| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.5 | The pharmacy is not able to demonstrate it has sufficient professional indemnity insurance to cover the services it provides. |
Evidence of valid insurance to be provided by the pharmacy. |
03/09/2024 | 08/09/2024 |
| 1.6 | The pharmacy’s controlled drugs registers are unreliable and do not accurately show when these medicines are obtained or supplied. And they do not meet the record keeping requirements. |
Arrange out of date CD medicines to be reported to CDAO for destruction. New CD register software to be implemented. Pharmacist and Technicians and key staff members will again undertake SOP Learning relating to the management and use of controlled drugs to cover the following points: -Ordering and receipt of CDs; |
19/08/2024 | 08/09/2024 |
| 2.2 | Members of the team are not enrolled on to appropriate training courses in a timely manner for their role. So they may not have the correct skills or knowledge for their role. |
All Staff Members will undergo Induction Training, Completion of their Annual Appraisal and ensure they are enrolled on an appropriate course such as Buttercups Training |
03/09/2024 | 08/09/2024 |
| 3.1 | Pharmacy regulated activities are not always undertaken on the registered premises. So there is a risk these services are not provided in line with current regulations. |
MDS Preparation has been re-established temporarily at the back of the dispensary but will eventually be moved to one of the Treatment Rooms so its operation has access to a live PMR Terminal and is away from noise and distraction so as not to interfere with concentration. |
03/09/2024 | 08/09/2024 |
| 4.3 | CD medicines are not stored in a suitable manner. |
CD medicines will be stored in line with the regulations. |
03/09/2024 | 08/09/2024 |
Pharmacy inspections
Inspection reports and learning from inspections