| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | Staff do not know where to find the pharmacy's standard operating procedures, which means that they cannot refer to them and that they may not always be working safely in line with current best practice. |
The pharmacy will print the SOPs if the folder cannot be found. |
22/09/2025 | 05/11/2025 |
| 3.1 | The premises are not maintained to ensure a safe working environment for staff. Several handles on the drawers in the dispensary are broken and some have sharp edges. And several of the drawers are difficult to open and some do not close properly. |
The broken handles will be replaced. |
06/10/2025 | 05/11/2025 |
| 4.3 | The pharmacy does not have a robust date checking process. And several expired medicines were found with dispensing stock during a random spot check. This could increase the chance of expired medicines being supplied. |
The date checking rota could not be found. A new one will be implemented immediately. |
22/09/2025 | 05/11/2025 |