| Standard not met | Reason | Action being taken by the Pharmacy | By when | Notification By Pharmacy Improvements Made |
|---|---|---|---|---|
| 1.2 | The pharmacy does not have any systems in place to record near misses (dispensing mistakes that occur before a medicine leaves the pharmacy), so team members may be missing opportunities to learn from mistakes that are made. |
We have downloaded the Royal Pharmaceutical Society near miss error log and started using it. |
08/07/2025 | 10/07/2025 |
| 3.1 | The pharmacy is not always kept tidy. Although the shop area is tidy, there is excessive clutter on both the floor and some of the workspace in the dispensary. This, coupled with the fact the dispensary area is quite small increases the risk of near misses or dispensing errors occurring and could present health and safety risks including tripping hazards and injury to team members. There has also been a previous leak in the pharmacy which has caused damage to the ceiling. The consultation room is cluttered and lacks amenities such as a chair for the pharmacist which makes it harder for safe and effective consultations to take place in the consultation room. |
The dispensary workbenches have been cleared of all the unnecessary clutter. The Consultation room has been decluttered.
|
22/07/2025 | 10/07/2025 |
| 4.3 | The pharmacy cannot demonstrate that it has appropriate procedures for removal of expired medicines or medicines that are unfit for use. During the inspection several expired medicines as well as loose blisters of medicines and bottles of medicines missing important information such as batch numbers and expiry dates were found on the shelves. |
Date Checking for Dispensary and Shop Floor for all stock once every 3rd month on a rolling program. The stock with the shortest expiry to be put at the front. All stock with expiry less than a month to be placed in a different location and marked out of date. No medicines to be kept outside their original pack. To help fast-track this action. Stocktakes were called on 5th June at the pharmacy to remove all out of date (e.g. till end July 2025) from the dispensary and shop and stockrooms. |
08/07/2025 | 10/07/2025 |
| 4.3 | Although the previous fridge temperature records seen were within the appropriate range, the thermometer for the fridge was found to be broken. So, the pharmacy cannot sufficiently demonstrate that its medicines requiring cold storage are being stored at the appropriate temperature. |
Bought a new min max thermometer and installed and is working fine. A back up thermometer was also purchased. |
08/07/2025 | 25/07/2025 |
| 4.3 | The layout of the pharmacy means that people are required to walk through the dispensary to access the consultation room in close proximity to some prescription-only medicines that are liable to misuse on the dispensary shelves. This could provide people with unauthorised access to these medicines and increase the risk of theft. |
The shelf which was in close proximity to some prescription-only medicines that are liable to misuse on the dispensary shelves. These have been now removed and relocated to a drawer.
|
08/07/2025 | 10/07/2025 |
Pharmacy inspections
Inspection reports and learning from inspections