| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | There are written procedures for information governance procedures. But these have not been reviewed for some time, and the pharmacy cannot demonstrate it has appropriately considered the risks associated with how it destroys confidential waste. |
New waste shredding procedure implemented . Company will go to site to collect waste bags and destroy. |
01/10/2026 | 01/10/2026 |
| 1.2 | The pharmacy has a process to record and review when mistakes happen. But there is evidence of mistakes occurring and not always being fully investigated to identify learning. Which may increase the risk of similar incidents occurring. |
All staff reminded to fill in error log, even if minor. |
01/10/2026 | 01/10/2026 |
| 1.6 | The pharmacy does not keep the required records for the responsible pharmacist. So the pharmacy may not be able to accurately show when a pharmacist was present. |
New recording in place now for responsible pharmacist. |
01/10/2026 | 01/10/2026 |
| 1.6 | The pharmacy keeps records for its higher risk medicines. But the records do not always have the necessary detail, or a running balance. So the pharmacy may not be able to promptly identify potential mistakes or diversion. |
Records for higher risk medicines will be updated with a new running balance begun. |
01/10/2026 | 01/10/2026 |
Pharmacy inspections
Inspection reports and learning from inspections