| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy doesn’t manage its risks appropriately. And the way its team works and stores its medicines increases the risk of mistakes happening. The pharmacy has some written instructions to help its team members work safely. But these aren’t reviewed regularly and aren’t always followed. |
As a matter of course all stock medicines will be stored on the appropriate shelves. We will make sure dispensed medicines awaiting collection are stored in a bag with a copy of the prescription. We will review the pharmacy’s SOPs, and staff, including the pharmacist, will read, sign and follow these. |
01/08/2023 | 03/09/2023 |
| 1.2 | The pharmacy doesn’t adequately review the services it provides when things go wrong. And, for example, it doesn't keep records of the dispensing mistakes it makes, nor the steps its team takes to stop the same sort of things happening again. |
Similar sounding dugs will be kept apart on the shelves. The pharmacy will keep records of the dispensing mistakes it makes and the steps its staff takes to stop the same mistakes happening again. We will continue to bake in time to complete patient safety reports as a matter of urgency each month and log this. |
01/08/2023 | 03/09/2023 |
| 1.6 | The pharmacy is required to keep certain records by law. But these aren’t always filled in correctly. And, in the case of its controlled drug records and private prescription register, aren't available at the pharmacy. |
The CD register, the private prescription register, the RP records and the special records will be maintained as they should be. The CD register, and the private prescription register will be available at the premises. |
01/08/2023 | 03/09/2023 |
| 3.1 | The pharmacy is very cluttered and disorganised particularly in areas people using its services can’t see. And this could present an unacceptable risk to the health and safety of the people who visit or work at the pharmacy. |
The pharmacy will be decluttered, tidied and reorganised to make sure people who work or visit the premises are kept safe. |
01/08/2023 | 03/09/2023 |
| 4.2 | People who work at the pharmacy don’t follow the pharmacy procedures all the time. The pharmacy doesn’t keep adequate records to show its working practices are safe and effective. It can’t show it has supplied the right medicine to the right person. And it doesn’t always give people the information they need to make sure they take their medicines properly. |
We will review the pharmacy’s procedures to ensure our working practices are safe and effective. Staff, including the pharmacist, will follow the SOPs. A record will be maintained to show that the right medicine is delivered to the right person. Patient information leaflets will be routinely supplied with compliance packs. |
01/08/2023 | 03/09/2023 |
| 4.3 | The pharmacy doesn’t suitably store all its medicines that must be locked away or those that it needs to keep in a refrigerator. |
All medicines that require refrigeration will be stored at the appropriate temperature range (between 2 and 8 degrees Celsius). All CDs, which aren’t exempt from safe custody requirements, will be kept in a CD cabinet. Consideration will be given as whether an additional CD cabinet needs to be installed. |
01/08/2023 | 03/09/2023 |
| 5.2 | The pharmacy has a small refrigerator to keep medicines in that require refrigeration. But this is too small and isn’t fit for purpose or appropriately maintained. |
A new fridge has been purchased which is pending to be delivered to the pharmacy. It will be maintained at the appropriate temperature range and its maximum and minimum temperatures will be recorded on the days the pharmacy is open. |
01/08/2023 | 03/09/2023 |
Pharmacy inspections
Inspection reports and learning from inspections