| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy team has not identified the risks to patient safety, including having untrained staff dispensing, working with old |
Ongoing and new Staff training to commence with NPA dispenser training course. |
23/08/2019 | 03/10/2019 |
| 1.2 | The pharmacy team does not regularly record and review near misses and SOPs have not been reviewed in the last 2 years. |
Near misses are recorded on our PMR computer, with root cause analysis carried out in a review meetings, necessary actions taken (shelf separation of Tegretol tablets from the Retard formulations, Demarcation of different strengths of Atenolol tablets with Alfacalcidol Caps etc etc) and documented in the computer. Our current and ongoing SOPs was review in November 2018 by Superintendent and signed by all staff. The NPA SOPs in the pharmacy is for our guide and information only and therefore do not need to be signed off by either the Superintendent or the team |
23/08/2019 | 03/10/2019 |
| 1.3 | The staff do not have clear job descriptions or lines of accountability. |
Dispensary and Counter staff have clear job descriptions, lines and consequences of accountability and aware of their responsibilities. These have been further established. |
23/08/2019 | 03/10/2019 |
| 1.6 | Patient returned controlled drug records are not accurate or kept up to date. |
Patient returned controlled drug register have been regularly accurate and kept up to date, and the last entry update within 24hrs allowed by law |
23/08/2019 | 03/10/2019 |
| 1.7 | Confidential patient information is not kept secure or protected. |
Patient confidential will henceforth be shredded by a shredder and by hand and kept secured in a separated waste container. |
23/08/2019 | 03/10/2019 |
| 2.2 | Staff are not trained to requirements set out by the GPhC. |
Ongoing and new Staff training to commence with NPA dispenser training course, in addition to our inhouse on the job training. |
23/08/2019 | 03/10/2019 |
Pharmacy inspections
Inspection reports and learning from inspections