| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy does not record the details of dispensing incidents. This means that it cannot always demonstrate that suitable investigations are completed, and appropriate action is taken to mitigate the risks of future incidents. And opportunities to learn and improve pharmacy services may be missed. |
Although incidents are investigated and any action points implemented and discussed with the team, this information is not always recorded. Going forward, we will implement a dispensing incident folder with robust procedure to follow when dispensing incidents occur. |
21/10/2025 | 03/12/2025 |
| 1.6 | Pharmacy records are not always completed in line with requirements and records, including those for private prescriptions and unlicensed specials, contain incomplete or inaccurate information. This compromises the integrity of records and means that the pharmacy may not always be able to promptly identify when something has gone wrong. |
We will ensure that our dispensary team are given training for dispensing pharmacy records and recording these accurately. A plan for training will be devised by the end of this 10 working day period to ensure that our dispensers complete training and improve their record keeping. |
21/10/2025 | 03/12/2025 |
| 2.2 | Pharmacy team members do not always have the suitable qualifications for the roles in which they are working. This means that the pharmacy may not be able to demonstrate that its team members have the knowledge and skills for the jobs that they do. |
An action plan will be implemented to audit our staff members to ensure all staff members who have been employed over 3 months are enrolled onto the applicable course. |
21/10/2025 | 03/12/2025 |
Pharmacy inspections
Inspection reports and learning from inspections