| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.6 | The responsible pharmacist log is incomplete as it contains multiple missing entries. So, the pharmacy cannot always demonstrate who is responsible for the safe and effective provision of its services at any given time. The private prescription register does not record all of the details required by law, so it may not always be possible to reconcile supplies that have been made. And the pharmacy does not regularly check some of its higher risk medicines, which increases the risk that discrepancies may not be immediately identified. |
Purchase a paper-based pharmacist log to keep attached to main PMR screen to remind pharmacist to sign in. Set alarm on tablet/PMR. Review private prescription register & complete missing entries. Brief staff to enter private scripts using PMR system Divide register into quarters & check one quarter each week of MDS dispensing |
27/05/2025 | 03/06/2025 |
| 4.3 | The pharmacy gets its medicines from licensed suppliers. But it cannot demonstrate that it makes effective checks to help ensure that medicines are suitably stored and fit for supply. Medicines are not always stored in their original packaging, there is a lack of robust date checking and several expired medicines are present on the dispensary shelves. Fridge temperature records are not fully maintained so any temperature deviations may not be immediately identified. And the pharmacy cannot demonstrate it always stores these medicines appropriately to help make sure they remain safe to supply. |
DOOP split strips of medication & any expired stock Implement date-checking roster. Set alarm on tablet to remind of fridge temperature record in addition to PMR reminder. |
27/05/2025 | 03/06/2025 |
Pharmacy inspections
Inspection reports and learning from inspections