| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The pharmacy does not keep all the records it needs to by law. It still maintains some controlled drug records on photocopied controlled drug register sheets stapled together. It also doesn’t record all the necessary information required to comply with the law. Some responsible pharmacist (RP) records are incomplete and inaccurate. This means people can’t be certain who was in charge of the pharmacy at any given time. |
All photocopied controlled drug (CD) register records have been fully transcribed into a compliant bound controlled drug register to ensure continuity, accuracy, and legal compliance. The photocopied records have been retained securely as historical records in line with legal requirements. The pharmacy now uses only the bound CD register for all current and future entries, with all required information recorded at the time of receipt or supply. |
11/02/2026 | |
| 2.2 | The pharmacy has not shown what training and supervision is being undertaken or has been completed by the person preparing multi-compartment compliance packs. This is to help make sure team members have the appropriate skills for their role. |
The staff member involved in the preparation of multi-compartment compliance packs is already undertaking the role and is enrolled on the relevant training course. Evidence of enrolment and training is held within the pharmacy and has been provided for review |
11/02/2026 |
Pharmacy inspections
Inspection reports and learning from inspections