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Pharmacy inspections

Inspection reports and learning from inspections

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Health Lines Pharmacy (1035406) - Improvement action plan

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

Overall, the pharmacy fails to adequately manage and mitigate all of the risks associated with the provision of its services.

CD discrepancies have been investigated and resolved. Discrepancies that could not be resolved have been reported to the accountable officer.
A weekly balance check process has been implemented and staff instructed to follow this in line with best practice and company SOP. The RP must be involved in performing this balance check with a qualified dispenser.
A new process has been implemented group wide whereby all CD and fridge ordering must be cross-checked by two staff, one of which must be the RP. These items must only be ordered once a physical check has been performed of current stock to prevent overstocking.
New fridge has been put in situ which has a bigger capacity than the previous.
Out of date CD destruction witnessed and completed.

03/05/2022 15/07/2022
1.6

The pharmacy fails to maintain all the records required for the safe provision of pharmacy services.

Records for patient returned CDs have been completed by the pharmacy team. Guidance and training provided to the team to ensure they are aware of the process and also ensure that the RP on duty carries out their required responsibility with regard to record keeping. Patient returned CD destruction completed by RP and trained dispenser.

03/05/2022 15/07/2022
3.1

The pharmacy's roof is not currently water-tight meaning rainwater can leak into the premises.

Roof repairs have been performed to prevent further ingress of water.

03/05/2022 15/07/2022
4.3

The pharmacy team do not always ask people who are buying over-the-counter medicines the right questions or give them advice to make sure that the medicine is appropriate or is taken safely.

WWHAM process reiterated with all staff. WWHAM questions are also in situ at the counter and staff reminded to always refer to and use them.

03/05/2022 15/07/2022