| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy doesn’t adequately manage all the risks associated with its services. Pharmacy team members don’t have access to up-to-date SOPs that reflect the pharmacy’s current practice and available technology. And they do not read the SOPs that are available to help them complete tasks safely and effectively. |
All SOPs to be reviewed, published and signed by staff members. SOP’s to be published for all services provided by the pharmacy including use of automated dispensing technology. 4.11.24 - SI update - All SOPs reviewed, printed, read and signed by all staff members |
05/12/2024 | 04/11/2024 |
| 1.7 | The pharmacy does not adequately identify and destroy confidential waste, which increases the risk of it being disposed of inappropriately. |
The waste is collected every 6 months, the confidential waste is kept separately upstairs until disposal so there is NO chance of confusion, mixing or inappropriate disposal. 4.11.24 – SI stated that waste disposal company have been asked to provide sacks for collection of confidential waste. Evidence of use of sacks to be provided at end of action plan implementation period. |
05/12/2024 | 04/11/2024 |
| 3.1 | The pharmacy does not store unused chemicals appropriately. This presents a significant unmanaged health and safety risk to pharmacy team members. |
These were inherited from the previous owner and have been sat there untouched for 20+ years. We can arrange disposal but do not see them constituting a hazard due to where they are situated. They are completely away from public areas. 4.11.24 – SI stated chemicals moved to a different location away from staff while disposal arranged. Evidence of proper disposal to be provided by the end of the action plan implementation period. |
05/12/2024 | 05/12/2024 |
| 4.3 | The pharmacy does not have effective processes for properly monitoring medicines stored in the fridge. This increases the risk of supplying medicines to people that are not fit to use. And it does not always provide people with enough printed information to help them manage taking their medicines safely. |
The SOP’s for cold chain medicines and fridge temperature monitoring have been updated, read and signed by all staff members. 4.11.24 – SI stated that PILs are now provided with each multi-compartment compliance pack. Also updated that fridge temperature monitoring now being completed each morning. |
05/12/2024 | 04/11/2024 |
Pharmacy inspections
Inspection reports and learning from inspections