| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.7 | The pharmacy doesn’t protect people’s personal information properly. Some people's personal information is not stored securely. And the pharmacy doesn't always dispose of confidential waste appropriately. |
All staff to be retrained on the Information Governance requirements including disposing of confidential waste Confidential and Normal waste bins to be clearly labelled All confidential information to be secured in all locations all the time (including consultation room and pharmacy counter). Nothing to be stored on dispensary fly shelf |
07/02/2020 | 22/04/2020 |
| 2.1 | The pharmacy doesn’t have enough staff to manage its workload effectively. The pharmacy is significantly behind on dispensing prescriptions, and it can take some time to provide people with their medicines. |
A review of staffing vs current Smart Works hours to be completed and any vacancies advertised. Right Person Right Place, Right Time (RPRPRT) to be completed to ensure that we are always staffing the store appropriately. Review the staffing of the CDS hub to ensure that this is appropriate |
21/02/2020 | 22/04/2020 |
| 3.1 | The pharmacy is untidy and there are tripping hazards for staff in the dispensary. Non-public facing areas are messy and cluttered. |
Dispensary to be de-cluttered and all tripping hazards removed All non-public areas to be cleared, and cleaned and then maintained with a cleaning rota being put in place |
07/02/2020 | 22/04/2020 |
| 3.4 | Although the premises themselves are secure, the pharmacy does not sufficiently protect access to some areas of the pharmacy. |
Arrange for door between public and non-public areas to either have a working digiock put on it. |
07/02/2020 | 22/04/2020 |
| 4.3 | The pharmacy doesn’t keep all its medicines securely, which means they are less protected from unauthorised access. And it can’t show that medicines that require cold storage have always been stored at the right temperatures. |
All relevant staff are to be retrained on the fridge temperature SOP and be signed off as competent by the PSM. All Dispensing stock to be stored securely and not left in unsecured areas |
07/02/2020 | 22/04/2020 |
| 4.4 | The pharmacy can’t show how it has responded to recent drug alerts and recalls. This could increase the risk that people are supplied medicines or medical devices that are not safe to use. |
A complete list of drug alerts and recalls from November 2019 to current to be obtained, actioned and stored appropriately |
07/02/2020 | 22/04/2020 |
| 4.2 | The pharmacy is behind on dispensing and is not providing its services effectively. |
An out of hours working party to support the store in bringing its dispensing up to date. |
21/02/2020 | 22/04/2020 |
Pharmacy inspections
Inspection reports and learning from inspections