| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 4.3 | The pharmacy suitably stores its medicines requiring refrigeration. But there are no records of temperature checks to help demonstrate these are taking place and medicines are always stored in the correct conditions. |
Following the inspection, the pharmacy has implemented a documented daily refrigerator temperature monitoring process. The computer software has a daily on-screen reminder enabled which prompts the pharmacy team each morning to check and record the minimum and maximum refrigerator temperatures. The temperature record is now completed every working day and forms part of the pharmacy's opening procedures. The refrigerator temperature monitoring SOP has been reinforced with all members of the pharmacy team and compliance will be monitored by the Responsible Pharmacist and Pharmacy Manager through regular audits. |
13/08/2026 | 16/07/2026 |
| 4.3 | The pharmacy stores its higher‐risk medicines in a suitable location. But there is insufficient access control to the medicines. This is not in line with good practice and may increase the risk of loss or diversion. |
Locations of high risk medicines have been improved to ensure sufficient access control is in place. |
13/08/2026 |