| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy does not review its standard operating procedures (SOPs) regularly. The SOPs contained outdated information and do not always reflect the current working practices. This means its team members may not be working in line with the written instructions that are in place to deliver services in a safe an effective manner. |
The director and superintendent pharmacist is preparing new SOP's from Numark which will be signed by each member of the team |
26/07/2024 | 01/08/2024 |
| 1.2 | The pharmacy does not keep a record of the mistakes that occur during the dispensing process (near misses). And it does not proactively review these mistakes which means it may not identify common mistakes and trends. Its team members may miss out on learning opportunities following a mistake. |
A new error book has been provided for team members and each error will be logged in the book and reviewed monthly for common patterns. |
26/07/2024 | 01/08/2024 |
Pharmacy inspections
Inspection reports and learning from inspections