Abbotswell Pharmacy (1041591) - Improvement action plan

The pharmacy does not monitor and review dispensing, it's main service. Team members do not record or review near misses. And are missing opportunities to learn and improve safety.

Re-introduce near miss logs.
Ensure all staff use them.
Review these regularly to identify themes/trends.
Make changes to improve accuracy.

The pharmacy had no way for people to give feedback. So it could not use feedback to improve services.

Put up notice in pharmacy directing people to the pharmacist to give feedback, positive or negative.

The pharmacy team has not had any safeguarding training. The pharmacy does not have safeguarding processes in place. And team members do not know how to raise concerns.

All staff to access and familiarise themselves with content of NumarkNet NHS safeguarding app.

Team members are not trained, or are not undergoing training appropriate for their role as per GPhC minimum standards. And the pharmacy does not provide material or time for team members to maintain and develop their skills for the services provided.

Team members will be given time at work to complete accredited courses.
And all team members will be given time at work each month to read relevant information or complete training modules required for their roles.
And records will be kept.

The pharmacy does not manage services safely and effectively. It does not use tools, such as basket, to separate people's medicines. This increases the risk of mixing medicines. It does not keep audit trails of team members involved in the dispensing and checking of items. Particularly those that are self-checked. And people's identity is not confirmed when handing out medicines. This increases the risk of people getting the wrong medicine.

Use dispensing baskets.
Update SOPs and all read and work to.
Always use disp/check by boxes.
Ask people for ID such as address or date of birth even although most people are well known to staff members.