| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.1 | The pharmacy has written standard operating procedures but there is no evidence to show that these have been approved for use at this pharmacy by the pharmacy's owner or superintendent. And the pharmacy cannot show that the written procedures have been reviewed since 2020. This means team members may not always be working in the most safe and effective way. |
The standard operating procedures (SOPs) have been reviewed by the superintendent pharmacist and stamped with the pharmacy name and address to show they have been approved for use at the pharmacy. All staff to read and sign SOP’s. The Superintendent pharmacist to review SOPs again in 6 months. |
18/07/2025 | 23/07/2025 |
| 4.2 | The pharmacy offers some private services using patient group directions (PGDs) but it has been providing some of these services using expired PGDs. So, it does not have the appropriate current authorisation to supply some prescription only medicines lawfully. |
The superintendent Pharmacist to print off up-to-date PGD’s and sign and date to show the commencement date of implementation. Updated PGDs to be filed in PGD folder. |
18/07/2025 | 03/07/2025 |
| 4.3 | The pharmacy does not keep complete records of fridge temperatures and therefore cannot show that medicines requiring cold storage are always stored at the right temperature. |
Pharmacy team member to contact the fridge company to confirm correct function of fridge temperature readings. |
18/07/2025 | 21/07/2025 |
Pharmacy inspections
Inspection reports and learning from inspections