relevant colleagues regarding the completion of Near Miss Logs and Safer Care A one-off review of near misses and PIMs to be completed on the last 3 months of data and findings shared with the team. |
10/07/2019 | 16/07/2019 |
| 1.4 | The pharmacy team gather patient and customer views but do not act on these in a timely manner. |
In addition to the actions shown in Standard 2.1, we will also ensure that the team provide and agree accurate waiting times with customers. |
10/07/2019 | 16/07/2019 |
| 1.7 | The pharmacy team do not adequately protect people's confidential information. |
Maintenance to be contacted to arrange for locks to be put on all cupboards in the consultation room Consultation room to be cleared of all patient confidential information in the interim period until locks are fitted. |
10/07/2019 | 16/07/2019 |
| 2.1 | The pharmacy does not have sufficient staff to provide services in a timely manner. Staff are under significant pressure and are behind on their dispensing activity. |
A review of the staffing hours to be conducted vs the business staffing tool to identify any shortfall in hours A review of holiday planning to be completed to ensure that there is adequate cover in the store and staff holidays are planned appropriately. Additional support to be provided to the store where appropriate RPRPRT tool to be utilised to ensure that staff are deployed at the correct times during the week. |
10/07/2019 | 16/07/2019 |
| 4.2 | Pharmacy staff were under pressure to provide dispensing services and this meant that risk management procedures were often not followed. |
In addition to the actions from Standard 2.1 – the store will also arrange to order a “Valproate” pack from Sanofi to ensure that they are able to counsel appropriate patients. Drug Alert and Recall company process to be reinstated and a review of the last 6 months alerts to be completed to ensure none have been missed Cytotoxic DOOP bin to be ordered, and list of drugs to be put in in placed near where it is stored. All staff to review the patient returns SOP. |
10/07/2019 | 16/07/2019 |
Pharmacy inspections
Inspection reports and learning from inspections