| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | The pharmacy is not routinely safeguarding people's confidential information and there is insufficient evidence that governance arrangements are in place for this. There is confidential information constantly left in an unlocked consultation room, the team is storing dispensed prescriptions in a location and way that enables sensitive information to be accessed from the retail area and there are no specific documented details to support the management of confidential information. The pharmacy does not inform people about how their private information is maintained, staff are not trained on recent developments in the law, team members are sharing NHS smart cards to access electronic prescriptions and passwords are known. People's sensitive information can be seen from the way signatures are obtained during the delivery service |
A full review the branch IG and GDPR arrangements will be conducted with the team to ensure they fully understand the principles and requirements for IG and GDPR, and incorporate these into their everyday practice. |
03/12/2019 | 27/12/2019 |
| 1.8 | The pharmacy team members cannot fully demonstrate that they are trained to safeguard the welfare of vulnerable people, they have little understanding about this, there are no local contact details for the safeguarding agencies or local policy information and the pharmacist is not trained to an appropriate level to be delivering clinical services |
Pharmacy staff have been provided training and documentation including CPPE Child Protection training course, NPA Safeguarding Practical Guidance and a detailed SOP. The company will review this training with the staff to ensure that they are able to actively safeguard the welfare of vulnerable people. This will be supplemented with additional training specific to safeguarding via their online training. |
03/12/2019 | 27/12/2019 |
| 1.1 | The pharmacy is not identifying and managing several risks associated with its services as failed under the relevant principles. Staff are not routinely working in line with the pharmacy's standard operating procedures. |
SOPs will be reviewed with all staff to ensure that they have not just read and signed them, but understand and work in line with them. |
03/12/2019 | 27/12/2019 |
| 3.1 | Pharmacy services are not provided from an environment that is appropriate for the provision of healthcare services. Most of the pharmacy is extremely cluttered, this includes the consultation room. There are dirty and untidy areas in the pharmacy |
Clutter will be removed and the pharmacy will be thoroughly cleaned as a priority. |
03/12/2019 | 27/12/2019 |
| 4.3 | The pharmacy has not been storing medicines that require refrigeration at the appropriate temperatures |
The fridge function will be investigated and records audited. |
03/12/2019 | 27/12/2019 |
| 4.2 | Pharmacy services are not managed or delivered safely and effectively. The pharmacy is not providing the influenza vaccination service in a safe way as informed consent from people is not being obtained before they are vaccinated, multi-compartment compliance aids are left unsealed overnight, insufficient checks are made to determine whether some medicines are suitable for inclusion and patient information leaflets are not routinely provided when people are supplied with their medicines inside compliance aids |
Staff will be referred back to SOPs with regard to dispensing of medicines in multi-compliance aids to ensure that MDS trays are not left unsealed and to provide PILs. |
03/12/2019 | 27/12/2019 |
Pharmacy inspections
Inspection reports and learning from inspections