| 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 keep up-to-date with its workload. It is behind on dispensing and checking prescriptions, and other tasks such as date-checking are not up to date. |
Review of staffing levels and skill mix (using staffing and capability assessment document) Completion of staffing rota, matrix and training plan. Complete and maintain 6 weeks forward planning rotas Assess against workload and identify any shortfalls. Escalate to RDM. Recruitment for two part-time colleagues to be completed. Full induction to be completed for new starters upon commencement of employment. Pharmacist recruited to work full time in the pharmacy to provide continuity. Relief colleagues to continue to support until induction of new starters completed. |
20/05/2020 | 06/05/2020 |
| 4.3 | The pharmacy doesn’t always manage its medicines properly. It stores some medicines in a very untidy way, which increases the risk of dispensing mistakes happening. It doesn’t regularly date check its stock, and as a consequence doesn’t always remove date-expired medicines from stock promptly. This could increase the risk that people are supplied a medicine which is past its use-by date. |
Check short dated stock lists recorded on the electronic date checking system against the stock in the dispensary and ensure all OOD stock removed from shelving. Additional relief colleague to be arranged to complete full date check of dispensary and shop floor. Team meeting to discuss date checking process and re-train colleagues to ensure correct process adhered to at all times (short dated stock identified, recorded and “use this pack first” alert sticker placed on packaging). Ensure a date checking rota is in place and adhered to by the colleagues in the future. RDM to carry out spot check during ongoing store visits. Team briefed to include additional focus on the date check during the dispensing and accuracy checking procedure in the meantime until full date check of dispensary completed. |
20/05/2020 | 06/05/2020 |
| 4.4 | The pharmacy doesn’t respond to drug alerts and recalls promptly. And this increases the risk that people are supplied a medicine or medical device which is not safe to use. |
Team briefed on the importance and requirement to ensure drug alerts and recalls are adhered to promptly. All previous alerts and recalls now actioned. Team now required to confirm directly with RDM when alerts and recalls have been actioned. |
06/05/2020 | 06/05/2020 |
Pharmacy inspections
Inspection reports and learning from inspections