| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy team does not do not do enough to gather information in a way that will help it review what has gone wrong so that it can learn and improve. |
dispensing staff to record dispensing near misses. Near miss records to be used as a means of learning and improving |
06/12/2019 | 15/01/2020 |
| 1.1 | The pharmacy does not do enough to identify what they need to do to prevent mistakes. The pharmacy's team members do not have a robust set of procedures to follow. |
SOPs to be reviewed and updated. Staff to read and sign SOPs relevant to their roles. Staff compliance with SOPs to be monitored by regular RP |
06/12/2019 | 22/11/2019 |
| 1.3 | The pharmacy does not do enough to ensure that team members are clear about their roles and responsibilities. |
Ongoing programme of review of SOPs. Dispensing and Multi-compartment compliance pack SOPs completed and signed. |
06/12/2019 | 15/01/2020 |
| 1.6 | The pharmacy does not keep all of its records in the way the law requires. |
RP to ensure that essential records contain the required detail, including: responsible pharmacist records, unlicensed 'specials' records and records for the receipt and destruction of patient returned CDs. |
06/12/2019 | 15/01/2020 |
| 2.2 | Team members are not provided with the training and support to develop their skills and carry out their tasks safely and effectively. |
Dispensing assistant and counter staff to undertake formal training through a recognized training course. |
06/12/2019 | 13/02/2020 |
| 4.2 | Team members do not always give people the advice and information they need to help them use their medicines safely and properly. The pharmacy does not do enough to ensure that its team members follow procedures which are safe and effective. |
Multi-compartment compliance packs to include patient information leaflets (PILs), BNF warnings and descriptions of medicines therein. Staff to follow new SOP. |
06/12/2019 | 05/02/2020 |
| 4.3 | The pharmacy does not manage its medicines well. It does not carry out enough checks to help make sure that its medicines are fit for purpose. And, it doesn't carry out all of its checks as thoroughly as it could. The pharmacy does not store all of its medicines safely, once they have been removed them from their original packs. |
Stock to be stored in accordance with Manufacturers' packaging and labelling requirements. Stock to be date checked on a regular basis. |
06/12/2019 | 05/02/2020 |
Pharmacy inspections
Inspection reports and learning from inspections