BAA Trading Ltd (1040783) - Improvement action plan

The pharmacy does not always protect people's personal information properly. There are dispensed medicines with labels in the consultation room. And several pieces of confidential information were found in with general waste.

• Conduct staff training on data protection and confidentiality.
• Implement a clear desk policy and ensure all confidential information is shredded and disposed of in designated bins for confidential waste straight away.
• Audit consultation room daily to ensure it’s free of labelled medication.

The pharmacy does not always store its medicines appropriately or securely. Some prescription-only medicines stored in the shop area are potentially accessible to people using the pharmacy. And the pharmacy cannot demonstrate that it keeps all its medicines requiring cold storage at the appropriate temperatures. So, it cannot be sure that the medicines are safe for people to use. There are some blank white boxes containing medicines in the dispensary that are not labelled with important information such as the batch number or expiry date. This could make date checks or responding to product recalls less effective.

• Relocate all POMs to secure dispensary area.
• Purchase a supplementary fridge to ensure there is enough space for all medication to be stored securely.
• Calibrate and monitor fridge temperatures daily and keep logs.
• Label all medicines with batch number and expiry date.
• Implement weekly stock audit and monthly temperature review.