Woodchurch Pharmacy (1034388) - Improvement action plan

The pharmacy does not consistently check the expiry dates of its stock medicines in line with the written procedures, and expired medicines are found amongst dispensing stock. This means the pharmacy cannot demonstrate that the medicines it supplies are always safe and appropriate for people to use.

Multiple steps have been planned and will be implemented following the feedback received from the inspection. These include the following: Immediate Actions: • Full review of the current SOP for Date-Checking all relevant stock on site and an update of the particulars with specific, targetable procedures. • A new Date-Checking Floor Plan will be produced which outlines every section of stock, numbered and referenced to the PharmSmart recording system. • Numbered labels for each section will be placed in the relevant area(s) of the dispensary for reference to the above. • All staff will be re-trained on the new procedures and SOP(s) for Date-Checking. • Date-Checking sign-off will be included in the Daily and Weekly models for the pharmacy and this will be included on the relevant laminated sheets for keeping track of pharmacy tasks. • All stock in the dispensary and the retail area will be Date-Checked and signed off by April 2nd 2026. Continuous Actions: • Dispensary Lead Technician will take responsibility of the continuous task of Date-Checking a required section per week. Pharmacist and Secondary Leader(s) will take responsibility in their absence. • The full dispensary and retail area(s) will be divided into 12 roughly equal sections and one section will be signed off per week. • A full 12-week cycle will ensure that all stock on site will be Date-Checked once every three months. • Superintendent Pharmacist will “spot-check” sections monthly during the Clinical Governance sign-off for the month.