| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 2.1 | The pharmacy does not have enough staff to manage its workload effectively. |
Review of staffing levels and skill mix (using staffing and capability assessment document) Completion of staffing rota, matrix and training plan. Locum Pharmacist block booked until the end of December to provide continuity in the meantime. Relief colleagues or locum dispenser to continue to support until induction of new starters completed. AOM to visit at least one day per week to monitor progress and assess workload. |
17/11/2023 | 01/12/2023 |
| 4.3 | The pharmacy does not always store its medicines appropriately or securely. And it cannot sufficiently demonstrate that it keeps its medicines requiring cold storage at the right temperatures. |
Team meeting will include discussion on the importance of fridge temperature monitoring. All the team to be trained on how to complete this on the online fridge temperature log and the criteria for escalation to the RP if it is outside of the range, following SOP 18, Appendix 1. Team Leader to assume responsibility to ensure completion and delegate the task to a colleague in her absence. Regular spot checks to be completed by AOM to ensure adherence to process. Head of Facilities visiting the pharmacy to assess possibilities for structural amendments to prevent access to the back area from the shop floor. Update will be provided when this has been completed. The door from the shop floor will remain closed. The team have been briefed on the importance of ensuring no member of the public accesses the back area. Controlled drugs removed from the consultation room, entered into the Patient Returns CD Register and denatured. |
03/11/2023 | 01/12/2023 |
Pharmacy inspections
Inspection reports and learning from inspections