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Pharmacy inspections

Inspection reports and learning from inspections

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Shah Pharmacy (1034875) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.7

The pharmacy cannot show that the way it stores or disposes of confidential waste is effective or legal.

All confidential waste bins marked clearly
All confidential waste is shredded and waste disposed of as per SOP standard

16/09/2019 13/12/2019
1.1

There were no up-to-date written procedures in place for staff to access to see how they should perform day-to-day tasks.

Up-to date SOP’S to be provided for staff to access at all times and staff to follow procedures in day to day procedures in pharmacy (staff training being provided so all staff have understanding to perform in their various roles using SOP )
OTC medication training: Monthly up to date training provided for staff to cover OTC updates

Appropriate procedures are reviewed ie retrain staff on near miss errors recording and action plans to follow-up on weekly basis to correct near miss and errors procedures

Control drug keys handling i.e held in safe with sign out and sign in procedures by Responsible Pharmacist followed appropriately

Customer survey for 2019 is republished and report to be displayed for public access

Consultation rooms are kept at required standards for patient use only

Robot training is in progress to up date staff on date checks (with documentation) and full utilisation of robot for dispensing purposes

16/09/2019 13/12/2019
4.3

The pharmacy doesn’t store all its medicines safely or in keeping with legislation. The pharmacy cannot demonstrate that medicines which require cold storage are stored correctly.

All procedures for safe keeping of medicines are reviewed for compliance with current standards and staff validated on procedures outlined in SOP

Dispensing/assembly areas are marked clearly and items are arranged in designated areas accordingly to avoid errors

Area in dispensary allocated for assembling of multi-compartment trays
Retrain staff and validate procedures for dispensing multi-compartment trays such as individual master dispensing sheets for dispensers to follow for assembling of trays

All prescriptions are accuracy checked before dispensing of trays and patient prescriptions put together with the assembled trays while awaiting collection

Full utilisation is made of
PMR for
clinical checks/documentation of INR, METHOTREXATE, LITHIUM
Use of warning stickers/cards used where appropriate on medication bags and shelves

Pharmacy has regular subscription for MHRA ALERT NOTIFICATION and compliance to action is taken for alerts as appropriate

16/09/2019 13/12/2019