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Pharmacy inspections

Inspection reports and learning from inspections

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Chapel St Pharmacy (1033106) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.2

Pharmacy team members do not maintain records of mistakes made within the dispensing process. And there is no evidence that the team learns from mistakes to improve patient safety.

SOP’s for ‘Near misses’ have been revisited with all staff members. Records of ‘Near Miss log’ kept in the pharmacy have been shown to the relevant staff members. They have also been made aware to visit this logbook and to learn from errors made here so that they are
not repeated.

04/07/2024 20/06/2024
2.2

The pharmacy employs some team members that are not actively undergoing training appropriate for their role in accordance with GPhC training requirements. And so, they carry out tasks for which they are not appropriately qualified or trained.

A new signup date has been achieved with Buttercup, the same training provider, with a start date of 31/05/24.

04/07/2024 20/06/2024
4.3

The pharmacy team doesn’t store and manage all its medicine as it should. And so there is a risk some medicines may be supplied that are not fit for purpose.

SOPs for the Date coding procedure have been revisited with all staff members. Dispensary has been fully checked for shelf expiry dates and will be kept ongoing on a weekly basis. New fridge temp thermometers have also been ordered and will be used to ensure medicines are kept within the recommended range of 2-8 degrees Celsius.

04/07/2024 20/06/2024