World's End Pharmacy (1041098) - Improvement action plan

The pharmacy does not maintain its responsible pharmacist record properly. There are many missed entries in the record. This means the pharmacy cannot always demonstrate who is responsible for overseeing the activities in the pharmacy at a particular time.

SI has had a meeting with the regular Responsible pharmacist and been informed MUST enter RP details including any absence during day. SI have created monthly RP one drive folder where RP details must be uploaded to review on monthly basis.

The pharmacy does not always manage its medicines appropriately. The team members carry out expiry date checks, but they do not always keep a record of these checks. And several medicines are not stored in their original containers and are not labelled with important information like batch numbers or expiry dates. This may make it difficult to carry out date checks or respond to product recalls effectively. Although the pharmacy receives MHRA alerts, it does not always maintain clear audit trails of the action it has taken in response to them. And it does not always record fridge temperatures to ensure that medicines requiring cold storage are stored within the recommended range.

- Onedrive folder created where medication stock check will be carried out 3 monthly and record must be uploaded.
- Pharmacist and staff have been informed and information reiterated that medication must be store in original container and if not to ensure all storage conditions are mate (PIL, batch no, exp date etc)
- MHRA alerts to be printed and filed in paper copy and any action taken must be marked on the paper copy and file to be kept up to date.
- Prescript connects records fridge temperature at same time as RP sign in. Must upload this data with the RP record on onedrive for monthly review.