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Pharmacy inspections

Inspection reports and learning from inspections

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Jade Pharmacy (Heston Road) (1034943) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy does not take appropriate action to identify and manage the risks associated with all its services.

Action to be sent daily to group communications chat group at close of play:
• Copies of individual near miss records for each team member
• Picture of all work benches in the dispensary showing NO medication boxes on the work bench. All medication must be put away on the corresponding shelves by the end of the day.
• Pictures of all dispensary shelves showing the shelves are tidy and organised. All split packs must be clearly marked, and the RP must ensure that the medication in there belongs to that pack only.
• Picture of counter bench – must ensure that no patient identifiable data is visible, and that no Rx’s should be on the counter bench at any time.
• Pictures of pharmacy to show that the pharmacy is clean, tidy and organised.
• Picture of Dispensary floor must be clear of all medication and medication totes.
• Screenshot of fridge temperature log.
• Keys to be kept securely as per agreed process.
• Pictures of measures and counting triangles, all sinks in premises.
• Picture of Expiry date checking log, must be done daily.

28/06/2024 12/07/2024
1.2

Once risks associated with its services have been identified, the pharmacy team does not properly review them. And take action to reduce them.

The pharmacy team will discuss the near-miss logs as a team weekly and with the SI monthly via the monthly patient safety report, and SI and team to discuss this to ensure each team member has reflected on each near miss and discuss what they have learnt. Root cause analysis of each error and learning from the error to be documented

28/06/2024 12/07/2024
1.4

The pharmacy does not adequately respond to previous feedback from the GPhC.

Pharmacy team together with SI have prepared detailed action plan which discusses how previous feedback from the GPhC will be implemented and maintained.

28/06/2024 12/07/2024
1.6

The pharmacy does not adequately ensure that its essential records are accurate. And that they are all completed in the way the law requires.

Actions to be sent daily on team communications chat group at close of play:
• Screenshot of fridge temperature log
• Screenshot of RP log

28/06/2024 12/07/2024
4.3

The pharmacy routinely places its medicines for dispensing in inappropriate packaging. And it does not make sufficient checks to ensure they are appropriate for supply. And to protect people's health and wellbeing.

Actions to be sent daily on team communications chat group at close of play:
• Picture of all work benches in the dispensary showing NO medication boxes on the work bench. All medication must be put away on the corresponding shelves by the end of the day.

Conduct a thorough review of all controlled registers to ensure that all entries are accurate and up to date.

28/06/2024 12/07/2024