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Pharmacy inspections

Inspection reports and learning from inspections

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Well (1033309) - Improvement action plan

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

The pharmacy doesn’t always have enough staff to manage the workload. This means the team works under significant pressure. And the team struggles to complete some key governance tasks regularly.

Review of staffing levels and skill mix (using staffing and capability assessment document) Completion of staffing rota, matrix and training plan.

Complete and maintain 6 weeks forward planning rotas

Assess against workload, identify any shortfalls and put appropriate resource in place.

Complete recruitment for full-time vacancy. Full induction to be completed for new starter upon commencement of employment.

Relief dispenser support to be provided until recruitment completed.

Pharmacist Manager recruited to work full time in the pharmacy to provide continuity. Currently working their notice in existing employment. Due to start in 7 weeks time. AOM will continue weekly visits until Manager assumes leadership responsibilities.

Team meeting arranged to review the content of the inspection report and the plan to improve and maintain standards.
Meeting agenda to include:
•What a “standards not met” inspection means; plan to improve standards and the responsibility to maintain.
•Near miss recording, review and learning, utilising Datix.
•PSI review, learning and improvement actions following incidents.
•Staffing skill mix and rota, field support process.
•Raising concerns process.

08/11/2021 02/11/2021