| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy cannot provide assurance that its SOPs are fit for purpose. Members of the team have not read the SOPs and do not properly understand their responsibilities. |
All of the SOPS are being updated as electronic versions and all staff are in the process of reading and signing off SOPS. |
27/03/2023 | 18/03/2023 |
| 1.3 | Members of the team cannot demonstrate they fully understand their responsibilities, such as what they can or cannot do in the absence of a pharmacist. |
As staff are signing off SOPS and are as such being made aware of their responsibilities and limitations. |
27/03/2023 | 18/03/2023 |
| 1.6 | The pharmacy’s responsible pharmacist record is inaccurate and unreliable. |
Gone back to paper based records and stopped using PMR records. |
27/03/2023 | 18/03/2023 |
| 3.5 | The pharmacy is cluttered and untidy, which impedes the safe and effective provision of services. |
All boxes have been removed from retail and dispensary area. Medicines returns have been dealt with. Shelves tidied. |
27/03/2023 | 18/03/2023 |
| 5.2 | A fridge is in use which is significantly damaged and not fit for purpose. |
A new bigger 300L fridge has been ordered. Stock from both smaller fridges will be transferred to the new fridge. Broken fridge will be disposed of. |
27/03/2023 | 18/03/2023 |
Pharmacy inspections
Inspection reports and learning from inspections