Shore Pharmacy (1040508) - Improvement action plan

The pharmacy staff do not routinely assess risks to people’s safety. They are aware that routine tasks are not being done as required, but they do nothing to remedy this.

The standard operating procedures have been reviewed to ensure all staff members are aware of the routine tasks. All staff members are aware of the high risk drugs and interventions to highlight to the pharmacist to counsel patients. Valproate, anticoagulation and blue steroid cards have been re- ordered for patients to be counselled upon. All dispensary team know to highlight medication of this nature to the pharmacist so appropriate counselling can be provided to the patient which has been put into place. A training meeting has taken place to action this. All dispensary staff are aware of signing dispensing labels so that there is a clear audit trail and that everyone is aware of the importance of patient confidentiality. Ongoing training is in place where random spot checks are being carried out, regular monitoring and frequent branch visits to ensure all action points are being adhered too. Verbal training carried out is being documented and signed by the dispensary team to ensure reinforcement and understanding of the SOPS.

The pharmacy did not display the Responsible Pharmacist notice.

The responsible pharmacist notice procedure is laid out in the standard operating procedures. The pharmacist is aware and a review with the pharmacist has taken place to ensure this MUST and will be displayed at all times in the pharmacy and has been reinforced with a further review of the SOPS. Spot checks of this is being carried out upon visits to the pharmacy.

The premises are not protected against unauthorised access.

The Post office worker will not enter the premises without the pharmacy staff present to protect against unauthorised access. The post office worker has signed an agreement to ensure he will not enter the premises and he will not have access to any keys to enter the premises.

The pharmacy doesn’t respond routinely to medicines alerts. So people may be put at risk.

All batch recalls are highlighted via email by myself or the pharmacist is informed in which the pharmacist and dispensary members will take action upon. This will then be recorded in a batch recalls folder and a written response of when it was actioned by will be provided. Standard Operating procedures have also been reviewed with all dispensary team members. A batch recall folder is available at all times within the dispensary which again is spot checked to ensure batch recalls are being addressed and actioned.