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Pharmacy inspections

Inspection reports and learning from inspections

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Medicare Dispensing Chemist (1034849) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.6

The pharmacy has not routinely maintained and recorded details of the responsible pharmacist (RP). There are consistent gaps within the RP log where no details about the pharmacist have been recorded.

This has already been addressed and the RPs are now signing in and out every single day but to be safe I will get a paper copy of the RP book.

25/11/2024 23/12/2024
1.2

The safety and quality of the pharmacy's services are not regularly reviewed and monitored. The pharmacy is unable to fully demonstrate that it records all its mistakes, monitors and informs others or learns from them.

We understand that regularly reviewing and monitoring our pharmacy services is essential for safety and quality. In response to the GPhC’s concerns, we will introduce a structured process for recording all incidents and errors. All staff (especially pharmacists will read all SOPs on the first day and will be made aware of this specific standard) are now trained to log mistakes immediately, and a lead team member ensures nothing is missed (the RP). We will review these incidents quarterly, allowing us to identify patterns and
make improvements. We will ensure that when we are doing end of month that a new near miss sheet is printed with the new month and the RP is reminded to fill it in should they identify any errors, The Dispenser will be responsible for showing the RP on duty where the forms are kept if the regular RP is absent, and a locum is covering. The RP will also be made aware of the Medication Safety Incident Report Form Pharmacy Error if an actual dispensing errors occurs. In such circumstances the Superintendent will be made aware of the incident.

25/11/2024 23/12/2024
1.3

New members of staff are carrying out tasks without understanding their own accountabilities and responsibilities, the pharmacy's internal processes or about data protection. They have not undergone a suitable induction process and they lack basic knowledge about what they can or cannot do in the absence of a pharmacist.

We understand the importance of ensuring new staff are fully aware of their roles, responsibilities, and the pharmacy’s procedures. To address this, we have implemented a structured induction program for all new team members. On their first day, each new member of staff will now read our Standard Operating Procedures (SOPs). This induction covers key topics such as their specific responsibilities, data protection, and what tasks they can and cannot perform without a pharmacist present.

25/11/2024 23/12/2024
3.1

The pharmacy premises are very cluttered and untidy in some places. The consultation room looks unprofessional as several unnecessary items (such as Jam and bread) have been stored here as well as in the dispensary.

We recognise the importance of maintaining a clean, tidy, and professional environment in
the pharmacy. We have now removed all unnecessary items, such as food, from both the consultation room and the dispensary. We will ensure that these areas remain clutter-free and organised going forward, with regular checks in place to maintain a high standard of tidiness and professionalism.
across the premises. I will inform all staff to
maintain this.

25/11/2024 23/12/2024
4.2

The pharmacy's services are not always managed or delivered safely and effectively. The pharmacy has been unable to show that it has appropriate audit trails in place to verify its local delivery service.

Staff have now already been told not to get rid of the delivery sheet and to also take a picture of it. We are actually in the process of signing up to a delivery software which is backed up and will keep an audit trail but in the mean time all paper copies are kept, the driver signs this and all CDs are signed and segregated.

25/11/2024 23/12/2024