| 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 (SOPs) have not been reviewed in over ten years. And it cannot show that team members working in the pharmacy have read the SOPs. This increases the risk that team members are not working in the most safe and efficient way or in line with current legislation. |
New SOPs will be written up. These will get reviewed and signed by the Superintendent Pharmacist. SOPs will be read and signed by all team members. |
24/09/2025 | 23/09/2025 |
| 1.2 | The pharmacy does not keep records of dispensing mistakes and it cannot show actions it has taken in response to these. This makes it harder for the pharmacy to show its team members have learnt from these mistakes and made improvements to their practice. |
Near Miss logs will be printed and displayed for all colleagues and pharmacist to use. They will be renewed every month and they will be reviewed every three months by the Superintendent Pharmacist. |
24/09/2025 | 22/09/2025 |
Pharmacy inspections
Inspection reports and learning from inspections