Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
---|---|---|---|---|
1.1 | The pharmacy does not identify and manage risks. It does not assess some key risks to patient safety from its activities. |
Sale of medicines protocol. |
20/01/2020 | 20/01/2020 |
1.2 | The pharmacy has no procedures to record, reflect and learn from mistakes |
Incident reporting enabled on PMR system. |
20/01/2020 | 20/01/2020 |
1.6 | The pharmacy does not keep all the up-to-date records that it must by law. |
Patient-returned CD register updated and continuing. |
20/01/2020 | 20/01/2020 |
1.7 | NHS smartcards, which allow access to people’s personal information, are not stored safely. And, team members use other people’s cards. |
Re-train staff with reference to Information Governance regarding use of smartcards. |
20/01/2020 | 20/01/2020 |
2.1 | There is evidence to support that the pharmacy does not have enough staff to manage its workload safely. And, the team members are working in a way that is unsafe. |
Dispensary assistant to return from maternity leave in April should rectify this. |
20/01/2020 | 20/01/2020 |
2.4 | The team members have no appraisals and so any gaps in their knowledge and skills may not be identified. |
To be commenced. |
20/01/2020 | 20/01/2020 |
3.1 | Not all areas of the pharmacy present a professional image. The work areas are disorganised. |
To be addressed. |
20/01/2020 | 20/01/2020 |
4.2 | The pharmacy services are not effectively managed to make sure that they are delivered safely. |
Review of SOP’s. |
20/01/2020 | 20/01/2020 |
4.3 | Medicines are not all stored or disposed of safely. |
Sale of medicines protocol and dispensary date checking procedure reviewed. |
20/01/2020 | 20/01/2020 |
4.4 | The pharmacy team cannot demonstrate that people only get medicines or devices that are safe. |
Drug alert record put in place and filed for future reference. |
20/01/2020 | 20/01/2020 |