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Pharmacy inspections

Inspection reports and learning from inspections

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Herrington Medical Centre Pharm. (1037495) - Improvement action plan

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

The pharmacy doesn’t adequately manage all the risks with its services. The pharmacy doesn’t have complete and up-to-date written procedures that reflect the pharmacy’s current practice. This includes the management of near miss errors and dispensing incidents, and the pharmacy's technology systems. Pharmacy team members are unclear about how to provide services safely in certain circumstances

To review and adopt near miss and dispensing protocols using the NPA 50 Essential SOP portfolio with particular references to recording and reviewing.
Review safeguarding policy and how staff will response if a situation arises. Review staff understanding of the RP regulations and what to do if the situation where the RP is not present. Review stock quantity and date checking esp CD. Review and replace SOP as required. Assess knowledge of GDPR regulation and any shortcomings
Develop SOP, in conjunction with providing pharmacy, in relation to producing, supplying, and accommodating changes, whether instigated by hospital discharge, GP intervention, or at the patient’s/carers’ request, of compliance aids either in monitored dosage systems or dosage charts.
Address concerns raised about GDPR. Consent.
Review and replace any SOPs as necessary, comparing with standard SOP from representative bodies replacing as required.
Adopt of adopt SOP which highlights and explain the role of the automated dispensing within the dispensing process, communicating with the PMR system, explaining how the user knows when the product will be supplied and when the product needs to be sourced elsewhere by the dispenser.

26/10/2022 22/11/2022
1.2

Pharmacy team members do not record or analyse their mistakes. And they do not consider errors that occur in all parts of the dispensing process that are not mitigated by the robotic dispensing technology installed.

To review and adopt near miss and dispensing protocols using the SOPs created representative bodies with particular references to recording and review. Review other areas if, when, and where they occur
Report should provide reassurance that procedures are followed and issues are rectified to remove the risk of repetition and to a standard that meets any and all regulatory bodies’ requirements.

26/10/2022 22/11/2022