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Pharmacy inspections

Inspection reports and learning from inspections

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The Olton Pharmacy Limited (1038401) - Improvement action plan

GPhC Reference 1038401

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.6

The pharmacy is not keeping its controlled drug records in line with requirements.

Reviewing of sop’s to ensure regular auditing of CD including regular balance checks, expired CD and patient returns.
All CD anomalies during the inspection have now been resolved and reported to the Accountable Officer.

 24/03/2022 23/03/2022
1.1

The pharmacy does not adequately identify and manage the risks associated with providing its services. Staff members are undertaking tasks in the absence of the right training, including adequate training on the pharmacy's standard operating procedures. The dispensary is poorly organised, and medicines are not stored appropriately. And the pharmacy does not make sure all parts of the premises are kept in a clean and tidy condition.

Review and amendment of sop’s.
Appraisals for all staff immediately and in 3 months to identify training needs as well as personal reflection.
Reorganisation of dispensary shelves/medicines to reduce clutter and excess stock with appropriate storage in original manufacture packaging.
Ensure regular recorded rotas for cleaning of dispensary and kitchenette as well as for medicine date checking with appropriate coloured sticker system.

 07/04/2022 07/04/2022
2.2

Not all staff have been trained, or are undergoing training appropriate for their role and responsibilities.

One member of staff who was on a training course that had expired before completion will be enrolled on an appropriate course with the NPA. Support and monitoring to ensure accredited training is progressing.

 24/03/2022 23/03/2022
2.5

Members of the pharmacy team are not empowered to provide feedback and raise concerns about the way the pharmacy operates.

Review of SOPs to ensure members of pharmacy team are aware of whistleblowing policy.
Anonymous forms to be provided to staff to highlight any information including concerns.

 07/04/2022 07/04/2022
3.1

The dispensary is poorly organised and cluttered. This is impacting the overall efficiency of the dispensing process. And it may increase the risk of dispensing mistakes or accidents.

Decluttering of consultation room.
Improving the workbench space available by reorganising. Keeping floor space clear.
Ensure regular recorded rotas for keeping the kitchenette clean and tidy.

 07/04/2022 07/04/2022
4.3

The pharmacy does not always store its medicines appropriately. This increases the chance that mistakes could be made, and medicines could be supplied to people when they are not fit for purpose.

Reviewing sop’s to ensure the prescription retrieval system is effective and efficient.
Ensuring dispensary benches are clear as possible. Decluttering of MCCP area and review sop for PIL supply.
Sop review for 28 day CDs including using stickers and regular monitoring for expired CD removal from shelves.

 07/04/2022 07/04/2022
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